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Psychoeducational intervention for patients with cutaneous malignant melanoma

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Authors:
  • Boesen, Ellen H ;
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    unknown
  • Ross, Lone ;
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    unknown
  • Frederiksen, Kirsten ;
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    unknown
  • Thomsen, Birthe L ;
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    unknown
  • Dahlstrøm, Karin ;
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    Plastic Surgery, Department of, Herlev and Gentofte Hospital, The Capital Region of Denmark
  • Schmidt, Grethe ;
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    unknown
  • Naested, Jesper ;
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    unknown
  • Krag, Christen ;
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    Plastic Surgery, Department of, Herlev and Gentofte Hospital, The Capital Region of Denmark
  • Johansen, Christoffer
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    unknown
Subtitle:
a replication study
DOI:
10.1200/JCO.2005.05.193
Abstract:
PURPOSE: In 1993, a randomized intervention study among patients with malignant melanoma showed a significant decrease in psychological distress and increased coping capacity 6 months after the intervention and enhanced survival 6 years later. We applied a similar intervention with a few modifications in a randomized controlled trial among Danish patients with malignant melanoma and evaluated results on immediate and long-term effects on psychological distress and coping capacity. PATIENTS AND METHODS: A total of 262 patients with primary cutaneous malignant melanoma were randomly assigned to the control or intervention group. Patients in the intervention group were offered six weekly sessions of 2 hours of psychoeducation, consisting of health education, enhancement of problem-solving skills, stress management, and psychological support. The participants were assessed at baseline before random assignment and 6 and 12 months after surgery. The analyses of the main effects of the intervention were based on analyses of covariance. RESULTS: The patients in the intervention group showed significantly less fatigue, greater vigor, and lower total mood disturbance compared with the controls, and they used significantly more active-behavioral and active-cognitive coping than the patients in the control group. The improvements were only significant at first follow-up. CONCLUSION: The findings of this study support the results of an earlier intervention study among patients with malignant melanoma and indicate that a psychoeducational group intervention for such patients can decrease psychological distress and enhance effective coping. However, this effect is short term and the clinical relevance is not obvious.
Type:
Journal article
Language:
English
Published in:
Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology, 2005, Vol 23, Issue 6, p. 1270-7
Keywords:
Adaptation, Psychological; Adult; Aged; Female; Humans; Male; Melanoma; Middle Aged; Mood Disorders; Patient Education as Topic; Psychological Tests; Psychotherapy, Group; Skin Neoplasms; Social Support; Stress, Psychological; Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
Main Research Area:
Medical science
Publication Status:
Published
Review type:
Peer Review
Submission year:
2005
Scientific Level:
Scientific
ID:
108934837

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