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3 results on '"H. Terp"'

1. The effect of an attachment-oriented couple intervention for breast cancer patients and partners in the early treatment phase

Author

Dorte Gilså Hansen, P.B. Lunn, Mariët Hagedoorn, Anne Nicolaisen, K. Soee, Christoffer Johansen, H. Terp, René dePont Christensen, Henrik Flyger, and Nina Rottmann

Subjects
Male, EARLY-STAGE BREAST, PSYCHOSOCIAL INTERVENTIONS, law.invention, Couples Therapy, 0302 clinical medicine, Randomized controlled trial, THERAPEUTIC ALLIANCE, law, Outcome Assessment, Health Care, 030212 general & internal medicine, Depression (differential diagnoses), PSYCHOLOGICAL DISTRESS, SCALE, Aged, 80 and over, couples, WOMEN, Couples Therapy/methods, Middle Aged, Psychiatry and Mental health, Distress, Oncology, 030220 oncology & carcinogenesis, Papers, Anxiety, Female, medicine.symptom, CAREGIVERS, Adult, Paper, medicine.medical_specialty, Experimental and Cognitive Psychology, Context (language use), Breast Neoplasms, ADJUSTMENT, 03 medical and health sciences, Outcome Assessment (Health Care), Breast cancer, breast cancer, Intervention (counseling), medicine, Humans, Interpersonal Relations, Breast Neoplasms/psychology, Spouses, attachment, METAANALYSIS, Aged, business.industry, Cancer, distress, dyadic coping, medicine.disease, Object Attachment, Stress, Psychological/therapy, Physical therapy, Spouses/psychology, TRAJECTORIES, business, Stress, Psychological, Follow-Up Studies
Abstract

OBJECTIVE: Patients and partners both cope individually and as a dyad with challenges related to a breast cancer diagnosis. The objective of this study was to evaluate the effect of a psychological attachment-oriented couple intervention for breast cancer patients and partners in the early treatment phase.METHODS: A randomised controlled trial including 198 recently diagnosed breast cancer patients and their partners. Couples were randomised to the Hand in Hand (HiH) intervention in addition to usual care or to usual care only. Self-report assessments were conducted for both patients and partners at baseline, postintervention (5 months), and follow-up (10 months), assessing cancer-related distress, symptoms of anxiety and depression, and dyadic adjustment. Patients' cancer-related distress was the primary outcome.RESULTS: Cancer-related distress decreased over time in both patients and partners, but the intervention did not significantly affect this decrease at postintervention (P = .08) or follow-up (P = .71). A significant positive effect was found on dyadic adjustment at follow-up for both patients (P = .04) and partners (P = .02).CONCLUSIONS: There was no significant effect of the HiH intervention cancer-related distress. The results suggest that most couples can cope with cancer-related distress in the context of usual care. However, the positive effect on dyadic adjustment implies that the HiH intervention benefitted both patients and partners. Future studies should investigate how to integrate a couple focus in usual cancer care to improve dyadic coping in the early treatment phase.

Published
2018
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3. Participation in questionnaire studies among couples affected by breast cancer.

Author

Terp H, Rottmann N, Larsen PV, Hagedoorn M, Flyger H, Kroman N, Johansen C, Dalton S, and Hansen DG

Subjects
Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Ethnicity, Female, Humans, Longitudinal Studies, Male, Middle Aged, Social Adjustment, Socioeconomic Factors, Surveys and Questionnaires, Breast Neoplasms psychology, Sexual Partners psychology
Abstract

Objective: Participation bias may be a problem in couple-based psychosocial studies. Therefore, it is important to investigate the characteristics associated with participation. The aim of this study was to analyze whether participation in a longitudinal psychosocial questionnaire study among couples affected by breast cancer was associated with socioeconomic, breast cancer-specific, and other health-related characteristics of the patients and partners., Methods: The analyzes are based on 2254 couples who were invited to participate in a nationwide survey on psychosocial adjustment among couples dealing with breast cancer. Participating couples (N = 792) were compared with non-participating couples (N = 1462) with regard to socioeconomic and health-related characteristics obtained from nationwide clinical and administrative registers., Results: Associations were seen between various socioeconomic variables and couple participation. The patient characteristics older age (OR = 0.15 [95% CI = 0.07-0.55]), low education (OR = 1.95 [95% CI = 1.46-2.68]), disability pension (OR = 0.59 [95% CI = 0.39-0.55]), or non-western ethnicity (OR = 0.36 [95% CI = 0.15-0.82]) reduced couple participation. The partner characteristics older age (OR = 0.23 [95% CI = 0.15-0.43]), low education (OR = 1.67 [95% CI = 1.25-2.22]), receiving disability pension (OR = 0.46 [95% CI = 0.25-0.82]), non-western ethnicity (OR = 0.17 [95% CI = 0.06-0.49]), or high morbidity (OR = 0.76 [95% CI = 0.60-0.96]) also reduced couple participation. Furthermore, couples with low income (OR = 1.49 [95% CI = 1.16-1.95]) had reduced participation. No associations were found between couple participation and breast cancer-related variables., Conclusions: Socioeconomic characteristics of patients and partners, and morbidity of partners may influence participation in couple-based psychosocial breast cancer research. Breast cancer-related characteristics do not seem to influence participation.

Published
2015
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