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ABSTRACT: Participation in psychosocial group intervention among
Japanese women with primary breast cancer and its associated
factors
[08/31/2001; Psycho-Oncology]
Though psychosocial group intervention is considered in the
West to be an important source of support for reducing
psychosocial distress in cancer patients, in Asian
countries, there has been no research as yet on the needs for
such intervention.
This study investigated the level of participation
and interest in psychosocial group intervention plus any associated
factors in 151 primary breast cancer patients. All were less
than 65 years old at 4-18 months post-surgery. Of the 126 subjects
who responded (response rate 83%), 53 (42%) participated (participants)
and 73 (58%) did not (non-participants).
Participation was greater
among those with a high level of anxiety measured by the Hospital
Anxiety and Depression Scale (HADS) (odds ratio [OR], 3.25; 95%
confidence interval [CI], 1.07-10.42), those who had undergone
surgery within the last 12 months (OR, 3.10; 95% CI, 1.35-7.55),
and those who were 50-65 years old (OR, 3.08; 95% CI, 1.33-7.66).
Among the non-participants, 53 (73%) were interested in the intervention
while 20 (27%) were not. Non-participants without any interest
in the psychosocial group intervention had significantly higher
anxiety levels than those with interest (t=-2.08; df=71; p=0.03).
These
results suggest that most Japanese breast cancer patients who
need psychological support can be sought out by asking whether
they are willing to participate in a psychosocial group intervention.
However, the minority not interested in any psychological group
intervention might need other supports such as medication or
individual psychotherapy.
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