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Journal ArticleDOI

Group support for patients with metastatic cancer. A randomized outcome study.

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TLDR
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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Book ChapterDOI

Reactions to Victims of Life Crises: Support Attempts That Fail

TL;DR: Lehman, Wortman, and Williams as mentioned in this paper conducted a study on coping with the loss of a spouse or child and found that respondents reported that others frequently tried to support them by making statements like, "I know exactly how you feel,” "It was God's will," or "It's a good thing you have other children." Such statements were commonly judged by respondents to be unhelpful.
Journal ArticleDOI

Social support and salivary cortisol in women with metastatic breast cancer.

TL;DR: Greater quality of social support is associated with lower cortisol concentrations in women with metastatic breast cancer, which is indicative of healthier neuroendocrine functioning and may have clinical implications in the treatment of breast cancer.
Journal ArticleDOI

Treatment of existential distress in life threatening illness: a review of manualized interventions.

TL;DR: The evidence supporting the importance of existential concerns in terminally ill patients is reviewed, eight manualized interventions explicitly addressing existential themes are described, and the effectiveness of these interventions is evaluated.
Journal ArticleDOI

Health-Related Quality-of-Life Measurement in Randomized Clinical Trials in Breast Cancer—Taking Stock

TL;DR: It is found that the contribution of HRQOL measurement to clinical decision making depended on the clinical setting, and in primary management of breast cancer, where medical outcomes of several treatment options are equivalent, HRZOL measurement provided added information for clinical decisionMaking beyond that of traditional medical outcomes.
References
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Journal ArticleDOI

Generalized expectancies for internal versus external control of reinforcement.

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.
Book

On Death and Dying

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.
Journal ArticleDOI

Gaps in doctor-patient communication. Patients' response to medical advice.

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.
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