EFFECT OF PSYCHOSOCIAL TREATMENT ON SURVIVAL OF PATIENTS WITH METASTATIC BREAST CANCER

@article{Spiegel1989EFFECTOP,
  title={EFFECT OF PSYCHOSOCIAL TREATMENT ON SURVIVAL OF PATIENTS WITH METASTATIC BREAST CANCER},
  author={David Spiegel and Helena C. Kraemer and Joan R. Bloom and Ellen Gottheil},
  journal={The Lancet},
  year={1989},
  volume={334},
  pages={888-891}
}
The effect of psychosocial intervention on time of survival of 86 patients with metastatic breast cancer was studied prospectively. The 1 year intervention consisted of weekly supportive group therapy with self-hypnosis for pain. Both the treatment (n = 50) and control groups (n = 36) had routine oncological care. At 10 year follow-up, only 3 of the patients were alive, and death records were obtained for the other 83. Survival from time of randomisation and onset of intervention was a mean 36… 
Survival of breast cancer patients receiving adjunctive psychosocial support therapy: a 10-year follow-up study.
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Supportive-expressive group therapy does not prolong survival in women with metastatic breast cancer, but it improves mood and the perception of pain, particularly in women who are initially more distressed.
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Psycho-education and group psychotherapy did not decrease psychological distress or increase Quality of Life, Mental Adjustment or improve marital relationship among patients with primary breast cancer.
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While many personal and demographic variables did not influence survival, there was a significant effect of self‐reported exercise (possibly due to better health).
Psychosocial predictors of survival: metastatic breast cancer.
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  • 2000
TLDR
Minimisation was also significantly associated with outcome in patients with metastatic melanoma who participated in an identically designed study, suggesting that minimisation may have a general impact on cancer progression and deserves closer scrutiny in other cancers.
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Cancer survival is affected by a complex combination of psychosocial factors, among which minimising predicts a favourable prognosis and anger nonexpression and escape behaviour an unfavourable prognosis, and higher socioeconomic status is associated with longer survival.
Economic Analysis of Psychosocial Group Therapy in Women with Metastatic Breast Cancer
TLDR
Psychosocial intervention, in the form of supportive-expressive group support for metastatic breast cancer, does not lower health care system resource utilization.
Immunological and psychosocial predictors of disease recurrence in patients with early-stage breast cancer.
TLDR
The findings suggest that including mood and potentially relevant immunological variables, along with important biological prognostic variables, in multivariate and prospective models such as those examined in this study, potentially contributes more to the explanation of greater outcome variance of early-stage breast cancer than has been believed in the past.
Survival benefits associated with provision of psychotherapeutic support to patients with gastrointestinal cancer: lots of bang for a few bucks?
  • M. Andrykowski
  • Medicine
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology
  • 2007
TLDR
Ten-year survival data for participants in a randomized, controlled trial of psychotherapeutic support for patients with gastrointestinal cancers are reported, and patients who received routine standard of care found better 10- year survival rates.
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