The effectiveness of a psycho-educational group after early-stage breast cancer treatment: results of a randomized French study
Version of Record online: 27 NOV 2008
Copyright © 2008 John Wiley & Sons, Ltd.
Volume 18, Issue 6, pages 647–656, June 2009
How to Cite
Dolbeault, S., Cayrou, S., Brédart, A., Viala, A. L., Desclaux, B., Saltel, P., Gauvain-Piquard, A., Hardy, P. and Dickes, P. (2009), The effectiveness of a psycho-educational group after early-stage breast cancer treatment: results of a randomized French study. Psycho-Oncology, 18: 647–656. doi: 10.1002/pon.1440
- Issue online: 27 MAY 2009
- Version of Record online: 27 NOV 2008
- Manuscript Accepted: 30 JUL 2008
- Manuscript Revised: 29 JUL 2008
- Manuscript Received: 31 OCT 2007
- group therapy;
- randomized controlled trial;
- breast cancer;
Background: Many women with breast cancer need psychological help to cope more effectively after treatment. Cognitive and behavioural techniques are not yet well established in France. A multi-site randomized study was conducted to evaluate the effects of a psycho-educational group intervention in this population.
Methods: Two hundred and three patients, recruited after primary treatment, were randomly assigned either to a treatment group (psycho-educational intervention) or to a waiting-list control group. The 8-week programme of 2 h sessions comprised of thematic discussions, information and training in stress management techniques. Evaluation at baseline, after 8 sessions, and 1 month after programme completion, included evaluations using the STAI, POMS, MAC, EORTC QLQ-C30 and EORTC QLQ-BR23 breast module scales.
Results: We observed a significant reduction in anxiety (STAI, POMS) among group participants, a reduction in anger, depression and fatigue (POMS), a significant improvement in vigor and interpersonal relationships (POMS), in emotional and role functioning, in health status and fatigue level (EORTC QLQ-C30). In contrast, coping strategies (MAC) were not significantly different between groups. No group-related negative effects were observed and the global satisfaction levels were very high.
Conclusion: This study demonstrates the feasibility and effectiveness of a psycho-educational intervention, which can accelerate the reduction of those negative affects which are present at the end of treatment. It represents an excellent complement or an alternative to individual psycho-oncologic therapeutic support, widely proposed in France, and should now be tested in groups with other types of cancer and at other disease phases. Copyright © 2008 John Wiley & Sons, Ltd.