Breast cancer support
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Breast Cancer Support: Insights from Recent Research
Peer Support Interventions for Breast Cancer Patients
Peer support interventions have shown varying degrees of effectiveness in improving the emotional well-being and healthy behaviors of breast cancer patients. A systematic review of randomized controlled trials (RCTs) found that structured and moderated peer support interventions, particularly one-on-one models, significantly improved negative emotions among patients. However, unmoderated and unstructured group peer support, as well as internet-based models without peer training, were found to be ineffective or even detrimental. Peer education emerged as a promising approach, positively impacting stress management, quality of life, and healthy behaviors.
Support Groups in Advanced Breast Cancer
Support groups have been extensively studied for their potential benefits in patients with metastatic breast cancer. While early studies suggested that these groups could prolong survival, subsequent research has not consistently supported this finding. However, all studies reviewed reported beneficial psychosocial effects, such as improved mood and reduced anxiety, although these effects were sometimes transient. The evidence for survival benefits remains inconclusive, but the psychosocial advantages are well-documented.
Psychological Support During Breast Cancer Surgery
Psychological support from specialized breast care nurses has been shown to significantly reduce psychological morbidity in women undergoing breast cancer surgery. A randomized study demonstrated that patients receiving support from breast care nurses reported lower levels of anxiety, depression, and other psychological distress compared to those receiving routine care or support from voluntary organizations. This highlights the importance of professional psychological support in the surgical treatment phase.
Education and Psychological Support Post-Surgery
A non-randomized quasi-experimental study in Taiwan found that education and psychological support significantly reduced symptom distress and unmet supportive care needs in women newly diagnosed with breast cancer, three months post-surgery. The intervention, which included individual face-to-face and telephone follow-up sessions, also lowered levels of state anxiety, underscoring the value of continuous, culturally sensitive, and individualized support.
Mobile e-Support Programs
Innovative support methods, such as mobile e-support programs, have shown potential in addressing the unmet supportive care needs of breast cancer patients undergoing chemotherapy. A multicenter randomized controlled trial in China found that an app-based breast cancer e-support program significantly improved self-efficacy, symptom interference, and quality of life at three months, although these benefits were not sustained at six months. The program's effectiveness was positively correlated with the duration of its use, suggesting that higher engagement could lead to better outcomes.
Social Support and Survival
The relationship between social support and survival in breast cancer patients has been explored in various studies. While some research indicates that social support may positively influence survival, the evidence is mixed. A systematic review found that structural support (e.g., being married) was more frequently associated with better outcomes than functional support (e.g., emotional support). Additionally, a study on African American women with breast cancer highlighted that higher initial levels of perceived social support were associated with fewer depressive symptoms and better general health perceptions two years post-diagnosis.
Conclusion
The research underscores the multifaceted nature of support for breast cancer patients, ranging from peer and psychological support to innovative mobile applications. While the psychosocial benefits of these interventions are well-established, their impact on survival remains less clear. Continuous, structured, and professional support, tailored to individual needs, appears to be the most effective approach in improving the overall well-being of breast cancer patients.
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