No improvement in distress and quality of life following psychosocial cancer rehabilitation. A randomised trial

Authors

  • Nina Rottmann,

    Corresponding author
    1. National Research Centre for Cancer Rehabilitation, Institute of Public Health, University of Southern Denmark, Odense, Denmark
    • National Research Centre for Cancer Rehabilitation, Institute of Public Health, University of Southern Denmark, J.B. Winsløws Vej 9B, 5000 Odense C, Denmark
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  • Susanne Oksbjerg Dalton,

    1. Department of Psychosocial Cancer Research, Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark
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  • Pernille Envold Bidstrup,

    1. Department of Psychosocial Cancer Research, Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark
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  • Hanne Würtzen,

    1. Department of Psychosocial Cancer Research, Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark
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  • Mette Terp Høybye,

    1. Department of Psychosocial Cancer Research, Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark
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  • Lone Ross,

    1. Research Unit, Department of Palliative Medicine, Bispebjerg Hospital, Copenhagen, Denmark
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  • Jane Christensen,

    1. Department of Statistics and Epidemiology, Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark
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  • Kirsten Frederiksen,

    1. Department of Statistics and Epidemiology, Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark
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  • Dorte Gilså Hansen,

    1. National Research Centre for Cancer Rehabilitation, Institute of Public Health, University of Southern Denmark, Odense, Denmark
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  • Christoffer Johansen

    1. National Research Centre for Cancer Rehabilitation, Institute of Public Health, University of Southern Denmark, Odense, Denmark
    2. Department of Psychosocial Cancer Research, Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark
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Abstract

Objective: Rehabilitation programmes are intended to help cancer patients achieve optimal functioning and live independently. We evaluated whether a psychosocial rehabilitation course was effective in relieving cancer patients' distress and improving their well-being.

Methods: Patients with breast, prostate or colorectal cancer diagnosed within 2 years who had finished primary treatment were randomised to usual care or a 6-day residential course of lectures, discussions and peer groups on issues related to treatment and living with cancer. Changes in self-reported distress (POMS-Sf) and quality of life (EORTC QLQ-C30) from baseline to 1 and 6 months' follow-up were measured. Analyses were adjusted for baseline scores of outcome, cancer site, time since diagnosis, gender, age and education.

Results: Of 507 patients, 452 were included in the analyses, 404 completed the 1-month and 394 the 6-month assessment. Patients in the control group showed greater decreases in total mood disturbance and subscales of the POMS-Sf and showed more improvement in emotional, cognitive and social functioning at both 1 and 6 months and in role functioning at 6 months than the intervention group. A similar pattern was observed in analyses of breast cancer patients only.

Conclusion: A 6-day residential rehabilitation course did not relieve cancer patients' distress or improve their well-being. Copyright © 2011 John Wiley & Sons, Ltd.

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