The Effect of a Psychosocial Group Intervention on Loneliness and Social Support for Japanese Women With Primary Breast Cancer
Abstract
PURPOSE/OBJECTIVES: To examine the effects of a psychosocial group intervention on loneliness and social support in Japanese women with breast cancer. DESIGN: Secondary analysis of a randomized, controlled trial. SETTING: A breast cancer outpatient area of a National Cancer Center hospital in Japan. SAMPLE: 50 women who were less than 65 years old, were diagnosed with primary breast cancer, and had undergone surgery within 4-18 months of the start of the study. METHODS: Data were collected as part of a trial of an intervention. The investigators conducted a six-week group intervention consisting of health education, coping skills training, stress management, and psychological support. Subjects completed the revised University of California, Los Angeles, Loneliness Scale and a social support questionnaire at baseline, six weeks, and six months. MAIN RESEARCH VARIABLES: Loneliness, number of confidants, satisfaction with confidants, and satisfaction with mutual aid. FINDINGS: Fifty (33%) of the 151 invited patients participated and were randomized to either experimental (n = 25) or control (n = 25) groups, and 23 (92%) in each group completed the study. The experimental group had significantly lower scores than the control group for loneliness and significantly higher scores for the number of confidants, satisfaction with confidants, and satisfaction with mutual aid over the six-month study period. CONCLUSIONS: This intervention is beneficial for Japanese patients with breast cancer experiencing loneliness and inadequate social support. IMPLICATIONS FOR NURSING: The program can be used as an effective support for Japanese patients with cancer to manage their psychosocial concerns associated with illness.
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Women with breast cancer who participated in a psychosocial group intervention reported having more confidants available to them, better satisfaction with social support, and reduced loneliness compared with the control group at six weeks and six months.
“Women with breast cancer who participated in a psychosocial group intervention [55] reported having more confidants available to them, better satisfaction with social support and reduced loneliness in comparison with the control group at six weeks and six months.”
From Interventions targeting social isolation in older people: a systematic review (2011) · cites this paper as [55]
Thirteen out of 15 (87%) interventions categorised as having a theoretical basis reported beneficial effects on at least one outcome domain compared with 10 out of 17 (59%) studies categorised as having no theoretical basis.
“Thirteen out of 15 (87%) interventions categorised as having a theoretical basis reported beneficial effects on at least one outcome domain [13,53-55,59,65,67-69,73-75,81] compared with 10/17 (59%) studies categorised as having no theoretical basis [52,56,60,63,66,70,71,76,78,79].”
From Interventions targeting social isolation in older people: a systematic review (2011) · cites this paper as [55]
Nineteen out of 23 (83%) participatory interventions were observed to have beneficial effects on at least one outcome compared with only four out of nine (44%) non-participatory interventions.
“Nineteen out of the 23 (83%) participatory interventions were observed to have beneficial effects on at least one outcome [13,52-56,60,63,65-70,73-76,81] compared with only four out of nine (44%) non-participatory interventions [59,71,78,79].”
From Interventions targeting social isolation in older people: a systematic review (2011) · cites this paper as [55]
Thirteen out of 19 (68%) group interventions in this review had a positive effect on at least one of the four social health sub-domains.
“Thirteen out of 19 (68%) group interventions in this review [13,53,55,60,63,66-69,73-76] had a positive effect on at least one of the four social health sub-domains.”
From Interventions targeting social isolation in older people: a systematic review (2011) · cites this paper as [55]
Six studies provided limited information about the background of personnel delivering the intervention, three of which (75%) reported positive treatment effects.
“Six studies provided limited information about the background of personnel delivering the intervention (e.g. female leader, professional, trained interviewer), three of which (75%) reported positive treatment effects [55,68,74].”
From Interventions targeting social isolation in older people: a systematic review (2011) · cites this paper as [55]
Twelve out of 15 (80%) support interventions reported beneficial effects.
“Twelve out of the 15 (80%) support interventions reported beneficial effects [52-56,63,66,68,69,73,75,76].”
From Interventions targeting social isolation in older people: a systematic review (2011) · cites this paper as [55]
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A Meta-Analysis of Interventions to Reduce Loneliness
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“…effect sizes:9 One was a single-group pre-post design (Stewart et al., 2001), one was a nonrandomized group comparison design (Allen-Kosal, 2008), and four used a randomized group comparison design (Christian & D’Auria, 2006; Fukui et al., 2003; Heckman & Barcikowski, 2006; Kremers et al., 2006).”
MethodInterventions targeting social isolation in older people: a systematic review
Dickens, A. P., Richards, S. H., Greaves, C. J., & Campbell, J. L. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-647 · Cited by 767 · see citing works
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- Authors
- Fukui, S., Koike, M., Ooba, A., & Uchitomi, Y.
- Affiliations
- Tokyo Metropolitan University (JP)
- Venue
- Oncology Nursing Forum
- Publisher
- Oncology Nursing Society (ONS)
- Published
- 2003-09-01
- Volume
- 30
- Issue
- 5
- Pages
- 823-830
- ISSN
- 0190-535X (ISSN-L)
- 1538-0688
- OpenAlex
- W2009030401
- Cited by
- 58
- References
- 60
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 5 · 2023: 2 · 2022: 1 · 2021: 6 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 6 · 2016: 5 · 2015: 2 · 2014: 4 · 2012: 3
- FWCI
- 0.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Oncology nursing forum (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- breast cancer, loneliness, social support, psychosocial group intervention, Japanese women, coping skills training, stress management, confidants, mutual aid, cancer patients
- MeSH terms
- Breast Neoplasms, Female, Health Education, Humans, Japan, Loneliness, Oncology Nursing, Surveys and Questionnaires, Self-Help Groups, Social Support, Stress, Psychological, Nursing Evaluation Research, Women's Health, Patient Satisfaction
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