Supportive-expressive group therapy for women with metastatic breast cancer: Survival and psychosocial outcome from a randomized controlled trial

David W Kissane; Brenda Grabsch; David Murray Clarke; Graeme Crawford Smith; Anthony W Love; Sidney Bloch; Raymond Snyder; Yuelin Li

Supportive-expressive group therapy for women with metastatic breast cancer: Survival and psychosocial outcome from a randomized controlled trial

David W Kissane, Brenda Grabsch, David Murray Clarke, Graeme Crawford Smith, Anthony W Love, Sidney Bloch, Raymond Snyder, Yuelin Li

Psychiatry Monash Health

Research output: Contribution to journal › Article › Research › peer-review

281 Citations (Scopus)

Abstract

BACKGROUND: Mixed reports exist about the impact of supportive-expressive group therapy (SEGT) on survival. METHODS: From 485 women with advanced breast cancer recruited between 1996-2002, 227 (47 ) consented and were randomized within an average 10 months of cancer recurrence in a 2:1 ratio to intervention with 1 year or more of weekly SEGT plus three classes of relaxation therapy (147 women) or to control receiving three classes of relaxation therapy (80 women). The primary outcome was survival; psychosocial well-being was appraised secondarily. Analysis was by intention-to-treat. RESULTS: SEGT did not prolong survival (median survival 24.0 months in SEGT and 18.3 in controls; univariate hazard ratio for death 0.92 [95 CI, 0.69-1.26]; multivariate hazard ratio, 1.06 [95 CI, 0.74-1.51]). Significant predictors of survival were treatment with chemotherapy and hormone therapy (p

Original language	English
Pages (from-to)	277 - 286
Number of pages	10
Journal	Psycho-Oncology
Volume	16
Issue number	4
Publication status	Published - 2007

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Cite this

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title = "Supportive-expressive group therapy for women with metastatic breast cancer: Survival and psychosocial outcome from a randomized controlled trial",

abstract = "BACKGROUND: Mixed reports exist about the impact of supportive-expressive group therapy (SEGT) on survival. METHODS: From 485 women with advanced breast cancer recruited between 1996-2002, 227 (47 ) consented and were randomized within an average 10 months of cancer recurrence in a 2:1 ratio to intervention with 1 year or more of weekly SEGT plus three classes of relaxation therapy (147 women) or to control receiving three classes of relaxation therapy (80 women). The primary outcome was survival; psychosocial well-being was appraised secondarily. Analysis was by intention-to-treat. RESULTS: SEGT did not prolong survival (median survival 24.0 months in SEGT and 18.3 in controls; univariate hazard ratio for death 0.92 [95 CI, 0.69-1.26]; multivariate hazard ratio, 1.06 [95 CI, 0.74-1.51]). Significant predictors of survival were treatment with chemotherapy and hormone therapy (p",

author = "Kissane, {David W} and Brenda Grabsch and Clarke, {David Murray} and Smith, {Graeme Crawford} and Love, {Anthony W} and Sidney Bloch and Raymond Snyder and Yuelin Li",

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T1 - Supportive-expressive group therapy for women with metastatic breast cancer: Survival and psychosocial outcome from a randomized controlled trial

AU - Kissane, David W

AU - Grabsch, Brenda

AU - Clarke, David Murray

AU - Smith, Graeme Crawford

AU - Love, Anthony W

AU - Bloch, Sidney

AU - Snyder, Raymond

AU - Li, Yuelin

PY - 2007

Y1 - 2007

N2 - BACKGROUND: Mixed reports exist about the impact of supportive-expressive group therapy (SEGT) on survival. METHODS: From 485 women with advanced breast cancer recruited between 1996-2002, 227 (47 ) consented and were randomized within an average 10 months of cancer recurrence in a 2:1 ratio to intervention with 1 year or more of weekly SEGT plus three classes of relaxation therapy (147 women) or to control receiving three classes of relaxation therapy (80 women). The primary outcome was survival; psychosocial well-being was appraised secondarily. Analysis was by intention-to-treat. RESULTS: SEGT did not prolong survival (median survival 24.0 months in SEGT and 18.3 in controls; univariate hazard ratio for death 0.92 [95 CI, 0.69-1.26]; multivariate hazard ratio, 1.06 [95 CI, 0.74-1.51]). Significant predictors of survival were treatment with chemotherapy and hormone therapy (p

AB - BACKGROUND: Mixed reports exist about the impact of supportive-expressive group therapy (SEGT) on survival. METHODS: From 485 women with advanced breast cancer recruited between 1996-2002, 227 (47 ) consented and were randomized within an average 10 months of cancer recurrence in a 2:1 ratio to intervention with 1 year or more of weekly SEGT plus three classes of relaxation therapy (147 women) or to control receiving three classes of relaxation therapy (80 women). The primary outcome was survival; psychosocial well-being was appraised secondarily. Analysis was by intention-to-treat. RESULTS: SEGT did not prolong survival (median survival 24.0 months in SEGT and 18.3 in controls; univariate hazard ratio for death 0.92 [95 CI, 0.69-1.26]; multivariate hazard ratio, 1.06 [95 CI, 0.74-1.51]). Significant predictors of survival were treatment with chemotherapy and hormone therapy (p

UR - http://onlinelibrary.wiley.com.ezproxy.lib.monash.edu.au/doi/10.1002/pon.1185/abstract

M3 - Article

SN - 1057-9249

VL - 16

SP - 277

EP - 286

JO - Psycho-Oncology

JF - Psycho-Oncology

IS - 4

ER -

Supportive-expressive group therapy for women with metastatic breast cancer: Survival and psychosocial outcome from a randomized controlled trial

Abstract

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