Benefits of the uncertainty management intervention for African American and white older breast cancer survivors: 20-Month Outcomes
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
In a 2 x 2 randomized block repeated measure design, this study evaluated the follow-up efficacy of the uncertainty management intervention at 20 months. The sample included 483 recurrence-free women (342 White, 141 African American women; mean age = 64 years) who were 5-9 years posttreatment for breast cancer. Women were randomly assigned to either the intervention or usual care control condition. The intervention was delivered during 4 weekly telephone sessions in which survivors were guided in the use of audiotaped cognitive-behavioral strategies and a self-help manual. Repeated measures MANOVAs evaluating treatment group, ethnic group, and treatment by ethnic interaction effects at 20 months indicated that training in uncertainty management resulted in improvements in cognitive reframing, cancer knowledge, and a variety of coping skills. Importantly, the 20-month outcomes also demonstrated benefits for women in the intervention condition in terms of declines in illness uncertainty and stable effects in personal growth over time.
- Andersen, B. L. (2002). Biobehavioral outcomes following psychological interventions for cancer patients. Journal of Consulting and Clinical Psychology, 70(3), 590–610. CrossRef
- Andersen, M. R., & Urban, N. (1999). Involvement in decision-making and breast cancer survivor quality of life. Annals of Behavioral Medicine, 21(3), 201–209. CrossRef
- Antoni, M. H., Lehman, J. M., Kilbourn, K. M., Boyers, A. E., Culver, J. L., Alferi, S. M., et al. (2001). Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer. Health Psychology, 20(1), 20–32. CrossRef
- Ashing-Giwa, K., & Ganz, P. A. (2000). Effect of timed incentives on subject participation in a study of long-term breast cancer survivors: Are there ethnic differences? Journal of the National Medical Association, 92(11), 528–532.
- Bailey, D. E. J., Mishel, M. H., Belyea, M., Stewart, J. L., & Mohler, J. (2004). Uncertainty intervention for watchful waiting inprostate cancer. Cancer Nursing, 27(5), 339–346. CrossRef
- Carver, C. S., & Antoni, M. H. (2004). Finding benefit in breast cancer during the year after diagnosis predicts better adjustment 5 to 8 years after diagnosis. Health Psychology, 23(6), 595–598. CrossRef
- Cordova, M. J., Cunningham, L. L., Carlson, C. R., & Andrykowski, M. A. (2001). Social constraints, cognitive processing, and adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 69(4), 706–711. CrossRef
- Culver, J. L., Arena, P. L., Antoni, M. H., & Carver, C. S. (2002). Coping and distress among women under treatment for early stage breast cancer: Comparing African Americans, Hispanics and non-Hispanic whites. Psycho-oncology, 11(6), 495–504. CrossRef
- Cunningham, A. J., Edmonds, C. V., Jenkins, G. P., Pollack, H., Lockwood, G. A., & Warr, D. (1998) A randomized controlled trial of the effects ofgroup psychological therapy on survivalin women with metastatic breast cancer. Psycho-oncology, 7, 508–517. CrossRef
- Cunningham, A. J., Edmonds, C. V., & Williams, D. (1999). Delivering a very brief psychoeducational program to cancer patients and family members in a large group format. Psycho-oncology, 8(2), 177–182. CrossRef
- Curran, S. L., Andrykowski, M. A., & Studts, J. L. (1995). Short form of the profile of mood states (POMS-SF): Psychometric information. Psychological Assessment, 7(1), 80–83. CrossRef
- Edelman, S., Bell, D. R., & Kidman, A. D. (1999). A group cognitive behaviour therapy programme with metastatic breast cancer patients. Psycho-oncology, 8(4), 295–305. CrossRef
- Gil, K. M., Mishel, M. H., Belyea, M., Germino, B., Porter, L. S., Carlton-LeNay, I., et al. (2004). Triggers of uncertainty about recurrence and long term treatment side effects in older African American and Caucasian breast cancer survivors. Oncology Nursing Forum, 31, 633–639. CrossRef
- Gil, K. M., Mishel, M. H., Germino, B., Porter, L. S., Carlton-LaNey, I., & Belyea, M. (2005). Uncertainty management intervention for older African American and Caucasian long-term breast cancer survivors. Journal of Psychosocial Oncology, 23, 3–21. CrossRef
- Graves, K. D. (2003). Social cognitive theory and cancer patients’ quality of life: A meta-analysis of psychosocial intervention components. Health Psychology, 22(2), 210–219. CrossRef
- Helgeson, V. S., Cohen, S., Schulz, R., & Yasko, J. (2001). Long-term effects of educational and peer discussion group interventions on adjustment to breast cancer. Health Psychology, 20(5), 387–392. CrossRef
- Helgeson, V. S., & Tomich, P. L. (2005). Surviving cancer: A comparison of 5-year disease-free breast cancer survivors with healthy women. Psycho-oncology, 14, 307–317. CrossRef
- Henderson, P. D., Gore, S. V., Davis, B. L., & Condon, E. H. (2003). African American women coping with breast cancer: A qualitative analysis. Oncology Nursing Forum, 30(4), 641–647. CrossRef
- Hull, M. M. (2000). Lymphedema in women treated for breast cancer. Seminars in Oncology Nursing, 16(3), 226–237. CrossRef
- Lickley, H. L. (1997). Primary breast cancer in the elderly. Canadian Journal of Surgery, 40(5), 341–351.
- Mast, M. E. (1998). Survivors of breast cancer: Illness uncertainty, positive reappraisal, and emotional distress. Oncology Nursing Forum, 25(3), 555–562.
- McKinley, E. D. (2000). Under toad days: Surviving the uncertainty of cancer recurrence. Annals of Internal Medicine, 133(6), 479–480.
- Mishel, M. H. (1981). The measurement of uncertainty in illness. Nursing Research, 30(5), 258–263. CrossRef
- Mishel, M. H. (1988). Uncertainty in illness. Image: Journal of Nursing Scholarship, 20(4), 225–232. CrossRef
- Mishel, M. H. (1997). Uncertainty in acute illness. Annual Review of Nursing Research, 15, 57–80.
- Mishel, M. H., Germino, B. B., Gil, K. M., Belyea, M., Carlton-LeNay, I., Stewart, J., et al. (2005). Benefits from an uncertainty management intervention for older long term breast cancer survivors. Psycho-oncology, 14, 962–978. CrossRef
- Morris, K. T., Johnson, N., Homer, L., & Walts, D. (2000). A comparison of complementary therapy use between breast cancer patients and other primary tumor sites. American Journal of Surgery, 179(5), 407–411. CrossRef
- Northouse, L. L., Caffey, M., Deichelbohrer, L., Schmidt, L., Guziatek-Trojniak, L., West, S., et al. (1999). The quality of life of African American women with breast cancer. Research in Nursing & Health, 22(6), 435–448. CrossRef
- Rosenbaum, M., & Jaffe, Y. (1983). Learned helplessness: The role of individual differences in learned resourcefulness. British Journal of Social Psychology, 22(Pt 3), 215–225.
- Rosenstiel, A. K., & Keefe, F. J. (1983). The use of coping strategies in chronic low back pain patients: Relationship to patient characteristics and current adjustment. Pain, 17(1), 33–44. CrossRef
- Sarason, I. G., Levine, H. M., Basham, R. B., & Sarason, B. R. (1983). Assessing social support: The social support questionnaire. Journal of Personality and Social Psychology, 44, 127–139. CrossRef
- Shacham, S. (1983). A shortened version of the profile of mood states. Journal of Personality Assessments, 47(3), 305–306. CrossRef
- Tomich, P. L., & Helgeson, V. S. (2002). Five years later: A cross-sectional comparison of breast cancer survivors with healthy women. Psycho-oncology, 11(2), 154–169. CrossRef
- Benefits of the uncertainty management intervention for African American and white older breast cancer survivors: 20-Month Outcomes
International Journal of Behavioral Medicine
Volume 13, Issue 4 , pp 286-294
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- breast cancer
- cancer survivorship
- uncertainty management
- Author Affiliations
- 1. Department of Psychology, University of North Carolina at Chapel Hill, CB #3270, 27599, Chapel Hill, NC
- 2. School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
- 4. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina