Changes in Distress, Depression, and General Anxiety Due to NF and Mindfulness Therapy
Consistent with the review by Hetkamp et alWhat is apparent from the post-hoc analyses, however, is that the therapy intervention alone did not produce significant relief. Significance emerged only over time. It can be assumed that inclusion in the study and the in-depth medical history interview at baseline also had an impact on the alleviation of affective psycho-oncological symptoms. The fact that the significant effects were only achieved in combination with the anamnestic/first interview can also be interpreted as a therapeutic effect. The initial contact with the principal investigator can—and should in everyday clinical practice—serve as the first formation of a psychotherapeutic relationship.