Difference in patient's acceptance of early versus late initiation of psychosocial support in breast cancer

Scholten, Christine; Weinländer, Georg; Krainer, Michael; Frischenschlager, Oskar; Zielinski, Christoph

doi:10.1007/s005200000233

Cited by 29 publications

(40 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It appeared that 22 studies did not meet the inclusion criteria as described (Table 3). Five studies (Connor, 1992;Corner et al, 1996;Scholten et al, 2001;Giese-Davis et al, 2002;Sloman, 2002) met the inclusion criteria and were included in the systematic review. An additional five studies (Arathuzik, 1994;Bredin et al, 1999;Edelman et al, 1999;Classen et al, 2001;Goodwin et al, 2001) that met the criteria for inclusion were identified by checking the references of located, relevant papers and searching for studies that have cited these papers.…”

Section: Resultsmentioning

confidence: 99%

“…However, behaviour therapy was used in 12 trials, including one or more of the following: relaxation exercises, guided imagery, visualisation or cognitive approaches focusing on changing specific thoughts or beliefs and learning specific coping skills. In six (Arathuzik, 1994;Scholten et al, 2001;Sloman, 2002) of these 12 trials, behaviour therapy was used as a single intervention. A combined intervention of behaviour therapy and group support was used in four trials (Edelman et al, 1999;Goodwin et al, 2001;Classen et al, 2001;Giese-Davis et al, 2002).…”

Section: Description Of Included Trialsmentioning

confidence: 99%

“…Outcome measures Outcome measures to investigate the effects of the interventions were all questionnaire based except in one trial (Scholten et al, 2001), which additionally used semistructured interviews. Outcome measures were strongly heterogeneous, especially coping measures, measures of physical functioning and global measures of QoL.…”

Section: Description Of Included Trialsmentioning

confidence: 99%

See 2 more Smart Citations

Psychosocial interventions for patients with advanced cancer – a systematic review of the literature

Vernooy²,

et al. 2004

View full text Add to dashboard Cite

Advanced cancer is associated with emotional distress, especially depression and feelings of sadness. To date, it is unclear which is the most effective way to address these problems. This review focuses on the effects of psychosocial interventions on the quality of life (QoL) of patients with advanced cancer. It was hypothesised that patients will benefit from psychosocial interventions by improving QoL, especially in the domain of emotional functioning. The review was conducted using systematic review methodology involving a systematic search of the literature published between 1990 and 2002, quality assessment of included studies, systematic data extraction and narrative data synthesis. In all, 10 randomised controlled studies involving 13 trials were included. Overall interventions and outcome measures across studies were heterogeneous. Outcome measures, pertaining to the QoL dimension of emotional functioning, were most frequently measured. A total of 12 trials evaluating behaviour therapy found positive effects on one or more indicators of QoL, for example, depression. The results of the review support recommendation of behaviour therapy in the care of patients with advanced cancer.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Description Of Included Trialsmentioning

confidence: 99%

Section: Description Of Included Trialsmentioning

confidence: 99%

See 1 more Smart Citation

Psychosocial interventions for patients with advanced cancer – a systematic review of the literature

Vernooy²,

et al. 2004

View full text Add to dashboard Cite

show abstract

“…Other recent studies with breast cancer patients have shown mixed or negative results. (Edelman et al, 1999;Edmonds et al, 1999;Scholten et al, 2001;Owen et al, 2005). However, none of these trials used a specialised breast nurse.…”

Section: Previous Research On Psycho-educational Interventions With Pmentioning

confidence: 99%

Meeting the support and information needs of women with advanced breast cancer: a randomised controlled trial

et al. 2006

View full text Add to dashboard Cite

Addressing psychosocial and quality of life needs is central to provision of excellent care for people with advanced cancer. This study tested a brief nurse-delivered intervention to address the needs of urban women with advanced breast cancer. This study was conducted at four large urban hospitals in Australia. One hundred and five women with advanced breast cancer were recruited and randomised to receive the intervention or usual care, then asked to complete the European Organisation of Research and Treatment of Quality of life Q-C30 version (2.0) (EORTC Q-C30) (version 2) and Supportive Care Needs Survey (SCNS) at 1 month and 3 months postrecruitment. No significant differences were detected between intervention and usual care groups in the SCNS or the EORTC Q-C30 subscale scores. However, when the groups were divided into high needs (score of above 50) and low baseline needs (score of 50 or below) for each SCNS subscale, a significant difference between intervention and usual care groups was found in the psychological/emotional subscale among women with high baseline needs. In conclusions, this study demonstrated that a faceto-face session and follow-up phone call with a breast care nurse significantly reduced the psychological and emotional needs of those with high initial needs. There was no evidence of the intervention influencing the quality of life; or perceived needs of women with low initial psychological/emotional needs or perceived needs in other domains. Possibly, the intervention was not sufficiently intense to achieve an effect. British Journal of Cancer (2006) Advanced breast cancer is the most common cause of cancer death in women from developed countries (Stewart and Kleihues, 2003). When a person has incurable disease, optimising quality of life and meeting the woman's psychosocial and information needs must be central to excellent care . Extending survival time with aggressive treatments without considering these issues may do more harm than good. It is critical to address the substantial psychosocial and informational needs of people with advanced cancer Aranda et al, 2005). This study reports a trial of a brief, structured, nurse-delivered intervention designed to meet the psychosocial, informational and self-care needs of women with advanced breast cancer. Previous research on psycho-educational interventions with people with cancerIn a systematic review (Newell et al, 2002) of psychological interventions for cancer patients, it was concluded that a range of interventions including group-based and individual therapies, informational and educational interventions, guided imagery and cognitive behavioural therapies showed promise for improving patient outcomes and warranted further rigorous research.Many studies involving psycho-educational interventions for women with breast cancer have demonstrated positive results; however, the majority of them were delivered by a trained psychologist or psychiatrist (Newell et al, 2002). Another recent systematic review of psychological group intervent...

show abstract

“…However, even in cancer settings, not all patients want help with their problems and this may be especially so in relation to psychosocial difficulties. For example, Scholten et al (2001) found that only 40% of 43 women with advanced breast cancer were willing to accept psychological counselling [4]. In a large Canadian sample of 2776 patients, almost 50% of those who met criteria for distress had neither sought professional psychosocial support and nor intended to do so in the future [5].…”

Section: Introductionmentioning

confidence: 99%

Desire for psychological support in cancer patients with depression or distress: validation of a simple help question

et al. 2011

View full text Add to dashboard Cite

Objectives: Despite documented high rates of psychological distress, it is not clear how to identify those who are willing to accept help. The aim of this study was to investigate whether asking patients receiving chemotherapy if they want help with emotional problems is valuable and to investigate the type of help they want.Methods: Patients attending a chemotherapy suite were asked to complete the Hospital Anxiety and Depression Scale, the Brief Patient Health Questionnaire (PHQ) and the Emotion Thermometers tools. Results were compared with a single question on desire for help.Results: In this study, 128 patients completed questionnaires for distress, depression, anxiety and desire for help at initial interview. Only one in five unselected patients had a perceived need for help, and in distressed patients only 36% expressed a desire for help. The addition of the help question to the two questions (PHQ-2) about mood and interest improved the ability to rule-in depression by increasing the specificity. However, by addition of this question, sensitivity was significantly reduced. Desire for help was modestly associated with severity of distress, anxiety and depression.Conclusions: The addition of a help question appears to have limited value in screening for psychological symptoms, but it may highlight those who are willing to accept addition support. Clinicians should attempt to offer a range of psychosocial interventions that will be acceptable to patients with distress.

show abstract

Difference in patient's acceptance of early versus late initiation of psychosocial support in breast cancer

Cited by 29 publications

References 21 publications

Psychosocial interventions for patients with advanced cancer – a systematic review of the literature

Psychosocial interventions for patients with advanced cancer – a systematic review of the literature

Meeting the support and information needs of women with advanced breast cancer: a randomised controlled trial

Desire for psychological support in cancer patients with depression or distress: validation of a simple help question

Contact Info

Product

Resources

About