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Group versus individual stress management intervention in breast cancer patients for fatigue and emotional reactivity: A randomised intervention study
Dept Publ Hlth & Caring Sci, Uppsala Univ, Uppsala, Sweden.ORCID iD: 0000-0002-0189-0688
Dept Publ Hlth & Caring Sci, Uppsala Univ, Uppsala, Sweden.
Örebro University Hospital. Department of Oncology, Örebro University Hospital, Örebro, Sweden.ORCID iD: 0000-0001-6392-273X
Dept Publ Hlth & Caring Sci, Uppsala Univ, Uppsala, Sweden; Dept Publ Hlth & Primary Hlth Care, Univ Bergen, Bergen, Norway.
2014 (English)In: Acta Oncologica, ISSN 0284-186X, E-ISSN 1651-226X, Vol. 53, no 9, p. 1221-1229Article in journal (Refereed) Published
Abstract [en]

Background: Fatigue and emotional reactivity are common among women suffering from breast cancer and might detrimentally affect these women's quality of life. This study evaluates if the stress management delivered either in a group or individual setting would improve fatigue and emotional reactivity among women with a newly diagnosed breast cancer.

Material and methods: Participants (n = 304) who reported elevated levels of distress at three-month post-inclusion were randomised between stress management in a group (GSM) (n = 77) or individual (ISM) (n = 78) setting. Participation was declined by 149 women. Participants completed the Multidimensional Fatigue Inventory (MFI-20) and the Everyday Life Stress Scale (ELSS) at the time of inclusion, 3- and 12-month post-inclusion. Analyses were made according to intention to treat and per-protocol principles. Mann-Whitney tests were used to examine differences between the two intervention groups.

Results: No significant differences were detected between the GSM and ISM groups on fatigue or emotional reactivity. In addition, there were no changes over time for these outcomes.

Conclusions: There were no differences between the two intervention arms with reference to fatigue or emotional reactivity; however, a clinically interesting finding was the low number of women who were interested in participating in a psychosocial intervention. This finding may have clinical implications when psychosocial support is offered to women with a newly diagnosed breast cancer and also in the planning of future studies.

Place, publisher, year, edition, pages
Informa Healthcare, 2014. Vol. 53, no 9, p. 1221-1229
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:oru:diva-56708DOI: 10.3109/0284186X.2014.923935ISI: 000342282100012PubMedID: 25007225Scopus ID: 2-s2.0-84907207798OAI: oai:DiVA.org:oru-56708DiVA, id: diva2:1083768
Funder
Swedish Cancer Society, 96 2577Swedish Research Council, 521-2009-3129
Note

Funding Agency:

Regional Research Council for the Uppsala-Örebro Region  RFR-156421

Available from: 2017-03-22 Created: 2017-03-22 Last updated: 2018-06-24Bibliographically approved

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