This study was performed to identify the long-term effect of the integrative group psychotherapy on the improvement of quality of life in breast cancer patients. We collected only 24 breast cancer patients in intervention group and 6 in control group, except for patients such as already dead, currently severely ill, not able to keep contact, and reluctant to participate in the investigation. At first, we compared the change patterns during 3 years after program termination between intervention and control group. And then we analyzed the mean differences between two groups at 3-year follow-up. The results are as follows. First, in intervention group, there is relatively consistent improvement on the quality of life and emotional distress by the 6 months follow-up, but the effect decreased at 3-year follow-up. In contrast, in control group, there are fluctuations on the results and consistent pattern is not found. Second, at the 3-year follow-up comparison between intervention and control group, there are not significant differences on the quality of life, cancer coping, and emotional variables. However, some beneficial effects revealed in the intervention group, in areas such as breast cancer-related functioning and symptoms, hostility, and coping. In addition, as we analyzed to identify the significant variables to influence on the quality of life and eomtional state at 3-year follow-up, avoidant coping is very important to improve cancer-related functions and reduce cancer-related symptoms. And more interpersonal coping, more spouse support, and less avoidant coping is associated with the decrease of emotional distress. Lastly, we could identify that social support such as spouse support is the most important for breast cancer survivors' mood and emotional well-being, and avoidant coping is the best predictor for the cancer and breast cancer related functions.
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