title: Community Based Psychosocial Education Can Improve Mood Disturbance in Breast Cancer Survivors at Various Stages of Their Recovery.
abstract: BACKGROUND
  Psychosocial distress can contribute to avoidance, refusal, or discontinuation of cancer treatment, which could impact recovery and survival.
  
  
  OBJECTIVE
  The aim of the present study was to evaluate the effectiveness of a community based psychosocial program on alleviating mood disturbance in breast cancer survivors at different stages of their breast cancer journey.
  
  
  METHODS
  A total of 37 women participated in an 8-week psychosocial program at their local community centre. The weekly 3-hour program was delivered in a small group format. Program components included health education, behavioural training, cognitive behavioural therapy, art therapy and stress-management. Questionnaires aimed at assessing psychiatric morbidity and mood adjustment were administered at the beginning of the program (Pre) and at the completion of the program (Post).
  
  
  RESULTS
  Group data revealed a significant reduction in psychiatric morbidity and improved psychological adjustment. When participants were divided into degree of psychiatric morbidity (mild, moderate, severe, very severe) a significant reduction in the reporting of anxiety symptoms in the mild, moderate, severe and very severe groups was reported; depression symptoms in the severe and very severe groups were noted, and anger, confusion and somatic symptoms in the mild group were noted. The level of activity was also significantly improved in the very severe group.
  
  
  CONCLUSIONS
  A structured community based psychosocial program is beneficial to women struggling to come to terms with the emotional consequences of breast cancer at all stages of recovery.
authors.affiliation: University of New England,Armidale,Australia.
authors.forename: Anna
authors.initials: A
authors.lastname: Kokavec
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000339:Affect; D000341:Affective Disorders, Psychotic / Q000523:psychology*; D001007:Anxiety / Q000628:therapy; D001943:Breast Neoplasms / Q000523:psychology*; D015928:Cognitive Behavioral Therapy / Q000379:methods; D055812:Community-Based Participatory Research; D003863:Depression / Q000628:therapy; D004493:Education; D005260:Female; D006801:Humans; D011613:Psychotherapy; D011615:Psychotherapy, Group / Q000379:methods*; D011788:Quality of Life; D013315:Stress, Psychological / Q000628:therapy*; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology
keywords: Breast cancer; anxiety; community; depression; mood disturbance; psychosocial education