tailieunhanh - Quality of Life and Breast Cancer: Relationship to Psychosocial Variables

Johnson (1982), randomized 52 patients with newly diagnosed or recurrent cancer to either a psycho-educational group intervention “I Can Cope” or a control group. The intervention group demonstrated decreased anxiety and increased perceived purpose and meaning in life compared to the control group. Berglund et al. (1994) performed a prospective randomized study with 98 cancer patients who participated in a rehabilitation program focused on “starting again,” and 101 patients who served as controls. Subjects in the intervention improved significantly in physical training, physical strength, fighting spirit, body image, and sleep when com- pared with control participants | Quality of Life and Breast Cancer Relationship to Psychosocial Variables Shauna L. Shapiro University of Arizona Department of Psychology Ana Maria Lopez University of Arizona Cancer Center Gary E. Schwartz Richard Bootzin Aurelio J. Figueredo University of Arizona Department of Psychology Carrie Jo Braden University of Texas College of Nursing Sarah F Kurker University of Arizona Cancer Center The aim of this article is to shed more light on the relationship between quality of life and aspects of the psychosocial experience for women with breast cancer. The literature is briefly reviewed including highlights of the psychosocial consequences of cancer an exploration of the relationship of psychosocial variables to cancer and a brief review of psychosocial interventions for cancer. Further preliminary findings of an on-going NCI study are introduced. Finally clinical implications are discussed. The purpose This article was supported in part by the National Institute of Health National Cancer Institute Bethesda Maryland grant number 1 RO3 CA83342 01 . The authors would like to acknowledge the individuals who provided assistance in this research. Our greatest appreciation is extended to the women participating in the study. We also are most grateful to Jon Kabat-Zinn Saki Santorelli Elana Rosenbaum Ferris Urbanowski and the staff of the Center of Mindfulness in Medicine Health Care and Society University of Massachusetts Medical Center for invaluable guidance and support. We express appreciation to Joseph Denucci and the staff at Miraval for generously donating resources. We also deeply thank Elana Rosenbaum and Natasha Korshak for their contribution to the MBSR intervention. Finally we would like to acknowledge Hal Arkowitz for his valuable editorial comments. Correspondence concerning this article should be addressed to Shauna L. Shapiro Department of Psychology University of Arizona Tucson AZ 85721 0068 e-mail shapiros@. JOURNAL OF CLINICAL PSYCHOLOGY

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