Research paper

Internet-delivered cognitive behavioural therapy for depression and anxiety in breast cancer survivors: Results from a randomised controlled trial

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all scales except for avoidant coping (HADS‐T = 0.87, CWC = 0.91, Active Coping = 0.79, Avoidant Coping = 0.58, MOS‐SSS = 0.93). All iCBT participants who preferred carer access were married and had early‐stage breast cancer at diagnosis. All carers were spouses with ages ranging from 40 to 66 (M = 50, SD = 11.63). 3.3 | Completers versus non‐completers There was no significant relationship between drop‐out and group allocation, χ 2 (2) = 1.31, p = 0.520. Significant differences between study completers (n = 47) and non‐completers (n = 25) were found. Having another medical condition was associated with non‐ completion (χ 2 (1) = 6.19, p = 0.013) with a medium effect size (Cramer's V = 0.29). High level of education was associated with completion (χ 2 (4) = 11.19, p = 0.024) with a large effect size (Cramer's V = 0.39); a higher proportion of completers had bachelor's, master's, or PhD degree. Non‐completers had higher HADS‐D scores at baseline (M = 7.68, SD = 4.55) than completers (M = 5.64, SD = 3.17). Completers reported greater use of active coping (M = 2.73, SD = 0.45) than non‐completers (M = 2.47, SD = 0.57). No other significant differences were found in baseline outcome measures. 3.4 | Primary outcomes Significant group‐by‐time interactions were found for HADS‐T (F (2,170) = 3.81, p < 0.05) and HADS‐A (F(2,170) = 3.37, p < 0.05), but F I G U R E 1 CONSORT participant flow. AKKOL‐SOLAKOGLU AND HEVEY - 449 10991611, 2023, 3, Downloaded from https://onlinelibrary.wiley.com/doi/10.1002/pon.6097, Wiley Online Library on [28/06/2023]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License

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