Download or read book Effect of a Counseling education Intervention on Psychological and Immune Measures in Women at High Risk for Breast Cancer written by Janet Bagley and published by . This book was released on 2003 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Meeting Psychosocial Needs of Women with Breast Cancer written by National Research Council and published by National Academies Press. This book was released on 2004-03-12 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Meeting Psychosocial Needs of Women with Breast Cancer, the National Cancer Policy Board of the Institute of Medicine examines the psychosocial consequences of the cancer experience. The book focuses specifically on breast cancer in women because this group has the largest survivor population (over 2 million) and this disease is the most extensively studied cancer from the standpoint of psychosocial effects. The book characterizes the psychosocial consequences of a diagnosis of breast cancer, describes psychosocial services and how they are delivered, and evaluates their effectiveness. It assesses the status of professional education and training and applied clinical and health services research and proposes policies to improve the quality of care and quality of life for women with breast cancer and their families. Because cancer of the breast is likely a good model for cancer at other sites, recommendations for this cancer should be applicable to the psychosocial care provided generally to individuals with cancer. For breast cancer, and indeed probably for any cancer, the report finds that psychosocial services can provide significant benefits in quality of life and success in coping with serious and life-threatening disease for patients and their families.
Download or read book Psycho Educational Group Intervention for Women at Increased Risk for Breast Cancer written by Kathryn M. Kash and published by . This book was released on 2000 with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt: A randomized controlled trial of a psychoeducational group intervention was conducted. The specific aims were to examine the impact of the intervention on knowledge of breast cancer and risk factors, breast cancer beliefs, breast cancer anxiety, coping skills, quality of life and adherence to screening. The intervention components included social support enhancement, education, cognitive restructuring, and problem solving. Group sessions (5 to 10 women in each group) met for one and half-hours each of six weeks, with six-month and one year booster sessions. Interviews were conducted prior to randomization (Time 1), at the end of the six-week intervention (Time 2), at six months (Time 3) and one year (Time 4). 247 healthy, asymptomatic women at high risk for breast cancer (control condition N=l08); treatment condition N-139) participated in the study. The mean age is 43, primarily white (90%), with 39% having a college education. At baseline, 73% of women overestimated their risk, 17% accurately estimated their risk and 10% underestimated their risk for developing breast cancer. A repeated measures analysis of variance (ANOVA) found a significant reduction in breast cancer specific anxiety within the treatment condition from Time 1 to Time 4 (p
Download or read book Breast Cancer written by Sandra Haber and published by . This book was released on 1995 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the incidence of breast cancer among women has risen there has been a growing need among mental health professionals to understand both the medical and psychological effects of this devastating illness. This volume, originally published by the Division of Independent Practice of the American Psychological Association, is designed to educate as well as involve therapists and counselors in the psychological treatment of patients and their families. This collaborative venture of 10 women psychologists addresses the emotional responses of patients, families, and caretakers. The contributors also examine the psychological, social, and behavioral factors that may influence cancer morbidity and mortality. This volume is intended for psychologists, psychiatrists, nurse therapists, and other mental health professionals.
Download or read book Effect of Psychosocial Intervention in Women Following Breast Cancer Diagnosis written by and published by . This book was released on 1997 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The American Cancer Society has estimated that 180,000 women in the United States are newly diagnosed with breast cancer each year. Virmally all of these women are treated surgically, with most requiring additional surgery following biopsy. The average length of time between diagnosis and surgery at our institution is approximately one month. This one month interval prior to surgery is characterized by extreme distress. Psychological and immunological function may be compromised. The central technical objective of this proposal is to determine whether a multimodal psychosocial intervention provided during the presurgery interval affects immune and psychological function. The intervention focuses on stress management techniques, education, problem solving techniques to increase coping skills, and group support. We hypothesize that women who receive the structured intervention will have enhanced natural killer (NK) cell cytotoxicity and interleukin (IL) -2 and interferon (IFN)-y production immediately prior to and following surgery, in comparison to women who do not receive intervention. Enhanced NK cell function and cytokine production in patients undergoing surgery are of significance because of their critical roles in decreasing morbidity and mortality, chiefly by controlling infection and development of metastases.
Download or read book Stress Management Intervention for Women with Breast Cancer written by Michael H. Antoni and published by Amer Psychological Assn. This book was released on 2003 with total page 103 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Stress Management Intervention for Women With Breast Cancer: Participant's Workbook is tailored to meet the special needs of women dealing with the stress of breast cancer and its treatment. Designed specifically for group therapy participants, this workbook will be an invaluable tool for learning skills such as meditation and relaxation that have been proven to reduce stress during challenging times. While participating in the group therapy program, group members will turn to this book at home to deepen and personalize the learning that occurs in sessions. In these quiet "homework" moments, participants will learn how to create stress reduction strategies, better understand and manage their emotions, enhance their relationships with loved ones and caregivers, and examine their role in important health care decisions. As a vital component of this overall stress reduction program, this workbook will enable participants to discover, explore, and expand on the issues that matter most. (PsycINFO Database Record (c) 2004 APA, all rights reserved).
Download or read book Enhancing Positive Reactions to Breast Cancer Risk Appraisal written by and published by . This book was released on 1998 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: Breast cancer screening is currently the most reasonable strategy for reducing the impact of breast cancer on women. However, increased perceived risk and psychological distress have been associated with lower screening rates. The specific aims for this study were to: (1) assess the psychological distress of women ages 50 to 85 who receive breast cancer risk appraisal and randomization to immediate or delayed group psychosocial counseling; (2) assess their breast cancer screening behaviors over 2 years from the time of enrollment; (3) evaluate the degree of association between perceived and estimated risk of breast cancer; (4) describe short-term psychological reactions to breast cancer risk appraisal; and (5) describe their sense of coherence, coping style, other health-related behaviors, social support, and perceived quality of life. This study was conducted to provide important information about women's reactions to breast cancer risk appraisal and ways to enhance positive health behaviors. A total of 343 women participated in the study (mean age, 62 years). Each participant completed a breast cancer risk assessment form and received an estimate of their risk. Participants were randomized to either an immediate or delayed psychosocial counseling intervention on breast health. Results of the intervention showed largely non-significant changes in psychological distress and breast cancer screening behaviors (p>O.05). Further analyses will be conducted to provide more detail about these unexpected findings.
Download or read book Stress and Immunity Breast Cancer Project written by and published by . This book was released on 1999 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A biobehavioral model of cancer stress and disease course was proposed (see Andersen, Kiecolt- Glaser, & Glaser, 1994). We are testing the model with a clinical trial: 231 women with stage II or III breast cancer are randomized between assessment and intervention or assessment only (control) study arms. In addition to documenting the quality of life benefits of a psychological intervention, this study provides an experimental test of the psychological and behavioral variables which may influence health outcomes directly. Further, we test specific mechanisms--alteration in immune and endocrine functions--to achieve beneficial health effects for women with breast cancer. Our data indicates that psychological stress is instrumental in increasing a woman's risk for lower quality of life and depressive symptoms following definitive surgery (Golden-Kreutz et al., under review), and stress due to breast cancer surgery produces sexual and body image difficulties (Yurek et al, 2000). Further, psychological stress has a down regulating effect on immunity (Andersen et al., 1998). Preliminary data suggest that the psychological intervention results in lower stress, improved quality of life, reductions in negative health behaviors, improved cancer treatment compliance, lower stress hormone (cortisol) responses, and higher immune (t cell blastogenesis) responses.
Download or read book Research Awards Index written by and published by . This book was released on 1988 with total page 874 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Effects of Breast Cancer Risk Psychological Distress and Dispositional Optimism on Immune Responses in Healthy Women written by Na-Jin Park and published by . This book was released on 2006 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Psychological Intervention for Women With Breast Cancer written by and published by . This book was released on 1995 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychological research documents that the psychosocial burdens following breast cancer are notable in number, severity, and scope. A biobehavioral model of cancer stress and disease course has been proposed (see Andersen, Kiecolt-Claser, & Claser, 1994) and provides a conceptual basis for the proposed research. We will test the model with a clinical trial: 200 women with stage II or III breast cancer who have been recently diagnosed and surgically treated will be randomized between two conditions: (1) assessment and intervention, or (2) assessment only (control). In addition to documenting the quality of life benefits of a psychological intervention, this study provides an experimental test of the psychological and behavioral variables which may influence clinical outcomes directly. Further, we tested a specific mechanism--alteration in immune function--to achieve beneficial health effects for women with breast cancer.
Download or read book Biomedical Index to PHS supported Research written by and published by . This book was released on 1991 with total page 1104 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Adjuvant Therapy for Breast Cancer written by Monica Castiglione and published by Springer Science & Business Media. This book was released on 2009-07-11 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adjuvant treatment is administered prior to or as follow up to surgical procedures for breast cancer. Proven success in using medical therapies allowing for breast conserving procedures or reducing risk of occurrence. Although there has been much progress towards a cure, including the introduction of new targeted therapies, metastasizing cancer remains highly incurable.
Download or read book Current Index to Journals in Education written by and published by . This book was released on 1997 with total page 1676 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Acceptance and Commitment Therapy for Patients with Breast Cancer written by and published by . This book was released on 2016 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt: Breast cancer is the most commonly diagnosed cancer among American women, accounting for approximately 30% of all cancer diagnoses. More than 32% of breast cancer patients exhibit symptoms of distress, which can interfere with a patient’s ability to cope, reduce the likelihood of adherence to treatment plans, and negatively affect treatment outcome. Despite the high prevalence of psychological distress among breast cancer patients, less than 10% are referred for psychological treatment, and current treatments are only moderately effective at improving psychological well-being. Acceptance and Commitment Therapy (ACT) is an established psychological intervention that encourages acceptance strategies and mindfulness techniques to reduce psychological suffering. ACT has been found to decrease psychological distress and improve quality of life for patients with various physical (e.g. chronic pain, ovarian cancer) and psychological (e.g. anxiety, depression) health conditions. However, the efficacy of ACT as a psychological intervention for women with breast cancer has not been tested. A pilot study was conducted to determine whether ACT reduced distress and improved resilience in breast cancer patients, thereby improving quality of life. Twenty-four psychologically distressed women, diagnosed with stage 0-3 breast cancer within the previous year, were randomly assigned to either an ACT or a nutritional education intervention. Patients attended 8 weekly 90-minute sessions and completed self-report measures at baseline, post-intervention, and a 3-month follow-up. It was hypothesized that the ACT intervention would lead to significantly greater changes in psychological distress, resilience, and psychological flexibility from pre- to post-intervention, and quality of life from pre-intervention to the 3-month follow-up assessment than a nutritional education intervention. A series of 2 (Intervention Type) by 2 (Time) mixed-model ANOVAs were conducted to test these hypotheses. The results indicated that the intervention groups did not differ significantly in the outcome variables. However, both groups demonstrated significant improvements in psychological well-being. Although the results of this study do not suggest that ACT is a significantly more effective treatment for breast cancer patients than a nutritional education intervention, future researchers should continue to develop and test modified versions of the ACT protocol.
Download or read book EFFECTIVENESS OF PSYCHOLOGICAL written by Feng Xiao and published by Open Dissertation Press. This book was released on 2017-01-26 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Effectiveness of Psychological Interventions on Depression in Patients After Breast Cancer Surgery: a Meta-analysis of Randomized Controlled Trials" by Feng, Xiao, 肖枫, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: INTRODUCTION: Breast cancer has become the most common cancer in women. With the improvement of medical treatment for breast cancer, extended survival and low recurrence rates in breast cancer have been achieved. However, as a threat to the survival and quality of life, long term depression in patients with breast cancer has attracted more and more concern. In clinical practice, individually delivered Cognitive Behavioral Therapy (CBT) is widely used to deal with the depression in patients. Among the articles published, many of them showed that individually delivered CBT intervention could effectively reduce depression symptoms in patients after breast cancer surgery. But the strength of the effectiveness is unknown because these studies had not been combined into a systematic review. On the other hand, some articles have conflicting results showing no significant difference. Thus, it is meaningful to do a meta-analysis to assess the effectiveness of individual delivered CBT interventions on reducing depression in patients after breast cancer surgery. METHODS: A comprehensive literature search was performed through English electronic databases and Chinese electronic databases, including: Medline (Ovid), PubMed, Cochrane library, CNKI database, WANFANG and VIP database. Only randomized controlled trials (RCTs) with high quality were included in this meta-analysis. Quality assessment of included studies was conducted by two reviewers based on the Jadad scale independently. The pooled effect of mean difference in depressive score between baseline and post-treatment was analyzed based on different outcome measure instruments (SDS, HADS and HAMD) separately. RESULTS: 1882 articles were identified by the literature search. Of these, 13 RCTs with 966 participants were included in the meta-analysis. In SDS subgroup, the pooled standardized mean difference (SMD) comparing the intervention groups to the control groups was -0.87 (95% CI=-1.03, -0.71; overall effect Z=10.84; p＜0.0001), which indicated a large effect size based on Cohen's d value (Cohen's d =-0.87). In HADS subgroup, the pooled SMD comparing the intervention groups to the control groups was -0.50 (95% CI=-0.98, -0.02; overall effect Z=20.6; p=0.04), which indicated a moderate effect size (Cohen's d =-0.50). In HAMD subgroup, the pooled SMD comparing the intervention groups to the control groups was -2.61 (95% CI=-4.07, -1.14; overall effect Z=3.49; p=0.0005), which indicated a very large effect size (Cohen's d =-2.61). In general, the overall effect size of individually delivered CBT on reducing depression in women after breast cancer surgery was large. Meanwhile, there was no evidence of statistical heterogeneity. CONCLUSION: This meta-analysis showed a significant efficacy of individually delivered CBT in the reduction of major depression in patients after breast cancer surgery. The level of evidence is high. In addition, CBT is feasible and well accepted by breast cancer patients, no matter delivered by psychotherapists or well-trained nurses. Depression is often associated with poor quality of life thus CBT should also be beneficial for improving quality of life by reducing depressive symptoms. Therefore, it is suggested that individually delivered CBT can be used in clinical breast cancer care for patients after surgery. However, further resear
Download or read book Effect of a Stress Reduction Intervention on Psycho Immuno Endocrine Parameters in Early Stage Breast Cancer written by Ann Massion and published by . This book was released on 1997 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a Career Development Award which provides salary support for research and training done under a separately- funded project, Grant Number DAMD17-94-J-4475 (P.1. Dr. James R. Hebert), called the Breast Research initiative for Determining Effective Skills (BRIDGES), which focuses on skills for coping with breast cancer, and consists of a prospective randomized intervention trial with women ages 65 or less, having stage 1 or 2 breast cancer, randomized to one of three arms: 1) a modified form of the University of Massachusetts Medical Center mindfulness meditation- based Stress Reduction and Relaxation Program (SR & RP); 2) a nutrition education program developed specifically for BRIDGES; and 3) a usual-care control group. Outcome parameters are: 1) psychological and behavioral indices of function and coping; 2) quality of life measures; 3) compliance with the interventions and medical treatment regimens; and 4) immunological/endocrinological measures consisting of cytokines and melatonin. Over the past year, I have been involved in the following aspects of the project: recruitment, providing part of the SR & RP intervention, writing manuscripts, serving on the Executive and Steering Committees, data analysis, and overseeing sample collection and analysis for the melatonin assays, quality control of the melatonin assay, first and second author of two book chapters related to the project, symposium presentation at the American Psychiatric Association annual meeting, and taking an introductory biostatistics course in the Dept. of Public Health.
