The effectiveness of a psycho-educational group after early-stage breast cancer treatment: results of a randomized French study
| Autor: | Paul Dickes, Anne Brédart, Sylvie Dolbeault, A. Gauvain-Piquard, P. Saltel, B. Desclaux, A. L. Viala, Sandrine Cayrou, P. Hardy |
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| Rok vydání: | 2008 |
| Předmět: |
Stress management
medicine.medical_specialty medicine.medical_treatment Population Experimental and Cognitive Psychology law.invention Treatment and control groups Group psychotherapy 03 medical and health sciences Social support 0302 clinical medicine Breast cancer Randomized controlled trial law medicine 030212 general & internal medicine education education.field_of_study business.industry medicine.disease humanities 3. Good health Psychiatry and Mental health Oncology 030220 oncology & carcinogenesis Physical therapy Anxiety medicine.symptom business Clinical psychology |
| Zdroj: | Psycho-Oncology. 18:647-656 |
| ISSN: | 1057-9249 |
| Popis: | Background: Many women with breast cancer need psychological help to cope more effectively after treatment. Cognitive and behavioural techniques are not yet well established in France. A multi-site randomized study was conducted to evaluate the effects of a psycho-educational group intervention in this population. Methods: Two hundred and three patients, recruited after primary treatment, were randomly assigned either to a treatment group (psycho-educational intervention) or to a waiting-list control group. The 8-week programme of 2 h sessions comprised of thematic discussions, information and training in stress management techniques. Evaluation at baseline, after 8 sessions, and 1 month after programme completion, included evaluations using the STAI, POMS, MAC, EORTC QLQ-C30 and EORTC QLQ-BR23 breast module scales. Results: We observed a significant reduction in anxiety (STAI, POMS) among group participants, a reduction in anger, depression and fatigue (POMS), a significant improvement in vigor and interpersonal relationships (POMS), in emotional and role functioning, in health status and fatigue level (EORTC QLQ-C30). In contrast, coping strategies (MAC) were not significantly different between groups. No group-related negative effects were observed and the global satisfaction levels were very high. Conclusion: This study demonstrates the feasibility and effectiveness of a psycho-educational intervention, which can accelerate the reduction of those negative affects which are present at the end of treatment. It represents an excellent complement or an alternative to individual psycho-oncologic therapeutic support, widely proposed in France, and should now be tested in groups with other types of cancer and at other disease phases. |
| Databáze: | OpenAIRE |
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