OBJECTIVE: It is important to identify factors that predict who will benefit the most from psychosocial interventions in cancer populations. METHODS: This study examines the moderating effect of baseline social support (social support, SS; dyadic adjustment DA), distress (Brief Symptom Inventory, BSI; Impact of Event Scale, IES), and coping style (Brief COPE) on quality of life outcomes (SF-36 Physical Component Summary scores, PCS) 1 year postsurgery derived from a presurgical cognitive-behavioral stress management (SM; n = 23) program, supportive attention (SA; n = 37), or standard care (SC; n = 29). RESULTS: Moderation analyses indicated that men who reported low SS and were in the SM group had increased PCS 1 year after surgery as compared with men with low SS in the SC group (β = -0.39, p < .01), with SA having a nonsignificant intermediate effect. Men who reported high distress (BSI) at baseline and were in the SA group had increased PCS 1 year after surgery, as compared with those in the SC group (β = 24.80, p = .01), with SM having a nonsignificant intermediate effect. Mediation analyses suggested that neither SM nor SA improved quality of life simply by increasing social support or decreasing general distress. CONCLUSIONS:Distressed individuals may benefit more from unstructured discussion of distress, whereas those low in social support may benefit more from a structured approach to learning coping skills.
RCT Entities:
OBJECTIVE: It is important to identify factors that predict who will benefit the most from psychosocial interventions in cancer populations. METHODS: This study examines the moderating effect of baseline social support (social support, SS; dyadic adjustment DA), distress (Brief Symptom Inventory, BSI; Impact of Event Scale, IES), and coping style (Brief COPE) on quality of life outcomes (SF-36 Physical Component Summary scores, PCS) 1 year postsurgery derived from a presurgical cognitive-behavioral stress management (SM; n = 23) program, supportive attention (SA; n = 37), or standard care (SC; n = 29). RESULTS: Moderation analyses indicated that men who reported low SS and were in the SM group had increased PCS 1 year after surgery as compared with men with low SS in the SC group (β = -0.39, p < .01), with SA having a nonsignificant intermediate effect. Men who reported high distress (BSI) at baseline and were in the SA group had increased PCS 1 year after surgery, as compared with those in the SC group (β = 24.80, p = .01), with SM having a nonsignificant intermediate effect. Mediation analyses suggested that neither SM nor SA improved quality of life simply by increasing social support or decreasing general distress. CONCLUSIONS: Distressed individuals may benefit more from unstructured discussion of distress, whereas those low in social support may benefit more from a structured approach to learning coping skills.
Authors: M H Antoni; J M Lehman; K M Kilbourn; A E Boyers; J L Culver; S M Alferi; S E Yount; B A McGregor; P L Arena; S D Harris; A A Price; C S Carver Journal: Health Psychol Date: 2001-01 Impact factor: 4.267
Authors: A Manyande; S Chayen; P Priyakumar; C C Smith; M Hayes; D Higgins; S Kee; S Phillips; P Salmon Journal: Psychosom Med Date: 1992 May-Jun Impact factor: 4.312
Authors: Cindy L Carmack Taylor; Carl de Moor; Karen Basen-Engquist; Murray A Smith; Andrea L Dunn; Hoda Badr; Curtis Pettaway; Ellen R Gritz Journal: Ann Behav Med Date: 2007-02
Authors: James A Blumenthal; Yidan Zhu; Gary G Koch; Patrick J Smith; Lana L Watkins; Alan L Hinderliter; Benson M Hoffman; Joseph G Rogers; Patricia P Chang; Christopher O'Connor; Kristy S Johnson; Andrew Sherwood Journal: Health Psychol Date: 2019-04-18 Impact factor: 4.267
Authors: Theresa Helen Mazzarello Moore; Anna Jyoti Louise King; Maggie Evans; Debbie Sharp; Raj Persad; Alyson Louise Huntley Journal: Cancer Med Date: 2015-04-01 Impact factor: 4.452