No improvement in distress and quality of life following psychosocial cancer rehabilitation. A randomised trial

Nina Rottmann*, Susanne Oksbjerg Dalton, Pernille Envold Bidstrup, Hanne Würtzen, Mette Terp Høybye, Lone Ross, Jane Christensen, Kirsten Frederiksen, Dorte Gilså Hansen, Christoffer Johansen

*Corresponding author af dette arbejde

    Publikation: Bidrag til tidsskriftArtikelForskningpeer review

    Abstract

    Objective: Rehabilitation programmes are intended to help cancer patients achieve optimal functioning and live independently. We evaluated whether a psychosocial rehabilitation course was effective in relieving cancer patients' distress and improving their well-being. Methods: Patients with breast, prostate or colorectal cancer diagnosed within 2 years who had finished primary treatment were randomised to usual care or a 6-day residential course of lectures, discussions and peer groups on issues related to treatment and living with cancer. Changes in self-reported distress (POMS-Sf) and quality of life (EORTC QLQ-C30) from baseline to 1 and 6 months' follow-up were measured. Analyses were adjusted for baseline scores of outcome, cancer site, time since diagnosis, gender, age and education. Results: Of 507 patients, 452 were included in the analyses, 404 completed the 1-month and 394 the 6-month assessment. Patients in the control group showed greater decreases in total mood disturbance and subscales of the POMS-Sf and showed more improvement in emotional, cognitive and social functioning at both 1 and 6 months and in role functioning at 6 months than the intervention group. A similar pattern was observed in analyses of breast cancer patients only. Conclusion: A 6-day residential rehabilitation course did not relieve cancer patients' distress or improve their well-being.

    OriginalsprogEngelsk
    Sider (fra-til)505-514
    Antal sider10
    TidsskriftPsycho-Oncology
    Vol/bind21
    Udgave nummer5
    DOI
    StatusUdgivet - 1 maj 2012

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