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Cited by 493

The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.

Psychologic intervention improves survival for breast cancer patients: A randomized clinical trial

Open access
Andersen, Barbara L., Yang, Hae‐Chung, Farrar, William B., Golden‐Kreutz, Deanna M., Emery, Charles F., Thornton, Lisa M., Young, Donn C., Carson, William E.·2008·Cancer

Abstract

BACKGROUND.: The question of whether stress poses a risk for cancer progression has been difficult to answer. A randomized clinical trial tested the hypothesis that cancer patients coping with their recent diagnosis but receiving a psychologic intervention would have improved survival compared with patients who were only assessed. METHODS.: A total of 227 patients who were surgically treated for regional breast cancer participated. Before beginning adjuvant cancer therapies, patients were assessed with psychologic and behavioral measures and had a health evaluation, and a 60‐mL blood sample was drawn. Patients were randomized to Psychologic Intervention plus assessment or Assessment only study arms. The intervention was psychologist led; conducted in small groups; and included strategies to reduce stress, improve mood, alter health behaviors, and maintain adherence to cancer treatment and care. Earlier articles demonstrated that, compared with the Assessment arm, the Intervention arm improved across all of the latter secondary outcomes. Immunity was also enhanced. RESULTS.: After a median of 11 years of follow‐up, disease recurrence was reported to occur in 62 of 212 (29%) women and death was reported for 54 of 227 (24%) women. Using Cox proportional hazards analysis, multivariate comparison of survival was conducted. As predicted, patients in the Intervention arm were found to have a reduced risk of breast cancer recurrence (hazards ratio [HR] of 0.55; P = .034) and death from breast cancer (HR of 0.44; P = .016) compared with patients in the Assessment only arm. Follow‐up analyses also demonstrated that Intervention patients had a reduced risk of death from all causes (HR of 0.51; P = .028). CONCLUSIONS.: Psychologic interventions as delivered and studied here can improve survival. Cancer 2008. © 2008 American Cancer Society.

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Metadata

Authors
Andersen, B. L., Yang, H., Farrar, W. B., Golden‐Kreutz, D. M., Emery, C. F., Thornton, L. M., Young, D. C., & Carson, W. E.
Venue
Cancer
Publisher
Wiley
Published
2008-12-04
Volume
113
Issue
12
Pages
3450-3458
ISSN
  • 0008-543X (ISSN-L)
  • 1097-0142
OpenAlex
W2168881894
Cited by
493
References
13
FWCI
14.48
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Psychologic intervention improves survival for breast cancer patients: A randomized clinical trial. https://app.cochat.ai/papers/10.1002/cncr.23969
The paper
Andersen, B. L., Yang, H., Farrar, W. B., Golden‐Kreutz, D. M., Emery, C. F., Thornton, L. M., Young, D. C., & Carson, W. E. (2008). Psychologic intervention improves survival for breast cancer patients: A randomized clinical trial. Cancer. https://doi.org/10.1002/cncr.23969

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