title: Depression in Internet and face-to-face cancer support groups: a pilot study.
abstract: OBJECTIVE
  To examine depression in Internet cancer support groups as compared to traditional (face-to-face) cancer support groups and to explore the relationship between Internet use and levels of depression.
  
  
  METHODS
  Exploratory, descriptive.
  
  
  METHODS
  Traditional (face-to-face) and Internet cancer support groups.
  
  
  METHODS
  Convenience sample of 40 patients with cancer, 14 from traditional face-to-face groups and 26 from an Internet support group, with different cancer diagnoses.
  
  
  METHODS
  Traditional paper or Internet surveys consisting of an investigator-developed questionnaire including demographic information, brief medical history, support group history, and the Center for Epidemiologic Studies Depression Scale (CES-D).
  
  
  METHODS
  Depression scores on the CES-D.
  
  
  RESULTS
  Participants in the face-to-face groups were 100% male. The online group was 56% male and 44% female. Groups did not differ significantly by income, health insurance status, or days since initial diagnosis. Groups differed significantly on level of depression. The traditional (face-to-face) group had a CES-D mean score of 1.86 (SD = 2.69), and the online group had a mean score of 29.27 (SD = 11.89, p less than 0.000). A comparison of CES-D scores of men in the face-to-face and Internet groups revealed that they differed significantly on level of depression. Men in the traditional group had a mean score of 1.86 (SD = 2.69), and men in the online group had a mean score of 27.42 (SD = 112.69, p less than 0.000).
  
  
  CONCLUSIONS
  These data suggest that more depressed patients with cancer use Internet support groups instead of face-to-face support. Before online interventions can be implemented effectively, their efficacy needs to be evaluated.
  
  
  CONCLUSIONS
  Patients with cancer are at increased risk for developing depression. This should be a consideration during nursing assessments. Traditional cancer support groups can help people cope with their cancer, but the efficacy of Internet cancer support groups in providing psychoeducation and psychotherapeutic intervention remains to be proven.
authors.affiliation: Department of Nursing, University of Delaware, Newark, DE, USA. klemmpa@udel.edu
authors.forename: Paula
authors.initials: P
authors.lastname: Klemm
authors.forename: Thomas
authors.initials: T
authors.lastname: Hardie
mesh_terms: D000223:Adaptation, Psychological; D003863:Depression / Q000209:etiology* / Q000451:nursing; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D009369:Neoplasms / Q000451:nursing / Q000523:psychology*; D010865:Pilot Projects; D012657:Self-Help Groups; D011795:Surveys and Questionnaires