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A randomized controlled trial of a supportive expressive group intervention for women with a family history of breast cancer.

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  • معلومة اضافية
    • المصدر:
      Publisher: Wiley Country of Publication: England NLM ID: 9214524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1099-1611 (Electronic) Linking ISSN: 10579249 NLM ISO Abbreviation: Psychooncology Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: Chichester, W. Sussex, England : Wiley, c1992-
    • الموضوع:
      Anxiety/*etiology ; Breast Neoplasms/*genetics ; Breast Neoplasms/*psychology ; Counseling/*methods ; Stress, Psychological/*etiology; Adult ; Anxiety/psychology ; Female ; Genetic Counseling ; Genetic Testing ; Health Knowledge, Attitudes, Practice ; Humans ; Mass Screening ; Middle Aged ; Outcome Assessment, Health Care ; Risk ; Self-Help Groups ; Stress, Psychological/psychology
    • نبذة مختصرة :
      Objective: Women with a family history of breast cancer (BC) often overestimate their BC risk. Heightened psychological distress may interfere with risk comprehension and screening adherence. The primary purpose of this study was to test the efficacy of a 12-week manual-based supportive-expressive (SE) group intervention for this population.
      Methods: Using a randomized control trial design, this study compared two interventions: a standard risk-counseling arm (RC) compared with that plus SE group intervention. The primary study outcome was BC anxiety. Secondary outcomes included psychosocial functioning, risk comprehension, BC knowledge, and screening behaviors.
      Results: A total of 161 women with a family history of BC were randomized into SE (N = 108) or RC (N = 53). Participants in both study arms significantly improved on measures of BC anxiety, psychosocial functioning, risk comprehension, and BC knowledge, with no statistical difference between study arms. Benefits were sustained at 1 year. BC screening rates were high in both arms at baseline and follow-up.
      Conclusions: SE group therapy as an added intervention to the risk counseling was well-received, however, did not demonstrate superiority to RC alone. Future studies on treatment matching are needed to further our understanding of interventions that can support women with a family history of BC to work through residual issues, including loss and grief.
      (© 2018 John Wiley & Sons, Ltd.)
    • Grant Information:
      Canada CIHR
    • Contributed Indexing:
      Keywords: breast cancer risk; cancer; existential distress; grief and loss; individual genetic counselling; oncology; supportive-expressive group intervention; women's health
    • الموضوع:
      Date Created: 20180629 Date Completed: 20190909 Latest Revision: 20191210
    • الموضوع:
      20240628
    • الرقم المعرف:
      10.1002/pon.4822
    • الرقم المعرف:
      29952047