Effect of Individual Psychological Intervention in Chinese Women With Gynecologic Malignancy: A Randomized Controlled Trial

Yw, Chan; Lee, Peter W.H.; Fong, Daniel Yee Tak; Fung, A.; Wu, Lina; Choi, Alice Y.Y.; Ng, Tat Fong; Ngan, Hextan Y.S.; Wong, L.C.

doi:10.1200/jco.2005.02.069

Cited by 32 publications

(22 citation statements)

References 46 publications

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“…With regard to self-efficacy and in contrast to the present study, Chan et al also found no improvements in general self-efficacy following a psychoeducational intervention in women with gynecologic malignancy ( n = 155) [25]. Tamagawa et al [28] summarized the benefits from psychosocial interventions in oncology: the types of interventions were as follows: cognitive-behavioral stress management cognitive behavioral therapy; expressive writing, support group alone; psychoeducation, support group plus psychoeducation; psychoeducation and life style and coping training; individual supportive counseling; a booklet including self-management skills and stories of other patients' experiences; and a booklet for treatment decision making.…”

Section: Discussioncontrasting

confidence: 98%

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Improvement in Stress, General Self-Efficacy, and Health Related Quality of Life following Patient Education for Patients with Neuroendocrine Tumors: A Pilot Study

Haugland

Veenstra²,

Vatn

et al. 2013

Nursing Research and Practice

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The purpose of the study was to evaluate changes in general self-efficacy, health related quality of life (HRQoL), and stress among patients with neuroendocrine tumors (NET) following a multidisciplinary educational intervention. Forty-one patients were enrolled in this exploratory pilot study. A total of 37 patients completed the full 26-week intervention based on the principles of self-efficacy. General self-efficacy was measured by the General Self-Efficacy Scale, HRQoL was measured with the SF-36, and stress was measured with the Impact of Event Scale. Mixed effect models were used to evaluate changes in general self-efficacy, mental and physical components of HRQoL, and stress adjusting for demographic and clinical variables. Results showed significant improvements in patients' general self-efficacy (β = 0.71; P < 0.05), physical component scores of HRQoL (β = 3.09; P < 0.01), and stress (β = −2.10, P = 0.008). Findings suggest that patients with NET have the capacity to improve their ability to cope with their disease, problem-solve, improve their physical status, and reduce their stress following an educational intervention based on the principles of self-efficacy. These preliminary data provide a basis for future randomized controlled trials to test interventions to improve HRQoL for patients with NET.

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Section: Discussioncontrasting

confidence: 98%

“…The intervention was aimed at helping patients understand the link between thoughts, emotions, and physical well being. Findings revealed no improvements in stress as measured by the Impact of Event Scale [25]. …”

Section: Discussionmentioning

confidence: 99%

Improvement in Stress, General Self-Efficacy, and Health Related Quality of Life following Patient Education for Patients with Neuroendocrine Tumors: A Pilot Study

Haugland

Veenstra²,

Vatn

et al. 2013

Nursing Research and Practice

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“…Two good studies [16,17] and one average study [27] found no differences between patients with ovarian cancer and those with other types of gynaecologic cancers. However, one good study [25] found that women with ovarian cancer experienced lower levels of depressive symptoms than those with cervical and endometrial cancer.…”

Section: Resultsmentioning

confidence: 94%

“…On the basis of these results, there is strong evidence that having advanced stage disease at diagnosis is associated with higher levels of psychological distress. Shorter time since diagnosis was associated with increased levels of distress in three good studies [3,17,22], although it is important to note that this was not assessed in a large number of studies, since participants were often recruited when they were newly diagnosed.…”

Section: Resultsmentioning

confidence: 99%

Psychological distress and its correlates in ovarian cancer: a systematic review

2008

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Objective: Ovarian cancer is often diagnosed at an advanced stage, and consequently high levels of distress are often experienced. It is necessary to understand the factors associated with psychological distress in order to guide interventions to target those factors. The purpose of this systematic review was therefore to identify correlates of psychological distress in ovarian cancer.Methods: Included studies had to be quantitative and empirical, with standardized measures of psychological distress (anxiety or depression), and to present results for ovarian cancer patients specifically. Standard systematic search methods were used. Information about design, ovarian cancer sample size, disease stage, time since diagnosis, measures of distress used and findings was extracted from each study. The studies were quality assessed using experimenterdefined criteria as good, average and poor quality. Strength of the evidence (strong, some, inconclusive) was based on the quality and consistency of findings.Results: Eighteen studies meeting the inclusion criteria were identified. There was strong evidence for a relationship between younger age, being diagnosed with more advanced disease, more physical symptoms and shorter time since diagnosis with increased levels of anxiety and/ or depression. Additional factors (e.g. immune) tested in a few studies also emerged as correlates of distress.Conclusions: Demographic, disease and quality of life factors correlated with distress. However, too few studies assessed possible psychological and immunological correlates, which could be potentially modified and should be assessed in future studies.

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“…Together, these hospitals treat over 400 new melanoma patients annually [77,78]. Previous psychosocial studies with cancer populations at the same hospitals [30,79,80] and at other sites [81-92] reported participation rates between 57-86%, with a mean of 76%. Attrition rates range between 4% and 24% in psychosocial studies with an assessment up to 18 months after the treatment of patients with melanoma [56,93] or other cancers [67,82,83,94-97].…”

Section: Method/designmentioning

confidence: 99%

Barriers and facilitators of adherence to medical advice on skin self-examination during melanoma follow-up care

et al. 2013

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BackgroundMelanoma is the fastest growing tumor of the skin, which disproportionately affects younger and middle-aged adults. As melanomas are visible, recognizable, and highly curable while in early stages, early diagnosis is one of the most effective measures to decrease melanoma-related mortality. Skin self-examination results in earlier detection and removal of the melanoma. Due to the elevated risk of survivors for developing subsequent melanomas, monthly self-exams are strongly recommended as part of follow-up care. Yet, only a minority of high-risk individuals practices systematic and regular self-exams. This can be improved through patient education. However, dermatological education is effective only in about 50% of the cases and little is known about those who do not respond. In the current literature, psychosocial variables like distress, coping with cancer, as well as partner and physician support are widely neglected in relation to the practice of skin self-examination, despite the fact that they have been shown to be essential for other health behaviors and for adherence to medical advice. Moreover, the current body of knowledge is compromised by the inconsistent conceptualization of SSE. The main objective of the current project is to examine psychosocial predictors of skin self-examination using on a rigorous and clinically sound methodology.Methods/DesignThe longitudinal, mixed-method study examines key psychosocial variables related to the acquisition and to the long-term maintenance of skin self-examination in 200 patients with melanoma. Practice of self-exam behaviors is assessed at 3 and 12 months after receiving an educational intervention designed based on best-practice standards. Examined predictors of skin self-exam behaviors include biological sex, perceived self-exam efficacy, distress, partner and physician support, and coping strategies. Qualitative analyses of semi-structured interviews will complement and enlighten the quantitative findings.DiscussionThe identification of short and long-term predictors of skin self-examination and an increased understanding of barriers will allow health care professionals to better address patient difficulties in adhering to this life-saving health behavior. Furthermore, the findings will enable the development and evaluation of evidence-based, comprehensive intervention strategies. Ultimately, these findings could impact a wide range of outreach programs and secondary prevention initiatives for other populations with increased melanoma risk.

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Effect of Individual Psychological Intervention in Chinese Women With Gynecologic Malignancy: A Randomized Controlled Trial

Abstract: Routine use of psychological therapies as given in our format has no significant effect on the patients' quality of life and psychological status.

Cited by 32 publications

References 46 publications

Improvement in Stress, General Self-Efficacy, and Health Related Quality of Life following Patient Education for Patients with Neuroendocrine Tumors: A Pilot Study

Improvement in Stress, General Self-Efficacy, and Health Related Quality of Life following Patient Education for Patients with Neuroendocrine Tumors: A Pilot Study

Psychological distress and its correlates in ovarian cancer: a systematic review

Barriers and facilitators of adherence to medical advice on skin self-examination during melanoma follow-up care

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