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The Effects of Psychosocial Interventions to Improve Stress and Coping in Patients with Breast Cancer  

Kim Cho Ja (College of Nursing, Yonsei University)
Hur Hea Kung (Department of Nursing, Wonju College of Medicine, Yonsei University)
Kang Duck Hee (School of Nursing, University of Alabama at Birmingham)
Kim Bo Hwan (Department of Microbiology, Wonju College of Medicine, Graduate School of Yonsei University)
Publication Information
Journal of Korean Academy of Nursing / v.36, no.1, 2006 , pp. 169-178 More about this Journal
Abstract
Purpose: The purpose of this study was to examine stress, coping, and immune response effects of a psychosocial intervention program based on the PNI model and Stress-Appraisal-Coping for Korean patients with breast cancer. Methods: A nonequivalent control group pretest-posttest design was used. The participants who had survived breast cancer and lived in Wonju city and the surrounding area were assigned to an intervention group (N=21) or a control group(N=18).We conducted a 12-week intervention, 2 hours a day weekly, and measured the variables at baseline, six and twelve weeks later. Dependent variables are: stress, anxiety-depression and anger, and immune response. Results: Patients in the psychosocial intervention program reported significantly less stress perception (U=31.500, p=.023), more problem solving ability and less problem avoidance in coping (U=20.500, p= .013; U=29.500, p=.040), and less anxiety-depression (U=22.000, p=.023). No difference, however, was found in anger and. immune responses between the two groups. Intervention effects were evident at week 6 and 12 for anxiety-depression, and at week 6 for problem avoidance in coping, the same time that NK cell counts and the T8 decreased. Conclusions: These results suggested positive effects of a psychosocial intervention program. However, the results are inconclusive due to the small sample.
Keywords
Stress; Coping; Stress management;
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