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Erschienen in: Supportive Care in Cancer 10/2018

03.05.2018 | Original Article

Exercise, supportive group therapy, and mood profile of Greek cancer patients: intervention effect and related comparisons

verfasst von: D. Papastergiou, D. Kokaridas, K. Bonotis, N. Diggelidis, A. Patsiaouras

Erschienen in: Supportive Care in Cancer | Ausgabe 10/2018

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Abstract

Purpose

The purpose of this study was to examine the effect of exercise program and a group psychotherapy program on mood profile of Greek cancer patients as well as to make the necessary comparisons.

Methods

The sample consisted of 39 cancer patients (10 males and 29 females), randomly assigned to the three following groups: control, exercise and psychotherapy groups (13 patients in each group). The duration of the training program for the individuals of the exercise group was 10 weeks with two sessions per week, lasting 60 min each. The patients of the psychotherapy group received 10 weeks of supportive–expressive group therapy, once a week, 90 min long. The Profile of Mood States (POMS) questionnaire was administered to examine the short-term effect of both programs before and after intervention in terms of distinct mood states. Control group individuals did not participate in any program and they just filled in the POMS questionnaire before and after intervention.

Results

Post hoc analysis revealed an anger reduction, as regards the supportive therapy group presenting statistically significant results from both the control group (− 6.91 units drop in anger subscale score, p < .001) and the exercise group (− 4.75 units drop in anger subscale score, p = .007). Regarding total POMS score, results also favored the supportive therapy group as compared to the control group (− 28.95 units drop in total POMS score, p = .001). Post-intervention values were also improved for the exercise group, but not to the extent to produce statistically significant results.

Conclusions

The findings of this study strongly support the beneficial effect of psychological intervention on anger and total mood score of patients with cancer, followed by the positive effect of the exercise program but not to the same extent as in the case of supportive therapy intervention.
Fußnoten
1
I–J differences in Bonferroni test
 
Literatur
1.
Zurück zum Zitat Andersen BL, DeRubeis RJ, Berman BS, Gruman J, Champion VL, Massie MJ, Holland JC, Partridge AH, Bak K, Somerfield MR, Rowland JH (2014) Screening, assessment, and care of anxiety and depressive symptoms in adults with cancer: an American Society of Clinical Oncology guideline adaptation. J. Clin. Oncol. 32(15):1605–1619CrossRefPubMedPubMedCentral Andersen BL, DeRubeis RJ, Berman BS, Gruman J, Champion VL, Massie MJ, Holland JC, Partridge AH, Bak K, Somerfield MR, Rowland JH (2014) Screening, assessment, and care of anxiety and depressive symptoms in adults with cancer: an American Society of Clinical Oncology guideline adaptation. J. Clin. Oncol. 32(15):1605–1619CrossRefPubMedPubMedCentral
2.
Zurück zum Zitat Aoki T, Hosaka T, Ishida A (1995) Psychiatric evaluation of physical rehabilitation patients. General Hospital Psychiatry 17(6): 440–443 Aoki T, Hosaka T, Ishida A (1995) Psychiatric evaluation of physical rehabilitation patients. General Hospital Psychiatry 17(6): 440–443
3.
Zurück zum Zitat Azevedo MJ, Viamonte S, Castro A (2013) Exercise prescription in oncology patients: general principles. Rehabilitación 47(3):170–178CrossRef Azevedo MJ, Viamonte S, Castro A (2013) Exercise prescription in oncology patients: general principles. Rehabilitación 47(3):170–178CrossRef
4.
Zurück zum Zitat Ariza-García A, Galiano-Castillo N, Cantarero-Villanueva I, Fernández-Lao C, Díaz-Rodríguez L, Arroyo-Morales M (2013) Influence of physical inactivity in psychophysiolocigal state of breast cancer survivors. Eur. J. Cancer Care 22(6):738–745CrossRef Ariza-García A, Galiano-Castillo N, Cantarero-Villanueva I, Fernández-Lao C, Díaz-Rodríguez L, Arroyo-Morales M (2013) Influence of physical inactivity in psychophysiolocigal state of breast cancer survivors. Eur. J. Cancer Care 22(6):738–745CrossRef
5.
Zurück zum Zitat Baker F, Denniston M, Zabora J, Polland A, Dudley WN (2002) A POMS short form for cancer patients: psychometric and structural evaluation. Psycho-Oncology11(4): 273–281 Baker F, Denniston M, Zabora J, Polland A, Dudley WN (2002) A POMS short form for cancer patients: psychometric and structural evaluation. Psycho-Oncology11(4): 273–281
6.
Zurück zum Zitat Berger BG, Motl RW (2000) Exercise and mood: a selective review and synthesis of research employing the profile of mood states. Journal of Applied Sport Psychology12(1): 69–92 Berger BG, Motl RW (2000) Exercise and mood: a selective review and synthesis of research employing the profile of mood states. Journal of Applied Sport Psychology12(1): 69–92
7.
Zurück zum Zitat Blanchard CM, Courneya KS, Stein K (2008) Cancer survivors’ adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society's SCS-II. J. Clin. Oncol. 26(13):2198–2204CrossRefPubMed Blanchard CM, Courneya KS, Stein K (2008) Cancer survivors’ adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society's SCS-II. J. Clin. Oncol. 26(13):2198–2204CrossRefPubMed
8.
Zurück zum Zitat Borg GA (1982) Psychophysical bases of perceived exertion. Med. Sci. Sports Exerc. 14:377-381 Borg GA (1982) Psychophysical bases of perceived exertion. Med. Sci. Sports Exerc. 14:377-381
9.
Zurück zum Zitat Butler LD, Koopman C, Neri E, Giese-Davis J, Palesh O, Thorne-Yocam KA, Dimiceli S, Chen XH, Fobair P, Kraemer HC, Spiegel D (2009) Effects of supportive-expressive group therapy on pain in women with metastatic breast cancer.Health Psychology28(5): 579 Butler LD, Koopman C, Neri E, Giese-Davis J, Palesh O, Thorne-Yocam KA, Dimiceli S, Chen XH, Fobair P, Kraemer HC, Spiegel D (2009) Effects of supportive-expressive group therapy on pain in women with metastatic breast cancer.Health Psychology28(5): 579
10.
Zurück zum Zitat Carlson LE, Rouleau CR, Speca M, Robinson J, Bultz BD (2017) Brief supportive-expressive group therapy for partners of men with early stage prostate cancer: lessons learned from a negative randomized controlled trial. Support. Care Cancer:1–7 Carlson LE, Rouleau CR, Speca M, Robinson J, Bultz BD (2017) Brief supportive-expressive group therapy for partners of men with early stage prostate cancer: lessons learned from a negative randomized controlled trial. Support. Care Cancer:1–7
11.
Zurück zum Zitat Carlson LE, Speca M, Patel KD, Goodey E (2003) Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients. Psychosom. Med. 65(4):571–581CrossRefPubMed Carlson LE, Speca M, Patel KD, Goodey E (2003) Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients. Psychosom. Med. 65(4):571–581CrossRefPubMed
12.
Zurück zum Zitat Clark MM, Vickers KS, Hathaway JC, Smith M, Looker SA, Petersen LR, Pinto BM, Rummans TA, Loprinzi CL (2007) Physical activity in patients with advanced-stage cancer actively receiving chemotherapy. J. Support. Oncol. 5:487–493PubMed Clark MM, Vickers KS, Hathaway JC, Smith M, Looker SA, Petersen LR, Pinto BM, Rummans TA, Loprinzi CL (2007) Physical activity in patients with advanced-stage cancer actively receiving chemotherapy. J. Support. Oncol. 5:487–493PubMed
13.
Zurück zum Zitat Classen CC, Kraemer HC, Blasey C, Giese-Davis J, Koopman C, Palesh OG, Atkinson A, Dimiceli S, Stonisch-Riggs G, Westendorp J, Morrow GR, Spiegel D (2008) Supportive–expressive group therapy for primary breast cancer patients: a randomized prospective multicenter trial. Psychooncology 17(5):438–447CrossRefPubMedPubMedCentral Classen CC, Kraemer HC, Blasey C, Giese-Davis J, Koopman C, Palesh OG, Atkinson A, Dimiceli S, Stonisch-Riggs G, Westendorp J, Morrow GR, Spiegel D (2008) Supportive–expressive group therapy for primary breast cancer patients: a randomized prospective multicenter trial. Psychooncology 17(5):438–447CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Cormie P, Zopf EM, Zhang X, Schmitz KH (2017) The impact of exercise on Cancer mortality, recurrence, and treatment-related adverse effects. Epidemiol. Rev. 39(1):71–92CrossRefPubMed Cormie P, Zopf EM, Zhang X, Schmitz KH (2017) The impact of exercise on Cancer mortality, recurrence, and treatment-related adverse effects. Epidemiol. Rev. 39(1):71–92CrossRefPubMed
15.
Zurück zum Zitat Craft LL, Vaniterson EH, Helenowski IB, Rademaker AW, Courneya KS (2012) Exercise effects on depressive symptoms in cancer survivors: a systematic review and meta-analysis. Cancer Epidemiology and Prevention Biomarkers Prev 21(1):3–19CrossRef Craft LL, Vaniterson EH, Helenowski IB, Rademaker AW, Courneya KS (2012) Exercise effects on depressive symptoms in cancer survivors: a systematic review and meta-analysis. Cancer Epidemiology and Prevention Biomarkers Prev 21(1):3–19CrossRef
16.
Zurück zum Zitat Courneya KS, Segal RJ, Mackey JR, Gelmon K, Reid RD, Friedenreich CM, Ladha AB, Proulx C, Vallance JK, Lane K, Yasui Y, McKenzie DC (2007) Effects of aerobic and resistance exercise in breast cancer patients receiving adjuvant chemotherapy: a multicenter randomized controlled trial. J. Clin. Oncol. 25:4396–4404CrossRefPubMed Courneya KS, Segal RJ, Mackey JR, Gelmon K, Reid RD, Friedenreich CM, Ladha AB, Proulx C, Vallance JK, Lane K, Yasui Y, McKenzie DC (2007) Effects of aerobic and resistance exercise in breast cancer patients receiving adjuvant chemotherapy: a multicenter randomized controlled trial. J. Clin. Oncol. 25:4396–4404CrossRefPubMed
17.
Zurück zum Zitat Cunningham A, Edmonds CVI, Jenkins GP, Pollack H, Lockwood GA, Warr D (1998) A randomized controlled trial of the effects of group psychological therapy on survival in women with metastatic breast cancer.Psycho-Oncology7(6): 508–517 Cunningham A, Edmonds CVI, Jenkins GP, Pollack H, Lockwood GA, Warr D (1998) A randomized controlled trial of the effects of group psychological therapy on survival in women with metastatic breast cancer.Psycho-Oncology7(6): 508–517
18.
Zurück zum Zitat Edelman S, Bell DR, Kidman AD (1999) A group cognitive behavior therapy program with metastatic breast cancer patients. Psychooncology 8(4):295–305CrossRefPubMed Edelman S, Bell DR, Kidman AD (1999) A group cognitive behavior therapy program with metastatic breast cancer patients. Psychooncology 8(4):295–305CrossRefPubMed
19.
Zurück zum Zitat Galvão DA, Taaffe DR, Spry N, Joseph D, Newton R (2010) Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: a randomized controlled trial. J. Clin. Oncol. 28:340–347CrossRefPubMed Galvão DA, Taaffe DR, Spry N, Joseph D, Newton R (2010) Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: a randomized controlled trial. J. Clin. Oncol. 28:340–347CrossRefPubMed
20.
Zurück zum Zitat Gerhart J, Schmidt E, Lillis T, O’Mahony S, Duberstein P, Hoerger M (2016) Anger proneness and prognostic pessimism in men with prostate Cancer. Am. J. Hosp. Palliat. Med.:1–8 Gerhart J, Schmidt E, Lillis T, O’Mahony S, Duberstein P, Hoerger M (2016) Anger proneness and prognostic pessimism in men with prostate Cancer. Am. J. Hosp. Palliat. Med.:1–8
21.
Zurück zum Zitat Gerritsen JK, Vincent AJ (2015) Exercise improves quality of life in patients with cancer: a systematic review and meta-analysis of randomized controlled trials. Br. J. Sports Med. 50(13):796–803CrossRefPubMed Gerritsen JK, Vincent AJ (2015) Exercise improves quality of life in patients with cancer: a systematic review and meta-analysis of randomized controlled trials. Br. J. Sports Med. 50(13):796–803CrossRefPubMed
22.
Zurück zum Zitat Ghasemi A, Zahediasl S (2012) Normality tests for statistical analysis: a guide for non-statisticians. International Journal of Endocrinology and Metabolism 10(2): 486–489 Ghasemi A, Zahediasl S (2012) Normality tests for statistical analysis: a guide for non-statisticians. International Journal of Endocrinology and Metabolism 10(2): 486–489
23.
Zurück zum Zitat Giese-Davis J, Koopman C, Butler LD, Classen C, Cordova M, Fobair P, Spiegel D (2002) Change in emotion-regulation strategy for women with metastatic breast cancer following supportive-expressive group therapy.Journal of Consulting and Clinical Psychology70(4):916 Giese-Davis J, Koopman C, Butler LD, Classen C, Cordova M, Fobair P, Spiegel D (2002) Change in emotion-regulation strategy for women with metastatic breast cancer following supportive-expressive group therapy.Journal of Consulting and Clinical Psychology70(4):916
24.
Zurück zum Zitat Goodwin PJ, Leszcz M, Ennis M, Koopmans J, Vincent L, Guther H, Speca M (2001) The effect of group psychosocial support on survival in metastatic breast cancer.New England Journal of Medicine345(24): 1719–1726 Goodwin PJ, Leszcz M, Ennis M, Koopmans J, Vincent L, Guther H, Speca M (2001) The effect of group psychosocial support on survival in metastatic breast cancer.New England Journal of Medicine345(24): 1719–1726
25.
Zurück zum Zitat Green AI, Patel JK, Goisman RM, Allison DB, Blackburn G (2000) Weight gain from novel antipsychotic drugs: need for action. Gen. Hosp. Psychiatry 22(4):224–235CrossRefPubMed Green AI, Patel JK, Goisman RM, Allison DB, Blackburn G (2000) Weight gain from novel antipsychotic drugs: need for action. Gen. Hosp. Psychiatry 22(4):224–235CrossRefPubMed
26.
Zurück zum Zitat Hanai A, Ishiguro H, Sozu T, Tsuda M, Arai H, Mitani A, Tsuboyama T (2016) Effects of a self-management program on antiemetic-induced constipation during chemotherapy among breast cancer patients: a randomized controlled clinical trial. Breast Cancer Res. Treat. 155(1):99–107CrossRefPubMed Hanai A, Ishiguro H, Sozu T, Tsuda M, Arai H, Mitani A, Tsuboyama T (2016) Effects of a self-management program on antiemetic-induced constipation during chemotherapy among breast cancer patients: a randomized controlled clinical trial. Breast Cancer Res. Treat. 155(1):99–107CrossRefPubMed
27.
Zurück zum Zitat Hill KM, Amir Z, Muers MF, Connolly CK, Round CE (2003) Do newly diagnosed lung cancer patients feel their concerns are being met?.European Journal of Cancer Care12(1): 35–45 Hill KM, Amir Z, Muers MF, Connolly CK, Round CE (2003) Do newly diagnosed lung cancer patients feel their concerns are being met?.European Journal of Cancer Care12(1): 35–45
28.
Zurück zum Zitat Ho RT, Fong TC, Lo PH, Ho SM, Lee PW, Leung PP, Spiegel D, Chan CL (2016) Randomized controlled trial of supportive-expressive group therapy and body-mind-spirit intervention for Chinese non-metastatic breast cancer patients. Support. Care Cancer 24(12):4929–4937CrossRefPubMedPubMedCentral Ho RT, Fong TC, Lo PH, Ho SM, Lee PW, Leung PP, Spiegel D, Chan CL (2016) Randomized controlled trial of supportive-expressive group therapy and body-mind-spirit intervention for Chinese non-metastatic breast cancer patients. Support. Care Cancer 24(12):4929–4937CrossRefPubMedPubMedCentral
29.
Zurück zum Zitat Holmes MD, Chen WY, Feskanich D, Kroenke CH, Colditz GA (2005) Physical activity and survival after breast cancer diagnosis. JAMA 293:2479–2486CrossRefPubMed Holmes MD, Chen WY, Feskanich D, Kroenke CH, Colditz GA (2005) Physical activity and survival after breast cancer diagnosis. JAMA 293:2479–2486CrossRefPubMed
30.
Zurück zum Zitat Kissane DW, Grabsch B, Clarke DM, Smith GC, Love AW, Bloch S, Snyder RD, Li Y (2007) Supportive-expressive group therapy for women with metastatic breast cancer: survival and psychosocial outcome from a randomized controlled trial. Psycho-Oncology16(4): 277–286 Kissane DW, Grabsch B, Clarke DM, Smith GC, Love AW, Bloch S, Snyder RD, Li Y (2007) Supportive-expressive group therapy for women with metastatic breast cancer: survival and psychosocial outcome from a randomized controlled trial. Psycho-Oncology16(4): 277–286
31.
Zurück zum Zitat Kübler-Ross E (2011) Questions and answers on death and dying: a companion volume to on death and dying. Simon and Schuster, New York Kübler-Ross E (2011) Questions and answers on death and dying: a companion volume to on death and dying. Simon and Schuster, New York
32.
Zurück zum Zitat Marchioro G, Azzarello G, Checchin F, Perale M, Segati R, Sampognaro E, Rosetti F, Franchin A, Pappagallo GL, Vinante O (1996) The impact of a psychological intervention on quality of life in non-metastatic breast cancer. European Journal of Cancer32(9): 1612–1615 Marchioro G, Azzarello G, Checchin F, Perale M, Segati R, Sampognaro E, Rosetti F, Franchin A, Pappagallo GL, Vinante O (1996) The impact of a psychological intervention on quality of life in non-metastatic breast cancer. European Journal of Cancer32(9): 1612–1615
33.
Zurück zum Zitat McQuellon RP, Wells M, Hoffman S, Craven KB, Russell KG, Cruz J, Hurt G, DeChatelet P, Andrykowski MA, Savage P(1998) Reducing distress in cancer patients with an orientation program. Psycho-Oncology7:207–217 McQuellon RP, Wells M, Hoffman S, Craven KB, Russell KG, Cruz J, Hurt G, DeChatelet P, Andrykowski MA, Savage P(1998) Reducing distress in cancer patients with an orientation program. Psycho-Oncology7:207–217
34.
Zurück zum Zitat Mishra SI, Scherer RW, Geigle PM, Berlanstein DR, Topaloglu O, Gotay CC, Snyder C (2012) Exercise interventions on health-related quality of life for cancer survivors. Cochrane Libr:1–41 Mishra SI, Scherer RW, Geigle PM, Berlanstein DR, Topaloglu O, Gotay CC, Snyder C (2012) Exercise interventions on health-related quality of life for cancer survivors. Cochrane Libr:1–41
36.
Zurück zum Zitat Morley S, Goldfarb M (2015) Support needs and survivorship concerns of thyroid cancer patients. Thyroid 25(6):649–656CrossRefPubMed Morley S, Goldfarb M (2015) Support needs and survivorship concerns of thyroid cancer patients. Thyroid 25(6):649–656CrossRefPubMed
37.
Zurück zum Zitat Panesar N, Valachova I (2011) Yoga and mental health. Australian Psychiatry 19:538–539CrossRef Panesar N, Valachova I (2011) Yoga and mental health. Australian Psychiatry 19:538–539CrossRef
38.
Zurück zum Zitat Ram S, Narayanasamy R, Barua A (2013) Effectiveness of group psycho-education on well-being and depression among breast cancer survivors of Melaka, Malaysia. Indian Journal of Palliative Care 19(1):34–39CrossRefPubMedPubMedCentral Ram S, Narayanasamy R, Barua A (2013) Effectiveness of group psycho-education on well-being and depression among breast cancer survivors of Melaka, Malaysia. Indian Journal of Palliative Care 19(1):34–39CrossRefPubMedPubMedCentral
39.
Zurück zum Zitat Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvão DA, Pinto BM, Irwin ML, Wolin KY, Segal RJ, Lucia A, Schneider CM, von Gruenigen VE, Schwartz AL (2010) American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med. Sci. Sports Exerc. 42(7):1409–1426CrossRefPubMed Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvão DA, Pinto BM, Irwin ML, Wolin KY, Segal RJ, Lucia A, Schneider CM, von Gruenigen VE, Schwartz AL (2010) American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med. Sci. Sports Exerc. 42(7):1409–1426CrossRefPubMed
40.
Zurück zum Zitat Scholten C, Weinländer G, Krainer M, Frischenschlager O, Zielinski CC (2001) Difference in patient's acceptance of early versus late initiation of psychosocial support in breast cancer.Supportive Care in Cancer9(6): 459–464 Scholten C, Weinländer G, Krainer M, Frischenschlager O, Zielinski CC (2001) Difference in patient's acceptance of early versus late initiation of psychosocial support in breast cancer.Supportive Care in Cancer9(6): 459–464
41.
Zurück zum Zitat Spiegel D, Kraemer H, Bloom J, Gottheil E (1989) Effect of psychosocial treatment on survival of patients with metastatic breast cancer. Lancet 334(8668):888–891CrossRef Spiegel D, Kraemer H, Bloom J, Gottheil E (1989) Effect of psychosocial treatment on survival of patients with metastatic breast cancer. Lancet 334(8668):888–891CrossRef
42.
Zurück zum Zitat Spielberger CD (1999) State trait anger expression inventory. John Wiley & Sons, Inc. Spielberger CD (1999) State trait anger expression inventory. John Wiley & Sons, Inc.
44.
Zurück zum Zitat Vilhauer RP (2008) A qualitative study of the experiences of women with metastatic breast cancer. Palliat. Support. Care 6(3):249–258CrossRefPubMed Vilhauer RP (2008) A qualitative study of the experiences of women with metastatic breast cancer. Palliat. Support. Care 6(3):249–258CrossRefPubMed
45.
Zurück zum Zitat Yeh ML, Chung YC, Hsu MYF, Hsu CC (2014) Quantifying psychological distress among cancer patients in interventions and scales: a systematic review. Curr. Pain Headache Rep. 18(3):1–9CrossRef Yeh ML, Chung YC, Hsu MYF, Hsu CC (2014) Quantifying psychological distress among cancer patients in interventions and scales: a systematic review. Curr. Pain Headache Rep. 18(3):1–9CrossRef
Metadaten
Titel
Exercise, supportive group therapy, and mood profile of Greek cancer patients: intervention effect and related comparisons
verfasst von
D. Papastergiou
D. Kokaridas
K. Bonotis
N. Diggelidis
A. Patsiaouras
Publikationsdatum
03.05.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 10/2018
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-018-4219-9

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