Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Group therapy does not improve survival In early-stage breast cancer patients

28.09.2004


First study in early-stage patients provides additional insight into how psychosocial interventions impact disease management



A new study shows that cognitive-existential group therapy (CEGT), a psychosocial intervention designed to improve the mood and attitude of patients with breast cancer, does not improve survival of women with early-stage disease. The study, to be published online September 27 in the Journal of Clinical Oncology, is the first to evaluate the impact of CEGT on the survival of early-stage breast cancer patients, and was conducted after previous studies of group therapy in women with metastatic breast cancer yielded mixed results.

"Although the results of this study do not demonstrate a survival benefit for patients receiving CEGT, they add to our body of knowledge of how psychosocial interventions can be used to help patients manage their disease," said David W. Kissane, MD, lead author and Chairman of the Department of Psychiatry and Behavioral Sciences at Memorial Sloan-Kettering Cancer Center. "We hope that this study will help to frame future research on how group therapy can be used to improve patients’ quality of life."


Group therapy was initially used in the oncology setting to help patients cope with the emotional challenges of living with cancer. However, more recently, a number of controlled clinical trials have sought to determine whether group therapy has any impact on survival in patients with metastatic breast cancer. An equal number of studies have shown evidence that supports or negates a survival benefit.

The current study evaluated the impact of CEGT on survival in patients with early-stage breast cancer, randomly assigning 303 women to receive adjuvant chemotherapy and 20 sessions of weekly group therapy plus 3 relaxation classes (n = 154), or adjuvant chemotherapy and 3 relaxation classes alone (n = 149). Researchers found no survival difference between patients receiving CEGT and those who did not. The most significant predictors of survival were the histology of the tumor and the number and location of lymph nodes to which cancer cells had spread.

An accompanying editorial by Pamela J. Goodwin, MD, MSc, FRCP(C) of the Samuel Lunenfeld Research Institute at Mount Sinai Hospital in Toronto, Canada, places the negative results of the study by Dr. Kissane and his colleagues in the context of the progress made in the larger field of psycho-oncology research. She argues that the study reinforces growing evidence that group therapy and other forms of psychosocial intervention are associated with improvement in mood, coping skills, and quality of life in women with breast cancer, and that the study provides direction for future research in the field of psycho-oncology.

"What is remarkable is the breadth of interventions that have been shown to be effective in one situation or another," Dr. Goodwin said. "Surprisingly little research has evaluated the impact of individual interventions in breast cancer, commonly used in the clinical setting. Formal evaluation of such interventions, as well as continuing research elucidating which interventions are most beneficial to different patient populations should form the basis for research in this area during the next decade. Toward this end, Kissane et al’s negative result should have a positive impact on the field of psycho-oncology as a whole."

Carrie Housman | EurekAlert!
Further information:
http://www.asco.org

More articles from Studies and Analyses:

nachricht Antarctic Ice Sheet mass loss has increased
14.06.2018 | Technische Universität Dresden

nachricht WAKE-UP provides new treatment option for stroke patients | International study led by UKE
17.05.2018 | Universitätsklinikum Hamburg-Eppendorf

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: AchemAsia 2019 will take place in Shanghai

Moving into its fourth decade, AchemAsia is setting out for new horizons: The International Expo and Innovation Forum for Sustainable Chemical Production will take place from 21-23 May 2019 in Shanghai, China. With an updated event profile, the eleventh edition focusses on topics that are especially relevant for the Chinese process industry, putting a strong emphasis on sustainability and innovation.

Founded in 1989 as a spin-off of ACHEMA to cater to the needs of China’s then developing industry, AchemAsia has since grown into a platform where the latest...

Im Focus: First real-time test of Li-Fi utilization for the industrial Internet of Things

The BMBF-funded OWICELLS project was successfully completed with a final presentation at the BMW plant in Munich. The presentation demonstrated a Li-Fi communication with a mobile robot, while the robot carried out usual production processes (welding, moving and testing parts) in a 5x5m² production cell. The robust, optical wireless transmission is based on spatial diversity; in other words, data is sent and received simultaneously by several LEDs and several photodiodes. The system can transmit data at more than 100 Mbit/s and five milliseconds latency.

Modern production technologies in the automobile industry must become more flexible in order to fulfil individual customer requirements.

Im Focus: Sharp images with flexible fibers

An international team of scientists has discovered a new way to transfer image information through multimodal fibers with almost no distortion - even if the fiber is bent. The results of the study, to which scientist from the Leibniz-Institute of Photonic Technology Jena (Leibniz IPHT) contributed, were published on 6thJune in the highly-cited journal Physical Review Letters.

Endoscopes allow doctors to see into a patient’s body like through a keyhole. Typically, the images are transmitted via a bundle of several hundreds of optical...

Im Focus: Photoexcited graphene puzzle solved

A boost for graphene-based light detectors

Light detection and control lies at the heart of many modern device applications, such as smartphone cameras. Using graphene as a light-sensitive material for...

Im Focus: Water is not the same as water

Water molecules exist in two different forms with almost identical physical properties. For the first time, researchers have succeeded in separating the two forms to show that they can exhibit different chemical reactivities. These results were reported by researchers from the University of Basel and their colleagues in Hamburg in the scientific journal Nature Communications.

From a chemical perspective, water is a molecule in which a single oxygen atom is linked to two hydrogen atoms. It is less well known that water exists in two...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Munich conference on asteroid detection, tracking and defense

13.06.2018 | Event News

2nd International Baltic Earth Conference in Denmark: “The Baltic Sea region in Transition”

08.06.2018 | Event News

ISEKI_Food 2018: Conference with Holistic View of Food Production

05.06.2018 | Event News

 
Latest News

Novel method for investigating pore geometry in rocks

18.06.2018 | Earth Sciences

Diamond watch components

18.06.2018 | Process Engineering

New type of photosynthesis discovered

18.06.2018 | Life Sciences

VideoLinks
Science & Research
Overview of more VideoLinks >>>