The Effect of Group Psychosocial Support on Survival in Metastatic Breast Cancer Academic Article uri icon

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  • BACKGROUND: Supportive-expressive group therapy has been reported to prolong survival among women with metastatic breast cancer. However, in recent studies, various psychosocial interventions have not prolonged survival. METHODS: In a multicenter trial, we randomly assigned 235 women with metastatic breast cancer who were expected to survive at least three months in a 2:1 ratio to an intervention group that participated in weekly supportive-expressive group therapy (158 women) or to a control group that received no such intervention (77 women). All the women received educational materials and any medical or psychosocial care that was deemed necessary. The primary outcome was survival; psychosocial function was assessed by self-reported questionnaires. RESULTS: Women assigned to supportive-expressive therapy had greater improvement in psychological symptoms and reported less pain (P=0.04) than women in the control group. A significant interaction of treatment-group assignment with base-line psychological score was found (P


  • Goodwin, Pamela J
  • Leszcz, Molyn
  • Ennis, Marguerite
  • Koopmans, Jan
  • Vincent, Leslie
  • Guther, Helaine
  • Drysdale, Elaine
  • Hundleby, Marilyn
  • Chochinov, Harvey M
  • Navarro, Margaret
  • Speca, Michael
  • Masterson, Julia
  • Dohan, Liz
  • Sela, Rami
  • Warren, Barbara
  • Paterson, Alexander
  • Pritchard, Kathleen
  • Arnold, Andrew
  • Doll, Richard
  • O'Reilly, Susan E
  • Quirt, Gail
  • Hood, Nicky
  • Hunter, Jonathan

publication date

  • December 13, 2001