Effect of psychosocial treatment on survival of patients with metastatic breast cancer

Spiegel, D.; Bloom, J. R.; Kraemer, H. C.; Gottheil, E.

doi:10.1017/cbo9780511759048.036

Cited by 487 publications

(656 citation statements)

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“…Examples include cognitive restructuring (Beck, 1981) to increase positive reframing and decrease pessimistic appraisals. Expressive writing (Stanton, Danoff-Burg, & Huggins, 2002;Smyth, Stone, Hurewitz, & Kaell, 1999;Ullrich & Lutgendorf, 2002) and supportive expressive therapy techniques (Spiegel, Bloom, Kramer, & Gottheil, 1989) may increase the degree to which people process the emotions surrounding the illness, which may also promote BF. The very consistent association of religious coping with high levels of BF suggests that approaches that address the use of religion as a coping strategy among persons with a religious commitment may also promote BF.…”

Section: Discussionmentioning

confidence: 99%

Curvilinear associations between benefit finding and psychosocial adjustment to breast cancer.

Lechner¹,

Carver²,

Antoni³

et al. 2006

Journal of Consulting and Clinical Psychology

180

137

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Two previously studied cohorts of women with nonmetastatic breast cancer (Ns ϭ 230 and 136) were reexamined. Participants were assessed during the year after surgery and 5-8 years later. Associations were examined between benefit finding (BF) and several indicators of psychosocial adjustment (e.g., perceived quality of life, positive affect, negative affect, social disruption, and intrusive thoughts). Significant curvilinear relations between BF and other outcomes were observed cross-sectionally during initial assessment and at long-term follow-up in both samples. Compared with the intermediate BF group, low and high BF groups had better psychosocial adjustment. Further analyses indicated that the high BF group reported higher optimism and more use of positive reframing and religious coping than the other BF groups. Discussion highlights the need to examine nonlinear as well as linear relationships.

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Section: Discussionmentioning

confidence: 99%

Curvilinear associations between benefit finding and psychosocial adjustment to breast cancer.

Lechner¹,

Carver²,

Antoni³

et al. 2006

Journal of Consulting and Clinical Psychology

180

137

View full text Add to dashboard Cite

show abstract

“…Psychological distress has been correlated with lower quality of life [3,4,54,58], a desire to hasten death [5], and caregiver distress [30,50,57], as well as increased health-care utilization [15,22,33] and shorter survival [19,35,52]. Cancer patients with unresolved concerns are more distressed than those whose concerns are resolved [7,18,26,38].…”

Section: Introductionmentioning

confidence: 99%

“What concerns me is…” Expression of emotion by advanced cancer patients during outpatient visits

Anderson

Alexander

Rodriguez

et al. 2007

Support Care Cancer

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Objective-Cancer patients have high levels of distress, yet oncologists often do not recognize patients' concerns. We sought to describe how patients with advanced cancer verbally express negative emotion to their oncologists. Materials and methods-As part of the Studying Communication in Oncologist-PatientEncounters Trial, we audio-recorded 415 visits that 281 patients with advanced cancer made to their oncologists at three US cancer centers. Using qualitative methodology, we coded for verbal expressions of negative emotion, identified words patients used to express emotion, and categorized emotions by type and content.

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“…The impact of psychosocial factors on cancer progression has been investigated in a number of studies (Greer et al, 1979(Greer et al, , 1990Pettingale et al, 1985;Gross, 1989;Spiegel et al, 1989;Forsen, 1991;Barraclough et al, 1992;Blanchard et al, 1995;Maunsell et al, 1995;Dolbeaut et al, 1999;Watson et al, 1999;Butow et al, 2000;Reynolds et al, 2000;Spiegel, 2001;Petticrew et al, 2002;Garssen, 2004) and many of these have dealt with breast cancer (Greer et al, 1979(Greer et al, , 1990Pettingale et al, 1985;Spiegel et al, 1989;Forsen, 1991;Barraclough et al, 1992;Maunsell et al, 1995;Watson et al, 1999;Butow et al, 2000;Reynolds et al, 2000;Garssen, 2004). However, the contributing factors are uncertain, and there is also a lack of understanding of the psychological processes and the psychobiological mechanisms involved (Garssen and Goodkin, 1999).…”

mentioning

confidence: 99%

Baseline psychosocial predictors of survival in localised breast cancer

et al. 2006

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Despite the large number of studies on the impact of psychosocial factors on breast cancer progression, there is no certainty about the contributing factors or processes involved. We investigated the relative impacts of socioeconomic, psychological, and psychosocial factors on survival in breast cancer. A consecutive sample of 102 patients (participation 82%) under 72 years of age with locoregional breast cancer completed validated questionnaires on coping with cancer, emotional expression (anger), perceived available support, noncancer life stresses, and quality of life 3À4 months after diagnosis. Survival times were measured from the date of diagnosis to the date of relapse and further to the date of death or date of last follow-up. Cumulative Cox regression analyses were carried out. After controlling for biological prognostic factors, age, and baseline treatment, longer survival was predicted by a long education and a minimising-related coping, while shorter survival was predicted by emotional defensiveness (antiemotionality), behavioural-escape coping, and a high level of perceived support. A shorter event-free time was also predicted by unemployment and depressive symptoms. Cancer survival is affected by a complex combination of psychosocial factors, among which minimising predicts a favourable prognosis and anger nonexpression and escape behaviour an unfavourable prognosis. Higher socioeconomic status is associated with longer survival. High scores in well-being scales may reflect emotional nonexpression.

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Effect of psychosocial treatment on survival of patients with metastatic breast cancer

Cited by 487 publications

References 0 publications

Curvilinear associations between benefit finding and psychosocial adjustment to breast cancer.

Curvilinear associations between benefit finding and psychosocial adjustment to breast cancer.

“What concerns me is…” Expression of emotion by advanced cancer patients during outpatient visits

Baseline psychosocial predictors of survival in localised breast cancer

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