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Effect of Group Therapy for Breast Cancer on Healthcare Utilization
Abstract
Purpose: The purpose of this study was to determine whether participation in a group psychosocial intervention by patients with breast cancer would result in an improvement in psychological measures and in reduced billings in general medical expenses. description of Study: Eligible women who had completed treatment for stage 0, I, or II primary breast cancer were prospectively and randomly assigned to either the intervention (n = 46) or control (n = 43) group. Both groups received the usual psychosocial care; however, the intervention group also participated in six weekly cognitive/behavioral psychosocial meetings. All were assessed on psychiatric symptoms, mood, depression, and coping strategies at four time periods: preintervention, postintervention, 1‐year follow‐up, and 2‐year follow‐up. Alberta Healthcare billing records were obtained covering the 2‐year follow‐up period to determine the amount billed per person over the course of the study. Results: Women in the intervention group had less depression, less overall mood disturbance, better overall quality of life, and fewer psychiatric symptoms than those in the control group, beginning immediately postintervention and remaining so at 2 years postintervention. Billing in the intervention group was an average of $147 less than in the control group, a 23.5% reduction. clinical Implications: This is the first study to show that a psychosocial intervention can reduce direct healthcare billings in a sample of patients with cancer. Importantly, these findings help to justify the routine availability of such programs in cancer treatment facilities worldwide.
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“QoL improved”
From Psychological interventions for women with non-metastatic breast cancer (2023) · cites this paper as Simpson 2001
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“Moreover, unrecognized and untreated psychosocial distress may also increase treatment costs, which is of great importance in the context of competing demands for resources within contemporary healthcare systems.”
From Development of a screening tool for the identification of psychooncological treatment need in breast cancer patients (2009) · cites this paper as [9]
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“the UC control group means represent a conservative expectation based on existing data from published studies [101].”
From A randomized controlled trial of a group acceptance-based intervention for cancer survivors experiencing anxiety at re-entry ('Valued Living'): Study protocol (2019) · cites this paper as [101]
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Leszcz, M. (2004) · Psychotherapeut · doi:10.1007/s00278-004-0394-x · Cited by 6
Baik, S. H., Clark, K. L., Sanchez, M., Loscalzo, M. J., Celis, A., Razavi, M., Yang, D., Dale, W., & Haas, N. M. (2024) · JMIR Cancer · doi:10.2196/49703 · Cited by 5
Metadata
- Authors
- Simpson, J. S. A., Carlson, L. E., & Trew, M. E.
- Affiliations
- University of Calgary (CA)
- Venue
- Cancer Practice
- Publisher
- Wiley
- Published
- 2001-01
- Volume
- 9
- Issue
- 1
- Pages
- 19-26
- ISSN
- 1065-4704 (ISSN-L)
- 1523-5394
- OpenAlex
- W1977048177
- Cited by
- 147
- References
- 38
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 6 · 2022: 1 · 2021: 4 · 2020: 4 · 2019: 7 · 2018: 5 · 2017: 5 · 2016: 5 · 2015: 6 · 2014: 3 · 2013: 10 · 2012: 11
- FWCI
- 2.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cancer Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Economic and Financial Impacts of Cancer
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- breast cancer, group therapy, psychosocial interventions, cognitive behavioral therapy, health care utilization, health care costs, depression, mood disturbance, quality of life, coping strategies, psychiatric symptoms, women with cancer
- MeSH terms
- Alberta, Breast Neoplasms, Female, Health Services, Humans, Prospective Studies, Psychotherapy, Group
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