A randomized study of a rehabilitation program for cancer patients: The ‘starting again’ group

Berglund, Gunilla; Bolund, Christina; Gustafsson, U.; Sjödén, Per‐Olow

doi:10.1002/pon.2960030205

Cited by 95 publications

(86 citation statements)

References 16 publications

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“…Concerning mood, as reflected by short-POMS, there were no significant differences as in improvement (beforeafter), this finding is in good agreement with similar studies (7,22,25), i.e. patients are satisfied and content with the educational groups, their perceived knowledge has increased, but this is not reflected in specific variables such as 'anger' or 'energy', and so on.…”

Section: Discussionsupporting

confidence: 80%

“…Furthermore, patients in the control group perceived that their knowledge had increased with time but the difference was significantly greater for the interventional group. Berglund et al showed in their studies (7,22) that patients in the rehabilitation programme were more satisfied than controls. The experiences from other education groups are similarly positive (23)(24)(25).…”

Section: Discussionmentioning

confidence: 99%

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Educational Support Programme for Gynaecological Cancer Patients and Their Families

Carlsson

Strang

1998

Acta Oncologica

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Educational Support Programme for Gynaecological Cancer Patients and Their Families

Carlsson

Strang

1998

Acta Oncologica

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“…75,78,79 -86 Strength-training components were included in two studies. 76,77 On-site supervised exercise has been the norm for patients who were receiving chemotherapy or RT, 74,84 although a few researchers have studied the effects of home-based programs. 74,75,83 Nearly all the interventions were offered independent of the healthcare provider with the exception of on-site physician supervision of exercise among patients who had completed bone marrow transplants.…”

Section: Exercise Interventionsmentioning

confidence: 99%

Health behaviors during and after a cancer diagnosis

Pinto

Trunzo

2005

Cancer

129

104

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With improvements in cancer survival rates, more patients with cancer are living longer, and hence, cancer is becoming viewed as a chronic illness requiring long-term management. An important aspect of patient care during and after cancer treatment is patient health behaviors. For example, sequelae from various cancer treatments, such as chemotherapy and radiotherapy (RT), can compromise health in a variety ways, including decreased immune functioning, cardiotoxic effects of chemotherapy and/or RT, and weight gain. In addition, the stress caused by a cancer diagnosis and its treatment can disrupt existing health behaviors or exacerbate unhealthy behaviors. Continued smoking or alcohol use can complicate treatment and increase risk for further malignancy. Furthermore, decreased physical activity and poor nutrition can cause weight gain, which may contribute to secondary health problems such as cardiovascular disease and diabetes. The authors reviewed the extant literature on four key health behaviors among patients with cancer and survivors: healthy diet, reduced tobacco use, reduced alcohol use, and increased physical activity. They described the prevalence of these behaviors, reviewed the effects of interventions designed to alter unhealthy behaviors, and discussed the implications and future directions for this emerging area of research. With primary prevention efforts, improved detection, and treatment, cancer incidence rates have decreased among men (Surveillance, Epidemiology, and End Results program and National Program of Cancer Registries data, 1992-1998) and overall mortality rates have decreased in both men and women.1 According to the Office of Cancer Survivorship, 2 9.6 million individuals in the U.S. have been diagnosed with cancer (a majority with breast, prostate, and colorectal cancers): 39% were diagnosed 0 to Ͻ 5 years ago, 47% were diagnosed 5 to Ͻ 20 years ago, and 14% were diagnosed Ͼ 20 years previously.With improvements in survival and the possibility that cancer may be viewed as a chronic disease, the reduction of risk behaviors such as smoking, sedentary behavior, and unhealthy diets or, conversely, the adoption and maintenance of healthy behaviors, becomes more salient. Cancer treatments are known to disrupt health behaviors. For example, retrospective reports show that patients report reduction in exercise behavior during the phase of active treatment 3 and changes in taste sensitivity associated with chemotherapy alter food preferences and nutritional intake. 4 Furthermore, the stress associated with a cancer diagnosis may disrupt health behaviors and potentially increase unhealthy behaviors. In some instances, continued unhealthy behaviors such as smoking can adversely affect responsiveness to RT (e.g., increased side effects such as oral mucosi- 2614

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“…La mayoría de trabajos realizados hasta el momento son intervenciones cortas, entre 6 y 10 sesiones semanales, e incluso se han realizado intervenciones grupales de fin de semana, que trabajan diferentes temas relacionados con la enfermedad, como la ansiedad, los miedos, la comunicación con el entorno, la autoestima, etc. (28)(29)(30)(31) . El objetivo del presente estudio es conocer la evolución emocional que siguen las pacientes con cáncer de mama, participantes en una intervención grupal de larga duración, concretamente a lo largo de 8 meses (20 sesiones), a fin de observar la posible eficacia de la terapia en la mejora de las emociones negativas o desadaptativas.…”

Section: Introductionunclassified

Eficacia de la terapia de grupo en cáncer de mama: evolución de las emociones desadaptativas

Rodríguez

Font

2014

Psicooncología

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ResumenEl estado emocional de las mujeres con cán-cer de mama puede variar a lo largo del tiempo, en función de las dificultades físicas y psicosociales que se pueden encontrar a lo largo de la enfermedad, y que pueden continuar una vez finalizado el proceso de los tratamientos oncológicos. Cuando la paciente espera volver a recuperar su vida cotidiana, con frecuencia se mantienen emociones negativas como el miedo a las recaídas o sentirse deprimido. El objetivo del presente estudio longitudinal es conocer como evolucionan estas emociones desadaptativas, cuando se participa en una terapia de grupo orientada a mejorar la calidad de vida. La muestra final se compone de 38 mujeres con cáncer de mama que se encuentran en intervalo libre de enfermedad. Los resultados obtenidos indican que el denominado "malestar emocional" mejora a lo largo de la terapia, si bien en algunas pacientes afloran más las emociones negativas durante la terapia que al inicio de la misma. Donde se observa una mayor mejoría es en el aspecto de recuperar las ganas e ilusión por las cosas (p<0,01). También observamos una diminución de la ira, la ansiedad, la depresión, las dificultades de concentración y el miedo. Concluimos que la terapia de grupo de larga duración (8 meses) utilizada, se ha mostrado eficaz para ayudar a la adaptación emocional.Palabras clave: Cáncer de mama, terapia de grupo, eficacia, evolución emocional, adaptación. AbstractThe emotional state of women with breast cancer may vary over time, depending on the physical and psychosocial difficulties that can be found throughout the disease, and that may continue once the process of cancer treatments finished. When the patient expects to recover his everyday life, negative emotions such as fear of relapses or feeling depressed, often remain. The objective of this longitudinal study is to know how these maladaptive emotions progressed, when participating in group therapy aimed at improving the quality of life. The final sample consists of 38 women with breast cancer in disease-free interval. The results indicate that the so-called "emotional distress" improves over therapy, although by many patients negative emotions emerge more during the therapy than at the beginning. There is a greater improvement in the aspect of recovering the motivation and enthusiasm for doing something (p<0,01). We also observed a diminution of anger, anxiety, depression, concentration difficulties and fear. We conclude that the long-term (8 months) therapy has been shown effective to help emotional adjustment.

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A randomized study of a rehabilitation program for cancer patients: The ‘starting again’ group

Cited by 95 publications

References 16 publications

Educational Support Programme for Gynaecological Cancer Patients and Their Families

Educational Support Programme for Gynaecological Cancer Patients and Their Families

Health behaviors during and after a cancer diagnosis

Eficacia de la terapia de grupo en cáncer de mama: evolución de las emociones desadaptativas

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