Inclusion criteria: | |
• Having received curatively intended treatment for any malignant neoplasm; | |
• Primary treatment (surgery, radiotherapy, chemotherapy) being completed ≥3 months ago before study inclusion. Any other ongoing anti-tumor therapy is allowed (e.g., hormonal therapy, adjuvant immunotherapy); | |
• Bodily disturbances (BIS ≥10) (= clinical cutoff for body image dissatisfaction [9]); OR ((BIS = 2–9) AND ((patient-assessed distress due to bodily changes (VAS-B; 0–10) ≥ 5) OR (therapist-assessed awareness of bodily changes (VAS-A) ≥ 5 AND therapist-assessed related distress due to bodily changes (VAS-B, 0–10) ≥ 5))) | |
• No sign of progress or recurrence of malignancy at study inclusion according to treating physician; | |
• Score of 0 or 1 according to the PS of the ECOG [41]; | |
• Having an anticipated life expectancy of ≥12 months, according to treating physician (recent evidence suggests that this is the best source for prediction of survival [42]); | |
• Age 18 years or older; | |
• Capacity to participate in group BPT sessions in Basel or Winterthur, 3 study assessments, and the smartphone-triggered interventions; | |
• Ability to provide informed consent. | |
Exclusion criteria: | |
• Suffering from a severe current mental disorder; | |
• Risk of current suicidality, as indicated by a suicide item score ≥ 2 in the BDI-II [43], as this group BPT intervention is not appropriate to support suicidal patients in acute crises. (Given a score ≥ 2, need for support will be assessed and if required, patients are instructed to call for or transferred to local psychiatric support); | |
• Participation in any other clinical trial with a psychosocial intervention; | |
• Receiving any other current psychotherapeutic treatment with the exception of already existing long-lasting therapies (≥ 6 months); | |
• Inability to understand and speak German. |