Group support for patients with metastatic cancer. A randomized outcome study.
01 May 1981-Archives of General Psychiatry (American Medical Association)-Vol. 38, Iss: 5, pp 527-533
TL;DR: Objective evidence is provided that a supportive group intervention for patients with metastatic cancer results in psychological benefit and mechanisms underlying the effectiveness of this group intervention are explored.
Abstract: • The effects of weekly supportive group meetings for women with metastatic carcinoma of the breast were systematically evaluated in a one-year, randomized, prospective outcome study. The groups focused on the problems of terminal illness, including improving relationships with family, friends, and physicians and living as fully as possible in the face of death. We hypothesized that this intervention would lead to improved mood, coping strategies, and self-esteem among those in the treatment group. Eighty-six patients were tested at four-month intervals. The treatment group had significantly lower mooddisturbance scores on the Profile of Mood States scale, had fewer maladaptive coping responses, and were less phobic than the control group. This study provides objective evidence that a supportive group intervention for patients with metastatic cancer results in psychological benefit. Mechanisms underlying the effectiveness of this group intervention are explored.
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TL;DR: A literature review as discussed by the authors presents the most recent investigations and reports related to group psychotherapy use in cancer patients' treatment, describes the primary characteristics and results of the studies, and discusses suggestions for future investigation.
Abstract: This literature review presents the most recent investigations and reports related to group psychotherapy use in cancer patients' treatment, describes the primary characteristics and results of the studies, and discusses suggestions for future investigation.
10 citations
DOI•
01 Jan 2005
TL;DR: Las variables predoctoras del cumplimiento del tratamiento psicologico en el modelo of regresion logistica fueron el emplear the planificacion como estrategia de afrontamientos al estres, and un mayor nivel educativo.
Abstract: Analizar las variables socioeconomicas, medicas y de afrontamiento que predicen el abandono del tratamiento psicologico grupal en una muestra de pacientes recien diagnosticadas de cancer de mama. La muestra consistio en 62 pacientes con cancer de mama, que estaban realizando tratamiento oncologico y que fueron incorporadas a un programa de intervencion psicologica grupal. En la entrevista previa a la incorporacion se recogio informacion socioeconomica, medica y durante la primera sesion, se administro una bateria de cuestionarios a las participantes (COPE, GHQ-12, EORTC-QLQ-C-3.0). A lo largo de las sesiones se registro la asistencia de las pacientes. Una vez finalizado el tratamiento, se dividio la muestra en dos grupos: pacientes que habian completado el grupo (asistencia de un minimo del 60% de las sesiones), y pacientes que no lo habian completado. Se analizaron las diferencias entre los dos grupos y las variables que resultaron significativas en el analisis bivariante fueron introducidas en el modelo de regresion logistica. La tasa de abandono obtenida en nuestro estudio fue del 27,5%. Las variables predoctoras del cumplimiento del tratamiento psicologico en el modelo de regresion logistica fueron el emplear la planificacion como estrategia de afrontamiento al estres, y un mayor nivel educativo. La edad, el estado psicopatologico y la calidad de vida no resultaron variables relevantes en la prediccion del abandono del tratamiento. El nivel educativo y el estilo de afrontamiento son variables importantes a tener en cuenta en los estudios sobre abandono en intervenciones psicologicas grupales dirigidas a pacientes con cancer.
10 citations
01 Jan 1997
10 citations
Dissertation•
01 Apr 2014
TL;DR: The study identified that enhancing self-efficacy and managing depressive symptoms are important factors to consider in the design of future interventions to support fatigue self-management.
Abstract: Cancer-related fatigue is one of the most distressing symptoms experienced by patients with advanced cancer. This doctoral study identified that patients with advanced cancer commonly use a number of self-management strategies in response to fatigue, although these strategies had varying levels of effectiveness in reducing the symptom. The study identified that enhancing self-efficacy and managing depressive symptoms are important factors to consider in the design of future interventions to support fatigue self-management.
10 citations
TL;DR: A communication board game (My Wonderful Life Board Game) was designed for patients with chronic or advanced illness to engage in self-reflection and discovery, emotional expression, and discussion.
Abstract: A communication board game (My Wonderful Life Board Game) was designed for patients with chronic or advanced illness to engage in self-reflection and discovery, emotional expression, and discussion...
9 citations
Additional excerpts
...…Bloch, Smith, Miach, & Clarke, 2003; Spiegel, Bloom, & Yalom, 1981), emotional distress (Fawzy, Cousins, Fawzy, Kemeny, Elashoff, & Morton, 1990; Linn, Linn, & Harris, 1982; Spiegel et al., 1981), and social relations tensions (Rodin & Gillies, 2000; Spiegel et al., 1981) among many others....
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TL;DR: In this paper, the effects of reward or reinforcement on preceding behavior depend in part on whether the person perceives the reward as contingent on his own behavior or independent of it, and individuals may also differ in generalized expectancies for internal versus external control of reinforcement.
Abstract: The effects of reward or reinforcement on preceding behavior depend in part on whether the person perceives the reward as contingent on his own behavior or independent of it. Acquisition and performance differ in situations perceived as determined by skill versus chance. Persons may also differ in generalized expectancies for internal versus external control of reinforcement. This report summarizes several experiments which define group differences in behavior when Ss perceive reinforcement as contingent on their behavior versus chance or experimenter control. The report also describes the development of tests of individual differences in a generalized belief in internal-external control and provides reliability, discriminant validity and normative data for 1 test, along with a description of the results of several studies of construct validity.
21,451 citations
Book•
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01 Jan 1969
TL;DR: In this article, the implications of terminal illness for patients and for those involved in their care were discussed, and patients invited to talk about their experience found great relief in expressing their fear and anger and were able to move towards a state of acceptance and peace.
Abstract: Although most areas of human experience are nowadays discussed freely and openly, the subject of death is still surrounded by conventional attitudes and reticence that offer only fragile comfort because they evade the real issues. The dying may thus be denied the opportunity of sharing their feelings and discussing their needs with family, friends, or hospital staff. Although receiving devoted medical care, a dying patient is often socially isolated and avoided, since professional staff and students can find contact painful and embarrasing.
Aware of the strains imposed on all sides by this situation, Dr Kubler-Ross established a seminar at the University of Chicago to consider the implications of terminal illness for patients and for those involved in their care. Patients invited to talk about their experience often found great relief in expressing their fear and anger and were able to move towards a state of acceptance and peace. The seminar, initially composed of students of medicine, sociology, psychology, and theology, but later joined by hospital staff and relatives of patients, enabled many members to come to terms with their own feelings and to respond constructi to what the patients had to teach them.
5,220 citations
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1,254 citations
TL;DR: A study of 800 outpatient visits to Children's Hospital of Los Angeles as discussed by the authors explored the effect of verbal interaction between doctor and patient on patient satisfaction and follow-through on follow-up.
Abstract: Study of 800 outpatient visits to Childrens Hospital of Los Angeles to explore the effect of the verbal interaction between doctor and patient on patient satisfaction and follow-through on...
947 citations