Evaluation of a Psychosocial Intervention on Social Support Perceived Control,Coping Strategies,Emotional Distress,and Quality of Life of Breast Cancer Patients
Available accessResearch articleFirst published online June, 2011
Evaluation of a Psychosocial Intervention on Social Support Perceived Control,Coping Strategies,Emotional Distress,and Quality of Life of Breast Cancer Patients
The purpose of this research was to demonstrate that a specific psychosocial intervention changes reactions to cancer and quality of life. This study was carried out on 66 patients with a first breast cancer. Patients were randomly divided into two groups: a specific intervention group (G1, 8 sessions) or a support group (G2, 8 sessions). A control group (G3) was composed of patients who refused to participate in psychological intervention. Social support, perceived control, repression of emotions, coping strategies, emotional distress, and quality of life were assessed one week before (T1) and at the end (T2) of the psychological intervention. Results showed that G1 did not have significantly modified quality of life or psychological scores. Patients of G2 had poorer emotional quality of life, use of internal causal attributions, and minimized their illness at T1 as compared to patients of G3. At Time 2 these differences were not observed.
References
1.
AaronsonN. K.AhmedzaiS.BergmanB.BullingerM.CullA.DuezN. J.FilibertiA.FlechtnerH.FleishmanS. B.De HaesJ. C. J. M.KaasaS.KleeM.OsobaD.RazaviD.RofeP. B.SchraubS.SneeuwK.SullivanM., & TakedaF. (1993) The European Organization for Research and Treatment of Cancer QLQ–C30: a quality-of-life instrument for use in international clinical trials in oncology. Journal of National Cancer Institute, 85, 365–376.
2.
AlferiS. M.CarverC. S.AntoniM. H.WeissS., & DurénR. E. (2001) An exploratory study of social support, distress, and life disruption among low-income hispanic women under treatment for early stage breast cancer. Health Psychology, 20, 41–46.
3.
Ben-ZurH. (1999) The effectiveness of coping meta-strategies: perceived efficiency, emotional correlates, and cognitive performance. Personality and Individual Differences, 26, 923–939.
4.
Bruchon-SchweitzerM. (2002) Psychologie de la santé: modèles, concepts et méthodes.Paris: Dunod.
5.
Bruchon-SchweitzerM.RascleN.Cousson-GélieF.FortierCSifakisY., & ConstantA. (2003) Le Questionnaire de Soutien Social de Sarason (SSQ6): une adaptation française. Psychologie Française, 48, 41–53.
6.
CarverC. S.PozoCHarrisS. D.NoriegaV.ScheierM. F.RobinsonD. S.KetchamA. S.MoffatF. L.Jr., & ClarkK. C. (1993) How coping mediates the effect of optimism on distress: a study of women with early stage breast cancer. Journal of Personality and Social Psychology, 65, 375–390.
7.
CayrouS. (2002) Evaluation des effets d'une intervention de groupe de type psycho-éducationnel sur des femmes atteintes de cancer du sein: étude randomisée. Unpublished doctoral dissertation, Univer. of Toulouse 2, France.
8.
CayrouS.DickesP.Gauvain-PiquardA., & RogeB. (2003) The Mental Adjustment to Cancer (MAC) Scale: French replication and assessment of positive and negative adjustment dimensions. Psycho-Oncology, 12, 8–23.
9.
Cousson-GélieF.IrachabalS.Bruchon-SchweitzerM.DilhuydyJ. M., & LakdjaF. (2005) Dimensions of Cancer Locus of Control Scale as predictors of psychological adjustment and survival in breast cancer patients. Psychological Reports, 97, 699–711.
10.
Cousson-GélieF., & TastetS. (2001) Prise en charge cognitivo-comportementale de patients cancéreux: une revue de la littérature. Journal de Thérapie Comportementale et Cognitive, 11(3), 85–90.
11.
DevineE. C, & ReifschneiderE. (1995) A meta-analysis of the effects of psychoeducational care in adults with hypertension. Nursing Research, 44, 237–245.
12.
EdelmanS., & KidmanA. D. (2000) Application of cognitive behaviour therapy to patients who have advanced cancer. Behaviour Change, 17, 103–110.
13.
Epping-JordanJ. E.CompasB. E.OsowieckiD. M.OppedisanoG.GerhardtCPrimoK., & KragD. N. (1999) Psychological adjustment in breast cancer: processes of emotional distress. Health Psychology, 18, 315–326.
14.
FelderB. E. (2004) Hope and coping in patients with cancer diagnoses. Cancer Nursing, 27, 320–324.
15.
FerreroJ.BarretoPilar M., & ToledoM. (1994) Mental adjustment to cancer and quality of life in breast cancer patients: an exploratory study. Psycho-Oncology, 3, 223–232.
16.
IrvineD. M., & BrownG. (1984) The prevalence and correlates of adjustment in breast cancer.Hamilton, Ontario, Canada: McMaster Univer.
LaveryJ. F., & ClarkeV. A. (1996) Causal attributions, coping strategies, and adjustment to breast cancer. Cancer Nursing, 19, 20–28.
19.
LiJ., & LambertV. A. (2007) Coping strategies and predictors of general well-being in women with breast cancer in the People's Republic of China. Nursing Health Sciences, 9, 199–204.
20.
ManneS. L.GirasekD., & AmbrosinoJ. (1994) An evaluation of the impact of a cosmetics class on breast cancer patients. Journal of Psychosocial Oncology, 12, 83–99.
21.
ManneS. L.SabionniM.BovbjergD. H.JacobsenP. B.TaylorK. L., & ReddW. H. (1994) Coping with chemotherapy for breast cancer. Journal of Behavioral Medicine, 17, 41–54.
22.
MeyerT. J., & MarkM. M. (1995) Effects of psychosocial interventions with adult cancer patients: a meta-analysis of randomized experiments. Health Psychology, 14, 101–108.
23.
MontazeriA.JarvandiS.HaghighatS.VahdaniM.SajadianA.EbrahimiM., & Haji-MahmoodiM. (2001) Anxiety and depression in breast cancer patients before and after participation in a cancer support group. Patient Education and Counseling, 45, 195–198.
24.
MoyerA.SohlS. J.Knapp-OliverS. K., & SchneiderS. (2009) Characteristics and methodological quality of 25 years of research investigating psychosocial interventions for cancer patients. Cancer Treatment Reviews, 35, 475–484.
25.
NewellS. A.Sanson-FisherR. W., & SavolainenN. J. (2002) Systematic review of psychological therapies for cancer patients: overview and recommendations for future research. Journal of National Cancer Institute, 94, 558–584.
26.
Omne-PontenM.HolmbergL., & SjodenP. O. (1994) Psychosocial adjustment among women with breast cancer stages I and II: six-year follow-up of consecutive patients. Journal of Clinical Oncology, 12, 1778–1782.
27.
OsabaD.ZeeB.PaterJ.WarrD.KaiserL., & LatreilleJ. (1994) Psychometric properties and responsiveness of the EORTC Quality of Life Questionnaire (QLQ-C30) in patients with breast, ovarian, and lung cancer. Quality of Life Research, 3, 353–364.
28.
OsbornR. L.DemoncadaA. C, & FeuersteinM. (2006) Psychosocial interventions for depression, anxiety, and quality of life in cancer survivors: meta-analyses. International Journal of Psychiatry in Medicine, 36, 13–34.
29.
OsowieckiD., & CompasB. (1999) A prospective study of coping, perceived control, and psychological adaptation to breast cancer. Cognitive Behavioral Therapy, 23, 169–180.
30.
ParkerP. A.BaileW. F.De MoorC, & CohenL. (2003) Psychosocial and demographic predictors of quality of life in a large sample of cancer patients. Psycho-Oncology, 12, 183–193.
31.
PruynJ.van Den BorneH.De ReuverR. M.De BoerM. RBosmanL. J.Ter PelkwijkM. A., & de JongP. C. (1988) De Locus of Control-Schaal voor kanker…-patienten [The Locus of Control Scale for cancer patients]. Tijdschifl voor Sociales Gezondheidszorj, 66, 404–408.
32.
R Development Core Team. (2010) R: a language and environment for statistical computing.Vienna, Austria: R Foundation for Statistical Computing. Retrieved from http://www.R-project.org.
33.
RansomS.JacobsenP. B.SchmidtJ. E., & AndrykowskiM. A. (2005) Relationship of problem-focused coping strategies to changes in quality of life following treatment for early stage breast cancer. Journal of Pain and Symptom Management, 30, 243–253.
34.
RazaviD.DelvauxN.FarvacquesC, & RobayeE. (1989) Validation de la version française de HADS dans une population de patients cancéreux hospitalisés. Revue de Psychologie Appliquée, 39, 295–308.
35.
RazaviD.DelvauxN., & GoodmanD. (1998) La prise en charge médico-psychologique du patient cancéreux.Paris: Masson.
36.
RehseB., & PukropR. (2003) Effects of psychosocial interventions on quality of life in adult cancer patients: meta analysis of 37 published controlled outcome studies. Patient Education and Counseling, 50, 179–186.
37.
RevelleW. (2008) Psych: procedures for personality and psychological research (R package version 1.0-51).
38.
RevelleW., & ZinbargR. E. (2009) Coefficients alpha, beta, omega, and the glb: comments on Sijtsma. Psychometrika, 74, 145–154.
39.
RingdalG. I., & RingdalK. (1993) Testing the EORTC Quality of Life Questionnaire on cancer patients with heterogeneous diagnoses. Quality of Life Research, 2, 129–140.
40.
SarasonI. G.SarasonB. R.PotterE. H., & AntoniM. H. (1987) A brief measure of social support: practical and theoretical implications. Journal of Personality and Social Psychology, 4, 156–163.
41.
SchouI.EkebergO.SandvikL.HjermstadM. J., & RulandC. M. (2005) Multiple predictors of health-related quality of life in early stage breast cancer: data from a year follow-up study compared with the general population. Quality of Life Research: an International Journal of Quality of Life Aspects of Treatment, Care, and Rehabilitation, 14, 1813–1823.
42.
SheardT., & MaguireP. (1999) The effect of psychological interventions on anxiety and depression in cancer patients: results of two meta-analyses. British Journal of Cancer, 80, 1770–1780.
43.
StantonA. L.Danoff-BurgS.CameronC. L.BishopM.CollinsC. A.KirkS. B.SworowskiL. A., & TwillmanR. (2000) Emotionally expressive coping predicts psychological and physical adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 68, 875–882.
44.
StantonA. L.Danoff-BurgS., & HugginsM. E. (2002) The first year after breast cancer diagnosis: hope and coping strategies as predictors of adjustment. Psycho-Oncology, 11, 93–102.
45.
Vacha-HaaseT., & ThompsonB. (2004) How to estimate and interpret various effect sizes. Journal of Counseling Psychology, 51, 473–481.
46.
WallhagenM. I.StrawbridgeW. J.KaplanG. A., & CohenR. D. (1994) Impact of internal health locus of control on health outcomes. The Gerontologist, 34, 299–306.
47.
WatsonM., & GreerS. (1983) Development of a questionnaire measure of emotional control. Journal of Psychosomatic Research, 27, 299–305.
48.
WatsonM.GreerS.PruynJ., & Van den BorneB. (1990) Locus of control and adjustment to cancer. Psychological Reports, 66, 39–48.
49.
WatsonM.GreerS.RowdenL.GormanCRobertsonB.BlissJ. M., & TunmoreR. (1991) Relationship between emotional control, adjustment to cancer and depression and anxiety in breast cancer. Psychological Medicine, 21, 51–57.
50.
WatsonM.GreerS.YoungJ.InayantQ.BurgessC, & RobertsonB. (1988) Development of a questionnaire measure of adjustment to cancer: the MAC scale. Psychological Medicine, 18, 203–209.
51.
ZaboraJ.BrintzenhofeszocK.CurbowB.HookerC, & PiantadosiS. (2001) The prevalence of psychological distress by cancer site. Psycho-Oncology, 10, 19–28.
52.
ZigmondA. S., & SnaithR. P. (1983) The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinauica, 67, 361–370.
