바로가기메뉴

본문 바로가기 주메뉴 바로가기

The Korean Journal of Health Psychology

Long-term effect of the integrative group psychotherapy on the quality of life and emotional states in breast cancer patients

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2008, v.13 no.2, pp.513-536
https://doi.org/10.17315/kjhp.2008.13.2.013

Abstract

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.

keywords
breast cancer, psycho-social intervention, long-term follow-up, quality of life, emotional states, cancer coping, 유방암, 심리사회적 개입, 장기추적, 삶의 질, 정서상태, 암 대처, breast cancer, psycho-social intervention, long-term follow-up, quality of life, emotional states, cancer coping

Reference

1.

김광일, (1984) 간이정신진단검사 실시요강, 중앙적성출판사

2.

김정희, (1987) 지각된 스트레스,인지세트 및 대처방식의 우울에 대한 작용,

3.

김종남, (2005) 유방암 환자를 위한 통합적 집단치료가 삶의 질과 면역기능에 미치는 효과,

4.

김종남, (2004) 유방암 환자를 위한 집단치료의 효과: 예비연구, 한국심리학회지: 임상

5.

권정혜 ; 김종남, (2006) 유방암 환자를 위한 통합적 집단치료가삶의 질과 면역기능에 미치는 효과, 한국심리학회지 임상

6.

권정혜 ; 김종남 ; 김승연 ; 유범한 ; 허지원, (2004) 한국판 암 대처 질문지의 타당화, 한국심리학회지: 건강

7.

박현숙, (2001) 만성요통환자가 지각하는 낙관성과 우울에 관한 연구, 정신간호학회지

8.

유성은, (1997) 완벽주의적 성향,사회적 지지,스트레스에 대한 대처방식이 중년 여성의 우울에 미치는 영향,

9.

이양자 ; 정남운, (2008) 외상후 성장에 대한 연구 개관 : 적응과의 관계 및 치료적 적용을 중심으로, 한국심리학회지: 건강

10.

장문선, (1997) 분노표현방식과 사회적 지지가 심장혈관 반응에 미치는 효과, 한국심리학회지: 임상

11.

조현주, (2003) 산후우울증의 위험요인 탐색과 예방개입의 효과,

12.

한덕웅 ; 박준호, (2003) 스트레스 사건에 관한 반복생각과 분노경험이 주관안녕과 건강지각에 미치는 영향, 한국심리학회지: 건강

13.

Ben-Zur, H., (2001) Coping with breast cancer: Patient, spouse, and dyad models, Psychosomatic Medicine

14.

Boesen, E. H., (2007) Survival after a psychoeducational intervention for patients with cutaneous malignant melanoma: A replication study. Journal o,

15.

Boesen, E. H., (2005) Psychoeducational intervention for patients with cutaneous malignat melanoma: A replication study, Journal of Clinical Oncol

16.

Cameron, L. D., (2007) Changes in emotion regulation and psychological adjustment following use of a group psychosocial support program for women recently diagnosed with breast cancer. Psycho-On,

17.

Carlson, L. E., (2007) One year pre-post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction(MBSR) in breast and prostate cancer outpatients. Br,

18.

Classen, C. C., (2007) Supportive-expressive group therapy for primary breast cancer patients: A rando,

19.

Classen, C., (1998) Studies of life-extending psychosocial interventions. In: Holland Journal, editor. Textbook of psycho-oncology, Oxford University Press

20.

Costanzo, E. S., (2006) Coping and quality of life among woemn extensively treated for gynocologic cancer, Psycho-Oncology

21.

Edmonds, C. V. I., (1999) Psychological response to long term group therapy: A randomized trial with metastatic breast cancer patients, Psycho-Oncology

22.

Fawzy, F. I., (1999) Psychosocial interventions for patients with cancer: What works and what doesn't, European Journal of Cancer

23.

Fawzy, F. I., (2003) Effects of a brief, structured psychiatric intervention on survival and recurrence at 10-year follow-up, Archives of General Psychiatry

24.

Fawzy, F. I., (1993) Malignant melanoma: Effects of an early structured psychiatric intervention, coping, and affective state on recurrence and survival 6 years later. Archi,

25.

Ganz, P. A., (2002) Quality of life in long-term, disease-free survivors of breast cancer: A follow-up study, Journal of the National Cancer Institute

26.

Gellert, G. A., (1993) Survival of breast cancer patients receiving adjunctive psychosocial support therapy: A 10-year follow-up study, Journal of Clinical Oncology

27.

Gore, S., (1978) The effect of social support in moderating the health consequences of unemployment, Journal of Healthe and Social Behavior

28.

Helgeson, V. S., (2005) Recent advances in psyochosocial oncology, Journal of Consulting and Clinical Psychology

29.

Helgeson, V. S., (2001) Long-term effects of educational and peer discussion group interventions on adjustment to breast cancer, Health Psychology

30.

Holahan, C. J., (1987) Personal and contextual determinants of coping strategies, Journal of Personality of Social Psychology

31.

Horowitz, M. J., (1979) Impact of event scale: A measure of subjective stress, Psychosomatic Medicine

32.

Jemmott, J. B., (1984) Psychosocial factors, immunologic mediation, and human susceptibility to infectious susceptibility to infectious diseases: How much do we know, Psychological Bulletin

33.

Jiwa, M., (2006) Breast cancer follow-up: Could primary care be the right venue, Current Medical Research and Opinion

34.

Kissane, D. W., (2007) Supportive-expressive group therapy for women with metastatic breast cancer: Survival and psychosocial outcome from a randomized controlled tria,

35.

Kuchler, T., (2007) Impact of psychotherapeutic support for patients with gastrointestinal cancer undergoing surgery: 10-year survival results of a randomized trial, Journal of Clinical Onco

36.

Lagerlund, M., (2005) Socio-economic factors and breast cancer survival: A population-based cohort study, Cancer Causes and Control

37.

Manne, S. L., (2005) Partner unsupportive responses, avoidant coping and distress among women with early stage breast cancer: Patient and partner perspectives, Health Psychology

38.

Manne, S., (2004) Couples' support-related communication, psychological distress, and relationship satisfaction among women with early state breast cancer, Journal of Consulting and Clinical Ps

39.

Moorey, S., (2003) The cancer coping quesionnaire: A self-rating scale for measuring the impact of adjuvant psychological therapy on coping behavior, Psycho-Oncology

40.

Osborne, R. H., (2004) Immune function and adjustment style: So they predict survival in breast cancer, Psycho-Oncology

41.

Spiegel, D., (1995) How do you feel about cancer now?- Survival and psychosocail support, Public Health Reports

42.

Spiegel, D., (1989) Effect of psychosocial treatment on survival of patients with metastatic breast csncer, Lancet

43.

Spiegel, D., (2007) Effects of supportive-expressive group therapy on survival of patients with metastatic breast cancer,

44.

Suls, J., (1985) The relative efficacy of avoidant and nonavoidant coping strategies: A meta- analysis, Health Psychology

45.

Tomich, P. L., (2004) Is finding something good in the bad always good? Benefit finding among women with breast cancer, Health Psychology

46.

Vachon, M. L. S., (1982) The effectiveness of psychosocial support during post-surgical treatment of breast cancer, International Journal of Psychiatry Medicine

47.

Watson, M., (1999) Influence of psychological response on survival in breast cancer: A population-based cohort study, Lancet

48.

Weitzner, M. A., (1997) Relationship between quality of life and mood in long-term survivors of breast cancer treated with mastectomy, Support Care Cancer

49.

Yun, Y. H., (2004) Cross-cultural application of the Korean version of the European Organization for Research and Treatment of Cancer(EORTC) Breast-Cancer-Specific Quality of Li,

50.

Yun, Y. H., (2004) Validation of the Korean version of the EORTC QLQ-C30, Quality of Life Research

The Korean Journal of Health Psychology