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Journal ArticleDOI

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

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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Citations
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Journal ArticleDOI

Major depression in medically ill patients.

TL;DR: The medical and neurologic conditions that have been associated with the high prevalence rates of major depression are reviewed.
Journal ArticleDOI

Group Interventions with Cancer Patients: Efficacy of Psychoeducational Versus Supportive Groups

TL;DR: A critical review of the evidence for the relative efficacy of the two approaches to cancer support groups suggests that patients who attend psychoeducational groups experience greater benefits than do those who attend purely supportive groups.
Journal ArticleDOI

The management of treatment-resistant depression in the medically ill.

TL;DR: While further studies of treatment-resistant depression in large enough numbers of patients with particular illnesses are awaited, clinician decisions to switch or augment their initial choices to provide the safest, most effective care possible are directed.
Journal ArticleDOI

Complementary medicine in chronic cancer care.

TL;DR: A few CAM modalities commonly used by cancer survivors and those with chronic cancer illness are reviewed, with a particular focus on familiarizing physicians with treatments that may potentially complement regular oncologic care by decreasing stress and enhancing health-related quality of life.
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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