A psychosocial group intervention for Japanese women with primary breast carcinoma

Fukui, Sakiko; Kugaya, Akira; Okamura, Hitoshi; Kamiya, Masae; Koike, Makiko; Nakanishi, Tatsuro; Imoto, Shigeru; Kanagawa, Katsuko; Uchitomi, Yosuke

doi:10.1002/1097-0142(20000901)89:5<1026::aid-cncr12>3.0.co;2-5

Cited by 155 publications

(106 citation statements)

References 68 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For maximum effect of PMR regular daily practice for 3-6 weeks is necessary. 31,32 In order to detect the full effect of the intervention as well as changes in the intensity of symptoms expected to become gradually worse as RT progressed with a peak at around week [3][4][5][6]33 and the longer term effects of the intervention some months after RT had finished, a repeated measures design was adopted to detect the pattern of changes over time.…”

Section: Data Collection Proceduresmentioning

confidence: 99%

Managing Symptoms in Patients with Advanced Lung Cancer During Radiotherapy: Results of a Psychoeducational Randomized Controlled Trial

Chan

Richardson

2011

Journal of Pain and Symptom Management

126

114

View full text Add to dashboard Cite

(250 words)Context: Breathlessness, fatigue, and anxiety are distressing symptoms for patients with advanced lung cancer. Usually managed as isolated symptoms, they can often occur simultaneously. Previous research has often addressed management of discrete symptoms rather than considering them as a cluster, which in reality is the situation faced by patients.Objectives: This study aims to examine the effectiveness of a psychoeducational intervention (PEI) on the symptom cluster of anxiety, breathlessness and fatigue, compared with usual care. Methods:A pre-test post-test 2-group randomized controlled trial was conducted.Education on symptom management and coaching in the use of progressive muscle relaxation were delivered to patients one week prior to commencing radiotherapy (RT), and repeated 3 weeks after the first. Symptom data were collected at 4 time points: prior to the intervention, 3 weeks, 6 weeks, and 12 weeks post intervention.Results: 140 lung cancer patients receiving palliative RT were recruited from a public funded hospital in Hong Kong. Doubly multivariate MANOVA revealed a significant difference (Time *group interaction effect, p = .003) over time between the PEI and usual care control group on the pattern of change of the symptom cluster. Significant effects on the patterns of changes in breathlessness (p = .002), fatigue (p = .011), anxiety (p = .001) and functional ability (p = .000) were also found. 4Conclusions: PEI was a promising treatment for relieving the symptom cluster and each of the individually assessed symptoms. More effort needs to be directed at studying impact of interventions on common symptom clusters.

show abstract

Section: Data Collection Proceduresmentioning

confidence: 99%

Managing Symptoms in Patients with Advanced Lung Cancer During Radiotherapy: Results of a Psychoeducational Randomized Controlled Trial

Chan

Richardson

2011

Journal of Pain and Symptom Management

126

114

View full text Add to dashboard Cite

show abstract

“…Recent reports also indicate that positive effects from group interventions can be found in women from different cultures. 9 Those who have not found positive outcomes suggest that the benefits of support groups are either difficult to measure, short-lived, or mixed. 10,11 In the current study, we examined the feasibility of providing ESGs for women with breast carcinoma.…”

mentioning

confidence: 99%

Electronic support groups for breast carcinoma

Lieberman

Golant

Giese‐Davis

et al. 2003

Cancer

231

140

View full text Add to dashboard Cite

BACKGROUNDA recent Pew Charitable Trust study found that 52,000,000 individuals used the Internet to obtain health/medical information. Clinical trials of face‐to‐face breast carcinoma support groups show evidence of 1) improvement in quality of life, 2) reduction of psychologic symptoms, 3) improvement in coping responses, and 4) a reduction in pain. To the authors' knowledge, a few studies published to date have investigated Internet‐delivered electronic support groups (ESGs) for cancer. The most sophisticated is the Comprehensive Health Enhancement Support System (CHESS) program, which provides integrated information, referral, and a newsgroup‐based social support program. However, to the authors' knowledge, no studies published to date have examined the impact of a breast carcinoma ESG in a clinical trial.METHODSSixty‐seven women completed the initial baseline questionnaires, 32 of whom accepted the authors' invitation and began the groups. With regard to geographic location, 49% lived in rural/small towns, 41% lived in medium‐sized cities, and 10% lived in large cities. Diagnostic stages of disease were: Stage I, 22%; Stage II, 56%; Stage III, 12%; and other forms, 10%. There were 4 intervention groups, of which 8 participants led by trained Wellness Community (TWC) (a national agency) leaders met for 1.5 hours once a week for 16 weeks. Student t tests for paired outcome data were computed using baseline and postgroup scores.RESULTSThe results of the current study indicated that breast carcinoma patients significantly reduced depression (Center for Epidemiologic Studies‐Depression [CES‐D] scale) and Reactions to Pain. They also demonstrated a trend toward increases on The Posttraumatic Growth Inventory (PTGI) in two subscales: New Possibilities and Spirituality. Counterintuitively, breast carcinoma patients appeared to demonstrate an increase in emotional suppression. Postinterview results indicated that approximately 67% of patients found the group to be beneficial. Those who withdrew from the groups (20%) demonstrated low scores in their ability to contain anxiety and appeared to be more likely to suppress their thoughts and feelings regarding their illness.CONCLUSIONSThe findings of the current study are encouraging, particularly because it was conducted through TWC, a national agency willing to make this type of intervention readily available at no cost. A limitation of the current study was the lack of randomization and a control group comparison. Although the authors were not able to demonstrate effectiveness without the addition of a control condition, the analysis of pregroup and postgroup outcomes suggests that a randomized trial is worthwhile. Women with a devastating disease will join and commit themselves to an online support group. In addition, because a large percentage of these women were from rural locations, this type of intervention may hold promise for those who have limited access to support groups. Cancer 2003;97:920–5. © 2003 American Cancer Society.DOI 10.1002/cncr.11145

show abstract

“…On experimenter-derived measures, intervention patients reported significantly more knowledge of clinic procedures, greater confidence in their physicians, higher levels of satisfaction, and higher levels of hope regarding their illness. Fukui et al (2000) attempted to replicate the Fawzy and colleagues study with Japanese breast cancer patients. Women with Stage II or III disease, 65 years of age or less, and without a psychiatric history were eligible, and 50 women were accrued (33%), with 92% of the sample retained.…”

mentioning

confidence: 99%

Biobehavioral outcomes following psychological interventions for cancer patients.

Andersen¹

2002

Journal of Consulting and Clinical Psychology

188

132

View full text Add to dashboard Cite

Psychological interventions for adult cancer patients have primarily focused on reducing stress and enhancing quality of life. However, there has been expanded focus on biobehavioral outcomeshealth behaviors, compliance, biologic responses, and disease outcomes-consistent with the Biobehavioral Model of cancer stress and disease course. The author reviewed this expanded focus in quasi-experimental and experimental studies of psychological interventions, provided methodologic detail, summarized findings, and highlighted novel contributions. A final section discussed methodologic issues, research directions, and challenges for the coming decade.Cancer remains a significant national problem, with over 1 million Americans diagnosed each year. The adjustment process for cancer survivors may be burdensome and lengthy, and deteriorations in quality of life are underscored if they also have adverse health effects. A previous review noted the significant quality-of-life gains that can be achieved with psychological interventions (Andersen, 1992), a conclusion echoed here. In this review, I look more broadly and include biobehavioral responses and disease outcomes as areas important for intervention efforts. Although there are proportionately fewer studies that have included the latter, multimodal interventions and assessment of psychological, behavioral, and biologic mechanisms are the pathways for future research.The Biobehavioral Model of cancer stress and disease course (Andersen, Kiecolt-Glaser, & Glaser, 1994) provides the organizational framework for the discussion. Represented in Figure 1, the model includes psychological (e.g., stress and quality of life), behavioral (e.g., health behaviors and compliance), and biologic (e.g., neuroendocrine and immune) components and specifies the pathways by which health outcomes (e.g., disease endpoints-recurrence, disease free interval) might be affected. A complete discussion of the model is available elsewhere , as only brief summaries are provided prior to each section.Studies conducted since 1992 with adult cancer patients are reviewed; selected investigations prior to that period are included because of their importance, novelty, or absence from the earlier article focusing on quality of life (Andersen, 1992). Each component of the model is considered as an outcome following psychological interventions. Prior to each, I review descriptive findings and highlight prominent correlational investigations. For all experimental studies, accrual and retention rates and patient characteristics are provided, as these areas are in need of methodologic attention, as discussed later in the article. Although tedious at times, specific techniques of interventions are provided to enable the reader to distinguish among those with similar labels. Quasi-experimental designs are included for emerging areas. With few exceptions, all studies included psychological outcomes, but in the first section, I focus on studies with only these endpoints. Figure 1). Cancer survivors report con...

show abstract

A psychosocial group intervention for Japanese women with primary breast carcinoma

Cited by 155 publications

References 68 publications

Managing Symptoms in Patients with Advanced Lung Cancer During Radiotherapy: Results of a Psychoeducational Randomized Controlled Trial

Managing Symptoms in Patients with Advanced Lung Cancer During Radiotherapy: Results of a Psychoeducational Randomized Controlled Trial

Electronic support groups for breast carcinoma

Biobehavioral outcomes following psychological interventions for cancer patients.

Contact Info

Product

Resources

About