The Effects of a Comprehensive Coping Strategy on Clinical Outcomes in Breast Cancer Bone Marrow Transplant Patients and Primary Caregiver

Abstract

The major purpose of this 4-year study was to determine the effects of the Comprehensive Coping Strategy Program (CCSP) on pain, fatigue, psychological distress, nausea, health status, burden of care and quality of life in breast cancer patients and their primary caregivers. A randomized controlled clinical trial design was used. 138 patients and 102 primary caregivers participated in the study. Seventy patients were randomly assigned to the CCSP treatment group and 68 to the control group. Data were collected 20 days before hospitalization (baseline), during hospitalization (7 days after the ABMT), and again during the post hospitalization period which was one year following the ABMT. The results showed that breast cancer patients experienced pain, fatigue, nausea and psychological distress prior to, during and post-hospitalization for ABMT. Depression, pain, fatigue and negative coping (catastrophizing) accounted for 41% to 65% of the variance in health status.

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 1998
Accession Number
ADA367515

Entities

People

  • Fannie Gaston-johannson

Organizations

  • Johns Hopkins University

Tags

DTIC Thesaurus Topics

  • Breast Cancer
  • Health Care
  • Health Services
  • Information Science
  • Medical Personnel
  • Neoplasms
  • Pain
  • Patient Care
  • Psychological Adaptation
  • Psychology
  • Quality Of Life
  • Surveys
  • Therapy

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  • Biotechnology