The effectiveness of a psycho‐educational group after early‐stage breast cancer treatment: results of a randomized French study
Open accessAbstract
Background: Many women with breast cancer need psychological help to cope more effectively after treatment. Cognitive and behavioural techniques are not yet well established in France. A multi‐site randomized study was conducted to evaluate the effects of a psycho‐educational group intervention in this population. Methods: Two hundred and three patients, recruited after primary treatment, were randomly assigned either to a treatment group (psycho‐educational intervention) or to a waiting‐list control group. The 8‐week programme of 2 h sessions comprised of thematic discussions, information and training in stress management techniques. Evaluation at baseline, after 8 sessions, and 1 month after programme completion, included evaluations using the STAI, POMS, MAC, EORTC QLQ‐C30 and EORTC QLQ‐BR23 breast module scales. Results: We observed a significant reduction in anxiety (STAI, POMS) among group participants, a reduction in anger, depression and fatigue (POMS), a significant improvement in vigor and interpersonal relationships (POMS), in emotional and role functioning, in health status and fatigue level (EORTC QLQ‐C30). In contrast, coping strategies (MAC) were not significantly different between groups. No group‐related negative effects were observed and the global satisfaction levels were very high. Conclusion: This study demonstrates the feasibility and effectiveness of a psycho‐educational intervention, which can accelerate the reduction of those negative affects which are present at the end of treatment. It represents an excellent complement or an alternative to individual psycho‐oncologic therapeutic support, widely proposed in France, and should now be tested in groups with other types of cancer and at other disease phases. Copyright © 2008 John Wiley & Sons, Ltd.
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- Authors
- Dolbeault, S., Cayrou, S., Brédart, A., Viala, A. L., Desclaux, B., Saltel, P., Gauvain‐Piquard, A., Hardy, P., & Dickes, P.
- Affiliations
- Inserm (FR)
- Institut Claudius Regaud (FR)
- Université Paris Descartes (FR)
- Institut Curie (FR)
- Centre Léon Bérard (FR)
- Institut Gustave Roussy (FR)
- Université Paris-Sud (FR)
- Corresponding author
- Dolbeault, S.
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2009-05-27
- Volume
- 18
- Issue
- 6
- Pages
- 647-656
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- OpenAlex
- W2160204617
- Cited by
- 160
- References
- 43
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 6 · 2023: 8 · 2022: 9 · 2021: 10 · 2020: 13 · 2019: 10 · 2018: 10 · 2017: 10 · 2016: 9 · 2015: 16 · 2014: 12 · 2013: 8 · 2012: 14
- FWCI
- 3.13
- Type
- journal article
- Language
- en
- Open access
- green
- hal.science
- Licence
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › BRCA gene mutations in cancer
- Keywords
- breast cancer, anxiety, depression, fatigue, anger, coping strategies, quality of life, stress management, group therapy
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Anxiety, Breast Neoplasms, Depression, Fatigue, Feasibility Studies, Female, France, Humans, Middle Aged, Neoplasm Staging, Patient Education as Topic, Personality Inventory, Psychometrics, Psychotherapy, Group, Quality of Life, Sick Role, Social Support, Treatment Outcome
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