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Journal ArticleDOI

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.
Citations
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Journal ArticleDOI
01 Jan 2009
TL;DR: This paper explores groupwork within rehabilitative palliative care on three distressing cancer symptoms: pain, dyspnoea and fatigue through qualitative methodology using a phenomenological orientated psychological approach in a cohort of 66 years.
Abstract: This paper explores groupwork within rehabilitative palliative care on three distressing cancer symptoms: pain, dyspnoea and fatigue. This was achieved through qualitative methodology using a phenomenological orientated psychological approach in a cohort with a median age of 66 years. Groupwork, which included: social, exercise and divertional therapy groups were seen as important components within rehabilitative palliative care. Through semi-structured interviews the participants’ perceptions of their symptoms, beliefs and attitudes towards their groupwork within rehabilitative palliative care were explored. The relevance and benefits of the groupwork were then identified using quality of life markers established during data analysis. The main factors uncovered and shown to contribute to the groupwork were: environmental factors, mobilisation and normalisation. However more research is required to comprehend how different forms of groupwork can help reduce pain, dyspnoea and fatigue in older people with cancer.

3 citations


Cites background from "Group support for patients with met..."

  • ...In addition Spiegel et al. (1981) showed that people with cancer who received group therapy had a statistically significant reduction (p<0.01) in pain sensation, pain suffering and fatigue levels....

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Journal ArticleDOI
TL;DR: The article addresses the urgent need to identify the treatment modalities most likely to provide the greatest potential for use by clinicians and facilitates the application of research to practice.
Abstract: This state-of-the-science article focuses on psychothera-peutic interventions specific to women with breast cancer that were published between 1995 and 1998. Following a brief synopsis of psy-chotherapeutic interventions for women with breast cancer published between 1974 and 1994, the author highlights what is known and elucidates knowledge gaps in the literature. By crystallizing the focus of scholarly inquiries about therapeutic research on breast cancer since 1994 and by addressing the most salient methodological issues and knowledge gaps, the article addresses the urgent need to identify the treatment modalities most likely to provide the greatest potential for use by clinicians and facilitates the application of research to practice.

3 citations

Book ChapterDOI
01 Jan 2004
TL;DR: In der 19. Jahrhundert ging dann die begleitende und umsorgende Funktion des Arztes weitgehend verloren as discussed by the authors, i.e., die Behandlung auf die Begleitung des Patienten und die bestmogliche Linderung einzelner belastender Krankheitssymptome beschranken.
Abstract: Palliativmedizin1 steht in einer langen Tradition. Ober Jahrhunderte hinweg war es Arzten nicht moglich, Erkrankungen wie Krebs oder andere chronisch-progrediente Leiden zu heilen. Daher musste sich die Behandlung auf die Begleitung des Patienten und die bestmogliche Linderung einzelner belastender Krankheitssymptome beschranken. Wahrend der Entwicklung naturwissenschaftlicher Ansatze in der Medizin im 19. Jahrhundert ging dann die begleitende und umsorgende Funktion des Arztes weitgehend verloren. Seit dieser Phase orientierte sich die Medizin an der Behandlung von Krankheiten und nicht an der Therapie von Symptomen.

3 citations

Book ChapterDOI
01 Jan 2014
TL;DR: Over the past few decades, psychologists, psychiatrists, and social workers have made substantial inroads in cancer care, joining interdisciplinary care teams as well as offering independent services designed to address psychological and social concerns of individuals diagnosed with cancer and their family and friends.
Abstract: Over the past few decades, psychologists, psychiatrists, and social workers have made substantial inroads in cancer care, joining interdisciplinary care teams as well as offering independent services designed to address psychological and social concerns of individuals diagnosed with cancer and their family and friends. With continued improvements in cancer care leading to longer survival and even cures, the number of cancer survivors will continue to grow. With this increasing number comes a greater emphasis on survivorship care, and one of the major components of survivorship care involves the emotional and behavioral health of cancer survivors.

3 citations

References
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Journal ArticleDOI
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
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

Journal ArticleDOI
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

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