STRUCTURED PSYCHOSOCIAL INTERVENTION FOR FRENCH PATIENTS WITH METASTATIC CANCER IS POSSIBLE IN REAL LIFE

Journal of Cancer Rehabilitation

卷:3

Chantal Zedet Saunders¹  Laetiia Dewolf¹  Philippe Orts¹  Nancie Rosati²  Antoine Demonceaux³  Jean Yves Blay⁴  David Spiegel⁵  Barbara L. Andersen⁶  Thierry Bouillet⁷  Pierre Caillat⁸  Emmanuel Kinne⁸  Jean-Loup Mouysset⁹ 

[1] MD Centre Ressource, Aix, France;

[2] MD Centre Ressource, Montélimar, France;

[3] MD Centre Ressource, Reims, France;

[4] MD Department of Medical Oncology, Leon Berard Center, Lyon, France;

[5] MD Department of Psychiatry, Stanford University, Palo Alto, California;

[6] MD Department of Psychology, The Ohio State University, Columbus, Ohio;

[7] MD Department of Radiotherapy, American Hospital of Paris, France;

[8] MD Faculté de Médecine, Nice, France;

[9] MD, Department of Medical Oncology, Hopital Privé de Provence, Aix, France Centre Ressource, Aix, France;

关键词: biobehavioral;    cancer;    metastatic;    psychological;    supportive expressive;    survival;   

DOI  :  

来源: DOAJ

【 摘 要 】

ObjectivesThere is still no structured psychosocial intervention (SPI) available in France forpatients with metastatic disease. For first time in France, a structured psychosocialintervention (SPI) was proposed and studied as “proof of concept.” A novelintervention combining two evaluated and efficacious therapies (ProgrammePersonnalisé d’Accompagnement Thérapeutique; PPACT®) was deliveredin two community centers. The program evaluation aim measures pre/post changes inpsychological and quality of life (QoL) outcomes.MethodsPatients (N=88) with metastatic cancer seeking psychosocial care were offeredPPACT which combined elements of the biobehavioral intervention 1with SupportiveExpressive Group Therapy 2and was delivered in 32 sessions across 12 months. Thesample was predominantly older (M=57 years), female (72%), and partnered (74%).Thirty one percent had metastatic breast cancer (n=27), but 16 other disease typeswith metastases were represented. Patients were assessed pretreatment, 6, and 12months using the Hospital Anxiety and Depression Scale [HADS; 3] and EORTCQuality of Life Questionnaire-Core 30 [QoL; 4]. Patients were followed for 5+ yearsto describe survival.ResultsSignificant changes (improvements) across time were found on the HADS anxietyand depression scales, and EORTC functioning scales and symptom items (ps<.01).Effects were replicated with the breast sample. Kaplan Meier analyses showed a 54%likelihood of survival at 5 years.ConclusionsAs metastatic cancer is now a chronic disease, offering PPACT in community centersachieved QoL improvements for patients and demonstrates the feasibility and clinicalimport of structured psychosocial support interventions for French patients.

【 授权许可】

Unknown