Randomized pilot of a self-guided internet coping group for women with early-stage breast cancer

Internet-based methods for provision of psychological support and intervention to cancer survivors hold promise for increasing the public impact of such treatments. The goal of this controlled pilot study was to examine the effect and potential mechanisms of action of a self-guided, Internet-based c...

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Bibliographic Details
Published in:	Annals of behavioral medicine Vol. 30; no. 1; pp. 54 - 64
Main Authors:	Owen, Jason E, Klapow, Joshua C, Roth, David L, Shuster, Jr, John L, Bellis, Jeff, Meredith, Ron, Tucker, Diane C
Format:	Journal Article
Language:	English
Published:	England Oxford University Press 01-08-2005
Subjects:	Adaptation, Psychological Adult Breast cancer Breast Neoplasms - psychology Emotions Female Health psychology Humans Internet Linguistics Middle Aged Patient Education as Topic Psychotherapy, Group Quality of Life Treatment Outcome Womens health
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Summary:	Internet-based methods for provision of psychological support and intervention to cancer survivors hold promise for increasing the public impact of such treatments. The goal of this controlled pilot study was to examine the effect and potential mechanisms of action of a self-guided, Internet-based coping-skills training group on quality of life outcomes in women with early-stage breast cancer. Sixty-two women completed baseline evaluations and were randomized into either a small online coping group or a waiting-list control condition. No main effects for treatment were observed at the 12-week follow up. However, there was a significant interaction between baseline self-reported health status and treatment, such that women with poorer self-perceived health status showed greater improvement in perceived health over time when assigned to the treatment condition. Linguistic analyses revealed that positive changes across quality of life variables were associated with greater expression of negative emotions such as sadness and anxiety, greater cognitive processing, and lower expression of health-related concerns. These results demonstrate the potential efficacy of self-guided Internet coping groups while highlighting the limitations of such groups.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23
ISSN:	0883-6612 1532-4796
DOI:	10.1207/s15324796abm3001_7