Moderators of Psycho-Oncology Therapy Effectiveness: Addressing Design Variable Confounds in Meta-Analysis

Clinical Psychology: Science and Practice

Volumn 19, Issue 1, 2012, Pages 49-71

  Heron Speirs, Heather A ^a   Harvey, Shane T ^a   Baken, Donald M ^a  

^a MASSEY UNIVERSITY   (New Zealand)

Author keywords

Cancer; Confound; Design; Meta analysis; Patient; Psycho oncology; Therapy; Variables

Indexed keywords

EID: 84858717163     PISSN: 09695893     EISSN: 14682850     Source Type: Journal    
DOI: 10.1111/j.1468-2850.2012.01274.x     Document Type: Article

References (222)

1. Ali, N. S., & Khalil, H. Z. (1989). Effect of psychoeducational intervention on anxiety among Egyptian bladder cancer patients. Cancer Nursing, 12(4), 236-242.
2. Allard, N. (2006). Day surgery and recovery in women with a suspicious breast lesion: Evaluation of a psychoeducational nursing intervention. CONJ, 16(3), 137-144.
3. Allard, N. C. (2007). Day surgery for breast cancer: Effects of a psychoeducational telephone intervention on functional status and emotional distress. Oncology Nursing Forum, 34(1), 133-141.
4. Allen, S. M., Shah, A. C., Nezu, A. M., Nezu, C. M., Ciambrone, D., Hogan, J., et al. (2002). A problem-solving approach to stress reduction among younger women with breast carcinoma: A randomized controlled trial. Cancer, 94(12), 3089-3100.
5. Allocca, P. N. (1998). A cognitive-behavioral psychoeducational program for women with breast cancer undergoing stem cell transplant. Unpublished 9831068, Virginia Commonwealth University.
6. Andersen, B. L. (1992). Psychological interventions for cancer patients to enhance quality of life. Journal of Consulting and Clinical Psychology, 60(4), 552-568.
7. Andersen, B. L., Farrar, W. B., Golden Kreutz, D. M., Emery, C. F., Glaser, R., Crespin, T. R., et al. (2007). Distress reduction from a psychological intervention contributes to improved health for cancer patients. Brain, Behavior and Immunity, 21, 953-961.
8. Andersen, B. L., Farrar, W. B., Golden Kreutz, D. M., Glaser, R., Emery, C. F., Crespin, T. R., et al. (2004). Psychological, behavioral, and immune changes after a psychological intervention: A clinical trial. Journal of Clinical Oncology, 22(17), 3570-3580.
9. Andersen, B. L., Shelby, R. A., & Golden Kreutz, D. M. (2007). RCT of a psychological intervention for patients with cancer: I. Mechanisms of change. Journal of Consulting and Clinical Psychology, 75, 927-938.
10. Ando, M., Tsuda, A., & Moorey, S. (2006). Preliminary study of reminiscence therapy on depression and self-esteem in cancer patients. Psychological Reports, 98(2), 339-346.
11. Antoni, M. H., Wimberly, S. R., Lechner, S. C., Kazi, A., Sifre, T., Urcuyo, K. R., et al. (2006). Reduction of cancer-specific thought intrusions and anxiety symptoms with a stress management intervention among women undergoing treatment for breast cancer. American Journal of Psychiatry, 163(10), 1791-1797.
12. Arving, C., Sjödén, P. O., Bergh, J., Hellbom, M., Johansson, B., Glimelius, B., et al. (2007). Individual psychosocial support for breast cancer patients: A randomized study of nurse versus psychologist interventions and standard care. Cancer Nursing, 30(3), E10-E19.
13. Badger, T., Segrin, C., Dorros, S. M., Meek, P., & Lopez, A. M. (2007). Depression and anxiety in women with breast cancer and their partners. Nursing Research, 56(1), 44-53.
14. Badger, T., Segrin, C., Meek, P., Lopez, A. M., Bonham, E., & Sieger, A. (2005). Telephone interpersonal counseling with women with breast cancer: Symptom management and quality of life. Oncology Nursing Forum, 32(2), 273-279.
15. Baider, L., Peretz, T., Hadani, P., & Koch, U. (2001). Psychological intervention in cancer patients: A randomized study. General Hospital Psychiatry, 23(5), 272-277.
16. Barltrop, K. M. (1986). Radiotherapy for breast cancer: A pilot study of its effects on mental and physical health, and of the value of relaxation training as a health education intervention for alleviating these effects. Unpublished thesis, Manchester.
17. Berglund, G., Petersson, L. M., Eriksson, K. C., Wallenius, I., Roshanai, A., Nordin, K. M., et al. (2007). "Between Men": A psychosocial rehabilitation programme for men with prostate cancer. Acta Oncologica (Stockholm, Sweden), 46(1), 83-89.
18. Bindemann, S., Soukop, M., & Kaye, S. B. (1991). Randomised controlled study of relaxation training. European Journal of Cancer, 27(2), 170-174.
19. Bloom, J. R., Ross, R. D., & Burnell, G. (1978). The effect of social support on patient adjustment after breast surgery. Patient Counselling and Health Education, 1, 50-59.
20. Boesen, E. H., Ross, L., Frederiksen, K., Thomsen, B. L., Dahlstrøm, K., Schmidt, G., et al. (2005). Psychoeducational intervention for patients with cutaneous malignant melanoma: A replication study. Journal of Clinical Oncology, 23(6), 1270-1277.
21. Borenstein, M., Hedges, L., Higgins, J., & Rothstein, H. (2007). Comprehensive meta-analysis (version 2.2.046): .
22. Braden, C. J., Mischel, M. H., & Longman, A. (1998). Self-help intervention project: Women receiving breast cancer treatment. Cancer Practice, 6(2), 87-98.
23. Bridge, L. R., Benson, P., Pietroni, P. C., & Priest, R. G. (1988). Relaxation and imagery in the treatment of breast cancer. BMJ (Clinical Research ed.), 297(6657), 1169-1172.
24. Bultz, B., Speca, M., Brasher, P., Geggie, P. H. S., & Page, S. A. (2000). A randomized controlled trial of brief psychoeducational support group for partners of early stage breast cancer patients. Psychooncology, 9, 303-313.
25. Butow, P., Devine, R., Boyer, M., Pendlebury, S., Jackson, M., & Tattersall, M. H. (2004). Cancer consultation preparation package: Changing patients but not physicians is not enough. Journal of Clinical Oncology, 22(21), 4401-4409.
26. Cameron, L. D., Booth, R. J., Schlatter, M., Ziginskas, D., & Harman, J. E. (2007). Changes in emotion regulation and psychological adjustment following use of a group psychosocial support program for women recently diagnosed with breast cancer. Psychooncology, 16(3), 171-180.
27. Campbell, L. C., Keefe, F. J., Scipio, C., McKee, D. C., Edwards, C. L., Herman, S. H., et al. (2007). Facilitating research participation and improving quality of life for African American prostate cancer survivors and their intimate partners. A pilot study of telephone-based coping skills training. Cancer, 109(2 Suppl.), 414-424.
28. Campbell, H., Phaneuf, M. R., & Deane, K. (2004). Cancer peer support programs-Do they work? Patient Education and Counseling, 55(1), 3-15.
29. Campbell, D. T., & Stanley, J. C. (1966). Experimental and quasi-experimental designs for research. Chicago: Rand McNally.
30. Chan, C., Ho, R., Fu, W., & Chow, A. (2006). Turning curses into blessings: An Eastern approach to psychosocial oncology. Journal of Psychosocial Oncology, 24(4), 15-32.
31. Chan, C. L., Ho, R. T., Lee, P. W., Cheng, J. Y., Leung, P. P., Foo, W., et al. (2006). A randomized controlled trial of psychosocial interventions using the psychophysiological framework for Chinese breast cancer patients. Journal of Psychosocial Oncology, 24(1), 3-26.
32. Cheung, Y., Molassiotis, A., & Chang, A. (2001). A pilot study on the effect of progressive muscle relaxation training of patients after stoma surgery. European Journal of Cancer Care, 10(2), 107-114.
33. Cheung, Y. L., Molassiotis, A., & Chang, A. M. (2003). The effect of progressive muscle relaxation training on anxiety and quality of life after stoma surgery in colorectal cancer patients. Psychooncology, 12(3), 254-266.
34. Chow, E., Tsao, M. N., & Harth, T. (2004). Does psychosocial intervention improve survival in cancer? A meta-analysis. Palliative Medicine, 18(1), 25-31.
35. Christensen, D. N. (1981). Post-mastectomy couple counseling: An outcome study of a structured treatment protocol. Unpublished 8208393, Brigham Young University, Utah.
36. Christensen, D. N. (1983). Postmastectomy couple counseling: An outcome study of a structured treatment protocol. Journal of Sex & Marital Therapy, 9(4), 266-275.
37. Classen, C., Butler, L. D., Koopman, C., Miller, E., DiMiceli, S., Giese Davis, J., et al. (2001). Supportive-expressive group therapy and distress in patients with metastatic breast cancer: A randomized clinical intervention trial. Archives of General Psychiatry, 58(5), 494-501.
38. Clayton, J. M., Butow, P. N., Tattersall, M. H., Devine, R. J., Simpson, J. M., Aggarwal, G., et al. (2007). Randomized controlled trial of a prompt list to help advanced cancer patients and their caregivers to ask questions about prognosis and end-of-life care. Journal of Clinical Oncology, 25(6), 715-723.
39. Cochrane Collaboration. (2006). Cochrane handbook for systematic reviews of interventions, version 4.2.6. Retrieved August 30, 2007, from
40. Cohen, J. (1988). Statistical power analysis for the behavioural sciences (2nd ed.). London: Lawrence Erlbaum.
41. Cohen, M., & Fried, G. (2007). Comparing relaxation training and cognitive-behavioral group therapy for women with breast cancer. Research on Social Work Practice, 17(3), 313-323.
42. Cook, T. D., & Campbell, D. T. (1979). Quasi-experimentation: Design and analysis for field settings. Chicago: IL: Rand McNally.
43. Cooper, H. (2010). Evaluating the quality of studies. In Research synthesis and meta-analysis: A step-by-step approach (4th ed., pp. 115-144). Los Angeles: Sage.
44. Corchado, J. L. (2006). The effects of preparatory sensory information on breast conservative and mastectomy cancer patients: Mood states and self-concept. Unpublished 3244765, Widener University School of Nursing, Pennsylvania.
45. Cumbia, G. G. (1985). Therapeutic intervention in the treatment of adult patients with metastatic cancer: A comparative study of two group counseling approaches. Unpublished 8526858, The College of William and Mary, Virginia.
46. Cwikel, J., Behar, L., & Rabson-Hare, J. (2000). A comparison of a vote count and a meta-analysis review of intervention research with adult cancer patients. Research on Social Work Practice, 10, 139-158.
47. Dallal, G. E. (2008). Multiple comparison procedures. Retrieved October 12, 2009, from
48. Davis, H. (1986). Effects of biofeedback and cognitive therapy on stress in patients with breast cancer. Psychological Reports, 59(2), 967-974.
49. Davison, B. J., & Degner, L. F. (1997). Empowerment of men newly diagnosed with prostate cancer. Cancer Nursing, 20(3), 187-196.
50. De Lorenzo, F., Ballatori, E., Di Costanzo, F., Giacalone, A., Ruggeri, B., & Tirelli, U. (2004). Improving information to Italian cancer patients: Results of a randomized study. Annals of Oncology, 15(5), 721-725.
51. Decker, T. W., Cline-Elsen, J., & Gallagher, M. (1992). Relaxation therapy as an adjunct in radiation oncology. Journal of Clinical Psychology, 48(3), 388-393.
52. Derogatis, L. R., Morrow, G. R., Fetting, J. H., Penman, D., Piasetsky, S., Schmale, A. M., et al. (1983). The prevalence of psychiatric disorders among cancer patients. Journal of the American Medical Association, 249, 751-757.
53. Deshler, A. M., Fee Schroeder, K. C., Dowdy, J. L., Mettler, T. A., Novotny, P., Zhao, X., et al. (2006). A patient orientation program at a comprehensive cancer center. Oncology Nursing Forum, 33(3), 569-578.
54. Devine, E. C., & Westlake, S. K. (1995). The effects of psychoeducational care provided to adults with cancer: A meta-analysis of 116 studies. Oncology Nursing Forum, 22, 1369-1381.
55. Domar, A. D. (1987). The use of the relaxation response with skin cancer patients. Dissertation Abstracts International, 47(11-B), 4681.
56. Domar, A. D., Noe, J. M., & Benson, H. (1987). The preoperative use of the relaxation response with ambulatory surgery patients. Journal of Human Stress, 13(3), 101-107.
57. Downe-Wamboldt, B. L., Butler, L. J., Melanson, P. M., Coulter, L. A., Singleton, J. F., Keefe, J. M., et al. (2007). The effects and expense of augmenting usual cancer clinic care with telephone problem-solving counseling. Cancer Nursing, 30(6), 441-453.
58. Dunn, J., Steginga, S. K., Rose, P., Scott, J., & Allison, R. (2004). Evaluating patient education materials about radiation therapy. Patient Education & Counseling, 52(3), 325-332.
59. Dunn, J. S., Steginga, N., Rosoman, N., & Millichap, D. (2003). A review of peer support in the context of cancer. Journal of Psychosocial Oncology, 21(2), 55-67.
60. Edelman, S., Bell, D. R., & Kidman, A. D. (1999). A group cognitive behaviour therapy programme with metastatic breast cancer patients. Psychooncology, 8(4), 295-305.
61. Edelman, S., Lemon, J., Bell, D., & Kidman, A. (1999). Effects of group CBT on the survival time of patients with metastatic breast cancer. Psychooncology, 8, 474-481.
62. Edgar, L., Rosberger, Z., & Collet, J. P. (2001). Lessons learned: Outcomes and methodology of a coping skills intervention trial comparing individual and group formats for patients with cancer. International Journal of Psychiatry in Medicine, 31(3), 289-304.
63. Edgar, L., Rosberger, Z., & Nowlis, D. (1992). Coping with cancer during the first year after diagnosis: Assessment and intervention. Cancer, 69(3), 817-828.
64. Edmonds, C., Lockwood, G., & Cunningham, A. (1999). Psychological response to long term group therapy: A randomized trial with metastatic breast cancer patients. Psychooncology, 8, 74-91.
65. Edwards, A. G., Hailey, S., & Maxwell, M. (2004). Psychological interventions for women with metastatic breast cancer (Cochrane Review). Cochrane Database of Systematic Reviews, 2, CD004253.
66. Egger, M. (1997). Bias in meta-analysis detected by a simple, graphical test. British Medical Journal, 315, 629-634.
67. Elsesser, K., Van Berkel, M., Sartory, G., Biermann-Gocke, W., & Ohl, S. (1994). The effects of anxiety management training on psychological variables and immune parameters in cancer patients: A pilot study. Behavioural and Cognitive Psychotherapy, 22(1), 13-23.
68. Evans, R. L., & Connis, R. T. (1995). Comparison of brief group therapies for depressed cancer patients receiving radiation treatment. Public Health Reports (Washington, DC 1974), 110(3), 306-311.
69. Fawzy, N. W. (1991). An educational nursing intervention to enhance coping, affective state, and delayed cutaneous hypersensitivity in newly diagnosed malignant melanoma patients. Unpublished 9126918, University of California, Los Angeles.
70. Fawzy, N. W. (1995). A psychoeducational nursing intervention to enhance coping and affective state in newly diagnosed malignant melanoma patients. Cancer Nursing, 18(6), 427-438.
71. Fawzy, F. I., Cousins, N., Fawzy, N. W., Kemeny, M. E., et al. (1990). A structured psychiatric intervention for cancer patients: I. Changes over time in methods of coping and affective disturbance. Archives of General Psychiatry, 47(8), 720-725.
72. Ferrer, A. J. (2007). The effect of live music on decreasing anxiety in patients undergoing chemotherapy treatment. Journal of Music Therapy, 44(3), 242-255.
73. Forester, B., Kornfeld, D. S., & Fleiss, J. L. (1985). Psychotherapy during radiotherapy: Effects on emotional and physical distress. American Journal of Psychiatry, 142(1), 22-27.
74. Fox, B. H. (1998). A hypothesis about Spiegel et al.'s 1989 paper on psychosocial intervention and breast cancer survival. Psychooncology, 7, 361-370.
75. Frankel, H. B. (1985). The effectiveness of a psychosocial intervention with cancer patients. Unpublished 8609191, Kent State University, Ohio.
76. Fukui, S., Kugaya, A., Okamura, H., Kamiya, M., Koike, M., Nakanishi, T., et al. (2000). A psychosocial group intervention for Japanese women with primary breast carcinoma: A randomized controlled trial. Cancer, 89(5), 1026-1036.
77. Ganz, P. A., Kwan, L., Stanton, A. L., Krupnick, J. L., Rowland, J. H., Meyerowitz, B. E., et al. (2004). Quality of life at the end of primary treatment of breast cancer: First results from the Moving Beyond Cancer randomized trial. Journal of the National Cancer Institute, 96(5), 376-387.
78. Gaston Johansson, F., Fall Dickson, J. M., Nanda, J., Ohly, K. V., Stillman, S., Krumm, S., et al. (2000). The effectiveness of the comprehensive coping strategy program on clinical outcomes in breast cancer autologous bone marrow transplantation. Cancer Nursing, 23(4), 277-285.
79. Giesler, R. B., Given, B., Given, C. W., Rawl, S., Monahan, P., Burns, D., et al. (2005). Improving the quality of life of patients with prostate carcinoma: A randomized trial testing the efficacy of a nurse-driven intervention. Cancer, 104(4), 752-762.
80. Given, C., Given, B., Rahbar, M., Jeon, S., McCorkle, R., Cimprich, B., et al. (2004). Does a symptom management intervention affect depression among cancer patients: Results from a clinical trial. Psychooncology, 13(11), 818-830.
81. Glass, G. V. (1976). Primary, secondary, and meta-analysis. Educational Researcher, 5, 3-8.
82. Glass, G. V. (1978). Reply to Mansfield and Busse. Educational Researcher, 7, 3.
83. Goldberg, R. J., & Wool, M. S. (1985). Psychotherapy for the spouses of lung cancer patients: Assessment of an intervention. Psychotherapy and Psychosomatics, 43(3), 141-150.
84. Goodwin, L. K. (2004). The efficacy of guided imagery to enhance approach coping, emotional expressiveness, and psychological well-being of women with breast cancer. Unpublished 3135172, University of Florida.
85. Goodwin, P. J. (2005). Support groups in advanced breast cancer: Living better if not longer. Cancer, 104(Suppl. 11), 2596-2601.
86. Gotay, C. C., Moinpour, C. M., Unger, J. M., Jiang, C. S., Coleman, D., Martino, S., et al. (2007). Impact of a peer-delivered telephone intervention for women experiencing a breast cancer recurrence. Journal of Clinical Oncology, 25(15), 2093-2099.
87. Gottlieb, B. H., & Wachala, E. D. (2007). Cancer support groups: A critical review of empirical studies. Psychooncology, 6(5), 379-400.
88. Greenhouse, J. B., & Iyengar, S. (1994). Sensitivity analysis and diagnostics. In H. Cooper & L. V. Hedges (Eds.), The handbook of research synthesis (pp. 383-398). New York: Russell Sage Foundation.
89. Greer, S., Moorey, S., Baruch, J. D. R., Watson, M., Robertson, B. M., Mason, A., et al. (1992). Adjuvant psychological therapy for patients with cancer: A prospective randomised trial. British Medical Journal, 304(6828), 675-680.
90. Harper, E. I. (2001). Reducing treatment-related anxiety in cancer patients: Comparison of psychological interventions. Unpublished 3008580, Southern Methodist University, Texas.
91. Harvey, S. T., & Taylor, J. E. (2010). A meta-analysis of the effects of psychotherapy with sexually abused children and adolescents. Clinical Psychology Review, 30(5), 517-535.
92. Hayes, F. C. (1981). The effects of the Simontons' methods, including relaxation and imagery training, in alleviating the psychological state of depression characteristic of cancer patients. Dissertation Abstracts International, 43(3363B). University Microfilms No. 83-03, 364.
93. Hedges, L. V., & Olkin, I. (1985). Statistical methods for meta-analysis. Orlando, FL: Academic Press.
94. Heiney, S. P., McWayne, J., Hurley, T. G., Lamb, L. S., Bryant, L. H., Butler, W., et al. (2003). Efficacy of therapeutic group by telephone for women with breast cancer. Cancer Nursing, 26, 439-447.
95. Helgeson, V. S., Cohen, S., Schulz, R., & Yasko, J. (1999). Education and peer discussion group interventions and adjustment to breast cancer. Archives of General Psychiatry, 56, 340-347.
96. Helgeson, V. S., Cohen, S., Schulz, R., & Yasko, J. (2000). Group support interventions for women with breast cancer: Who benefits from what? Health Psychology, 19(2), 107-114.
97. Helgeson, V. S., Cohen, S., Schulz, R., & Yasko, J. (2001). Long-term effects of educational and peer discussion group interventions on adjustment to breast cancer. Health Psychology, 20(5), 387-392.
98. Helgeson, V., Lepore, S., & Eton, D. (2006). Moderators of the benefits of psychoeducational interventions for men with prostate cancer. Health Psychology, 25(3), 348-354.
99. Hepworth, S. I. (2004). An intervention implemented by medical staff to address anxiety related to fears of cancer recurrence in patients who have been treated for cancer of the head and neck. Unpublished doctoral thesis, University of Manchester, UK.
100. Heron, H. A. (2009). Meta-analysis of moderators of psycho-oncology therapy effectiveness: "It's the sick who need a doctor." Unpublished master's thesis, Massey University, Palmerston North, New Zealand.
101. Hidderley, M., & Holt, M. (2004). A pilot randomized trial assessing the effects of autogenic training in early stage cancer patients in relation to psychological status and immune system responses. European Journal of Oncology Nursing, 8(1), 61-65.
102. Ho, T. H. R. (2007). Psychophysiological effects of psychosocial interventions: An example of breast cancer patients in Hong Kong. 0809943, University of Hong Kong, Peoples Republic of China. Retrieved from .
103. Hoff, A., & Haaga, D. (2005). Effects of an education program on radiation oncology patients and families. Journal of Psychosocial Oncology, 23(4), 61-79.
104. Honda, K., & Goodwin, R. D. (2004). Cancer and mental disorders in a national community sample: Findings from the National Comorbidity Survey. Psychotherapy and Psychosomatics, 73(4), 235-242.
105. Houby, I. (1987). A short-term intervention for cancer patients at risk for enduring distress. Unpublished 8821987, California School of Professional Psychology, San Diego.
106. Houts, P. S., Whitney, C. W., Mortel, R., & Bartholomew, M. J. (1986). Former cancer patients as counsellors of newly diagnosed cancer patients. Journal of the National Cancer Institute, 76, 793-796.
107. Hughes, K. N. (2006). Expressive writing and breast cancer: Outcomes and linguistic analyses. Unpublished 3252267, Utah State University.
108. Iconomou, G., Viha, A., Koutras, A., Koukourikou, I., Mega, V., Makatsoris, T., et al. (2006). Impact of providing booklets about chemotherapy to newly presenting patients with cancer: A randomized controlled trial. Annals of Oncology, 17(3), 515-520.
109. Institute of Medicine of the National Academies, Committee on Psychosocial Services to Cancer Patients/Families in a Community Setting. (2008). Psychosocial health services. In N. E. Adler & A. E. K. Page (Eds.), Cancer care for the whole patient: Meeting psychosocial health needs (pp. 81-151). Washington, DC: National Acadamies Press.
110. Jacobsen, P., Donovan, K., Swaine, Z., & Watson, I. (2006). Management of anxiety and depression in adult cancer patients: Toward an evidence-based approach. In A. Chang, P. Ganz, D. Hayes, T. Kinsella, H. Pass, J. Schiller, R. Stone, & V. Strecher (Eds.), Oncology: An evidence-based approach (pp. 1552-1579). New York: Springer-Verlag.
111. Jacobsen, P. B., Meade, C. D., Stein, K. D., Chirikos, T. N., Small, B. J., & Ruckdeschel, J. C. (2002). Efficacy and costs of two forms of stress management training for cancer patients undergoing chemotherapy. Journal of Clinical Oncology, 20(12), 2851-2862.
112. Jadad, A. R., Moore, R. A., Carroll, D., Jenkinson, C., Reynolds, D. J. M., Gavaghan, D. J., et al. (1996). Assessing the quality of reports of randomized clinical trials: Is blinding necessary? Controlled Clinical Trials, 17, 1-12.
113. Kalaitzi, C., Papadopoulos, V. P., Michas, K., Vlasis, K., Skandalakis, P., & Filippou, D. (2007). Combined brief psychosexual intervention after mastectomy: Effects on sexuality, body image, and psychological well-being. Journal of Surgical Oncology, 96(3), 235-240.
114. Katz, M., Irish, J., & Devins, G. (2004). Development and pilot testing of a psychoeducational intervention for oral cancer patients. Psychooncology, 13(9), 642-653.
115. Kirk, R. E. (1995). Experimental design: Procedures for the behavioural sciences (3rd ed.). Pacific Grove, CA: Brooks/Cole.
116. Kissane, D., Bloch, S., Clarke, D. M., Smith, G., MacKenzie, D. P., Love, A., et al. (2001). Australian RCTs of group therapy for breast cancer: Outcome data. Paper presented at the 154th annual meeting of the American Psychiatric Association, symposia report 29A, 85, New Orleans.
117. Kissane, D., Bloch, S., Miach, P., Smith, G., Seddon, A., & Keks, N. (1997). Cognitive-existential group therapy for patients with primary breast cancer - Techniques and themes. Psychooncology, 6, 25-33.
118. Kissane, D. W., Bloch, S., Smith, G. C., Miach, P., Clarke, D. M., Ikin, J., et al. (2003). Cognitive-existential group psychotherapy for women with primary breast cancer: A randomized controlled trial. Psychooncology, 12(6), 532-546.
119. Kissane, D. W., Grabsch, B., Clarke, D. M., Christie, G., Clifton, D., Gold, S., et al. (2004). Supportive-expressive group therapy: The transformation of existential ambivalence into creative living while enhancing adherence to anti-cancer therapies. Psychooncology, 13(11), 755-768.
120. Kissane, D. W., Grabsch, B., Clarke, D. M., Smith, G. C., Love, A. W., Bloch, S., et al. (2007). Supportive-expressive group therapy for women with metastatic breast cancer: Survival and psychosocial outcome from a randomized controlled trial. Psychooncology, 16(4), 277-286.
121. Kline, R. B. (2004). What's wrong with statistical tests - And where we go from here. In R. B. Kline, Beyond significance testing (pp. 61-91). Washington, DC: American Psychological Association.
122. Krischer, M. M., Xu, P., Meade, C. D., & Jacobsen, P. B. (2007). Self-administered stress management training in patients undergoing radiotherapy. Journal of Clinical Oncology, 25(29), 4657-4662.
123. Kristeller, J. L., Rhodes, M., Cripe, L. D., & Sheets, V. (2005). Oncologist Assisted Spiritual Intervention Study (OASIS): Patient acceptability and initial evidence of effects. International Journal of Psychiatry in Medicine, 35(4), 329-347.
124. Kuijer, R. G., Buunk, B. P., De Jong, G. M., Ybema, J. F., & Sanderman, R. (2004). Effects of a brief intervention program for patients with cancer and their partners on feelings of inequity, relationship quality and psychological distress. Psychooncology, 13(5), 321-334.
125. Larsson, G., & Starrin, B. (1992). Relaxation training as an integral part of caring activities for cancer patients: Effects on well-being. Scandinavian Journal of Caring Sciences, 6(3), 179-185.
126. Lee, T., Chen, H., & Yeh, M. (2006). Effects of Chan-Chuang qigong on improving symptom and psychological distress in chemotherapy patients. American Journal of Chinese Medicine, 34(1), 37-46.
127. Leon-Pizarro, C., Gich, I., Barthe, E., Rovirosa, A., Farrus, B., Casas, F., et al. (2007). A randomized trial of the effect of training in relaxation and guided imagery techniques in improving psychological and quality-of-life indices for gynecologic and breast brachytherapy patients. Psychooncology, 16(11), 971-979.
128. Lepore, S. J., & Helgeson, V. S. (1999). Psychoeducational support group enhances quality of life after prostate cancer. Cancer Research Therapy & Control, 8(1-2), 81-91.
129. Lepore, S., Helgeson, V., Eton, D., & Schulz, R. (2003). Improving quality of life in men with prostate cancer: A randomized controlled trial of group education interventions. Health Psychology, 22(5), 443-452.
130. Lerman, C., Rimer, B., Blumberg, B., Cristinzio, S., Engstrom, P. F., MacElwee, N., et al. (1990). Effects of coping style and relaxation on cancer chemotherapy side effects and emotional responses. Cancer Nursing, 13(5), 308-315.
131. Lev, E. L., Daley, K. M., Conner, N. E., Reith, M., Fernandez, C., & Owen, S. V. (2001). An intervention to increase quality of life and self-care self-efficacy and decrease symptoms in breast cancer patients. Scholarly Inquiry for Nursing Practice, 15(3), 277-294.
132. Lev, E. L., & Owen, S. V. (2000). Counseling women with breast cancer using principles developed by Albert Bandura. Perspectives in Psychiatric Care, 36(4), 131-138.
133. Lilja, Y., Rydén, S., & Fridlund, B. (1998). Effects of extended preoperative information on perioperative stress: An anaesthetic nurse intervention for patients with breast cancer and total hip replacement. Intensive & Critical Care Nursing, 14(6), 276-282.
134. Lin, M. L., Tsang, Y. M., & Hwang, S. L. (1998). Efficacy of a stress management program for patients with hepatocellular carcinoma receiving transcatheter arterial embolization. Journal of the Formosan Medical Association ('Taiwan yi zhi'), 97(2), 113-117.
135. Liossi, C., & White, P. (2001). Efficacy of clinical hypnosis in the enhancement of quality of life of terminally ill cancer patients. Contemporary Hypnosis, 18(3), 145-160.
136. Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. Thousand Oaks, CA: Sage.
137. Luebbert, K., Dahme, B., & Hasenbring, M. (2001). The effectiveness of relaxation training in reducing treatment-related symptoms and improving emotional adjustment in acute non-surgical cancer treatment: A meta-analytical review. Psychooncology, 10(6), 490-502.
138. Manne, S., Ostroff, J. S., & Winkel, G. (2007). Social-cognitive processes as moderators of a couple-focused group intervention for women with early stage breast cancer. Health Psychology, 26(6), 735-744.
139. Manne, S. L., Ostroff, J. S., Winkel, G., Fox, K., Grana, G., Miller, E., et al. (2005). Couple-focused group intervention for women with early stage breast cancer. Journal of Consulting and Clinical Psychology, 73(4), 634-646.
140. Manne, S. L., Rubin, S., Edelson, M., Rosenblum, N., Bergman, C., Hernandez, E., et al. (2007). Coping and communication-enhancing intervention versus supportive counseling for women diagnosed with gynecological cancers. Journal of Consulting and Clinical Psychology, 75(4), 615-628.
141. Marchioro, G., Azzarello, G., Checchin, F., Perale, M., Segati, R., Sampognaro, E., et al. (1996). The impact of a psychological intervention of quality of life in non-metastatic breast cancer. European Journal of Cancer, Part A, 32(9), 1612-1615.
142. McArdle, J. M., George, W. D., McArdle, C. S., Smith, D. C., Moodie, A. R., Hughson, A. V., et al. (1996). Psychological support for patients undergoing breast cancer surgery: A randomised study. BMJ (Clinical research ed.), 312(7034), 813-816.
143. McHugh, P., Lewis, S., Ford, S., Newlands, E., Rustin, G., Coombes, C., et al. (1995). The efficacy of audiotapes in promoting psychological well-being in cancer patients: A randomised, controlled trial. British Journal of Cancer, 71(2), 388-392.
144. McPherson, C. J., Higginson, I. J., & Hearn, J. (2001). Effective methods of giving information in cancer: A systematic literature review of randomized controlled trials. Journal of Public Health Medicine, 23(3), 227-234.
145. McQuellon, R. P., Wells, M., Hoffman, S., Craven, B., Russell, G., Cruz, J., et al. (1998). Reducing distress in cancer patients with an orientation program. Psychooncology, 7(3), 207-217.
146. Meyer, T. J., & Mark, M. M. (1995). Effects of psychosocial interventions with adult cancer patients: A meta-analysis of randomized experiments. Health Psychology, 14(2), 101-108.
147. Mishel, M. H., Germino, B. B., Gil, K. M., Belyea, M., Laney, I. C., Stewart, J., et al. (2005). Benefits from an uncertainty management intervention for African-American and Caucasian older long-term breast cancer survivors. Psychooncology, 14, 962-978.
148. Miyashita, M. (2005). A randomized intervention study for breast cancer survivors in Japan: Effects of short-term support group focused on possible breast cancer recurrence. Cancer Nursing, 28(1), 70-78.
149. Mock, V., Burke, M. B., Sheehan, P., Creaton, E. M., Winningham, M. L., McKenney Tedder, S., et al. (1994). A nursing rehabilitation program for women with breast cancer receiving adjuvant chemotherapy. Oncology Nursing Forum, 21(5), 899-907; discussion 908.
150. Mohide, E. A., Whelan, T. J., Rath, D., Gafni, A., Willan, A. R., Czukar, D., et al. (1996). A randomised trial of two information packages distributed to new cancer patients before their initial appointment at a regional cancer centre. British Journal of Cancer, 73(12), 1588-1593.
151. Moorey, S., Greer, S., Watson, M., Baruch, J. D. R., Robertson, B. M., Mason, A., et al. (1994). Adjuvant psychological therapy for patients with cancer: Outcome at one year. Psychooncology, 3(1), 39-46.
152. Newell, S. A., Simon-Fisher, R. W., & Savolainen, N. J. (2002). Systematic review of psychological therapies for cancer patients: Overview and recommendations for future research. Journal of the National Cancer Institute, 94(8), 558-584.
153. Nezu, A. M., Nezu, C. M., Felgoise, S. H., McClure, K. S., & Houts, P. S. (2003). Project Genesis: Assessing the efficacy of problem-solving therapy for distressed adult cancer patients. Journal of Consulting and Clinical Psychology, 71(6), 1036-1048.
154. North, N., Cornbleet, M. A., Knowles, G., & Leonard, R. C. (1992). Information giving in oncology: A preliminary study of tape-recorder use. British Journal of Clinical Psychology, 31(3), 357-359.
155. Nunes, D. F. T., Rodriguez, A. L., da Silva Hoffmann, F., Luz, C., Filho, A. P. F. B., Muller, M. C., et al. (2007). Relaxation and guided imagery program in patients with breast cancer undergoing radiotherapy is not associated with neuroimmunomodulatory effects. Journal of Psychosomatic Research, 63(6), 647-655.
156. Orringer, J. S., Fendrick, A. M., Trask, P. C., Bichakjian, C. K., Schwartz, J. L., Wang, T. S., et al. (2005). The effects of a professionally produced videotape on education and anxiety/distress levels for patients with newly diagnosed melanoma: A randomized, prospective clinical trial. Journal of the American Academy of Dermatology, 53(2), 224-229.
157. Orwin, R. G. (1983). A fail-safe N for effect size in meta-analysis. Journal of Educational Statistics, 8, 157-159.
158. Osborn, R. L., Demoncada, A. C., & Feuerstein, M. (2006). Psychosocial interventions for depression, anxiety, and quality of life in cancer survivors: Meta-analyses. International Journal of Psychiatry in Medicine, 36(1), 13-34.
159. Owen, J. E. (2003). Internet support and information for women with breast cancer. Unpublished 3101534, University of Alabama, Birmingham.
160. Owen, J. E., Klapow, J. C., Roth, D. L., Shuster, J. L., Bellis, J., Meredith, R., et al. (2005). Randomized pilot of a self-guided Internet coping group for women with early-stage breast cancer. Annals of Behavioral Medicine, 30(1), 54-64.
161. Oyama, H., Kaneda, M., Katsumata, N., Akechi, T., & Ohsuga, M. (2000). Using the bedside wellness system during chemotherapy decreases fatigue and emesis in cancer patients. Journal of Medical Systems, 24(3), 173-182.
162. Pedhazur, E., & Schmelkin, L. (1991). Measurement, design and analysis. Hillsdale, NJ: Lawrence Erlbaum.
163. Perez, M. A. (2000). Prostate cancer patients and their partners: Effectiveness of a brief communication enhancement intervention prior to undergoing radical prostatectomy. Unpublished 3018027, University of Southern California.
164. Petersen, R. W., & Quinlivan, J. A. (2002). Preventing anxiety and depression in gynaecological cancer: A randomised controlled trial. British Journal of Obstetrics and Gynaecology, 109(4), 386-394.
165. Petersson, L.-M. (2003). Group rehabilitation for cancer patients: Effects, patient satisfaction, utilisation and prediction of rehabilitation need. Unpublished C812846, Uppsala Universitet, Sweden.
166. Petersson, L. M., Nordin, K., Glimelius, B., Brekkan, E., Sjödén, P. O., & Berglund, G. (2002). Differential effects of cancer rehabilitation depending on diagnosis and patients' cognitive coping style. Psychosomatic Medicine, 64(6), 971-980.
167. Poroch, D. (1995). The effect of preparatory patient education on the anxiety and satisfaction of cancer patients receiving radiation therapy. Cancer Nursing, 18(3), 206-214.
168. Pruitt, B. T., Waligora-Serafin, B., McMahon, T., Byrd, G., Besselman, L., Kelly, G. M., et al. (1993). An educational intervention for newly-diagnosed cancer patients undergoing radiotherapy. Psychooncology, 2, 55-62.
169. Radcliffe-Branch, D. (2005). The contribution of interactive health communication (IHC) and constructed meaning to psychosocial adjustment among women newly diagnosed with breast cancer. Unpublished NR21693, McGill University, Canada.
170. Rainey, L. C. (1985). Effects of preparatory patient education for radiation oncology patients. Cancer, 56(5), 1056-1061.
171. Rehse, B., & Pukrop, R. (2003). Effects of psychosocial interventions on quality of life in adult cancer patients: Meta analysis of 37 published controlled outcome studies. Patient Education and Counseling, 50, 179-189.
172. Rosenbaum, D. I. (2006). What's good for the gander is good for the goose: Helping cancer patients to cope by treating their spouses. Unpublished 3241620, State University of New York, Binghamton.
173. Rosenthal, R. (1995). Writing meta-analytic reviews. Psychological Bulletin, 118, 183-192.
174. Ross, L., Boesen, E. H., Dalton, S. O., & Johansen, C. (2002). Mind and cancer: Does psychosocial intervention improve survival and psychological well-being? European Journal of Cancer, 38(11), 1447-1457.
175. Rummans, T. A., Clark, M. M., Sloan, J. A., Frost, M. H., Bostwick, J. M., Atherton, P. J., et al. (2006). Impacting quality of life for patients with advanced cancer with a structured multidisciplinary intervention: A randomized controlled trial. Journal of Clinical Oncology, 24(4), 635-642.
176. Rutter, D., Iconomou, G., & Quine, L. (1996). Doctor-patient communication and outcome in cancer patients: An intervention. Psychology & Health, 12(1), 57-71.
177. Samarel, N., Fawcett, J., & Tulman, L. (1993). The effects of coaching in breast cancer support groups: A pilot study. Oncology Nursing Forum, 20, 795-798.
178. Samarel, N., Fawcett, J., & Tulman, L. (1997). Effect of support groups with coaching on adaptation to early stage breast cancer. Research in Nursing & Health, 20(1), 15-26.
179. Sandgren, A. K., & McCaul, K. D. (2003). Short-term effects of telephone therapy for breast cancer patients. Health Psychology, 22(3), 310-315.
180. Sandgren, A. K., & McCaul, K. D. (2007). Long-term telephone therapy outcomes for breast cancer patients. Psychooncology, 16(1), 38-47.
181. Sandgren, A. K., McCaul, K. D., King, B., O'Donnell, S., & Foreman, G. (2000). Telephone therapy for patients with breast cancer. Oncology Nursing Forum, 27(4), 683-688.
182. Savard, J., Simard, S., Giguère, I., Ivers, H., Morin, C. M., Maunsell, E., et al. (2006). Randomized clinical trial on cognitive therapy for depression in women with metastatic breast cancer: Psychological and immunological effects. Palliative & Supportive Care, 4(3), 219-237.
183. Scheier, M. F., Helgeson, V. S., Schulz, R., Colvin, S., Berga, S., Bridges, M. W., et al. (2005). Interventions to enhance physical and psychological functioning among younger women who are ending nonhormonal adjuvant treatment for early-stage breast cancer. Journal of Clinical Oncology, 23(19), 4298-4311.
184. Scheier, M. F., Helgeson, V. S., Schulz, R., Colvin, S., Berga, S. L., Knapp, J., et al. (2007). Moderators of interventions designed to enhance physical and psychological functioning among younger women with early-stage breast cancer. Journal of Clinical Oncology, 25(36), 5710-5714.
185. Schneider, S., Moyer, A., Knapp-Oliver, S., Sohl, S., Cannella, D., & Targhetta, V. (2010). Pre-intervention distress moderates the efficacy of psychosocial treatment for cancer patients: A meta-analysis. Journal of Behavioral Medicine, 33(1), 1-14.
186. Schofield, P., Jefford, M., Carey, M., Thomson, K., Evans, M., Baravelli, C., et al. (2008). Preparing patients for threatening medical treatments: Effects of a chemotherapy educational DVD on anxiety, unmet needs, and self-efficacy. Supportive Care in Cancer, 16(1), 37-45.
187. Schofield, P., & Payne, S. (2003). A pilot study into the use of a multisensory environment (Snoezelen) within a palliative day-care setting. International Journal of Palliative Nursing, 9(3), 124-130.
188. Schover, L. R., Jenkins, R., Sui, D., Adams, J. H., Marion, M. S., & Jackson, K. E. (2006). Randomized trial of peer counseling on reproductive health in African American breast cancer survivors. Journal of Clinical Oncology, 24(10), 1620-1626.
189. Sellick, D. M., & Crooks, D. L. (1999). Depression and cancer: An appraisal of the literature for prevalence, detection, and practice guideline development for psychological interventions. Psychooncology, 8, 315-333.
190. Sheard, T., & Maguire, P. (1999). The effect of psychological interventions on anxiety and depression in cancer patients: Results of two meta-analyses. British Journal of Cancer, 80(11), 1770-1780.
191. Simpson, J. S., Carlson, L. E., & Trew, M. E. (2001). Effect of group therapy for breast cancer on healthcare utilization. Cancer Practice, 9(1), 19-26.
192. Smith, M., Casey, L., Johnson, D., Gwede, C., & Riggin, O. Z. (2001). Music as a therapeutic intervention for anxiety in patients receiving radiation therapy. Oncology Nursing Forum, 28(5), 855-862.
193. Smith, M. L., & Glass, G. V. (1977). Meta-analysis of psychotherapy outcome studies. American Psychologist, 32(9), 752-760.
194. Smith, J. E., Richardson, J., Hoffman, C., & Pilkington, K. (2005). Mindfulness-based stress reduction as supportive therapy in cancer care: Systematic review. Journal of Advanced Nursing, 52(3), 315-327.
195. Speca, M., Carlson, L. E., Goodey, E., & Angen, M. (2000). A randomized, wait-list controlled clinical trial: The effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosomatic Medicine, 62(5), 613-622.
196. Speer, T. K. (1987). The effects of cognitive/behavioral therapy on depressed cancer patients. Unpublished 8806717, University of Toledo, Ohio.
197. Spiegel, D., Bloom, J. R., & Yalom, I. (1981). Group support for patients with metastatic breast cancer: A randomised prospective outcome study. Archives of General Psychiatry, 38, 527-533.
198. Spiegel, D., Butler, L. D., Giese-Davis, J., Koopman, C., Miller, E., DiMiceli, S., et al. (2007). Effects of supportive-expressive group therapy on survival of patients with metastatic breast cancer: A randomized prospective trial. Cancer, 110(5), 1130-1138.
199. Stanton, A. L., Ganz, P. A., Kwan, L., Meyerowitz, B. E., Bower, J. E., Krupnick, J. L., et al. (2005). Outcomes from the Moving Beyond Cancer psychoeducational, randomized, controlled trial with breast cancer patients. Journal of Clinical Oncology, 23(25), 6009-6018.
200. Stewart, M., Brown, J. B., Hammerton, J., Donner, A., Gavin, A., Holliday, R. L., et al. (2007). Improving communication between doctors and breast cancer patients. Annals of Family Medicine, 5(5), 387-394.
201. Straw, G. W. (1991). The use of guided imagery and relaxation for the quality of life of cancer patients undergoing chemotherapy. Unpublished MQ96998, Lakehead University, Canada.
202. Strnad, B. N. (1980). Effects of modeling on depression and anxiety in adult patients. Dissertation Abstracts International, 40 (3973B). University Microfilms No. 80-024.
203. Tatrow, K., & Montgomery, G. H. (2006). Cognitive behavioural therapy techniques for distress and pain in breast cancer patients: A meta-analysis. Journal of Behavioral Medicine, 29(1), 17-27.
204. Taylor, K. L., Lamdan, R. M., Siegel, J. E., Shelby, R., Moran-Klimi, K., & Hrywna, M. (2003). Psychological adjustment among African American breast cancer patients: One-year follow-up results of a randomized psychoeducational group intervention. Health Psychology, 22(3), 316-323.
205. Telch, C. F., & Telch, M. J. (1986). Group coping skills instruction and supportive group therapy for cancer patients: A comparison of strategies. Journal of Consulting and Clincial Psychology, 54, 802-808.
206. Thomas, R., Daly, M., Perryman, B., & Stockton, D. (2000). Forewarned is forearmed: Benefits of preparatory information on video cassette for patients receiving chemotherapy or radiotherapy - A randomised controlled trial. European Journal of Cancer, 36(12), 1536-1543.
207. Trask, P. C., Paterson, A. G., Griffith, K. A., Riba, M. B., & Schwartz, J. L. (2003). Cognitive-behavioral intervention for distress in patients with melanoma: Comparison with standard medical care and impact on quality of life. Cancer, 98(4), 854-864.
208. Walker, B., Nail, L. M., & Croyle, R. (1999a). Does emotional expression make a difference in reactions to breast cancer? Oncology Nursing Forum, 26, 1025-1032.
209. Walker, L. G., Walker, M. B., Ogston, K., Heys, S. D., Ah-See, A. K., Miller, I. D., et al. (1999b). Psychological, clinical and pathological effects of relaxation training and guided imagery during primary chemotherapy. British Journal of Cancer, 80, 262-268.
210. Weber, B. A., Roberts, B. L., Resnick, M., Deimling, G., Zauszniewski, J. A., Musil, C., et al. (2004). The effect of dyadic intervention on self-efficacy, social support, and depression for men with prostate cancer. Psychooncology, 13(1), 47-60.
211. Weber, B. A., Roberts, B. L., Yarandi, H., Mills, T. L., Chumbler, N. R., & Wajsman, Z. (2007). The impact of dyadic social support on self-efficacy and depression after radical prostatectomy. Journal of Aging and Health, 19(4), 630-645.
212. Wells, K. A. (2006). The effects of a stress management intervention on anxiety and natural killer cell activity in women treated for breast cancer. University of Miami.
213. Wells, M. E. (1993). A psychooncology intervention for newly diagnosed cancer patients in a hospital outpatient clinic. Unpublished 9402497, University of North Carolina at Greensboro.
214. Wells, M. E., McQuellon, R. P., Hinkle, J. S., & Cruz, J. M. (1995). Reducing anxiety in newly diagnosed cancer patients: A pilot program. Cancer Practice, 3(2), 100-104.
215. Wengström, Y., Häggmark, C., Strander, H., & Forsberg, C. (1999). Effects of a nursing intervention on subjective distress, side effects and quality of life of breast cancer patients receiving curative radiation therapy: A randomized study. Acta Oncologica, 38(6), 763-770.
216. West, B. L. (1980). Cognitive behavioural analysis system of psychotherapy (C-BASP) as applied to depression in a cancer population. Doctoral dissertation, Virginia Commonwealth University.
217. Whitman, M. A. M. (1991). Effects of videotaped basic cancer information on self-reported state anxiety of newly-diagnosed cancer patients. Unpublished 1346633, University of Missouri, Columbia.
218. Winzelberg, A. J., Classen, C., Alpers, G. W., Roberts, H., Koopman, C., Adams, R. E., et al. (2003). Evaluation of an Internet support group for women with primary breast cancer. Cancer, 97(5), 1164-1173.
219. Wortman, P. M. (1994). Judging research quality. In H. Cooper & L. V. Hedges (Eds.), The handbook of research synthesis (pp. 97-109). New York: Russell Sage Foundation.
220. Zabalegui, A., Sanchez, S., Sanchez, P. D., & Juando, C. (2005). Nursing and cancer support groups. Journal of Advanced Nursing, 51(4), 369-381.
221. Zakowski, S. G., Ramati, A., Morton, C., Johnson, P., & Flanigan, R. (2004). Written emotional disclosure buffers the effects of social constraints on distress among cancer patients. Health Psychology, 23(6), 555-563.
222. Zhang, A. Y., Strauss, G. J., & Siminoff, L. A. (2006). Intervention of urinary incontinence and quality of life outcome in prostate cancer patients. Journal of Psychosocial Oncology, 24(2), 17-30.