Efficacy of psychosocial intervention with cancer patients.

Gordon, Wayne A.; Freidenbergs, Ingrid; Diller, Leonard; Hibbard, Mary R.; Wolf, Carole; Levine, Linda; Lipkins, Robert; Ezrachi, Ora; Lucido, David

doi:10.1037/0022-006x.48.6.743

Cited by 160 publications

(109 citation statements)

References 11 publications

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“…In the interim, investigators should document the content, the reliability of intervention delivery, and the involvement of the patients, for hypothesis generation in follow-up studies. Previous studies have omitted documentation and process measures (but see Gordon et al, 1980, for an example of number of individual therapy sessions; or Telch & Telch, 1986, for monitoring of homework assignments).…”

Section: Testing the Model Research Design: A Role For Experimental Tmentioning

confidence: 99%

A biobehavioral model of cancer stress and disease course.

Andersen¹,

Kiecolt‐Glaser²,

Glaser³

1994

American Psychologist

387

246

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Approximately 1 million Americans are diagnosed with cancer each year and must cope with the disease and treatments. Many studies have documented the deteriorations in quality of life that occur. These data suggest that the adjustment process is burdensome and lengthy. There is ample evidence showing that adults experiencing other long-term stressors experience not only high rates of adjustment difficulties (e.g., syndromal depression) but important biologic effects, such as persistent downregulation of elements of the immune system, and adverse health outcomes, such as higher rates of respiratory tract infections. Thus, deteriorations in quality of life with cancer are underscored if they have implications for biological processes, such as the immune system, relating to disease progression and spread. Considering these and other data, a biobehavioral model of adjustment to the stresses of cancer is offered, and mechanisms by which psychological and behavioral responses may influence biological processes and, perhaps, health outcomes are proposed. Finally, strategies for testing the model via experiments testing psychological interventions are offered.Cancer is a major health problem, accounting for 23% of all deaths in the United States. Although death rates from heart diseases, stroke, and other conditions have been decreasing, deaths due to cancer have risen 20% in the past 30 years (American Cancer Society [ACS], 1993). This "big picture" holds for the major sites of disease, including lung, breast, and prostate cancer, for which death rates have shown large increases. The number-one killer, lung cancer, has shown huge increases in age-adjusted death rates in the past 30 years-an increase of 121% for men and 415% for women. The second most common site of cancer for men, prostate, has shown a 12% increase in the death rate. For women, breast cancer accounts for 32% of all new cases. During this decade alone, more than 1.5 million women (1 in 9) will be diagnosed and 30% of these women will die from the disease. Other sobering statistics indicate that since 1980 there has been a 24% increase in breast cancer incidence; despite major clinical studies (including trials of dramatic treatments, e.g., bone marrow transplantation), breast cancer mortality rates have been stable for the past 20 years. In sum, increasing numbers of individuals are being diagnosed, undergo difficult therapies, and somehow cope with 5-year relative survival rates of 53% for White Americans and 38% for Black Americans (ACS, 1993).Although there are notable exceptions (e.g., Bard & Sutherland, 1952;Fox, 1976), research programs conducted by psychologists on the behavioral and psychological aspects of cancer did not begin in earnest until the late 1970s. Yet considerable advances have been made in describing the difficulties cancer patients face and examining the processes of adjustment (see discussions in Andersen, 1989; Cancer, 1991, Vol. 67, No. 3 Supplement) NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manus...

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Section: Testing the Model Research Design: A Role For Experimental Tmentioning

confidence: 99%

A biobehavioral model of cancer stress and disease course.

Andersen¹,

Kiecolt‐Glaser²,

Glaser³

1994

American Psychologist

387

246

View full text Add to dashboard Cite

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“…Gordon et al [12], Fawzy et al [13] and Strittmatter [11] showed that structured programs offering psychotherapeutic or psychoeducational support reduced mood disturbances and led to a better use of active coping strategies. In a recent study, Fawzy et al [14] found group interventions more effective than individual therapy in patients with stage I and stage II melanoma.…”

Section: Introductionmentioning

confidence: 99%

Need for Supportive Counselling – the Professionals’ versus the Patients’ Perspective

Söllner

Zingg-Schir²,

Rumpold³

et al. 1998

Psychother Psychosom

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Background: The aim of the study was to identify melanoma patients who suffered significant distress and were judged to be in need of supportive counselling, on the one hand, and, on the other, to investigate patient interest in such support. Methods: Out of 236 melanoma patients, who constitute a representative sample of melanoma patients in Western Austria, 215 patients participated in the study and were assessed with regard to psychosocial distress, coping strategies, social networks and interest in receiving psychosocial support. Multiple logistic regression analyses were performed with regard to patient interest in receiving psychosocial support either from the attending oncologist or from a mental health professional. Results: 65 patients (30.2%) experienced moderate and 30 patients (14.0%) severe distress, which was predominantly caused by tumour-related fears, tension and disturbance of emotional well-being. 83% of the severely distressed patients wanted psychosocial support from their oncologists, whereas only half of them were interested in additional support from a psychotherapist. In particular, patients who showed fear of tumour progression and felt that they were insufficiently informed about their disease preferred to consult their dermatologist for psychosocial support. On the other hand, patients with poor prognosis, receiving only low levels of support from their social network, and exhibiting a depressive coping style, showed interest in getting supplementary support from a psychotherapist. Conclusions: These findings underline the importance of educating oncologists with a view both to improve their communication skills and to help them identify patients making poor adjustment to illness in order to offer them appropriate emotional support.

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“…The diagnosis and treatment of breast cancer seriously disrupts women's lives. However, the impact of the disease on psychological functioning has lessened over past decades, particularly when the disease is identified early (Gordon et al, 1980;Lansky et al, 1985;Bloom et al, 1987;Penman et al, 1987; for reviews see Irvine et al, 1991;Glanz and Lerman, 1992;Moyer and Salovey, 1996). The experience of early stage breast cancer is now widely viewed as a crisis, which is weathered by most patients during the initial year post-surgery.…”

mentioning

confidence: 99%

Coping among african-american, hispanic, and non-hispanic white women recently treated for early stage breast cancer

Culver

Arena

Wimberly

et al. 2004

Psychology & Health

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Relatively little is known about how members of minority groups cope with experiences such as diagnosis and treatment of breast cancer -in particular, whether coping patterns among minorities differ from that of the majority. This study adds to the existing knowledge base using a cross-sectional sample of middle-class African-American (n ¼ 26), Hispanic (n ¼ 59), and non-Hispanic White women (n ¼ 151) who had been treated for early stage breast cancer in the past year. We tested for differences in coping responses per se and also for the possibility that coping would relate to distress differently in different groups. There were only two differences in coping (controlling for medical variables, education, and distress): compared to non-Hispanic White women, the other two groups both reported using humor-based coping less, and religion-based coping more. There was one difference in how coping related to distress: venting related more strongly to elevated distress among Hispanic than among non-Hispanics. Discussion centers on a growing consensus on ethnic differences in religious and humor-based coping, and on the relative absence of other coping differences among these populations.

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Efficacy of psychosocial intervention with cancer patients.

Cited by 160 publications

References 11 publications

A biobehavioral model of cancer stress and disease course.

A biobehavioral model of cancer stress and disease course.

Need for Supportive Counselling – the Professionals’ versus the Patients’ Perspective

Coping among african-american, hispanic, and non-hispanic white women recently treated for early stage breast cancer

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