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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01 Jan 2011
TL;DR: The authors describe and discute la experiencia de un grupo terapeutico de apoyo y expresion that se ha llevado a cabo in Queensland, Australia durante los ultimos 12 anos, en que atendiendo al problema de las grandes distancias geograficas que existen entre diversas mujeres que requieren this servicio, se ha experimentado con una modalidad que conjuga la participacion presencial y por via de teleconferencia.
Abstract: El cancer de mama es un importante problema de salud particularmente en paises desarrollados. El sufrimiento psicologico asociado a tal condicion es un aspecto importante del problema y estudios demuestran que las mujeres que sufren de este tipo de cancer requieren de atencion y tratamiento psicologico especializado. Se describe y discute la experiencia de un grupo terapeutico de apoyo y expresion que se ha llevado a cabo en Queensland, Australia durante los ultimos 12 anos, en que atendiendo al problema de las grandes distancias geograficas que existen entre diversas mujeres que requieren este servicio, se ha experimentado con una modalidad que conjuga la participacion presencial y por via de teleconferencia.
TL;DR: A reduction in mortality for breast and colorectal cancer patients could be shown for physically active patients, a essential part of holistic group interventions.
Abstract: Eine gesunde Lebensweise kann die Lebensqualitat von Tumorpatienten verbessern und das Risiko fur Komorbiditaten, Zweittumoren und therapieassoziierte Symptome senken. Neuere Untersuchungen zeigen auserdem einen Einfluss auf Rezidivhaufigkeit und Uberlebensraten. Im Rahmen von Gruppeninterventionsprogrammen wie dem Gesundheitstraining, der Ordnungstherapie, der Mind-Body-Medizin oder speziellen psychotherapeutisch ausgerichteten Interventionen werden Tumorpatienten die Grundlagen einer gesundheitsfordernden Lebensweise vermittelt und psychosoziale Hilfestellungen beim Umgang mit der Erkrankung gegeben. In Studien wurde eine Besserung der Lebensqualitat und eine Reduktion von Symptomen nachgewiesen. Fur das Ausdauertraining, einem inhaltlichen Schwerpunkt naturheilkundlich orientierter Gruppeninterventionen, konnte bei Patienten mit Mammakarzinomen und kolorektalen Karzinomen eine Senkung der Mortalitat gezeigt werden.
Journal Article•
TL;DR: Oncology is a specialty practice in which complementary and alternative approaches may be synergistically employed to reduce the sequelae of the disease itself and to limit the toxicity of disease management.
Abstract: At the end of the 20th century cancer emerged as the second leading cause of death in the USA, exceeded only by cardiovascular disease. Taking into account the emotional and psychological trauma associated with the disease, and the fact that treatment is often as harsh as the disease itself, cancer may be second to none in terms of suffering experienced by those affected. 1 Conventional cancer therapy is designed to reduce the tumour burden locally by means of surgical excision and irradiation, and to eradicate primary and metastatic cancer cells by means of systemic chemotherapy. Because of the significant side-effects of such invasive methods, the emotional trauma of the diagnosis is often magnified by the physical trauma of these interventions. Oncology is therefore a specialty practice in which complementary and alternative approaches may be synergistically employed to reduce the sequelae of the disease itself and to limit the toxicity of disease management. 1 Mind-body medicine, a major area of complementary and alternative medicine (CAM), focuses on the interactions among the brain, mind, body and behaviour and on the powerful ways in which emotional, mental, social, spiritual and behavioural factors can directly affect health. 2
01 Jan 2017
TL;DR: This chapter dwells on cancer in general and airway in particular, the role of genes in its causation, the different modalities of treatment currently in vogue and finally tackles the much talked about role of psychotherapy in cancer patients.
Abstract: Cancer is the leading cause of death in the developed countries only surpassed by cardiovascular diseases, and one of every four deaths is from cancer. This chapter dwells on cancer in general and airway in particular, the role of genes in its causation, the different modalities of treatment currently in vogue and finally tackles the much talked about role of psychotherapy in cancer patients. The prospects of psychotherapy in cancer patients are being brought to the limelight and an effort being made to make some subtle conclusions about the potential role of psychotherapy in offering a ray of hope to the cancer patients whose prospects are dismal and dreadful. Any claims about survival improvement following psychotherapy are open to criticism because of the heterogeneity across the studies and the short comings of the studies.
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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
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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