Long-term effect of the self-management comprehensive coping strategy program on quality of life in patients with breast cancer treated with high-dose chemotherapy

Background This study aims to examine the effectiveness of a self‐management multimodal comprehensive coping strategy program (CCSP) on quality of life (QOL) among breast cancer patients 1 year after treatment. Methods Patients (n = 110) with stage II, III, or IV breast cancer scheduled to receive h...

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Published in:Psycho-oncology (Chichester, England) Vol. 22; no. 3; pp. 530 - 539
Main Authors: Gaston-Johansson, Fannie, Fall-Dickson, Jane M., Nanda, Joy P., Sarenmalm, Elisabeth Kenne, Browall, Maria, Goldstein, Nancy
Format: Journal Article
Language:English
Published: Chichester, UK John Wiley & Sons, Ltd 01.03.2013
Wiley Subscription Services, Inc
Subjects:
Adaptation, Psychological
Adult
Antineoplastic Agents - therapeutic use
Anxiety
Anxiety-Depression
Breast cancer
Breast Neoplasms - psychology
Breast Neoplasms - therapy
Cancer
Chemotherapy
Cognitive restructuring
Cognitive Therapy - methods
Coping
Coping strategies
coping strategy
Effectiveness
Female
Guided imagery
Hematopoietic Stem Cell Transplantation
high dose chemotherapy
Hospitalization
Humans
Imagery
Imagery (Psychotherapy) - methods
Intervention
Inventory
Longitudinal Studies
Management
Measures
Medical sciences
Medical treatment
Medicin
Mental health services
Middle Aged
Mind-Body Therapies - methods
Oncology
Patients
Psychological well being
Quality of Life
Reinforcement
Relaxation
Relaxation Therapy - methods
Self Care - methods
self-management
Selfmanagement
Sleep disorders
Spiritual well being
Spirituality
Stem cells
Survivor
Trait anxiety
Transplants
Treatment Outcome
Well being
White people
Young Adult
United States > US
ISSN:1057-9249, 1099-1611, 1099-1611
Online Access:Get full text
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Summary:Background This study aims to examine the effectiveness of a self‐management multimodal comprehensive coping strategy program (CCSP) on quality of life (QOL) among breast cancer patients 1 year after treatment. Methods Patients (n = 110) with stage II, III, or IV breast cancer scheduled to receive high dose chemotherapy and autologous hematopoietic stem cell transplantation were randomized to either CCSP treatment or control group. The CCSP intervention was taught 2 week before hospital admission with reinforcement at specified times during treatment and 3 months after discharge. The CCSP components included educational information, cognitive restructuring, coping skills enhancement, and relaxation with guided imagery. Instruments administered at baseline included the following: Quality of Life Index—Cancer Version (QOLI‐CV), State–Trait Anxiety Inventory, Beck Depression Inventory, and Coping Strategies Questionnaire. At 1‐year follow‐up, patients (n = 73) completed and returned the follow‐up QOLI‐CV. Results Patients were mainly ≥40 years of age, married, Caucasian, and diagnosed with advanced breast cancer. A model measuring effectiveness of CCSP on QOL (total and subscale) at 1‐year follow‐up showed that the CCSP group (n = 38) had significant improvement in overall QOL (p < 0.01), health and functioning (p < 0.05), and socioeconomic (p < 0.05) and psychological/spiritual well‐being (p < 0.01) compared with the control group (n = 35). The CCSP patients frequently used the CCSP to manage psychological (51%) and sleep problems (60%). Conclusions The CCSP improved QOL for patients at 1‐year follow‐up. Patients overwhelmingly reported that CCSP was beneficial. The CCSP as an effective coping intervention has potential as a self‐management program for breast cancer survivors. Copyright © 2012 John Wiley & Sons, Ltd.
Bibliography:ArticleID:PON3031
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ISSN:1057-9249
1099-1611
1099-1611
DOI:10.1002/pon.3031