Telephone Interpersonal Counseling With Women With Breast Cancer: Symptom Management and Quality of Life

College of Nursing, University of Arizona, Tucson, AZ, USA.
Oncology Nursing Forum (Impact Factor: 2.79). 04/2005; 32(2):273-9. DOI: 10.1188/05.ONF.273-279
Source: PubMed


To examine the effectiveness of a telephone interpersonal counseling (TIP-C) intervention compared to a usual care attentional control for symptom management (depression and fatigue) and quality of life (positive and negative affect, stress) for women with breast cancer.
Experimental with repeated measures.
Academic cancer center and urban, private oncology offices.
48 women with breast cancer who were in their mid-50s, married, and employed at the time of the study.
Women were assigned to either the six-week TIP-C or attentional usual care groups. Women were matched on stage and treatment. Data were collected at baseline, after the six interventions, and one month postintervention. Measures included the Center for Epidemiologic Studies Depression Scale, Positive and Negative Affect Schedule, Multidimensional Fatigue Inventory, and Index of Clinical Stress.
Depression, positive and negative affect, fatigue, and stress.
Women in the intervention group experienced decreases in depression, fatigue, and stress over time and increases in positive affect.
The preliminary results partially supported the effectiveness of TIP-C for symptom management and quality of life. The authors hypothesized that decreased depression, reduced negative affect, decreased stress, decreased fatigue, and increased positive affect over time would be the resulting psychosocial effects, given the theoretical underpinnings of the intervention.
Nurses need to assess the quantity and quality of the social support network early in treatment; women with less social support need to be referred to counseling and support services. Because these women have limited participation in face-to-face interventions, they should be encouraged to participate in telephone or online support programs or in other programs or organizations (e.g., churches, social clubs) that would provide support.

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Available from: Terry A Badger, Jun 11, 2015
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    • "The intervention reduces reports of social disruption and increases positive states of mind and benefit finding. Badger et al., 2005 "

    Full-text · Article · May 2015 · Anales de Psicología
    • "Breast cancer presents significant emotional and psychological challenges for patients (Herschbach et al., 2004; Rabin, Leventhal, & Goodin, 2004). Though depression is a common psychological response experienced by women with breast cancer (Badger et al., 2005; Lieberman & Goldstein, 2005), determining how to improve survivors' mental health and their short and long term QOL has become the focus of some recent research on breast cancer (e.g. Carver, Smith, Petronis, & Antoni, 2006; Karademas, Karvelis, & Argyropoulou, 2007; Manos et al., 2009). "
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    ABSTRACT: Fifty one breast cancer patients participated in a cross-sectional study developed to assess the relation between their level of optimism, positive and negative mental health, and their quality of life. Patients were measured with the Life Orientation Test (LOT), the Center for Epidemiological Studies Depression Scale (CES-D), and the Functional Living Index-Cancer (FLIC). T-tests revealed that these breast cancer patients reported more optimism than pessimism, more positive than negative mental health, and the majority of the sample reported doing well on each qualify life domain of the FLIC. As expected, individuals who reported more depressive symptoms also reported less qualify of life. Breast cancer patients who scored lower on pessimism showed more positive mental health, but they showed no relation to negative mental health. Women who scored higher on optimism reported better social and mental functioning on the FLIC than women who scored low on optimism.
    No preview · Article · Jun 2012 · Psychology Health and Medicine
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    • "It was concluded that this nurse-directed intervention improved psychological symptoms for patients with cancer. Badger et al. (2005) examined the effectiveness of telephone counseling compared to usual care on symptom management and quality of life for women (n = 48) with breast cancer. Findings indicated that women in the intervention group had decreased depression, fatigue, and stress over time and increases in positive affect. "
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    ABSTRACT: Throughout the illness trajectory, women with breast cancer experience issues that are related to physical, emotional, and social adjustment. Despite a general consensus that state-of-the-art treatment for breast cancer should include educational and counseling interventions to reduce illness or treatment-related symptoms, there are few prospective, theoretically based, phase-specific randomized, controlled trials that have evaluated the effectiveness of such interventions in promoting adjustment.
    Full-text · Article · May 2010 · Applied nursing research: ANR
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