Effects of a Psychoeducational Intervention in Patients With Breast Cancer Undergoing Chemotherapy

Wu, Peng; Chen, Shang-Wen; Huang, Wen-Tsung; Su, Chang; Hsu, Mei‐Chi

doi:10.1097/jnr.0000000000000252

Cited by 57 publications

(62 citation statements)

References 28 publications

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“…Our study was the first evaluating a self‐help intervention to reduce the time between the first consult with a doctor and a definitive diagnosis for women with BC symptoms in an under‐resourced LMIC setting such as Indonesia. Our findings are in line with previous studies showing that self‐help interventions promote health behaviour . However, we did not find reductions in anxiety and depression symptoms or improvements in quality of life or health status comparing the intervention and control groups.…”

Section: Discussionsupporting

confidence: 91%

“…However, we did not find reductions in anxiety and depression symptoms or improvements in quality of life or health status comparing the intervention and control groups. This seems remarkable since previous studies in Turkey and Taiwan found beneficial effects of psychoeducation on anxiety, depression, and quality of life . A plausible explanation is that PERANTARA lacks specific guidance on how to adequately deal with distress to improve daily functioning and quality of life.…”

Section: Discussionmentioning

confidence: 98%

“…A cross‐sectional study among 70 women with BC in Indonesia showed that 41% to 86% were not satisfied with information about BC that they received . The provision of information about BC symptoms, diagnosis, and treatment through health education and support in coping with psychosocial issues (psychoeducation) was useful for promoting health behaviour changes and improving BC‐related knowledge, reducing anxiety and depression, and improving quality of life in women with BC symptoms or BC survivors . However, no studies have been conducted on the use of self‐help interventions consisting of health and psychoeducation to encourage women with BC symptoms to receive timely diagnoses.…”

Section: Introductionmentioning

confidence: 99%

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A self‐help intervention for reducing time to diagnosis in Indonesian women with breast cancer symptoms

et al. 2020

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Objective: We investigated the effectiveness of a self-help intervention named PER-ANTARA, which aims to improve adherence to diagnostic procedures among women with breast cancer (BC) symptoms to reduce the time to a definitive diagnosis.Methods: With a cluster randomized crossover design across four hospitals, PER-ANTARA and treatment as usual (TAU) or TAU only was provided at successive periods in a randomly determined order. The main outcome was the time between the first medical consultation and the definitive diagnosis. Secondary outcomes were BC knowledge, measured by the Breast Cancer Knowledge Test (BCKT); symptoms of anxiety and depression, measured by the Hospital Anxiety and Depression Scale (HADS); quality of life, measured by the World Health Organization Quality of Life-BREF (WHOQOL-BREF); and health status, measured by the EQ-5D-5L. A linear mixed model analysis was conducted to analyse the outcomes. Results: We recruited 132 women with BC symptoms from four hospitals; 67 participants were in the intervention group, and 65 participants were in the control group. PERANTARA reduced the time to definitive diagnosis by 13.3 days (M [SD]: 25.90 [23.20] in the intervention group vs 39.29 [35.10] in the control group; mean difference = −13.26, 95% CI = −24.51 to −2.00, P = .02). No significant difference was found between the groups in BC knowledge, symptoms of anxiety, depression, quality of life, or health status. Conclusions: PERANTARA reduced the time to definitive diagnosis among Indonesian women with BC symptoms. Psychoeducation may be an important addition to regular BC care to prevent undue delays in diagnostic procedures. K E Y W O R D S adherence, breast, cancer, cluster randomized controlled trial, diagnosis, health education,

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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A self‐help intervention for reducing time to diagnosis in Indonesian women with breast cancer symptoms

et al. 2020

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“…Other conventional psychological approaches in the treatment of women with breast cancer are the supportive-expressive and psycho-educational therapies, mainly characterised by group interventions focused on the improvement of personal well-being through the increase of positive affectivity and emotional states [27][28][29]. Supportive-expressive group therapy (SET) is a cognitive emotion-focused therapy aimed at promoting the development of social support and emotional expression and the examination of existential concerns [30].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Psychological Treatments in Women with Breast Cancer: A Systematic Review and Meta-Analysis

Guarino

Polini

Forte

et al. 2020

JCM

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Breast cancer is the most prevalent oncological disease among women, and it represents the second oncological cause of death. Many studies have considered the quality of life in people with breast cancer because this condition has high comorbidity with mental distress, anxiety, affective disorders and depression. Psychological interventions can reduce the stressful consequences of both the diagnosis and the medical treatments of breast cancer. However, different methods (e.g., group or individual therapy) and focus (e.g., improving personal skills or increasing emotional well-being) do not help to identify which type of psychological therapy can be more effective in improving quality of life in patients with breast cancer. This study was aimed to systematically review and compare, by means of a meta-analysis, the efficacy of cognitive behavioural, supportive-expressive or psycho-educational treatments in women with breast cancer, focusing on anxiety, depression, mood and quality of life as outcomes. The PRISMA statement was adopted. MEDLINE, PsycINFO, PUBMED and PsycArticles databases were used, and reference lists were examined for additional publications. In the selection of the articles were included studies considering women between 18 and 65 years who were diagnosed with breast cancer at any stage and under any treatment, and who underwent psychological group interventions. At the end of the systematic review, 45 studies met all inclusion criteria and were analysed in the meta-analysis. The overall effect size was medium, especially considering cognitive behavioural therapy and psycho-educational treatments. However, the studies are characterised by high methodological heterogeneity. Despite some limitations, this review and meta-analysis partially confirm the efficiency of cognitive-behavioural and psycho-educational therapies in the improvement of well-being in women with breast cancer.

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“…Random Controlled Trials (RCTs): The risk of bias for all the RCTs studies had been assessed, and assessments summarised for each study in Table (2) and illustrated in Figure (2). Overall, three studies met the criteria for "low risk of bias" (Björneklett et al, 2012;Grunfeld et al, 2011;Tabrizi et al, 2016), seven studies were classified as "unclear" (Boesen et al, 2011;Bredal et al, 2014;Dastan & Buzlu, 2012;Meneses et al, 2009;Salzer et al, 2010;Sandgren & McCaul, 2007;Wu et al, 2018), and seven studies were classified as "high risk of bias" (Table 2) (Admiraal et al, 2017;Beatty et al, 2010;Budin et al, 2008;David et al, 2011;Kim et al, 2017;Park et al, 2012;Sharif et al, 2010). Moreover, the domains were treated as low risk of bias 58.8 %, unclear 34.3 % and "high risk of bias" 6.9 %.…”

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

Meta-Analysis of the Effects of the Educational and Counseling Interventions on Mental Adjustment and Quality of Life in Breast Cancer

2019

IJPHCS

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Background: Education and counselling are widely used independently or as supplementary components in the psychosocial interventions. However, there is a certain level of ambiguity if used separately. In this analysis, we attempted to answer the following question; "Does the education and counseling support improve of the adjustment to cancer in women diagnosed with breast cancer?" Methods: An online search was undertaken in 12 databases for the longitudinal studies for the period from January 2007 to March 2018. The effects of the interventions on the adjustment to breast cancer, were calculated based on the results of the mental adjustment and quality of life (QoL). Three distinct periods were examined; baseline, three months, and six months. The methodological quality, risk of bias, publication bias, and attrition rate were examined. Meta-analysis was carried out using Review Manager 5.3 with the results graphically presented. Results: A comprehensive systematic review was conducted for 5,464 titles, of which 22 studies fulfilled the inclusion criteria, however 14 studies completed the data and included in the qualitative synthesis; included 3,419 patients. The mean of overall attrition rate in both groups was 14.37% (SE= 2.87, median= 12.28). In mental adjustment, the total mean differences for the three trials were statistically significant 0.40 (0.24 to 0.57). For the QoL, the mean differences of the three trials were statistically non-significant 0.18 (-0.48 to 0.84). Conclusion: The educational and/or counseling interventions can be beneficial and useful for patients to adapt with the breast cancer, however, it is less effective on the QoL.

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Effects of a Psychoeducational Intervention in Patients With Breast Cancer Undergoing Chemotherapy

Cited by 57 publications

References 28 publications

A self‐help intervention for reducing time to diagnosis in Indonesian women with breast cancer symptoms

A self‐help intervention for reducing time to diagnosis in Indonesian women with breast cancer symptoms

The Effectiveness of Psychological Treatments in Women with Breast Cancer: A Systematic Review and Meta-Analysis

Meta-Analysis of the Effects of the Educational and Counseling Interventions on Mental Adjustment and Quality of Life in Breast Cancer

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