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Table 4 Treatment modules and maintaining factors per protocol

From: Personalized versus standard cognitive behavioral therapy for fear of cancer recurrence, depressive symptoms or cancer-related fatigue in cancer survivors: study protocol of a randomized controlled trial (MATCH-study)

Protocol

Module

Maintaining factor(s)

Mandatory/Optional

Fear of cancer recurrence (FCR)

 

Psycho-education

-

Mandatory

Values, goals, and actions

-

Mandatory

Attention training

Self-focused attention

Mandatory

Detached mindfulness and worry postponement

(1) Worry and rumination

(2) Attempts to avoid, suppress, or minimize FCR thoughts

(3) Intrusive thoughts or images about cancer recurrence

Optional

Metacognitions

Unhelpful beliefs about the importance, impact and control of worry

Optional

Threat-monitoring and avoidance

(1) Frequent self-examination

(2) Avoidance behaviors

Optional

Evaluation and relapse prevention plan

-

Mandatory

Depression

 

Psycho-education

-

Mandatory

Goal setting

-

Mandatory

Activity monitoring

Behavioral inactivity

Optional

Activity scheduling

Behavioral activation

Identifying dysfunctional thoughts

Dysfunctional cognitions

Optional

Changing dysfunctional thoughts (part 1)

Changing dysfunctional thoughts (part 2)

Relapse prevention

-

Mandatory

Fatigue

 

Psycho-education and goal setting

-

Mandatory

Sleep-wake cycle

Deregulated sleep-wake cycle

Mandatory

Activity pattern

Deregulation of activity

Mandatory

Helping cognitions

Dysfunctional cognitions regarding fatigue

Optional

Fear of cancer recurrence

Fear of cancer recurrence

Optional

Social interactions

Low social support

Optional

Coping

Poor coping with cancer and cancer treatment

Optional

Realizing treatment goals

-

Mandatory