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The effectiveness of pretreatment video-based psychoeducation for patients with breast cancer

Published online by Cambridge University Press:  08 November 2023

Toshiko Sato Open the ORCID record for Toshiko Sato [Opens in a new window] ,
Makiko Seto ,
Takafumi Sangai ,
Sengoku Norihiko ,
Hiroshi Nishimiya ,
Mariko Kikuchi ,
Ayaka Shimizu  and
Yumi Iwamitsu
Toshiko Sato*
Affiliation:
Department of Medical Psychology, Graduate School of Medical Sciences, Kitasato University, Kanagawa, Japan
Makiko Seto
Affiliation:
Department of Nursing, Kitasato University Hospital, Kanagawa, Japan
Takafumi Sangai
Affiliation:
Department of Breast and Thyroid Surgery, Kitasato University School of Medicine, Kanagawa, Japan
Sengoku Norihiko
Affiliation:
Department of Breast and Thyroid Surgery, Kitasato University School of Medicine, Kanagawa, Japan
Hiroshi Nishimiya
Affiliation:
Department of Breast Surgery, Sagamihara Kyodo Hospital, Kanagawa, Japan
Mariko Kikuchi
Affiliation:
Department of Breast and Thyroid Surgery, Kitasato University School of Medicine, Kanagawa, Japan
Ayaka Shimizu
Affiliation:
Department of Medical Psychology, Graduate School of Medical Sciences, Kitasato University, Kanagawa, Japan
Yumi Iwamitsu
Affiliation:
Department of Medical Psychology, Graduate School of Medical Sciences, Kitasato University, Kanagawa, Japan
*
Corresponding author: Toshiko Sato; Email: toshicosato@gmail.com
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Abstract

Objectives

This study confirms the effectiveness of pretreatment video-based psychoeducation on stress management and relaxation in reducing depression, anxiety, and uncertainty among patients with breast cancer.

Methods

We conducted a nonrandomized trial with 86 pretreatment patients with breast cancer who were divided equally into intervention and control groups, and stratified according to cancer stages and patient ages. Omitting the excluded participants, 35 intervention group and 36 control group participants were asked to complete the Hospital Anxiety and Depression Scale and Universal Uncertainty in Illness Scale (UUIS) before the psychoeducational intervention (baseline, hereafter “BL “) as well as 1 and 3 months later. Then, a 2 group (intervention and control groups) × 3 time points (BL and 1 and 3 months post-intervention) mixed models repeated measures (MMRM) analysis was implemented.

Results

Analysis confirmed interaction between 2 group × 3 time points for depression, anxiety, and UUIS. Multiple comparisons revealed that each score in the intervention group was significantly lower 1 and 3 months post-intervention compared to BL. Meanwhile, in the control group, the depression score was significantly higher at 3 months post-intervention compared to pre-intervention. The anxiety scores and UUIS of the same group were not significantly different between 1 and 3 months post-intervention. The effect size values 3 months post-intervention were −0.57 for depression, −0.25 for anxiety, and 0.05 for uncertainty.

Significance of results

Pretreatment psychoeducation reduced depression, anxiety, and uncertainty in the intervention group of patients with breast cancer compared to the control group. The effect sizes at 3 months post-intervention were moderate for depression and small for anxiety. These results suggest the effectiveness of psychoeducation for patients with breast cancer, using videos on stress management and relaxation, early at the pretreatment stage.

Keywords

Breast cancerpsychoeducationrelaxationdepression and anxietyuncertainty
Type
Original Article
Information
Palliative & Supportive Care , Volume 21 , Issue 6 , December 2023 , pp. 1016 - 1023
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Copyright
© The Author(s), 2023. Published by Cambridge University Press.

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