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ABSTRACT: Psychosocial intervention for lesbians with primary
breast cancer
This study examined the effects of a Supportive-Expressive group therapy
intervention offered to lesbians with early stage breast cancer.
Twenty lesbians diagnosed with breast cancer in the previous
12-months were recruited and assessed at baseline, and at 3,
6, and 12 months after the group intervention. During the 12-week
intervention, group members focused on the problems of a new
diagnosis, coping with the illness and treatment, mood changes,
coping responses and self-efficacy, improving relationships with
family, friends and physicians, the impact of the illness on
life, pain and sleep, and changes in body image and sexuality.
A within-subject slopes analysis was conducted on data collected
for each woman over the first year. As predicted, women reported
reduced emotional distress, intrusiveness, and avoidance, and
improved coping.
There were significant changes in their social
support, but in the unexpected direction. Instrumental support
and informational support declined.
However, conflict in family
relations also declined, while trends were found towards more
cohesiveness and expressiveness. Participants reported less pain
and better sleep. There were no changes in body image, sexuality,
or attitudes toward health-care providers.
These results suggest
that Supportive/Expressive group intervention appears to be helpful
for lesbians with breast cancer.
[09/23/2002; Psycho-Oncology]
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