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.read more
Citations
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Journal ArticleDOI
Human aging: usual and successful
John W. Rowe,Robert L. Kahn +1 more
TL;DR: Research on the risks associated with usual aging and strategies to modify them should help elucidate how a transition from usual to successful aging can be facilitated.
Journal ArticleDOI
Effect of psychosocial treatment on survival of patients with metastatic breast cancer
David Spiegel,David Spiegel,HelenaC. Kraemer,HelenaC. Kraemer,JoanR. Bloom,JoanR. Bloom,Ellen Gottheil,Ellen Gottheil +7 more
TL;DR: The effect of psychosocial intervention on time of survival of 86 patients with metastatic breast cancer was studied prospectively and survival plots indicated that divergence in survival began at 20 months after entry, or 8 months after intervention ended.
Journal ArticleDOI
The role of social relations in health promotion
TL;DR: Acknowledging that health promotion rests on the shoulders not only of individuals but also of their families and communities means that resources must be committed over the next decade to designing, testing, and implementing interventions in this area.
Journal ArticleDOI
The Effect of Group Psychosocial Support on Survival in Metastatic Breast Cancer
Pamela J. Goodwin,Molyn Leszcz,Marguerite Ennis,Jan Koopmans,Leslie Vincent,Helaine Guther,Elaine Drysdale,Marilyn Hundleby,Harvey Max Chochinov,Margaret Navarro,Michael Speca,Jonathan Hunter +11 more
TL;DR: Supportive-expressive group therapy does not prolong survival in women with metastatic breast cancer, but it improves mood and the perception of pain, particularly in women who are initially more distressed.
Journal ArticleDOI
Depression and cancer: mechanisms and disease progression.
David Spiegel,Janine Giese-Davis +1 more
TL;DR: Evidence of a bidirectional relationship between cancer and depression, offering new opportunities for therapeutic intervention is found, although studies in this latter area are also divided.
References
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Journal ArticleDOI
Self-Help Groups for Coping With Crisis: By: Morton A. Lieberman, Leonard D. Borman and Associates, Jossey-Bass, 1980, pp. 430 + pp. 20 referenoes, £12.50
TL;DR: A self-help group is for people whose physical, psychological or social predicament separates them in a clear, often stigmatising way from the rest of society, and gives them a strong and immediate basis for identifying with others who share the same predicament as discussed by the authors.
Journal ArticleDOI
Spiritual values and death anxiety: Implications for counseling with terminal cancer patients.
TL;DR: In this article, the authors investigated death fear as a function of discomfort level, previous experience with death, and religiosity among indigent cancer patients in a county general hospital and found that these patients depend strongly on perceived strength of religious beliefs and integral religious values in their coping with imminent death.
Journal ArticleDOI
A Support Group for Dying Patients
David Spiegel,Irvin D. Yalom +1 more
TL;DR: In this article, the authors describe a group approach to the care of the dying patient, an approach which ministers both to the anguish of dying and to the vitality which a confrontation with death may stimulate in the life which remains to the patient.
Journal ArticleDOI
The effect of social support on patient adjustment after breast surgery.
TL;DR: The results indicated that the affective responses of the group in the intervention program were more labile than those of the control group immediately after surgery; these differences diminished over time.
Journal ArticleDOI
Ego strength and psychosocial adaptation to cancer.
J. William Worden,Harry J. Sobel +1 more
TL;DR: Investigation of a patient's ego strength at the time of an initial cancer diagnosis and its relationship, over time, to mood disturbance, vulnerability, self‐reported physical symptom totals, current concerns, coping strategies, and effectiveness in the resolution of problems showed that psychosocial adaptation to cancer was related to a patients' ego strength.