Psychoeducational Intervention for Patients With Cutaneous Malignant Melanoma: A Replication Study

Boesen, Ellen H.; Ross, Lone; Frederiksen, Kirsten; Thomsen, Birthe Lykke; Dahlstrøm, Karin; Schmidt, Garbi; Næsted, Jesper; Krag, Christen; Johansen, Christoffer

doi:10.1200/jco.2005.05.193

Cited by 109 publications

(91 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Twenty-four publications were categorized as psychological intervention studies (Badger et al, 2005;Barsevick et al, 2003;Boesen et al, 2005;Bordeleau et al, 2003;de Wit et al, 1997;Decker, Cline-Elsen, & Gallagher, 1992;Edelman, Bell, & Kidman, 1999;Fawzy et al, 1990;Forester, Kornfeld, & Fleiss, 1985;Gaston-Johansson et al, 2000;Goodwin et al, 2001;Hack et al, 2003;Jacobsen et al, 2002;Oyama, Kaneda, Katsumata, Akechi, & Ohsuga, 2000;Rawl et al, 2002;Sandgren & McCaul, 2003;Sandgren, McCaul, King, O'Donnell, & Foreman, 2000;Speca, Carlson, Goodey, & Angen, 2000;Spiegel, Bloom, & Yalom, 1981;Telch & Telch, 1986;Vos, Garssen, Visser, Duivenvoorden, & de Haes, 2004;Wenzel, Robinson, & Blake, 1995;Williams & Schreier, 2004;Wydra, 2001) and 17 were categorized as activity-based intervention studies (Burnham & Wilcox, 2002;Campbell, Mutrie, White, McGuire, & Kearney, 2005;Coleman et al, 2003;Courneya, Friedenreich, Sela et al, 2003;Courneya, Mackey et al, 2003;Drouin et al, 2005;Headley, Ownby, & John, 2004;McKenzie & Kalda, 2003;Mock et al, 1994Mock et al, , 1997Mock et al, 2005;Pinto, Clark, Maruyama, & Feder, 2003;…”

Section: Search Results and Organization Of Selected Studiesmentioning

confidence: 99%

Systematic review and meta-analysis of psychological and activity-based interventions for cancer-related fatigue.

Jacobsen¹,

Donovan²,

et al. 2007

View full text Add to dashboard Cite

Context-Fatigue is among the most common and distressing symptoms experienced by cancer patients.Objective-This systematic review and meta-analysis evaluates the efficacy of psychological and activity-based interventions against cancer-related fatigue in cancer patients. Data Sources-MEDLINE, PsycINFO, and CINAHL.Study Selection-Randomized controlled trials of psychological and activity-based interventions involving adult cancer patients in which fatigue was an outcome were reviewed.Extraction-Forty-one trials were reviewed and 30 were included in a meta-analysis.Data Synthesis-Fifty percent of psychological trials and 44% of activity-based trials rated fair or better in quality yielded significant findings favoring the intervention condition. Meta-analysis yielded an overall effect size of 0.09 (95% CI = .02 -.16) favoring nonpharmacological conditions. Further analysis indicated that effect sizes were significant for psychological interventions (d w = . 10, 95% CI = .02-.18) but not activity-based interventions (d w = .05, 95% CI = −.08 -.19).Conclusions-Findings provide limited support for use of nonpharmacological interventions to manage cancer-related fatigue. The lack of research with heightened fatigue as an eligibility criterion is a notable weakness of the existing evidence base. Keywordsfatigue; cancer; psychological interventions; activity-based interventions; randomized controlled trials Cancer-related fatigue has been defined as "a persistent subjective sense of tiredness related to cancer or cancer treatment that interferes with usual functioning" (Mock et al., 2000). Studies suggest it is among the most common symptoms experienced by cancer patients with advanced disease and those being treated with radiotherapy and chemotherapy (Ahlberg, Ekman, GastonJohansson, & Mock, 2003). Furthermore, fatigue does not appear to be limited to the active treatment period. Many individuals with no clinical evidence of disease continue to experience fatigue for months or even years following treatment completion (Servaes, Verhagen, & Bleijenberg, 2002). The clinical significance of fatigue has been examined primarily in terms of its impact on quality of life. Among patients treated with chemotherapy or radiotherapy, more than one third perceived that fatigue interfered with their ability to work, relationships with others, and physical and emotional well-being (Vogelzang et al., 1997). NIH Public AccessMechanisms involved in the development and persistence of cancer-related fatigue are only partially understood. Available evidence suggests that fatigue can occur as a consequence of metabolic changes associated with the underlying disease as well those induced by cancer treatments (Stasi, Abriani, Beccaglia, Terzoli, & Amadori, 2003). In addition, fatigue can occur as a concomitant of other common symptoms experienced by cancer patients (e.g., nausea, and pain; Stasi et al., 2003). A growing body of research also suggests that cognitive and behavioral factors may contribute to exacerbation and persistence...

show abstract

Section: Search Results and Organization Of Selected Studiesmentioning

confidence: 99%

Systematic review and meta-analysis of psychological and activity-based interventions for cancer-related fatigue.

Jacobsen¹,

Donovan²,

et al. 2007

View full text Add to dashboard Cite

show abstract

“…As with exercise interventions, a growing body of empiric data supports the use of psychosocial interventions for the management of CRF. Randomized, controlled clinical trials have examined a variety of psychosocial interventions in cancer survivors during and after treatment (Table 2) [139][140][141][142][143][144][145][146][147][148][149][150][151][152][153].…”

Section: Psychosocial Interventionsmentioning

confidence: 99%

Integrative Nonpharmacologic Behavioral Interventions for the Management of Cancer-Related Fatigue

et al. 2007

View full text Add to dashboard Cite

“…53 In a 10-year retrospective, the risk of dying was still statistically significantly reduced in the intervention group compared with the control group, albeit only after adjustment for gender and Breslow thickness. 51 These positive effects could not be replicated by Boesen et al, 3,54,55 even though they were aware of the study by Fawzy et al and had attempted to replicate it. At close scrutiny, there are some interesting differences between the two studies that provide a possible explanation for the controversial results.…”

mentioning

confidence: 56%

“…mental stress, and long-term survival. [1][2][3] Often in the midst of their lives, the perspectives of patients with newly diagnosed skin cancer, especially those diagnosed with melanoma at an advanced stage of the disease, change abruptly. A shock-like situation commences when the diagnosis is first communicated.…”

Section: Discussionmentioning

confidence: 99%

“…50 Currently, data on a possible influence of psychosocial intervention on the long-term survival of skin cancer patients are contradictory. 3,51 It is, for example, unclear if a specific patient population is at particular risk in terms of their psychosocial constellation. Also, it is unclear whether this would correlate with a specific neuroendocrine-immune constellation and with tumour stage at diagnosis or possibly tumour progression under stress.…”

Section: Psychosocial Intervention and Tumour Control: What Little Ismentioning

confidence: 99%

See 1 more Smart Citation

Psychological support of skin cancer patients

Peters

2012

British Journal of Dermatology

View full text Add to dashboard Cite

SummaryThe diagnosis of skin cancer imposes a great stress on our patients. Ultraviolet (UV) radiation-induced skin cancers are on the rise and frequently occur in younger patients and unexposed sites despite improved protective behaviour. Environmental factors and lifestyle habits have changed greatly in the last century and in addition to UV radiation exposure, psychosocial stressors and physical inactivity may play a role in the rising tumour incidence. With environmental stressors such as UV radiation they share the capacity to change the stress reaction. So far research into the interaction between stress, cancer and psychosocial intervention has generated some interesting results with respect to improvement of quality of life and the function of the hypothalamic-pituitary-adrenal axis, the sympathetic axis and natural killer cells. These results hint at a suppressive effect of chronic stress on cellular immunity and the importance of a sufficient length and intensity of any psychosocial intervention for it to be effective. Nevertheless, the evidence remains inconclusive and does not take into account the findings of current psychoneuroimmunological research. This research has demonstrated the importance of a third stress axis along which neurotrophins and neuropeptides are effective. Along this axis, regulatory mechanisms may contribute to suppress tumoricidal immune responses. This may be instrumental in the establishment of an immune response that promotes tumour progression and holds important implications for integrated therapeutic strategies. However, research into the psychoneuroimmunological benefits of psychosocial intervention is largely missing, and future interdisciplinary research is warranted for understanding and further promoting improved quality of life and psychological as well as physical well-being after psychosocial intervention.Recent studies point to the steadily rising incidence of skin cancers and the pressure rises to identify explanatory models in addition to ultraviolet (UV) radiation exposure and other environmental stressors. Among them, psychosocial stress may play a hitherto underestimated role as several studies suggest that the immune response can be modified by stress and plays a role in the association between coping with a cancer diagnosis, i.e. mental stress, and long-term survival.

show abstract

Psychoeducational Intervention for Patients With Cutaneous Malignant Melanoma: A Replication Study

Cited by 109 publications

References 40 publications

Systematic review and meta-analysis of psychological and activity-based interventions for cancer-related fatigue.

Systematic review and meta-analysis of psychological and activity-based interventions for cancer-related fatigue.

Integrative Nonpharmacologic Behavioral Interventions for the Management of Cancer-Related Fatigue

Psychological support of skin cancer patients

Contact Info

Product

Resources

About