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Brief cognitive behavioral therapy (CBT) and relaxation training (RT) interventions have shown short\u2010term efficacy in reducing distress, but their impact on PPWB and self\u2010efficacy over longer periods among women prescribed AET is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We aimed to investigate longitudinal effects of CBT and RT on PPWB and self\u2010efficacy among women prescribed AET.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This secondary analysis of a randomized controlled trial comparing 5\u2010session CBT versus RT versus a time\u2010matched health education (HE) control for women with nonmetastatic breast cancer examined PPWB (positive affect, benefit finding, positive states of mind, optimism), coping self\u2010efficacy, and relaxation self\u2010efficacy at four timepoints over the first\u2010year post\u2010diagnosis and at median 8\u2010year follow\u2010up. Piecewise hierarchical linear modeling tested intervention effects on longitudinal trajectories among women prescribed AET from the parent study (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u00a0135).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Over the first\u2010year post\u2010surgery, positive affect and relaxation self\u2010efficacy increased across all conditions (\n                      <jats:italic>p<\/jats:italic>\n                      s\u00a0&lt;\u00a00.03). Women in CBT reported enhanced positive states of mind compared to those in HE (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.044) and enhanced coping self\u2010efficacy versus those in RT (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.029). Women in HE reported enhanced coping self\u2010efficacy versus those in RT (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.043). All intervention effects persisted at 8\u2010year follow\u2010up. There were no significant effects on optimism or benefit finding.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Brief interventions may bolster aspects of PPWB and self\u2010efficacy in women prescribed AET. Testing is warranted to determine whether more PPWB components can be incorporated into these interventions to further enhance outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70267","type":"journal-article","created":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T03:14:23Z","timestamp":1755918863000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Brief Post\u2010Surgical Stress Management Intervention Effects on Positive Psychological Well\u2010Being and Self\u2010Efficacy in Women Being Treated With Adjuvant Endocrine Therapy for Hormone\u2010Receptor Positive Breast Cancer"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6400-9739","authenticated-orcid":false,"given":"Molly","family":"Ream","sequence":"first","affiliation":[{"name":"Department of Psychology University of Miami  Coral Gables Florida USA"},{"name":"Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe J.","family":"Taub","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Population Science Department of Medicine University of Alabama at Birmingham at Birmingham Heersink School of Medicine  Birmingham Alabama USA"},{"name":"UAB O'Neal Comprehensive Cancer Center Cancer Control and Population Science Program  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hermioni L.","family":"Amonoo","sequence":"additional","affiliation":[{"name":"Department of Supportive Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA"},{"name":"Department of Psychiatry Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0874-2645","authenticated-orcid":false,"given":"Emily A.","family":"Walsh","sequence":"additional","affiliation":[{"name":"Massachussetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2691-1761","authenticated-orcid":false,"given":"Paula","family":"Popok","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Miami  Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Plotke","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Miami  Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie M.","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Massachussetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa M.","family":"Gudenkauf","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank J.","family":"Penedo","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Miami  Coral Gables Florida USA"},{"name":"Cancer Control Program Sylvester Comprehensive Cancer Center  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"O'Neil","sequence":"additional","affiliation":[{"name":"Yale University School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail","family":"Ironson","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Miami  Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven A.","family":"Safren","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Miami  Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael H.","family":"Antoni","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Miami  Coral Gables Florida USA"},{"name":"Cancer Control Program Sylvester Comprehensive Cancer Center  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21754"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38343.670868.D3"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11912\u2010021\u201001049\u20103"},{"issue":"9793","key":"e_1_2_9_5_1","article-title":"Early Breast Cancer Trialists\u2019 Collaborative Group (EBCTCG). 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