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ABSTRACT: Use of alternative / complementary therapy in breast
cancer patients: A psychological perspective
[06/04/2001; Supportive Care in Cancer]
Roland Moschèn (1), Georg Kemmler (1), Hansjörg Schweigkofler (1), Bernhard Holzner (1), Martina Dünser (2), Rainer Richter (3), W. Wolfgang Fleischhacker (1), Barbara Sperner-Unterweger (1)
(1) Department of Psychiatry, Innsbruck University Hospital, 6020 Innsbruck, Austria E-mail: Georg.Kemmler@uibk.ac.at Phone: +43-512-5043689 Fax: +43-512-5043628
(2) 2nd Department of Surgery, Innsbruck University Hospital, 6020 Innsbruck, Austria
(3) Department of Psychosomatics and Psychotherapy, University Hospital Eppendorf, 20246 Hamburg, Germany
The objectives of this study were to assess the additional
use of alternative (complementary) therapies in patients with
breast cancer who were receiving conventional treatment and to
compare patients using alternative therapies with patients receiving
only conventional treatment with special reference to psychological
adaptation, causal attribution and quality of life.
A sample
of 117 female out-patients with a diagnosis of breast cancer
filled in the following assessment instruments: FQCI (Freiburg
Questionnaire for Coping with Illness), PUK (Causal Attribution
Questionnaire), EORTC QLQ-C30 (European Organization for Research
and Treatment of Cancer Quality of Life Questionnaire), POMS
(Profile of Mood States), and a self-developed questionnaire
on alternative therapies.
Nearly half the patients (47%, n=55)
reported that they had used alternative therapies in addition
to conventional treatment. The methods applied most frequently
were nutrition-related measures (special drinks, vitamin preparations
and wholefoods - each applied by about 50% of users), mistletoe
preparations (49%), trace elements (47%), and homeopathy (31%).
Compared with patients receiving only conventional treatment,
the users of alternative therapy were younger and better educated.
Users developed a more active style of illness coping than non-users
and showed more religious involvement.
Patients using a large
number of alternative therapies (>3) tended to adopt a more
depressive coping style than those using only a small number
(<=3). For a substantial proportion of cancer patients alternative
therapies apparently fulfil an important psychological need.
However, a subgroup of patients using many alternative therapies
seem to have considerable adjustment problems. In dealing with
cancer patients the treatment team should be aware of both these
groups.
Volume 9 Issue 4 (2001) pp 267-274
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