Cognitive Behavioral Therapy in Helping Patients with Acute Myeloid Leukemia or Lymphoma with Cancer-Related Fatigue

Status: temporarily closed to accrual

This phase II trial studies how well cognitive behavioral therapy works in helping patients with acute myeloid leukemia or lymphoma with cancer-related fatigue. Behavioral therapy uses methods to help patients change the way they think and act. Behavioral skills may help patients with acute myeloid leukemia or lymphoma cope with anxiety, depression, and other factors that may influence their level of cancer-related fatigue.

Inclusion Criteria

Diagnosis of AML or AML secondary to MDS (myelodysplastic syndrome) and lymphoma with fatigue >= 4/10 (0-10 scale) on the MDASI-AML/MDS.
Presence of fatigue for at least 2 weeks.
Normal cognition by Memorial Delirium Assessment Scale score of < 13 at baseline.
Hemoglobin > 8 g/L within 2 weeks of enrollment in the study; if the patient has not had blood drawn for a hemoglobin level in the past two weeks, one will be done to determine the eligibility.
Zubrod performance status =< 2.
Able to communicate in English or Spanish.
Seen at leukemia and lymphoma clinics at University of Texas (UT) MD Anderson Cancer Center, Houston, Texas and its affiliates in University of Texas.

Exclusion Criteria

Has received CBT (cognitive behavioral therapy) for any indication (e.g. depression, sleep disturbance) in the past 1 year.
Inability to comply with study protocol procedures.
Prior cancer diagnosis other than noted in the inclusion criterion #1.
History of glaucoma, congenital blindness, self-reported acquired blindness, or retinal disease.

PRIMARY OBJECTIVE:

I. To determine whether acute myeloid leukemia (AML) and lymphoma patients with cancer-related fatigue (CRF) will be satisfied with the cognitive behavioral therapy (CBT) intervention, and if CBT will be feasible for AML and lymphoma patients with CRF where the feasibility will be based on adherence measurement.

SECONDARY OBJECTIVE:

I. To examine the preliminary effects of CBT on improvement of CRF (Functional Assessment of Cancer Illness Therapy (FACIT-F) - Fatigue subscale, its related symptoms, M.D. Anderson Symptom Inventory - Acute Myeloid Leukemia / Myelodysplastic Syndromes (MDASI-AML/MDS), Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety Depression Scale (HADS), and Quality of Life (FACT-G) in AML and lymphoma patients receiving this combination regimen at the end of 8 weeks or 6 months.

EXPLORATORY OBJECTIVES:

I. To explore the effects of CBT on hope for future and burdens of treatment and their interference with patients’ lives using the Herth Hope Index (HHI), M. D. Anderson Symptom Inventory-Chronic Myeloid Leukemia (MDASI- AML/MDS).

II. To explore in a subset of AML and Lymphoma patients with CRF the effects of combining CBT with bright light therapy on improvement of CRF at the end of 8 weeks.

OUTLINE:

Patients undergo CBT consisting of 7 counseling sessions, up to 45 minutes each over the phone.

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Cognitive Behavioral Therapy in Helping Patients with Acute Myeloid Leukemia or Lymphoma with Cancer-Related Fatigue

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