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Cited by 521Cancer survivorship and carePalliative and Oncologic CareFamily Support in Illness

The DOI matches its Crossref record; 53 of the 53 references it cites were found in a registry or an index.

Supportive-Expressive Group Therapy and Distress in Patients With Metastatic Breast Cancer: A Randomized Clinical Intervention Trial

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Classen, Catherine, Butler, Lisa D., Koopman, Cheryl, Miller, Elaine, DiMiceli, Sue, Giese-Davis, Janine, Fobair, Patricia, Carlson, Robert W., Kraemer, Helena C., Spiegel, David·2001·Archives of General Psychiatry
DOI 10.1001/archpsyc.58.5.494
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Abstract

BACKGROUND: Metastatic breast cancer carries with it considerable psychosocial morbidity. Studies have shown that some patients with metastatic breast cancer experience clinically significant anxiety and depression and traumatic stress symptoms. Supportive-expressive group psychotherapy was developed to help patients with cancer face and adjust to their existential concerns, express and manage disease-related emotions, increase social support, enhance relationships with family and physicians, and improve symptom control. METHODS: Of 125 women with metastatic breast cancer recruited into the study, 64 were randomized to the intervention and 61 to the control condition. Intervention women were offered 1 year of weekly supportive-expressive group therapy and educational materials. Control women received educational materials only. Participants were assessed at baseline and every 4 months during the first year. Data at baseline and from at least 1 assessment were collected from 102 participants during this 12-month period, and these participants compose the study population. RESULTS: Primary analyses based on all available data indicated that participants in the treatment condition showed a significantly greater decline in traumatic stress symptoms on the Impact of Event Scale (effect size, 0.25) compared with the control condition, but there was no difference in Profile of Mood States total mood disturbance. However, when the final assessment occurring within a year of death was removed, a secondary analysis showed a significantly greater decline in total mood disturbance (effect size, 0.25) and traumatic stress symptoms (effect size, 0.33) for the treatment condition compared with the control condition. CONCLUSION: Supportive-expressive therapy, with its emphasis on providing support and helping patients face and deal with their disease-related stress, can help reduce distress in patients with metastatic breast cancer.

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  1. Taylor SE, Lichtman RR, Wood JV, Bluming AZ, Dosik GM, Leibowitz RL. Illness- related and treatment-related factors in psychological adjustment to breast can- cer. Cancer. 1985;55:2506-2513.
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  6. Horowitz MJ, Field NP, Classen C. Stress response syndromes and their treat- ment. In: Goldberger L, Breznitz S, eds. Handbook of Stress. 2nd ed. New York, NY: Free Press; 1993:757-773.
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Metadata

Authors
Classen, C., Butler, L. D., Koopman, C., Miller, E., DiMiceli, S., Giese-Davis, J., Fobair, P., Carlson, R. W., Kraemer, H. C., & Spiegel, D.
Affiliations
Stanford Medicine (US)
Corresponding author
Classen, Catherine
ORCID
Venue
Archives of General Psychiatry
Publisher
American Medical Association (AMA)
Published
2001-05-01
Volume
58
Issue
5
Pages
494
ISSN
0003-990X (ISSN-L)
DOI
10.1001/archpsyc.58.5.494
OpenAlex
W2083515658
Cited by
520
References
53
Citations by year
2026: 10 · 2025: 13 · 2024: 8 · 2023: 10 · 2022: 8 · 2021: 13 · 2020: 9 · 2019: 13 · 2018: 15 · 2017: 29 · 2016: 16 · 2015: 19 · 2014: 19 · 2013: 44 · 2012: 20
FWCI
11.78
Type
journal article
Language
en
Open access
Locations
  • Archives of General Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
National Institute of Mental Health (MH47226, R01MH047226)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
  • Social Sciences › Psychology › Clinical Psychology › Family Support in Illness
Keywords
metastatic breast cancer, supportive-expressive group therapy, psychological distress, traumatic stress symptoms, mood disturbance, anxiety, depression, psychosocial morbidity, cancer patients, social support, coping with illness
MeSH terms
Adaptation, Psychological, Adult, Aged, Breast Neoplasms, Female, Humans, Middle Aged, Neoplasm Metastasis, Psychiatric Status Rating Scales, Psychotherapy, Group, Social Support, Stress Disorders, Post-Traumatic, Stress, Psychological, Comorbidity, Treatment Outcome, Mood Disorders

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