Effectiveness Not Established

Support Group

for Sleep-Wake Disturbances

Support group interventions involve informal or structured peer group sessions that provide a forum for sharing experiences, information, etc., among peers. Support groups have been examined for effectiveness in patients with cancer for management of anxiety and sleep-wake disturbances.

Research Evidence Summaries

Fobair, P., Koopman, C., DiMiceli, S., O'Hanlan, K., Butler, L. D., Classen, C., . . . Spiegel, D. (2002). Psychosocial intervention for lesbians with primary breast cancer. Psychooncology, 11, 427–438.

Intervention Characteristics/Basic Study Process

The intervention included twelve 90-minute meetings of a supportive-expressive group therapy led by a licensed clinical social worker; participants discussed problems, coping, treatment, mood, self-efficacy, relationships, pain, sleep, body image, and sexuality. Outcomes were emotional distress, mood, self-efficacy, body image, sexuality, social support, quality of life (QOL), pain, and sleep.

Sample Characteristics

  • The sample comprised 20 patients with stage I to IIIA breast cancer.
  • Mean age was 47 years.
  • Patients were post surgery.

Setting

Three community settings in Northern California

Phase of Care and Clinical Applications

Patients were undergoing the active treatment phase of care.

Study Design

The study used a one-group, pre-/posttest design.

Measurement Instruments/Methods

Brief questionnaire based on the Structured Insomnia Interview to assess quality and quantity of sleep and daytime sleepiness

Results

Patients undergoing 12 weeks of supportive group therapy showed statistically significant improvement in sleep (less waking during the night).

Limitations

  • The study had a small sample size and lacked a control group.
  • Training is required to observe for unstable emotional status.
  • A licensed clinical social worker familiar with supportive-expressive group therapy is needed.
  • Cost is incurred for a space for the class and the instructor.
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