Effects of delayed psychosocial interventions versus early psychosocial interventions for women with early stage breast cancer

Vos, Petra J.E.; Visser, Adriaan; Garssen, Bart; Duivenvoorden, Hugo J.; Haes, Hanneke C. J. M. de

doi:10.1016/j.pec.2005.01.006

Cited by 43 publications

(32 citation statements)

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“…Our results could not confirm previous studies' recommendations that psychological couple interventions for cancer patients and partners should be offered during the early treatment phase . We found that 92 of 250 couples (37%), whom had given consent to receive further information regarding the study, declined because they found it difficult to cope with a psychological intervention at that time point (Figure ).…”

Section: Discussioncontrasting

confidence: 91%

The effect of an attachment‐oriented couple intervention for breast cancer patients and partners in the early treatment phase: A randomised controlled trial

et al. 2018

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ObjectivePatients and partners both cope individually and as a dyad with challenges related to a breast cancer diagnosis. The objective of this study was to evaluate the effect of a psychological attachment‐oriented couple intervention for breast cancer patients and partners in the early treatment phase.MethodsA randomised controlled trial including 198 recently diagnosed breast cancer patients and their partners. Couples were randomised to the Hand in Hand (HiH) intervention in addition to usual care or to usual care only. Self‐report assessments were conducted for both patients and partners at baseline, postintervention (5 months), and follow‐up (10 months), assessing cancer‐related distress, symptoms of anxiety and depression, and dyadic adjustment. Patients' cancer‐related distress was the primary outcome.ResultsCancer‐related distress decreased over time in both patients and partners, but the intervention did not significantly affect this decrease at postintervention (P = .08) or follow‐up (P = .71). A significant positive effect was found on dyadic adjustment at follow‐up for both patients (P = .04) and partners (P = .02).ConclusionsThere was no significant effect of the HiH intervention cancer‐related distress. The results suggest that most couples can cope with cancer‐related distress in the context of usual care. However, the positive effect on dyadic adjustment implies that the HiH intervention benefitted both patients and partners. Future studies should investigate how to integrate a couple focus in usual cancer care to improve dyadic coping in the early treatment phase.

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Section: Discussioncontrasting

confidence: 91%

The effect of an attachment‐oriented couple intervention for breast cancer patients and partners in the early treatment phase: A randomised controlled trial

et al. 2018

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“…50 Currently, data on a possible influence of psychosocial intervention on the long-term survival of skin cancer patients are contradictory. 3,51 It is, for example, unclear if a specific patient population is at particular risk in terms of their psychosocial constellation.…”

Section: Psychosocial Intervention and Tumour Control: What Little Ismentioning

confidence: 99%

Psychological support of skin cancer patients

Peters

2012

British Journal of Dermatology

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SummaryThe diagnosis of skin cancer imposes a great stress on our patients. Ultraviolet (UV) radiation-induced skin cancers are on the rise and frequently occur in younger patients and unexposed sites despite improved protective behaviour. Environmental factors and lifestyle habits have changed greatly in the last century and in addition to UV radiation exposure, psychosocial stressors and physical inactivity may play a role in the rising tumour incidence. With environmental stressors such as UV radiation they share the capacity to change the stress reaction. So far research into the interaction between stress, cancer and psychosocial intervention has generated some interesting results with respect to improvement of quality of life and the function of the hypothalamic-pituitary-adrenal axis, the sympathetic axis and natural killer cells. These results hint at a suppressive effect of chronic stress on cellular immunity and the importance of a sufficient length and intensity of any psychosocial intervention for it to be effective. Nevertheless, the evidence remains inconclusive and does not take into account the findings of current psychoneuroimmunological research. This research has demonstrated the importance of a third stress axis along which neurotrophins and neuropeptides are effective. Along this axis, regulatory mechanisms may contribute to suppress tumoricidal immune responses. This may be instrumental in the establishment of an immune response that promotes tumour progression and holds important implications for integrated therapeutic strategies. However, research into the psychoneuroimmunological benefits of psychosocial intervention is largely missing, and future interdisciplinary research is warranted for understanding and further promoting improved quality of life and psychological as well as physical well-being after psychosocial intervention.Recent studies point to the steadily rising incidence of skin cancers and the pressure rises to identify explanatory models in addition to ultraviolet (UV) radiation exposure and other environmental stressors. Among them, psychosocial stress may play a hitherto underestimated role as several studies suggest that the immune response can be modified by stress and plays a role in the association between coping with a cancer diagnosis, i.e. mental stress, and long-term survival.

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“…Breast cancer patients were randomly allocated to a psychotherapy, social support or a waiting list condition. Patients in the waiting list condition were later randomly allocated to one of the two types of intervention [23][24][25][26]. The sample included six therapy and five social support groups.…”

Section: Designmentioning

confidence: 99%

Analyzing differences between psychotherapy groups and social support groups for breast cancer patients: Development of an assessment method using video recordings

Garssen

Vos

Meezenbroek

et al. 2011

Patient Education and Counseling

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Effects of delayed psychosocial interventions versus early psychosocial interventions for women with early stage breast cancer

Cited by 43 publications

References 43 publications

The effect of an attachment‐oriented couple intervention for breast cancer patients and partners in the early treatment phase: A randomised controlled trial

The effect of an attachment‐oriented couple intervention for breast cancer patients and partners in the early treatment phase: A randomised controlled trial

Psychological support of skin cancer patients

Analyzing differences between psychotherapy groups and social support groups for breast cancer patients: Development of an assessment method using video recordings

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