By Michael H. Antoni, Roselyn Smith

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Additional info for Stress Management Intervention for Women With Breast Cancer: Participant's Workbook

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Session 4 Reminder Sheet ➤ Can be broken down into manageable pieces . . ➤ 44 ➤ That can be handled individually, allowing you to prioritize and deal with the most aspects. Session 5: Coping, Part I 5 ➤ Cognitive Restructuring ➤ ➤ Stressful Situation YES NO ➤ ➤ ➤ Behavioral Distorted? ➤ Emotional ➤ ➤ ➤ Cognitive ➤ ➤ ➤ ➤Automatic Thought Physical ➤ Social Review Look at your homework from Session 4. Review the ways you responded to each of the following segments of the cognitive restructuring sequence: ❚ ❚ Describe a stressful situation: Was it a typical event for you?

For example, after receiving a diagnosis of breast cancer, a woman feels that “ this isn’t happening” to her and tries to deny that she has a problem. In the short term, this strategy decreases her initial distress and gives time to come to adjust to her diagnosis. However, if she continues to use this type of coping long term, she will not seek proper care and will endanger her life. 2: Controllable and Uncontrollable Stressors Draw and label the following grid on the board. Using the list of coping strategies that was assembled earlier in the session, ask participants to assign each response to the correct area of the grid.

Most importantly, the coping response is the part of the stress response that is the most easily identified and changed. Example ❚ ❚ After learning that a hurricane is approaching (uncontrollable), some people spend their time worrying and talking about the hurricane (emotion-focused coping). Although this form of coping is likely to alleviate some of their anxiety, it will not help them protect themselves or their property. , how much it damages your house) by putting up hurricane shutters and stocking up on food (problem-focused coping) could have a real impact on how they get through the storm.

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