Table 1.
Summary of Effects of Psychosocial Interventions on Psychological, Neuroendocrine and Immune and Health Variables from Randomized Controlled Trials with Breast Cancer Patients
| Study | Intervention Type | Intervention timing | Analyses | Sample (control condition) |
Psychological variables | Neuroendocrine variables | Immune or Health Status |
|---|---|---|---|---|---|---|---|
| Andersen et. al., 2004 | 4 mo coping skills training, relaxation training and health education | Immediately after surgery, before adjuvant therapy | baseline to 4 months post | 227 women with stage II/III breast cancer (Assessment only) |
↓ Anxiety ↑ Social support |
↑ T-cell proliferation to PHA and ConA | ↑ Dietary habits ↓ Smoking |
| Andersen et. al., 2007 | 4 mo coping skills training, relaxation training and health education | Immediately after surgery, before adjuvant therapy | baseline to 4 months post | 227 women with stage II/III breast cancer (Assessment only) |
↑ Health status ratings | ||
| Antoni et al., 2006a, c | 10 wk CBSM | ≤8 weeks after surgery | baseline to 12 months post surgery | 199 women with stage 0–III nonmetastatic breast cancer (1 day seminar) |
↓ social disruption ↑ emotional well-being ↑ benefit finding ↑ positive states of mind ↓ thought intrusion ↓ emotional distress ↓ Interviewer ratings of anxiety |
↑ Positive lifestyle change | |
| McGregor et al., 2004 | 10 wk CBSM | ≤8 weeks after surgery | Pre to post | 34 women with stage I/II breast cancer (Wait-list control) |
↑ Benefit finding | ↑ LPR to anti-CD3 | |
| Savard et al., 2005 | 8 wk CBT | Mean 42 months post diagnosis | Pre to 3, 6, 12 mos post | 57 women with newly diagnosed breast cancer | ↑ Subjective sleep ↓ Depression ↓ Anxiety ↑ Global QOL |
↑ in vitro IFN-γ & IL-1β production | |
| Phillips et al. In press | 10 wk CBSM | ≤8 weeks after surgery | Pre, 6 and 12 mos post | 128 women with stage 0–III nonmetastatic breast cancer | ↑ perceived ability to relax | ↓ Late afternoon serum cortisol |