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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Psychoeducational intervention for patients with cutaneous malignant melanoma: a replication study

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PURPOSE: In 1993, a randomized intervention study among patients with malignant melanoma showed a significant decrease in psychological distress and increased coping capacity 6 months after the intervention and enhanced survival 6 years later. We applied a similar intervention with a few modifications in a randomized controlled trial among Danish patients with malignant melanoma and evaluated results on immediate and long-term effects on psychological distress and coping capacity.

PATIENTS AND METHODS: A total of 262 patients with primary cutaneous malignant melanoma were randomly assigned to the control or intervention group. Patients in the intervention group were offered six weekly sessions of 2 hours of psychoeducation, consisting of health education, enhancement of problem-solving skills, stress management, and psychological support. The participants were assessed at baseline before random assignment and 6 and 12 months after surgery. The analyses of the main effects of the intervention were based on analyses of covariance.

RESULTS: The patients in the intervention group showed significantly less fatigue, greater vigor, and lower total mood disturbance compared with the controls, and they used significantly more active-behavioral and active-cognitive coping than the patients in the control group. The improvements were only significant at first follow-up.

CONCLUSION: The findings of this study support the results of an earlier intervention study among patients with malignant melanoma and indicate that a psychoeducational group intervention for such patients can decrease psychological distress and enhance effective coping. However, this effect is short term and the clinical relevance is not obvious.

Original languageEnglish
JournalJournal of clinical oncology : official journal of the American Society of Clinical Oncology
Volume23
Issue number6
Pages (from-to)1270-7
Number of pages8
ISSN0732-183X
DOIs
Publication statusPublished - 20 Feb 2005

    Research areas

  • Adaptation, Psychological, Adult, Aged, Female, Humans, Male, Melanoma, Middle Aged, Mood Disorders, Patient Education as Topic, Psychological Tests, Psychotherapy, Group, Skin Neoplasms, Social Support, Stress, Psychological

ID: 46007024