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Effects of a Brief Psychosocial Intervention in Patients With Cancer Receiving Adjuvant Therapy

Pok-Ja Oh

Soo Hyun Kim

psychosocial intervention, chemotherapy
ONF 2010, 37(2), E98-E104. DOI: 10.1188/10.ONF.E98-E104

Purpose/Objectives: To test the effects of a brief psychosocial intervention using CD-ROM (BPIC) on psychosocial (fighting spirit, helplessness or hopelessness, anxiety, and depression) and behavioral (self-care behaviors) outcomes in patients with cancer receiving adjuvant therapy.

Design: Quasi-experimental.

Setting: A comprehensive cancer center in Seoul, South Korea.

Sample: 71 patients undergoing adjuvant therapy.

Methods: The study participants were assigned to either BPIC or a control group. The experimental group underwent a two-week psychosocial intervention via CD-ROM, booklet, and telephone counseling.

Main Research Variables: Fighting spirit, helplessness or hopelessness, anxiety, depression, and self-care behaviors.

Findings: After BPIC, the experimental group showed significantly higher scores than the control group for fighting spirit (p = 0.005) and self-care behaviors (p < 0.001). However, the groups showed no significant differences in helplessness or hopelessness (p = 0.42), anxiety (p = 0.279), and depression (p = 0.068).

Conclusions: BPIC use improved fighting spirit and self-care behaviors in study participants. The results partially support the effectiveness of BPIC for adaptation among patients with cancer receiving adjuvant therapy.

Implications for Nursing: A brief psychosocial intervention using multimedia can be used effectively in clinical oncology settings to accelerate adaptation among patients with cancer in the adjuvant phase.

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    References

    Akechi, T., Taniguchi, K., Suzuki, S., Okamura, M., Minami, H., Okuyama, T., … Uchitomi, Y. (2007). Multifaceted psychosocial intervention program for breast patients with cancer after first recurrence: Feasibility study. Psycho-Oncology, 16, 517-524. doi: 10.1002/pon.1101
    Badger, T., Segrin, C., Dorros, S. M., Meek, P., & Lopez, A. M. (2007). Depression and anxiety in women with breast cancer and their partners. Nursing Research, 56, 44-53.
    Badger, T., Segrin, C., Meek, P., Lopez, A. M., & Bonham, E. (2004). A case study of telephone interpersonal counseling for women with breast cancer and their partners. Oncology Nursing Forum, 31, 997-1003. doi: 10.1188/04.ONF.997-1003
    Badger, T., Segrin, C., Meek, P., Lopez, A. M., Bonham, E., & Sieger, A. (2005). Telephone interpersonal counseling with women with breast cancer: Symptom management and quality of life. Oncology Nursing Forum, 32, 273-279. doi: 10.1188/05.ONF.273-279
    Bandura, A. (1986). Self-efficacy mechanism in physiological activation and health promoting behavior. In M. S. Madden IV & J. Barchas (Eds.), Adaptation, learning, and affect. New York, NY: Raven Press.
    Bekkers, M. J., van Knippenberg, F. C., van den Borne, H. W., & van Berge-Henegouwen, G. P. (1996). Prospective evaluation of psychosocial adaptation to stoma surgery: The role of self-efficacy. Psychosomatic Medicine, 58, 183-191.
    Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale: An updated literature review. Journal of Psychosomatic Research, 52(2), 69-77. doi: 10.1016/S0022-3999(01)00296-3
    Cohen, J. (1988). Statistical power analysis for the behavioral science (2nd ed.). New York, NY: L. Erlbaum.
    Cousineau, T. M., Lord, S. E., Seibring, A. R., Corsini, E. A., Viders, J. C., & Lakhani, S. R. (2004). A multimedia psychosocial support program for couples receiving infertility treatment: A feasibility study. Fertility and Sterility, 81, 532-538. doi: 10.1016/j.fertnstert.2003.08.021
    Edmonds, C. V., Lockwood, G. A., & Cunningham, A. J. (1999). Psychological response to long-term group therapy: A randomized trial with metastatic breast cancer patients. Psycho-Oncology, 8, 74-91.
    Fukui, S., Kugaya, A., Okamura, H., Kamiya, M., Koike, M., Nakanishi, T., … Uchitomi, Y. (2000). A psychosocial group intervention for Japanese women with primary breast carcinoma. Cancer, 89, 1026-1036. doi: 10.1002/1097-0142(20000901)89:5<1026::AID-CNCR12>3.0.CO;2-5
    Giese-Davis, J., & Spiegel, D. (2003). Emotional expression and cancer progression. In R. J. Davidson, K. R. Scherer, & H. H. Goldsmith (Eds.), Handbook of affective sciences (pp. 1053-1082). New York, NY: Oxford University Press.
    Greer, S., Moorey, S., Baruch, J. D., Watson, M., Robertson, B. M., Mason, A., … Bliss, J. M. (1992). Adjuvant psychological therapy for patients with cancer: A prospective randomized trial. BMJ, 304(6828), 675-680. doi: 10.1136/bmj.304.6828.675
    Greer, S., & Watson, M. (1987). Mental adjustment to cancer: Its measurement and prognostic importance. Cancer Surveys, 6, 439-453.
    Jacobsen, P. B., Meade, C. D., Stein, K. D., Chirikos, T. N., Small, B. J., & Ruckdeschel, J. C. (2002). Efficacy and costs of two forms of stress management training for cancer patients undergoing chemotherapy. Journal of Clinical Oncology, 20, 2851-2862. doi: 10.1200/JCO.2002.08.301
    Kam, S. H., Lee, H. J., Kim, M. H., & Shin, J. S. (2003). The effects of a self-efficacy promoting program on self-efficacy, self-care, and anxiety of cancer patients. Journal of Korean Academy of Adult Nursing, 15, 660-669.
    Kim, C. J., Hur, H. K., Kang, D. H., & Kim, B. H. (2006). The effects of psychosocial interventions to improve stress and coping in patients with breast cancer. Journal of Korean Academy of Nursing, 36, 169-178.
    Kim, K. S., & Kwon, S. H. (2007). Comfort and quality of life of cancer patients. Asian Journal of Cancer, 1, 125-135.
    Kissane, D. W., Bloch, S., Smith, G. C., Miach, P., Clarke, D. M., Ikin, J., … McKenzie, D. (2003). Cognitive-existential group psychotherapy for women with primary breast cancer: A randomized controlled trial. Psycho-Oncology, 12, 532-546. doi: 10.1002/pon.683
    Lev, E. L., Daley, K. M., Conner, N. E., Reith, M., Fernandez, C., & Owen, S. V. (2001). An intervention to increase quality of life and self-care self-efficacy and decrease symptoms in breast cancer patients. Scholarly Inquiry for Nursing Practice, 15, 277-294.
    Miyashita, M. (2005). A randomized intervention study for breast cancer survivors in Japan: Effects of short-term support group focused on possible breast cancer recurrence. Cancer Nursing, 28, 70-78. doi: 10.1097/00002820-200501000-00011
    Nelson, E. L., Wenzel, L. B., Osann, K., Dogan-Ates, A., Chantana, N., Reina-Patton, A., … Monk, B. J. (2008). Stress, immunity, and cervical cancer: Biobehavioral outcomes of a randomized clinical trial [Corrected]. Clinical Cancer Research, 14, 2111-2118. doi: 10.1158/1078-0432.CCR-07-1632
    Oh, P. J., Lee, E. O., Tae, Y. S., & Um, D. C. (1997). Effects of a program to promote self-efficacy and hope on the self-care behaviors and the quality of life in patients with leukemia. Journal of Korean Academy of Nursing, 27, 627-638.
    Oh, S. M., Min, K. J., & Park, D. B. (1999). A study on the standardization of the Hospital Anxiety and Depressed Scale for Koreans. Journal of Korean Neuropsychiatric Association, 38, 289-296.
    Rawl, S. M., Given, B. A., Given, C. W., Champion, V. L., Kozachik, S. L., Barton, D., … Williams, S. D. (2002). Intervention to improve psychological functioning for newly diagnosed patients with cancer. Oncology Nursing Forum, 29, 967-975. doi: 10.1188/02.ONF.967-975
    Rehse, B., & Pukrop, R. (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.
    Schou, I., Ekeberg, O., Ruland, C. M., Sandvik, L., & Karesen, R. (2004). Pessimism as a predictor of emotional morbidity one year following breast cancer surgery. Psycho-Oncology, 13, 309-320. doi: 10.1002/pon.747
    Trask, P. C. (2004). Assessment of depression in cancer patients. Journal of the National Cancer Institute. Monographs, 32, 80-92. doi: 10.1093/jncimonographs/lgh013
    Watson, M., Greer, S., Young, J., Inayat, Q., Burgess, C., & Robertson, B. (1988). Development of a questionnaire measure of adjustment to cancer: The MAC scale. Psychological Medicine, 18, 203-209. doi: 10.1017/S0033291700002026
    Wilson, R. W., Taliaferro, L. A., & Jacobsen, P. B. (2006). Pilot study of a self-administered stress management and exercise intervention during chemotherapy for cancer. Supportive Care in Cancer, 14, 928-935. doi: 10.1007/s00520-006-0021-1
    Yun, Y. H., Kim, S. H., Lee, K. M., Park, S. M., & Kim, Y. M. (2007). Age, sex, and comorbidities were considered in comparing reference data for health-related quality of life in the general and cancer populations. Journal of Clinical Epidemiology, 60, 1164-1175. doi: 10.1016/j.jclinepi.2006.12.014
    Zigmond, A., & Snaith, R. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361-370. doi: 10.1111/j.1600-0447.1983.tb09716.x