TAILIEUCHUNG - Psychotherapy and Survival in Cancer: The Conflict Between Hope and Evidence

When you have all of the test results, you and your doctor can make the right decisions for you. The analysis of the removed tissue can lead to several different reports. Some tests take longer than others. Not all tests are done by the same lab. Most information comes within 1 to 2 weeks after surgery, and you will usually have all the results within a few weeks. Your doctor can let you know when the results come in. If you don’t hear from your doctor, give her or him a call. When you have all the test information you need,. | Psychological Bulletin 2007 Vol. 133 No. 3 367-394 Copyright 2007 by the American Psychological Association 0033-2909 07 DOI Psychotherapy and Survival in Cancer The Conflict Between Hope and Evidence James C. Coyne Abramson Cancer Center of the University of Pennsylvania Michael Stefanek American Cancer Society Steven C. Palmer Abramson Cancer Center of the University of Pennsylvania Despite contradictory findings the belief that psychotherapy promotes survival in people who have been diagnosed with cancer has persisted since the seminal study by D. Spiegel J. R. Bloom H. C. Kramer and E. Gottheil 1989 . The current authors provide a systematic critical review of the relevant literature. In doing so they introduce some considerations in the design interpretation of results and reporting of clinical trials that have not been sufficiently appreciated in the behavioral sciences. They note endemic problems in this literature. No randomized clinical trial designed with survival as a primary endpoint and in which psychotherapy was not confounded with medical care has yielded a positive effect. Among the implications of the review is that an adequately powered study examining effects of psychotherapy on survival after a diagnosis of cancer would require resources that are not justified by the strength of the available evidence. Keywords metastatic breast cancer randomized clinical trial supportive-expressive depression CONSORT The belief that psychological factors affect the progression of cancer has become prevalent among the lay public and some oncology professionals Doan Gray Davis 1993 Lemon Edelman 2003 . An extension of this belief is that improvement in psychological functioning can prolong the survival after a diagnosis of cancer. Were this true psychotherapy could not only benefit mood and quality of life but increase life expectancy as well. Indeed there is some lay acceptance of this notion as a substantial proportion of women

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