A psychosocial group intervention for Japanese women with primary breast carcinoma.

作者: Sakiko Fukui , Akira Kugaya , Hitoshi Okamura , Masae Kamiya , Makiko Koike

DOI: 10.1002/1097-0142(20000901)89:5<1026::AID-CNCR12>3.0.CO;2-5

关键词:

摘要: BACKGROUND To the authors' knowledge, there had been no evidence for efficacy of psychosocial intervention among Japanese cancer patients. The objective this study was to determine effect a group in reducing psychologic distress and enhancing coping population randomized controlled trial. METHODS The patient selection criteria were age younger than 65 years, lymph node metastasis positive and/or histologic or nuclear Grade 2–3, surgery undergone within previous 4–18 months as start study. We conducted 6-week, structured, intervention. consisted health education, skills training, stress management, support. Subjects assessed by administering Profile Mood States (POMS), Mental Adjustment Cancer (MAC) scale, Hospital Anxiety Depression (HADS) scale at baseline, 6 weeks, months. RESULTS Fifty (33%) 151 patients participated randomized, 46 (30%) completed experimental significantly lower scores controls total mood disturbance higher vigor on POMS, fighting spirit MAC end 6-week These improvements sustained over follow-up. CONCLUSIONS The results suggest that short term produces significant long improvement quality life with primary breast carcinoma. 2000;89:1026–36. © 2000 American Society.

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