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Research: HOSAKA and colleagues,
Listed in Issue 71
Abstract
HOSAKA and colleagues, Department of Psychiatry and Behavioral Science, Tokai University School of Medicine, Bohseidai, 259-1193, Isehara, Kanagawa, Japan, hosaka@is.icc.u-tokai.ac.jp, investigated the clinical effectiveness of a psychiatric intervention programme consisting of five weekly structured interventions and three additional group meetings every 2 months in breast cancer patients .
Background
Previous studies showed that a five weekly structured intervention programme was effective in alleviating psychological discomforts in Japanese breast cancer patients, and that the effectiveness persisted for 6 months for patients without lymph node metastasis or adjustment disorders .
Methodology
Since, in the previous studies, the five-session intervention did not have persistent effects in patients with lymph node metastasis and/or adjustment disorders, three additional group meetings every 2 months were added after completion of the five weekly structured interventions. Profile of Mood States (POMS) scores were compared before and immediately after the five sessions, immediately after the three additional interventions, and 6 months after all programmes.
Results
43 breast cancer patients completed the full programme. Analysis of the POMS scores showed that the clinical effectiveness of a structured group intervention programme persisted for 6 months for patients even with nodal metastases and/or adjustment disorders.
Conclusion
The five weekly intervention programme appeared sufficient for patients without lymph node metastasis or adjustment disorders . However, this intervention programme alone was insufficient for patients with nodal metastases and/or adjustment disorders . For the latter patients, a new psychiatric intervention programme consisting of five weekly structured interventions and three additional group meetings every 2 months was effective and sufficient.
References
Hosaka T et al. Effects of a modified group intervention with early-stage breast cancer patients. General Hospital Psychiatry 23 (3): 145-51. May-Jun 2001.
