Effects of short-term existential group therapy for breast Cancer patients

Abstract Objectives Cancer patients who suffer from existential difficulties, including fear of death, isolation, or loss of human relationships, try to accept these fears by exploring the meaning of their life. In particular, early psychological intervention for patients prevents them from psychoso...

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Autores principales: Chizu Nakamura, Masatoshi Kawase
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Lenguaje:EN
Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/a16427413f114b04b4648f8d8e43e090
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spelling oai:doaj.org-article:a16427413f114b04b4648f8d8e43e0902021-11-28T12:22:26ZEffects of short-term existential group therapy for breast Cancer patients10.1186/s13030-021-00225-y1751-0759https://doaj.org/article/a16427413f114b04b4648f8d8e43e0902021-11-01T00:00:00Zhttps://doi.org/10.1186/s13030-021-00225-yhttps://doaj.org/toc/1751-0759Abstract Objectives Cancer patients who suffer from existential difficulties, including fear of death, isolation, or loss of human relationships, try to accept these fears by exploring the meaning of their life. In particular, early psychological intervention for patients prevents them from psychosocial maladjustment afterwards. Therefore, we have developed the Short-term Existential Group Therapy Program (Short-term EGP) for cancer patients, focusing on relief of existential or spiritual suffering and/or pain. This study aims to statistically evaluate the effects of this program on breast cancer patients within the first year after cancer diagnosis. Methods Thirty-one patients completed our research program. A ninety-minute therapeutic group session was held once a week for 5 weeks. We performed the above assessments three times: just before and after the intervention, as well as a month after the end of intervention. Outcome assessment included measures of spiritual well-being (SELT-M), Mental Adjustment to Cancer (MAC) and Profile of Mood States (POMS). Results The SELT-M “Overall QOL” scores were significantly increased after intervention, and these scores were maintained a month after intervention, particularly in those with high MAC “Hopelessness” scores. Subscales of the SELT-M scores were significantly increased after intervention, and these scores were maintained up to a month after intervention. Conclusion Short-term EGP intervention could be effective in helping patients relieve their existential distress. Some of the treatment effects were maintained a month after the end of the intervention. In addition, Short-term EGP could be particularly effective for those patients who feel hopelessness after cancer diagnosis. Trial registration Retrospectively registered. University Hospital Medical Information Network (UMIN CTR) UMIN000040651 . Registered June 4, 2020.Chizu NakamuraMasatoshi KawaseBMCarticleGroup therapySpiritual well-beingExistentialHopelessnessBreast cancerNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBioPsychoSocial Medicine, Vol 15, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Group therapy
Spiritual well-being
Existential
Hopelessness
Breast cancer
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
spellingShingle Group therapy
Spiritual well-being
Existential
Hopelessness
Breast cancer
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Chizu Nakamura
Masatoshi Kawase
Effects of short-term existential group therapy for breast Cancer patients
description Abstract Objectives Cancer patients who suffer from existential difficulties, including fear of death, isolation, or loss of human relationships, try to accept these fears by exploring the meaning of their life. In particular, early psychological intervention for patients prevents them from psychosocial maladjustment afterwards. Therefore, we have developed the Short-term Existential Group Therapy Program (Short-term EGP) for cancer patients, focusing on relief of existential or spiritual suffering and/or pain. This study aims to statistically evaluate the effects of this program on breast cancer patients within the first year after cancer diagnosis. Methods Thirty-one patients completed our research program. A ninety-minute therapeutic group session was held once a week for 5 weeks. We performed the above assessments three times: just before and after the intervention, as well as a month after the end of intervention. Outcome assessment included measures of spiritual well-being (SELT-M), Mental Adjustment to Cancer (MAC) and Profile of Mood States (POMS). Results The SELT-M “Overall QOL” scores were significantly increased after intervention, and these scores were maintained a month after intervention, particularly in those with high MAC “Hopelessness” scores. Subscales of the SELT-M scores were significantly increased after intervention, and these scores were maintained up to a month after intervention. Conclusion Short-term EGP intervention could be effective in helping patients relieve their existential distress. Some of the treatment effects were maintained a month after the end of the intervention. In addition, Short-term EGP could be particularly effective for those patients who feel hopelessness after cancer diagnosis. Trial registration Retrospectively registered. University Hospital Medical Information Network (UMIN CTR) UMIN000040651 . Registered June 4, 2020.
format article
author Chizu Nakamura
Masatoshi Kawase
author_facet Chizu Nakamura
Masatoshi Kawase
author_sort Chizu Nakamura
title Effects of short-term existential group therapy for breast Cancer patients
title_short Effects of short-term existential group therapy for breast Cancer patients
title_full Effects of short-term existential group therapy for breast Cancer patients
title_fullStr Effects of short-term existential group therapy for breast Cancer patients
title_full_unstemmed Effects of short-term existential group therapy for breast Cancer patients
title_sort effects of short-term existential group therapy for breast cancer patients
publisher BMC
publishDate 2021
url https://doaj.org/article/a16427413f114b04b4648f8d8e43e090
work_keys_str_mv AT chizunakamura effectsofshorttermexistentialgrouptherapyforbreastcancerpatients
AT masatoshikawase effectsofshorttermexistentialgrouptherapyforbreastcancerpatients
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