A supportive-expressive group intervention for women with a family history of breast cancer: Results of a phase II study

Author(s): Toner, B., Hunter, J., Glendon, G., Liede, A., Narod, S., Stuckless, N., Butler, K., Field, B.

Journal/Book: Psycho Oncol. 2000; 9: Baffins Lane Chichester, W Sussex PO19 1UD, England. John Wiley & Sons Ltd. 243-252.

Abstract: Background: Evidence suggests that there are significant psychological and behavioural sequelae associated with having a family history of breast cancer (BC) which can interfere with comprehension of risk estimates. Purpose: The purpose of this study was to develop, standardize and do preliminary testing of a group intervention designed to address the emotional impact of having a family history of BC. Method's: This study is a single-arm pilot design with pre- and post-measures of perceived risk, psychosocial distress, knowledge and screening practices. Results: The primary study outcome measure of risk comprehension was significantly improved by 70%, according to our predetermined criteria for success. In addition, the most important secondary measures of psychosocial functioning, such as cancer-related distress (p = 0.025), depression (p = 0.05), anxiety (p = 0.005) and unresolved grief (p = 0.034) were significantly improved. Conclusion: The results of this initial pilot study are encouraging; however, further research is required, using a randomized controlled study design to evaluate the relative contribution of this intervention to the successful modification of risk comprehension, enhanced psychological functioning, and to promote optimal screening adherence.

Note: Article Esplen MJ, Mt Sinai Hosp, Dept Psychiat, Room 915, 600 Univ Ave, Toronto, ON M5G 1X5, CANADA

Keyword(s): RISK; DAUGHTERS

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