Comparing relaxation training and cognitive-behavioral group therapy for women with breast cancer

Miri Cohen, Georgeta Fried

Research output: Contribution to journalArticlepeer-review


Objective: To assess the effectiveness of cognitive-behavior (CB) group intervention versus relaxation and guided imagery (RGI) group training. Method: A total of 114 early-stage breast cancer patients were randomly assigned to CB, RGI, or control groups, and instruments were completed at pre- and postintervention and 4 months later. Results: Psychological distress was significantly reduced in both intervention groups compared to the control group. The RGI group was more effective in reducing levels of fatigue and sleep difficulties, whereas the CB group was more effective in reducing external health locus of control. Internal health locus of control did not significantly change. Adherence to self-practice at home was significantly associated with reduction in psychological and physical symptoms. Conclusions: The study supports the use of both CB and RGI models for reducing psychological distress in breast cancer patients. RGI showed advantages in reducing fatigue and improving sleep quality, whereas CB better reduced external health locus of control perceptions.

Original languageEnglish
Pages (from-to)313-323
Number of pages11
JournalResearch on Social Work Practice
Issue number3
StatePublished - May 2007


  • Cognitive-behavior intervention
  • Early stage breast cancer
  • Group intervention
  • Physical symptoms
  • Psychological distress
  • Relaxation and guided imagery

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Sociology and Political Science
  • General Psychology


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