Stresshantering vid bröstcancer

Background and aim

The purpose of this study is to study the prevalence of stress symptoms in women patients diagnosed with breast cancer and to study what kinds of stress management interventions are necessary to im-prove their psychosocial well-being. An analysis of costs to the health care system is included. Female patients ( n = 300) aged 18 and older and recently diagnosed with breast cancer and eligible for additional adjuvant treatment such a chemotherapy, radiation therapy and/or hormonal therapy in Falun, Gävle and Uppsala will be included consecutively in the project.


This multicenter study is a prospective longitudinal intervention using a stepped care approach. Stepped care in this study involves the inclusion of all patients in Step 1, regardless of whether or not they have initially reported clinically relevant stress symptoms. Step 1 is a two hour information pro-gram about stress management. This single occasion is expected to be sufficient to reduce symptoms of stress for many patients. For those who still report clinical levels of stress after Step 1 will be given the opportunity to participate in Step 2, which entails a randomization to individual or group stress management training, based on methods derived from cognitive behavior therapy (CBT).


Funded annually by among others the Swedish Cancer Society and  the Swedish Research Council (2008-2013) and  Uppsala-örebro regional research council.

The project group

Karin Nordin, Cecilia Arving, Ritva Rissanen Uppsala University, Johan Ahlgren Gävle, Olav Mella, Inger Thormodsen, Gerd Kvale, University of Bergen, Norway.