The impact of a brief problem-solving training intervention for relatives of recently diagnosed breast cancer patients

Marc D. Schwartz, Caryn Lerman, Janet Audrain, David Cella, Barbara Rimer, Michael Stefanek, Judy Garber, Ting Hsiang Lin, Victor Vogel

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Previous studies have found high levels of psychological distress in women who have a family history of breast cancer. We evaluated a brief Problem-Solving Training (PST) intervention designed to reduce distress among women with a first-degree relative recently diagnosed with this disease. Participants were randomly assigned to either the PST group (N = 144) or a General Health Counseling (GHC) control group (N = 197). At baseline, these groups did not differ on any sociodemographic, risk factor, Or psychological distress variables. We evaluated the impact of PST, relative to GHC, at the three-month follow-up assessment using a 2 (treatment group) x 2 (time of assessment) mixed factor analysis of variance (ANOVA). Although there were significant decreases in both cancer-specific and general distress in both the PST and GHC groups, the magnitude of these decreases did not differ. However, when PST participants were divided into those who regularly practiced the PST techniques and those who did not, significant differences emerged. Participants who regularly practiced the PST techniques had significantly greater decreases in cancer-specific distress [Impact of Event Scale (IEs) intrusion and avoidance subscales] compared to infrequent practicers and GHC participants. Effects on general distress were not found. Additional studies are needed to identify ways to promote the practice of PST techniques and to evaluate other psychosocial interventions for female relatives of breast cancer patients.

Original languageEnglish (US)
Pages (from-to)7-12
Number of pages6
JournalAnnals of Behavioral Medicine
Volume20
Issue number1
DOIs
StatePublished - Jan 1 1998

Fingerprint

Breast Neoplasms
Counseling
Teaching
Health
Psychology
Statistical Factor Analysis
Neoplasms
Analysis of Variance
Control Groups

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health

Cite this

The impact of a brief problem-solving training intervention for relatives of recently diagnosed breast cancer patients. / Schwartz, Marc D.; Lerman, Caryn; Audrain, Janet; Cella, David; Rimer, Barbara; Stefanek, Michael; Garber, Judy; Lin, Ting Hsiang; Vogel, Victor.

In: Annals of Behavioral Medicine, Vol. 20, No. 1, 01.01.1998, p. 7-12.

Research output: Contribution to journalArticle

Schwartz, MD, Lerman, C, Audrain, J, Cella, D, Rimer, B, Stefanek, M, Garber, J, Lin, TH & Vogel, V 1998, 'The impact of a brief problem-solving training intervention for relatives of recently diagnosed breast cancer patients', Annals of Behavioral Medicine, vol. 20, no. 1, pp. 7-12. https://doi.org/10.1007/BF02893803
Schwartz, Marc D. ; Lerman, Caryn ; Audrain, Janet ; Cella, David ; Rimer, Barbara ; Stefanek, Michael ; Garber, Judy ; Lin, Ting Hsiang ; Vogel, Victor. / The impact of a brief problem-solving training intervention for relatives of recently diagnosed breast cancer patients. In: Annals of Behavioral Medicine. 1998 ; Vol. 20, No. 1. pp. 7-12.
@article{c6f82a65eece4356a81a79c201c5530d,
title = "The impact of a brief problem-solving training intervention for relatives of recently diagnosed breast cancer patients",
abstract = "Previous studies have found high levels of psychological distress in women who have a family history of breast cancer. We evaluated a brief Problem-Solving Training (PST) intervention designed to reduce distress among women with a first-degree relative recently diagnosed with this disease. Participants were randomly assigned to either the PST group (N = 144) or a General Health Counseling (GHC) control group (N = 197). At baseline, these groups did not differ on any sociodemographic, risk factor, Or psychological distress variables. We evaluated the impact of PST, relative to GHC, at the three-month follow-up assessment using a 2 (treatment group) x 2 (time of assessment) mixed factor analysis of variance (ANOVA). Although there were significant decreases in both cancer-specific and general distress in both the PST and GHC groups, the magnitude of these decreases did not differ. However, when PST participants were divided into those who regularly practiced the PST techniques and those who did not, significant differences emerged. Participants who regularly practiced the PST techniques had significantly greater decreases in cancer-specific distress [Impact of Event Scale (IEs) intrusion and avoidance subscales] compared to infrequent practicers and GHC participants. Effects on general distress were not found. Additional studies are needed to identify ways to promote the practice of PST techniques and to evaluate other psychosocial interventions for female relatives of breast cancer patients.",
author = "Schwartz, {Marc D.} and Caryn Lerman and Janet Audrain and David Cella and Barbara Rimer and Michael Stefanek and Judy Garber and Lin, {Ting Hsiang} and Victor Vogel",
year = "1998",
month = "1",
day = "1",
doi = "10.1007/BF02893803",
language = "English (US)",
volume = "20",
pages = "7--12",
journal = "Annals of Behavioral Medicine",
issn = "0883-6612",
publisher = "Springer New York",
number = "1",

}

TY - JOUR

T1 - The impact of a brief problem-solving training intervention for relatives of recently diagnosed breast cancer patients

AU - Schwartz, Marc D.

AU - Lerman, Caryn

AU - Audrain, Janet

AU - Cella, David

AU - Rimer, Barbara

AU - Stefanek, Michael

AU - Garber, Judy

AU - Lin, Ting Hsiang

AU - Vogel, Victor

PY - 1998/1/1

Y1 - 1998/1/1

N2 - Previous studies have found high levels of psychological distress in women who have a family history of breast cancer. We evaluated a brief Problem-Solving Training (PST) intervention designed to reduce distress among women with a first-degree relative recently diagnosed with this disease. Participants were randomly assigned to either the PST group (N = 144) or a General Health Counseling (GHC) control group (N = 197). At baseline, these groups did not differ on any sociodemographic, risk factor, Or psychological distress variables. We evaluated the impact of PST, relative to GHC, at the three-month follow-up assessment using a 2 (treatment group) x 2 (time of assessment) mixed factor analysis of variance (ANOVA). Although there were significant decreases in both cancer-specific and general distress in both the PST and GHC groups, the magnitude of these decreases did not differ. However, when PST participants were divided into those who regularly practiced the PST techniques and those who did not, significant differences emerged. Participants who regularly practiced the PST techniques had significantly greater decreases in cancer-specific distress [Impact of Event Scale (IEs) intrusion and avoidance subscales] compared to infrequent practicers and GHC participants. Effects on general distress were not found. Additional studies are needed to identify ways to promote the practice of PST techniques and to evaluate other psychosocial interventions for female relatives of breast cancer patients.

AB - Previous studies have found high levels of psychological distress in women who have a family history of breast cancer. We evaluated a brief Problem-Solving Training (PST) intervention designed to reduce distress among women with a first-degree relative recently diagnosed with this disease. Participants were randomly assigned to either the PST group (N = 144) or a General Health Counseling (GHC) control group (N = 197). At baseline, these groups did not differ on any sociodemographic, risk factor, Or psychological distress variables. We evaluated the impact of PST, relative to GHC, at the three-month follow-up assessment using a 2 (treatment group) x 2 (time of assessment) mixed factor analysis of variance (ANOVA). Although there were significant decreases in both cancer-specific and general distress in both the PST and GHC groups, the magnitude of these decreases did not differ. However, when PST participants were divided into those who regularly practiced the PST techniques and those who did not, significant differences emerged. Participants who regularly practiced the PST techniques had significantly greater decreases in cancer-specific distress [Impact of Event Scale (IEs) intrusion and avoidance subscales] compared to infrequent practicers and GHC participants. Effects on general distress were not found. Additional studies are needed to identify ways to promote the practice of PST techniques and to evaluate other psychosocial interventions for female relatives of breast cancer patients.

UR - http://www.scopus.com/inward/record.url?scp=0031711238&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031711238&partnerID=8YFLogxK

U2 - 10.1007/BF02893803

DO - 10.1007/BF02893803

M3 - Article

C2 - 9755346

AN - SCOPUS:0031711238

VL - 20

SP - 7

EP - 12

JO - Annals of Behavioral Medicine

JF - Annals of Behavioral Medicine

SN - 0883-6612

IS - 1

ER -