Group Support for Patients With Metastatic Cancer

Spiegel, David; Bloom, Joan R.; Yalom, Irvin D.

doi:10.1001/archpsyc.1980.01780300039004

Cited by 831 publications

(455 citation statements)

References 32 publications

Supporting

Mentioning

418

Contrasting

Unclassified

Order By: Relevance

“…Unexpectedly and in contrast to the findings of others [24], we found that a higher bond between individual members predicted lower post-intervention outcome in women. One explanation could be [44]. Cancer survivors who felt that they were not making progress discovered that they could be useful to others and, therefore possibly rate the relationship with other members as high.…”

Section: Discussionmentioning

confidence: 99%

The effect of group cohesion on rehabilitation outcome in cancer survivors

et al. 2007

View full text Add to dashboard Cite

The effect of group cohesion on rehabilitation outcome in cancer survivors May, Anne M.; Duivenvoorden, Hugo J.; Korstjens, Irene; van Weert, Ellen; HoekstraWeebers, Josette E. H. M.; van den Borne, Bart; Mesters, Ilse; van der Schans, Cees P.; Ros, Wynand J. G. Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. AbstractObjective: Group-based physical training interventions have been shown to be effective in increasing quality of life in cancer survivors. Until now, however, the impact of cohesion within the group on intervention outcome has not been investigated.Methods: We examined self-reported individual group cohesion ratings collected in the first half of a 12-week rehabilitation programme for cancer survivors ðN ¼ 132Þ: Four dimensions of group cohesion were measured, i.e. the bond with the group as whole, the bond with other members, cooperation within the group and the instrumental value. Quality of life, physical functioning and fatigue were assessed before and after the intervention using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30. Linear multiple multivariate regression analysis was conducted to explore the relationship between group cohesion and intervention outcome.Results: The relationship between group cohesion and outcome was significantly modified by gender. Higher ratings of cooperation within the group predicted better post-intervention quality of life and physical functioning and less fatigue in men, and better quality of life and physical functioning in women. Additionally, women who reported a stronger bond with other members showed a lower quality of life after the intervention. No relationship was found between the instrumental value and the outcome variables.Conclusion: Some dimensions of group cohesion seem to be associated with intervention outcome. The underlying mechanisms need to be unravelled.

show abstract

Section: Discussionmentioning

confidence: 99%

The effect of group cohesion on rehabilitation outcome in cancer survivors

et al. 2007

View full text Add to dashboard Cite

show abstract

“…While supportive-expressive group therapy is not designed explicitly to promote better sleep hygiene, we reasoned that it might indirectly promote better sleep because of its demonstrated effects in helping women to better modulate their emotions and reduce their distress and pain ;Classen, Butler, Koopman, Miller, DiMiceli, Giese-Davis, Fobair et al, 2001;Giese-Davis et al, 2002;Spiegel & Bloom, 1983;Spiegel, Bloom, Kraemer, & Gottheil, 1989;Spiegel, Bloom, & Yalom, 1981).…”

Section: Life Stressmentioning

confidence: 99%

A longitudinal study of depression, pain, and stress as predictors of sleep disturbance among women with metastatic breast cancer

Palesh

Collie

Batiuchok

et al. 2007

Biological Psychology

Self Cite

157

109

View full text Add to dashboard Cite

Objective-Sleep disturbances are common among women with breast cancer and can have serious consequences. The present study examined depression, pain, life stress, and participation in group therapy in relation to sleep disturbances in a sample of women with metastatic breast cancer.Methods-Ninety-three women with metastatic breast cancer participated in a large intervention trial examining the effect of the group therapy on their symptoms. They completed measures of depression, pain, life stress, and sleep disturbance at baseline, 4, 8 and 12 months. Results-The results showed that higher initial levels of depression at baseline predicted problems associated with getting up in the morning, waking up during the night, and daytime sleepiness. Increases in depression over the course of 12 months were associated with fewer hours of sleep, more problems with waking up during the night and more daytime sleepiness. Higher levels of pain at baseline predicted more problems getting to sleep. Increases in pain predicted more difficulty getting to sleep and more problems waking up during the night. Greater life stress at baseline predicted more problems getting to sleep and more daytime sleepiness.Conclusions-Depression, pain, and life stress scores were each associated with different types of negative change in self-reported sleep disturbances. Depression, especially worsening depression, was associated with the greatest number of types of negative change. The relationships found between sleep disturbance and depression, pain, and life stress suggest specific ways to address the problem of sleep disturbance for women with metastatic breast cancer and show how different types of disturbed sleep may be clinical markers for depression, pain, or life stress in this population.Keywords sleep disturbance; metastatic breast cancer; pain; depression; stressful life events Corresponding Author: Oxana G. Palesh, Ph.D., Department of Radiation Oncology, University of Rochester Medical Center, James P. Wilmot Cancer Center, 601 Elmwood Avenue, Box 704 Rochester, New York 14642. E-mail: Oxana_Palesh@urmc.rochester.edu, phone: (585) 273-3998, fax: (585) 461-5601. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Disturbed sleep is common among breast cancer patients (Davidson, MacLean, Brundage, & Schulze, 2002;Koopman, Nouriani et al., 2002;Savard & Morin, 2001) and has been found to be associated not only with poor quality of life (Carpenter & Andrykowski, 1998;Fortner, Stepanski, Wang, Kasprowicz, & Durrence, 2002), depressive symptoms (Koopman, Nouriani et al., 2002), and fatigue (Lic...

show abstract

“…These coping variables have been related to depression and anxiety [1][2][3][4][5], adjustment [6--9], and the intensity of pain experienced [10][11][12]. Researchers have found possible links between coping and survival [13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%