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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Dissertation•
01 Jan 2017
TL;DR: A research report submitted to the Faculty of Health Sciences (School of Public Health), The University of the Witwatersrand, in partial fulfillment of the requirements for the degree of Master of Public health in the field of Social Behaviour Change and Communication.
Abstract: A research report submitted to the Faculty of Health Sciences (School of Public Health),
The University of the Witwatersrand, in partial fulfillment of the requirements for the degree of Master of Public Health in the field of Social Behaviour Change and Communication.
June , 2017
2 citations
Cites result from "Group support for patients with met..."
...7 The result is also similar in another study which showed that the use of education to increase knowledge of individuals in a support group results in positive health outcomes (Roberts et al., 1997, Spiegel et al., 1981)....
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TL;DR: The importance and effects of expressing the experience of pain for breast cancer patients in group psychotherapy using a cognitive-behavior model is discussed and the evolution of the cancer pain model into a specific model of chronic pain is addressed.
Abstract: Cet article se propose d’illustrer la place et les repercussions des manifestations douloureuses chez des femmes atteintes d’un cancer du sein et reunies sous forme de groupes psychotherapeutiques. Cette description, selon un modele cognitivo-comportemental, a pour objet de detailler et d’evaluer l’expression de la douleur parmi les autres difficultes rapportees par les patientes et de presenter les principales techniques utilisees en cours de therapie. Ainsi, il sera mis en evidence les nombreux liens connexes qu’entretiennent douleur et idees de recidive avec leur cortege de repercussions psycho-sociales. Enfin, il sera discute de l’evolution du modele de douleur cancereuse vers un modele specifique de douleur chronique.
2 citations
01 Jan 2014
TL;DR: In the majority of patients, anxiety is an adaptive reaction, promoting appropriate attitudes toward treatment, but sometimes anxiety persists beyond a certain level, involving distress and negative influences, and it is important to know the profile of each drug, which could reduce the possibility of adverse events and provide favorable effects on specific physical symptoms.
Abstract: In the majority of patients, anxiety is an adaptive reaction, promoting appropriate attitudes toward treatment, but sometimes anxiety persists beyond a certain level, involving distress and negative influences Among the diagnostic criterion, “Anxiety Disorders” and “Trauma- and Stressor-Related Disorders” of DSM-5, previous studies reported about 15 % of cancer patients were affected with Adjustment Disorder, and small percent of patients were with more severe and chronic psychopathology such as Panic Disorder, Posttraumatic Stress Disorder (PTSD), and so on In pharmacotherapy for anxiety, antidepressants, benzodiazepine-, and non-benzodiazepine-class, antianxiety drugs are generally used Adverse events and drug interactions can easily occur, and it is important to know the profile of each drug, which could reduce the possibility of adverse events and provide favorable effects on specific physical symptoms
2 citations
01 Jan 2006
TL;DR: The Mammakarzinom is the haufigste bosartige Erkrankung der Frau in Westeuropa and in den USA as discussed by the authors. But it is not only altere oder alte Frauen, sondern immer haufiger sind die Betroffenen auch jungere Frauens
Abstract: Das Mammakarzinom ist die haufigste bosartige Erkrankung der Frau in Westeuropa und in den USA 57000 Frauen erkranken jahrlich in Deutschland an Brustkrebs, wobei das mittlere Erkrankungsalter bei 63 Jahren liegt und damit 6 Jahre unter dem mittleren Erkrankungsalter aller Krebserkrankungen Inzwischen erkranken nicht mehr nur altere oder alte Frauen an einem Mammakarzinom, sondern immer haufiger sind die Betroffenen auch jungere Frauen Etwa ein Drittel sind in einem Alter unter 60 Jahren (Robert-Koch-Institut 2008)
2 citations
01 Jan 2000
TL;DR: Primary care physicians should be able to appreciate the value of combined chemotherapy and corticosteroids for improving the HRQL of patients with metastatic hormone-resistant prostate cancer and appreciate the uncertainty that still remains regarding the ability of HRQL data to inform clinical practice.
Abstract: OBJECTIVES After participating in the CME activity, primary care physicians should be able to: 1. Understand the contributions of HRQL assessment to the care of patients with cancer 2. Be able to explain to patients reasons for choosing breast-conserving surgery over modified radical mastectomy as the primary surgery for breast cancer 3. Respond to patients questions and needs related to the effects of chemotherapy toxicity on HRQL 4. Appreciate the value of combined chemotherapy and corticosteroids for improving the HRQL of patients with metastatic hormone-resistant prostate cancer 5. Appreciate the uncertainty that still remains regarding the ability of HRQL data to inform clinical practice
2 citations
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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