Journal of Behavioral Medicine

, Volume 33, Issue 1, pp 1–14 | Cite as

Pre-intervention distress moderates the efficacy of psychosocial treatment for cancer patients: a meta-analysis

  • Stefan Schneider
  • Anne Moyer
  • Sarah Knapp-Oliver
  • Stephanie Sohl
  • Dolores Cannella
  • Valerie Targhetta
Article

Abstract

This meta-analysis examined whether effects of psychosocial interventions on psychological distress in cancer patients are conditional upon pre-intervention distress levels. Published articles and unpublished dissertations between 1980 and 2005 were searched for interventions reporting the Hospital Anxiety and Depression Scale (HADS) or the Spielberger State-Trait Anxiety Inventory (STAI). Multilevel mixed-effects modeling was used to meta-analyze effect-sizes separately for the HADS (27 trials, 2,424 patients) and STAI (34 trials, 2,029 patients). Pre-intervention distress significantly moderated intervention effects, explaining up to 50% of the between-study effect-size variance: effects on anxiety and depression were generally negligible when pre-intervention distress was low and pronounced when it was high. These results could not be explained by differences in intervention type, setting, dose, and whether intervention was targeted at distressed patients. Psychosocial interventions may be most beneficial for cancer patients with elevated distress. Future research should identify which treatment components are most effective for these patients to facilitate optimal treatment tailoring and cost-effective health care.

Keywords

Anxiety Depression Cancer Psychosocial Intervention Meta-analysis 

References

Note: * References in HADS meta-analysis; ** references in STAI meta-analysis

  1. *Adamsen, L., Midtgaard, J., Rorth, M., Borregaard, N., Andersen, C., Quist, M., et al. (2003). Feasibility, physical capacity, and health benefits of a multidimensional exercise program for cancer patients undergoing chemotherapy. Supportive Care in Cancer, 11, 707–716.PubMedCrossRefGoogle Scholar
  2. **Ahles, T. A., Tope, D. M., Pinkson, B., Walch, S., Hann, D., Whedon, M., et al. (1999). Massage therapy for patients undergoing autologous bone marrow transplantation. Journal of Pain and Symptom Management, 18, 157–163.PubMedCrossRefGoogle Scholar
  3. **Ali, N. S., & Khalil, H. Z. (1989). Effect of psychoeducational intervention on anxiety among Egyptian bladder cancer patients. Cancer Nursing, 12, 236–242.PubMedGoogle Scholar
  4. *Allison, P. J., Nicolau, B., Edgar, L., Archer, J., Black, M., & Hier, M. (2004). Teaching head and neck cancer patients coping strategies: Results of a feasibility study. Oral Oncology, 40, 538–544.PubMedCrossRefGoogle Scholar
  5. *Ambler, N., Rumsey, N., Harcourt, D., Khan, F., Cawthorn, S., & Barker, J. (1999). Specialist nurse counsellor interventions at the time of diagnosis of breast cancer: Comparing ‘advocacy’ with a conventional approach. Journal of Advanced Nursing, 29, 445–453.PubMedCrossRefGoogle Scholar
  6. Andersen, B. L., Farrar, W. B., Golden-Kreutz, D. M., Glaser, R., Emery, C. F., Crespin, T. R., et al. (2004). Psychological, behavioral, and immune changes after a psychological intervention: A clinical trial. Journal of Clinical Oncology, 22, 3570–3580.PubMedCrossRefGoogle Scholar
  7. 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, 20–32.PubMedCrossRefGoogle Scholar
  8. **Arakawa, S. (1997). Relaxation to reduce nausea, vomiting, and anxiety induced by chemotherapy in Japanese patients. Cancer Nursing, 20, 342–349.PubMedCrossRefGoogle Scholar
  9. Barnes, L. L. B., Harp, D., & Jung, W. S. (2002). Reliability generalization of scores on the Spielberger State-Trait Anxiety Inventory. Educational and Psychological Measurement, 62, 603–618.CrossRefGoogle Scholar
  10. Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale. An updated literature review. Journal of Psychosomatic Research, 52, 69–77.PubMedCrossRefGoogle Scholar
  11. Boesen, E. H., Ross, L., Frederiksen, K., Thomsen, B. L., Dahlstrom, K., Schmidt, G., et al. (2005). Psychoeducational intervention for patients with cutaneous malignant melanoma: A replication study. Journal of Clinical Oncology, 23, 1270–1277.PubMedCrossRefGoogle Scholar
  12. Brandberg, Y., Bolund, C., Sigurdardottir, V., Sjoden, P.-O., & Sullivan, M. (1992). Anxiety and depressive symptoms at different stages of malignant melanoma. Psycho-Oncology, 1, 71–78.CrossRefGoogle Scholar
  13. Bryk, A. S., & Raudenbush, S. W. (1992). Hierarchical linear models: Applications and data analysis methods. Thousand Oaks, CA: Sage Publications.Google Scholar
  14. *Burton, M. V., & Parker, R. W. (1995). A randomized control trial of preoperative psychology preparation for mastectomy. Psycho-Oncology, 4, 1–19.CrossRefGoogle Scholar
  15. Campbell, D. T., & Kenny, D. A. (1999). A primer on regression artifacts. New York, NY: Guilford Press.Google Scholar
  16. Carey, M. P., & Burish, T. G. (1985). Anxiety as a predictor of behavioral therapy outcome for cancer chemotherapy patients. Journal of Consulting and Clinical Psychology, 53, 860–865.PubMedCrossRefGoogle Scholar
  17. Carlson, L. E., & Bultz, B. D. (2003). Cancer distress screening. Needs, models, and methods. Journal of Psychosomatic Research, 55, 403–409.PubMedCrossRefGoogle Scholar
  18. Carmack Taylor, C. L., de Moor, C., Basen-Engquist, K., Smith, M. A., Dunn, A. L., Badr, H., et al. (2007). Moderator analyses of participants in the active for life after cancer trial: Implications for physical activity group intervention studies. Annals of Behavioral Medicine, 33, 99–104.PubMedCrossRefGoogle Scholar
  19. **Cartledge Hoff, A., & Haaga, D. A. F. (2005). Effects of an education program on radiation oncology patients and families. Journal of Psychosocial Oncology, 23, 61–79.PubMedCrossRefGoogle Scholar
  20. **Carty, J. L. (1990). Relaxation with imagery: An adjunctive treatment for anticipatory nausea and/or vomiting (Doctoral dissertation, The Catholic University of America, 1990). Dissertation Abstracts International, 51, 131.Google Scholar
  21. **Cheung, Y. L., Molassiotis, A., & Chang, A. M. (2003). The effect of progressive muscle relaxation training on anxiety and quality of life after stoma surgery in colorectal cancer patients. Psycho-Oncology, 12, 254–266.PubMedCrossRefGoogle Scholar
  22. **Cohen, L., Warneke, C., Fouladi, R. T., Rodriguez, M. A., & Chaoul-Reich, A. (2004). Psychological adjustment and sleep quality in a randomized trial of the effects of a Tibetan yoga intervention in patients with lymphoma. Cancer, 100, 2253–2260.PubMedCrossRefGoogle Scholar
  23. Coyne, J. C., Lepore, S. J., & Palmer, S. C. (2006). Efficacy of psychosocial interventions in cancer care: Evidence is weaker than it first looks. Annals of Behavioral Medicine, 32, 104–110.PubMedCrossRefGoogle Scholar
  24. Crawford, J. R., Henry, J. D., Crombie, C., & Taylor, E. P. (2001). Normative data for the HADS from a large non-clinical sample. British Journal of Clinical Psychology, 40, 429–434.PubMedCrossRefGoogle Scholar
  25. *Cull, A., Stewart, M., & Altman, D. G. (1995). Assessment of and intervention for psychosocial problems in routine oncology practice. British Journal of Cancer, 72, 229–235.PubMedGoogle Scholar
  26. *Davidson, J. R., Waisberg, J. L., Brundage, M. D., & MacLean, A. W. (2001). Nonpharmacologic group treatment of insomnia: A preliminary study with cancer survivors. Psycho-Oncology, 10, 389–397.PubMedCrossRefGoogle Scholar
  27. **Davison, B. J., & Degner, L. F. (1997). Empowerment of men newly diagnosed with prostate cancer. Cancer Nursing, 20, 187–196.PubMedCrossRefGoogle Scholar
  28. **Dobkin, P. L. (1987). The use of systematic desensitization, a biobehavioral intervention, in the reduction of aversive chemotherapy side effects in cancer patients (Doctoral dissertation, University of Georgia, 1987). Dissertation Abstracts International, 48, 163.Google Scholar
  29. **Dodd, M. J. (1987). Efficacy of proactive information on self-care in radiation therapy patients. Heart and Lung, 16, 538–544.PubMedGoogle Scholar
  30. **Dodd, M. J. (1988). Efficacy of proactive information on self-care in chemotherapy patients. Patient Education and Counseling, 11, 215–225.PubMedCrossRefGoogle Scholar
  31. Doorenbos, A., Given, B., Given, C., & Verbitsky, N. (2006). Physical functioning: Effect of behavioral intervention for symptoms among individuals with cancer. Nursing Research, 55, 161–171.PubMedCrossRefGoogle Scholar
  32. **Elsesser, K., Van Berkel, M., Sartory, G., Biermann-Göcke, W., et al. (1994). The effects of anxiety management training on psychological variables and immune parameters in cancer patients: A pilot study. Behavioural & Cognitive Psychotherapy, 22, 13–23.CrossRefGoogle Scholar
  33. **Feldman, C. S. (1989). The role of imagery in the hypnotic treatment of adverse reactions to cancer chemotherapy (Doctoral dissertation, University of South Carolina, 1989). Dissertation Abstracts International, 50, 4216–4217.Google Scholar
  34. Finney, J. W. (2008). Regression to the mean in substance use disorder treatment research. Addiction, 103, 42–52.PubMedCrossRefGoogle Scholar
  35. *Fukui, S., Kugaya, A., Okamura, H., Kamiya, M., Koike, M., Nakanishi, T., et al. (2000). A psychosocial group intervention for Japanese women with primary breast carcinoma. Cancer, 89, 1026–1036.PubMedCrossRefGoogle Scholar
  36. Furukawa, T. A., Barbui, C., Cipriani, A., Brambilla, P., & Watanabe, N. (2006). Imputing missing standard deviations in meta-analyses can provide accurate results. Journal of Clinical Epidemiology, 59, 7–10.PubMedCrossRefGoogle Scholar
  37. **Gaston-Johansson, F., Fall-Dickson, J. M., Nanda, J., Ohly, K. V., Stillman, S., Krumm, S., et al. (2000). The effectiveness of the comprehensive coping strategy program on clinical outcomes in breast cancer autologous bone marrow transplantation. Cancer Nursing, 23, 277–285.PubMedCrossRefGoogle Scholar
  38. Given, C., Given, B., Rahbar, M., Jeon, S., McCorkle, R., Cimprich, B., et al. (2004). Effect of a cognitive behavioral intervention on reducing symptom severity during chemotherapy. Journal of Clinical Oncology, 22, 507–516.PubMedCrossRefGoogle Scholar
  39. Goodwin, P. J., Leszcz, M., Ennis, M., Koopmans, J., Vincent, L., Guther, H., et al. (2001). The effect of group psychosocial support on survival in metastatic breast cancer. New England Journal of Medicine, 345, 1719–1726.PubMedCrossRefGoogle Scholar
  40. *Greer, S., Moorey, S., & Baruch, J. (1991). Evaluation of adjuvant psychological therapy for clinically referred cancer patients. British Journal of Cancer, 63, 257–260.PubMedGoogle Scholar
  41. *Greer, S., Moorey, S., Baruch, J. D., Watson, M., Robertson, B. M., Mason, A., et al. (1992). Adjuvant psychological therapy for patients with cancer: A prospective randomised trial. BMJ, 304, 675–680.PubMedCrossRefGoogle Scholar
  42. **Hagopian, G. A., & Rubenstein, J. H. (1990). Effects of telephone call interventions on patients’ well-being in a radiation therapy department. Cancer Nursing, 13, 339–344.PubMedGoogle Scholar
  43. Harrison, J., & Maguire, P. (1994). Predictors of psychiatric morbidity in cancer patients. British Journal of Psychiatry, 165, 593–598.PubMedCrossRefGoogle Scholar
  44. Helgeson, V. S., Lepore, S. J., & Eton, D. T. (2006). Moderators of the benefits of psychoeducational interventions for men with prostate cancer. Health Psychology, 25, 348–354.PubMedCrossRefGoogle Scholar
  45. *Hidderley, M., & Holt, M. (2004). A pilot randomized trial assessing the effects of autogenic training in early stage cancer patients in relation to psychological status and immune system responses. European Journal of Oncology Nursing, 8, 61–65.PubMedCrossRefGoogle Scholar
  46. Higgins, J. P., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. BMJ, 327, 557–560.PubMedCrossRefGoogle Scholar
  47. Hosaka, T., Sugiyama, Y., Tokuda, Y., & Okuyama, T. (2000). Persistent effects of a structured psychiatric intervention on breast cancer patients’ emotions. Psychiatry and Clinical Neurosciences, 54, 559–563.PubMedCrossRefGoogle Scholar
  48. Jacobsen, P. B. (2007). Screening for psychological distress in cancer patients: Challenges and opportunities. Journal of Clinical Oncology, 25, 4526–4527.PubMedCrossRefGoogle Scholar
  49. Kalaian, H. A., & Raudenbush, S. W. (1996). A multivariate mixed linear model for meta-analysis. Psychological Methods, 1, 227–235.CrossRefGoogle Scholar
  50. Keller, M., Sommerfeldt, S., Fischer, C., Knight, L., Riesbeck, M., Lowe, B., et al. (2004). Recognition of distress and psychiatric morbidity in cancer patients: A multi-method approach. Annals of Oncology, 15, 1243–1249.PubMedCrossRefGoogle Scholar
  51. **Kim, S. D., & Kim, H. S. (2005). Effects of a relaxation breathing exercise on anxiety, depression, and leukocyte in hemopoietic stem cell transplantation patients. Cancer Nursing, 28, 79–83.PubMedCrossRefGoogle Scholar
  52. King, A. C., Ahn, D. F., Atienza, A. A., & Kraemer, H. C. (2008). Exploring refinements in targeted behavioral medicine intervention to advance public health. Annals of Behavioral Medicine, 35, 251–260.PubMedCrossRefGoogle Scholar
  53. *Kissane, D. W., Bloch, S., Smith, G. C., Miach, P., Clarke, D. M., Ikin, J., et al. (2003). Cognitive-existential group psychotherapy for women with primary breast cancer: A randomised controlled trial. Psycho-Oncology, 12, 532–546.PubMedCrossRefGoogle Scholar
  54. Kissane, D. W., Grabsch, B., Clarke, D. M., Smith, G. C., Love, A. W., Bloch, S., et al. (2007). Supportive-expressive group therapy for women with metastatic breast cancer: Survival and psychosocial outcome from a randomized controlled trial. Psycho-Oncology, 16, 277–286.PubMedCrossRefGoogle Scholar
  55. *Kite, S. M., Maher, E. J., Anderson, K., Young, T., Young, J., Wood, J., et al. (1998). Development of an aromatherapy service at a cancer centre. Palliative Medicine, 12, 171–180.PubMedCrossRefGoogle Scholar
  56. **Kwekkeboom, K. L. (2003). Music versus distraction for procedural pain and anxiety in patients with cancer. Oncology Nursing Forum, 30, 433–440.PubMedCrossRefGoogle Scholar
  57. Lepore, S. J., & Coyne, J. C. (2006). Psychological interventions for distress in cancer patients: A review of reviews. Annals of Behavioral Medicine, 32, 85–92.PubMedCrossRefGoogle Scholar
  58. **Lin, M. L., Tsang, Y. M., & Hwang, S. L. (1998). Efficacy of a stress management program for patients with hepatocellular carcinoma receiving transcatheter arterial embolization. Journal of the Formosan Medical Association, 97, 113–117.PubMedGoogle Scholar
  59. *Lindemalm, C., Strang, P., & Lekander, M. (2005). Support group for cancer patients. Does it improve their physical and psychological wellbeing? A pilot study. Supportive Care in Cancer, 13, 652–657.PubMedCrossRefGoogle Scholar
  60. *Liossi, C., & White, P. (2001). Efficacy of clinical hypnosis in the enhancement of quality of life of terminally ill cancer patients. Contemporary Hypnosis, 18, 145–160.CrossRefGoogle Scholar
  61. Lipsey, M. W. (2003). Those confounded moderators in meta-analysis: Good, bad, and ugly. Annals of the American Academy of Political and Social Science, 587, 69–81.CrossRefGoogle Scholar
  62. **Mantovani, G., Astara, G., Lampis, B., Bianchi, A., Curreli, L., Orru, W., et al. (1996). Evaluation by multidimensional instruments of health-related quality of life of elderly cancer patients undergoing three different “psychosocial” treatment approaches. A randomized clinical trial. Supportive Care in Cancer, 4, 129–140.PubMedCrossRefGoogle Scholar
  63. **McQuellon, R. P., Wells, M., Hoffman, S., Craven, B., Russell, G., Cruz, J., et al. (1998). Reducing distress in cancer patients with an orientation program. Psycho-Oncology, 7, 207–217.PubMedCrossRefGoogle Scholar
  64. Meyer, T. J., & Mark, M. M. (1995). Effects of psychosocial interventions with adult cancer patients: A meta-analysis of randomized experiments. Health Psychology, 14, 101–108.PubMedCrossRefGoogle Scholar
  65. *Midtgaard, J., Rorth, M., Stelter, R., Tveteras, A., Andersen, C., Quist, M., et al. (2005). The impact of a multidimensional exercise program on self-reported anxiety and depression in cancer patients undergoing chemotherapy: A phase II study. Palliative and Supportive Care, 3, 197–208.PubMedGoogle Scholar
  66. Mitchell, A. J. (2007). Pooled results from 38 analyses of the accuracy of distress thermometer and other ultra-short methods of detecting cancer-related mood disorders. Journal of Clinical Oncology, 25, 4670–4681.PubMedCrossRefGoogle Scholar
  67. **Miyashita, M. (2005). A randomized intervention study for breast cancer survivors in Japan: Effects of short-term support group focused on possible breast cancer recurrence. Cancer Nursing, 28, 70–78.PubMedCrossRefGoogle Scholar
  68. *Montazeri, A., Jarvandi, S., Haghighat, S., Vahdani, M., Sajadian, A., Ebrahimi, M., et al. (2001). Anxiety and depression in breast cancer patients before and after participation in a cancer support group. Patient Education and Counseling, 45, 195–198.PubMedCrossRefGoogle Scholar
  69. *Moorey, S., Greer, S., Bliss, J., & Law, M. (1998). A comparison of adjuvant psychological therapy and supportive counselling in patients with cancer. Psycho-Oncology, 7, 218–228.PubMedCrossRefGoogle Scholar
  70. **Morrow, G. R. (1986). Effect of the cognitive hierarchy in the systematic desensitization treatment of anticipatory nausea in cancer patients: A component comparison with relaxation only, counseling, and no treatment. Cognitive Therapy and Research, 10, 421–446.CrossRefGoogle Scholar
  71. Moyer, A., Sohl, S. J., Knapp-Oliver, S. K., & Schneider, S. (2009). Characteristics and methodological quality of 25 years of research investigating psychosocial interventions for cancer patients. Cancer Treatment Reviews, 35, 475–484.PubMedCrossRefGoogle Scholar
  72. *Moynihan, C., Bliss, J. M., Davidson, J., Burchell, L., & Horwich, A. (1998). Evaluation of adjuvant psychological therapy in patients with testicular cancer: Randomised controlled trial. BMJ, 316, 429–435.PubMedGoogle Scholar
  73. National Comprehensive Cancer Network (2008). NCCN clinical practice guidelines in oncology: Distress management—v.1.2008. National Comprehensive Cancer Network. Available from http://www.nccn.org.
  74. Newell, S. A., Sanson-Fisher, R. W., & Savolainen, N. J. (2002). Systematic review of psychological therapies for cancer patients: Overview and recommendations for future research. Journal of the National Cancer Institute, 94, 558–584.PubMedGoogle Scholar
  75. Osborne, R. H., Elsworth, G. R., & Hopper, J. L. (2003). Age-specific norms and determinants of anxiety and depression in 731 women with breast cancer recruited through a population-based cancer registry. European Journal of Cancer, 39, 755–762.PubMedCrossRefGoogle Scholar
  76. **Palekar, I. S. (1994). Effect of autogenic relaxation with imagery on chemotherapy side effects, as predicted by personality characteristics (Doctoral dissertation, The University of Akron, 1994). Dissertation Abstracts International, 56, 311.Google Scholar
  77. **Poroch, D. (1995). The effect of preparatory patient education on the anxiety and satisfaction of cancer patients receiving radiation therapy. Cancer Nursing, 18, 206–214.PubMedGoogle Scholar
  78. **Prince, B. J. (1995). Hospitalized, post-mastectomy coping modification and anxiety reduction (Doctoral dissertation, Yeshiva University, 1995). Dissertation Abstracts International, 56, 117.Google Scholar
  79. **Rash, J. L. (1991). The use of guided mental imagery in its effect on anxiety and depression in the cancer patient (Doctoral dissertation, United States International University, 1991). Dissertation Abstracts International, 52, 154.Google Scholar
  80. **Rawl, S. M., Given, B. A., Given, C. W., Champion, V. L., Kozachik, S. L., Barton, D., et al. (2002). Intervention to improve psychological functioning for newly diagnosed patients with cancer. Oncology Nursing Forum, 29, 967–975.PubMedCrossRefGoogle Scholar
  81. Rehse, B., & Pukrop, R. (2003). Effects of psychosocial interventions on quality of life in adult cancer patients: Meta analysis of 37 published controlled outcome studies. Patient Education and Counseling, 50, 179–186.PubMedGoogle Scholar
  82. **Sabo, C. E., & Michael, S. R. (1996). The influence of personal message with music on anxiety and side effects associated with chemotherapy. Cancer Nursing, 19, 283–289.PubMedCrossRefGoogle Scholar
  83. *Savard, J., Simard, S., Ivers, H., & Morin, C. M. (2005). Randomized study on the efficacy of cognitive-behavioral therapy for insomnia secondary to breast cancer, part I: Sleep and psychological effects. Journal of Clinical Oncology, 23, 6083–6096.PubMedCrossRefGoogle Scholar
  84. Scheier, M. F., Helgeson, V. S., Schulz, R., Colvin, S., Berga, S. L., Knapp, J., et al. (2007). Moderators of interventions designed to enhance physical and psychological functioning among younger women with early-stage breast cancer. Journal of Clinical Oncology, 25, 5710–5714.PubMedCrossRefGoogle Scholar
  85. Sheard, T., & Maguire, P. (1999). The effect of psychological interventions on anxiety and depression in cancer patients: Results of two meta-analyses. British Journal of Cancer, 80, 1770–1780.PubMedCrossRefGoogle Scholar
  86. **Smith, M., Casey, L., Johnson, D., Gwede, C., & Riggin, O. Z. (2001). Music as a therapeutic intervention for anxiety in patients receiving radiation therapy. Oncology Nursing Forum, 28, 855–862.PubMedGoogle Scholar
  87. *Spiegel, D., Morrow, G. R., Classen, C., Raubertas, R., Stott, P. B., Mudaliar, N., et al. (1999). Group psychotherapy for recently diagnosed breast cancer patients: A multicenter feasibility study. Psycho-Oncology, 8, 482–493.PubMedCrossRefGoogle Scholar
  88. Spielberger, C. D. (1983). Manual for the state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
  89. **Stalpers, L. J., da Costa, H. C., Merbis, M. A., Fortuin, A. A., Muller, M. J., & van Dam, F. S. (2005). Hypnotherapy in radiotherapy patients: A randomized trial. International Journal of Radiation Oncology, Biology, Physics, 61, 499–506.PubMedGoogle Scholar
  90. Stanton, A. L. (2005). How and for whom? Asking questions about the utility of psychosocial interventions for individuals diagnosed with cancer. Journal of Clinical Oncology, 23, 4818–4820.PubMedCrossRefGoogle Scholar
  91. Stark, D., Kiley, M., Smith, A., Velikova, G., House, A., & Selby, P. (2002). Anxiety disorders in cancer patients: Their nature, associations, and relation to quality of life. Journal of Clinical Oncology, 20, 3137–3148.PubMedCrossRefGoogle Scholar
  92. Stefanek, M. E., Jacobsen, P. B., & Christensen, A. J. (2006). The society of behavioral medicine’s “great debate”: An introduction. Annals of Behavioral Medicine, 32, 83–84.CrossRefGoogle Scholar
  93. *Strauss-Blasche, G., Gnad, E., Ekmekcioglu, C., Hladschik, B., & Marktl, W. (2005). Combined inpatient rehabilitation and spa therapy for breast cancer patients: Effects on quality of life and CA 15-3. Cancer Nursing, 28, 390–398.PubMedCrossRefGoogle Scholar
  94. Tatrow, K., & Montgomery, G. H. (2006). Cognitive behavioral therapy techniques for distress and pain in breast cancer patients: A meta-analysis. Journal of Behavioral Medicine, 29, 17–27.PubMedCrossRefGoogle Scholar
  95. *Tattersall, M. H., Butow, P. N., Griffin, A. M., & Dunn, S. M. (1994). The take-home message: Patients prefer consultation audiotapes to summary letters. Journal of Clinical Oncology, 12, 1305–1311.PubMedGoogle Scholar
  96. Taylor, K. L., Lamdan, R. M., Siegel, J. E., Shelby, R., Moran-Klimi, K., & Hrywna, M. (2003). Psychological adjustment among African American breast cancer patients: One-year follow-up results of a randomized psychoeducational group intervention. Health Psychology, 22, 316–323.PubMedCrossRefGoogle Scholar
  97. *Thomas, R., Daly, M., Perryman, B., & Stockton, D. (2000). Forewarned is forearmed—Benefits of preparatory information on video cassette for patients receiving chemotherapy or radiotherapy—A randomised controlled trial. European Journal of Cancer, 36, 1536–1543.PubMedCrossRefGoogle Scholar
  98. *Thorsen, L., Skovlund, E., Stromme, S. B., Hornslien, K., Dahl, A. A., & Fossa, S. D. (2005). Effectiveness of physical activity on cardiorespiratory fitness and health-related quality of life in young and middle-aged cancer patients shortly after chemotherapy. Journal of Clinical Oncology, 23, 2378–2388.PubMedCrossRefGoogle Scholar
  99. **Trask, P. C., Paterson, A. G., Griffith, K. A., Riba, M. B., & Schwartz, J. L. (2003). Cognitive-behavioral intervention for distress in patients with melanoma: Comparison with standard medical care and impact on quality of life. Cancer, 98, 854–864.PubMedCrossRefGoogle Scholar
  100. van Houwelingen, H. C., Arends, L. R., & Stijnen, T. (2002). Advanced methods in meta-analysis: Multivariate approach and meta-regression. Statistics in Medicine, 21, 589–624.PubMedCrossRefGoogle Scholar
  101. van’t Spijker, A., Trijsburg, R. W., & Duivenvoorden, H. J. (1997). Psychological sequelae of cancer diagnosis: A meta-analytical review of 58 studies after 1980. Psychosomatic Medicine, 59, 280–293.PubMedGoogle Scholar
  102. *Walker, L. G., Walker, M. B., Ogston, K., Heys, S. D., Ah-See, A. K., Miller, I. D., et al. (1999). Psychological, clinical and pathological effects of relaxation training and guided imagery during primary chemotherapy. British Journal of Cancer, 80, 262–268.PubMedCrossRefGoogle Scholar
  103. *Watson, M., Fenlon, D., McVey, G., & Fernandez-Marcos, M. (1996). A support group for breast cancer patients: Development of a cognitive-behavioural approach. Behavioural and Cognitive Psychotherapy, 24, 73–81.CrossRefGoogle Scholar
  104. **Williams, S. A., & Schreier, A. M. (2004). The effect of education in managing side effects in women receiving chemotherapy for treatment of breast cancer. Oncology Nursing Forum, 31, E16–E23.PubMedCrossRefGoogle Scholar
  105. **Winzelberg, A. J., Classen, C., Alpers, G. W., Roberts, H., Koopman, C., Adams, R. E., et al. (2003). Evaluation of an internet support group for women with primary breast cancer. Cancer, 97, 1164–1173.PubMedCrossRefGoogle Scholar
  106. **Wyatt, G. K., Donze, L. F., & Beckrow, K. C. (2004). Efficacy of an in-home nursing intervention following short-stay breast cancer surgery. Research in Nursing and Health, 27, 322–331.PubMedCrossRefGoogle Scholar
  107. *Yates, P., Edwards, H., Nash, R., Aranda, S., Purdie, D., Najman, J., et al. (2004). A randomized controlled trial of a nurse-administered educational intervention for improving cancer pain management in ambulatory settings. Patient Education and Counseling, 53, 227–237.PubMedCrossRefGoogle Scholar
  108. Zabora, J., BrintzenhofeSzoc, K., Curbow, B., Hooker, C., & Piantadosi, S. (2001). The prevalence of psychological distress by cancer site. Psycho-Oncology, 10, 19–28.PubMedCrossRefGoogle Scholar
  109. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.PubMedCrossRefGoogle Scholar
  110. Zimmermann, T., Heinrichs, N., & Baucom, D. H. (2007). “Does one size fit all?” moderators in psychosocial interventions for breast cancer patients: A meta-analysis. Annals of Behavioral Medicine, 34, 225–239.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Stefan Schneider
    • 1
  • Anne Moyer
    • 1
  • Sarah Knapp-Oliver
    • 1
  • Stephanie Sohl
    • 1
  • Dolores Cannella
    • 1
  • Valerie Targhetta
    • 1
  1. 1.Department of PsychologyStony Brook UniversityStony BrookUSA

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