Responsiveness to change to change due to supportive-expressive group therapy, improvement in mood and disease progression in women with metastatic breast cancer
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To compare the responsiveness of six questionnaires using three hypotheses of change: (i) change due to supportive-expressive group therapy (SEGT), (ii) improved mood defined as a small effect size (.2) on Profile of Mood States (POMS) Total Mood Disturbance score and (iii) progression of disease.
Data from the “Breast Expressive-Supportive Therapy” study, a multicentre randomized controlled trial of change due to SEGT versus standard of care in women with metastatic breast cancer were used. Questionnaires studied were: POMS, Impact of Event Scale, Psychosocial Adjustment to Illness Scale (PAIS), EORTC QLQ-C30, Mental Adjustment to Cancer and a Pain visual analog scale (VAS). Responsiveness to change was evaluated using the standardized response mean. POMS was used as the standard.
POMS was the most responsive questionnaire to change due to SEGT. Questionnaires measuring psychosocial attributes were responsive to improvement in mood. EORTC QLQ-C30, PAIS, PAIN VAS and MAC were the most responsive to disease progression. More responsive questionnaires were associated with the smallest sample size required to detect an effect.
Responsiveness to change is context specific. The POMS was the most responsive questionnaire to psychosocial therapy.
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- Responsiveness to change to change due to supportive-expressive group therapy, improvement in mood and disease progression in women with metastatic breast cancer
Quality of Life Research
Volume 16, Issue 6 , pp 1007-1017
- Cover Date
- Print ISSN
- Online ISSN
- Springer Netherlands
- Additional Links
- Responsiveness to change
- Supportive-expressive group therapy
- Quality of life
- Metastatic breast cancer
- Industry Sectors
- Author Affiliations
- 1. Unité de recherche en santé des populations, Centre hospitalier affilié universitaire de Québec, pavillon St-Sacrement, Quebec, Canada
- 2. Département de Médicine, de l’Université Laval, Quebec, Canada
- 3. Samuel Lunenfeld Research Institute of the Mount Sinai Hospital, Quebec, Canada
- 4. Université Laval, Quebec, Canada
- 5. Unité de recherche en santé des populations, Centre de Recherche, Hôpital St-Sacrement, du Centre Hospitalier affilié de l’Université Laval, 1050 Chemin Ste-Foy, Room JS1-01, Quebec, QC, Canada, G1S 4L8
- 11. University of Toronto, Toronto, Canada
- 6. Mobility Program, Clinical Research Unit, St Michael’s Hospital, Toronto, Canada
- 7. Institute for Work and Health, Toronto, Canada
- 8. Department of Medicine, Mount Sinai Hospital, Toronto, Canada
- 9. Department of Psychiatry, Mount Sinai Hospital, Toronto, Canada
- 10. Department of Medicine, Samuel Lunenfeld Research Institute of the Mount Sinai Hospital, Toronto, Canada