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document
Supportive-expressive group therapy for primary breast cancer patients : a randomized prospective multicenter trial . OBJECTIVE The aim is to evaluate the effectiveness of a manualized 12-week supportive-expressive group therapy program among primary breast cancer patients treated in community settings , to determine whether highly distressed patients were most likely to benefit and whether therapist 's training or experience was related to outcome . METHOD Three hundred and fifty-three women within one year of diagnosis with primary breast cancer were randomly assigned to receive supportive-expressive group therapy or to an education control condition . Participants were recruited from two academic centers and nine oncology practices , which were members of NCI 's Community Clinical Oncology Program ( CCOP ) and were followed over 2 years . RESULTS A 2x2x19 analysis of variance was conducted with main effects of treatment condition , cohort , and baseline distress and their interactions . There was no main effect for treatment condition after removing one subject with an extreme score . Highly distressed women did not derive a greater benefit from treatment . Therapist training and psychotherapy experience were not associated with a treatment effect . CONCLUSIONS This study provides no evidence of reduction in distress as the result of a brief supportive-expressive intervention for women with primary breast cancer . Future studies might productively focus on women with higher initial levels of distress .
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Intervention_Psychological
Supportive-expressive group therapy
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Intervention_Psychological
manualized 12-week supportive-expressive group therapy
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Intervention_Psychological
supportive-expressive group therapy
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Intervention_Control
education control condition
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Intervention_Other
supportive-expressive intervention
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Outcome_Physical
breast cancer
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Outcome_Physical
breast cancer
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Outcome_Other
effects of treatment condition
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Outcome_Physical
, cohort , and baseline distress and their interactions
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Outcome_Other
treatment condition
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Outcome_Mental
distressed
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Outcome_Other
greater benefit
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Outcome_Mental
distress
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Outcome_Physical
breast cancer
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Outcome_Mental
distress .
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Participant_Condition
primary breast cancer patients :
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Participant_Condition
primary breast cancer patients treated in community settings
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Participant_Condition
Highly distressed women
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Participant_Condition
primary
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Participant_Condition
women with higher initial levels of distress .