Skip to main content
Top
Gepubliceerd in:

01-02-2015

Deconstructing therapeutic mechanisms in cancer support groups: do we express more emotion when we tell stories or talk directly to each other?

Auteurs: Rie Tamagawa, Yong Li, Theo Gravity, Karen Altree Piemme, Sue DiMiceli, Kate Collie, Janine Giese-Davis

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2015

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Studies indicate that story-telling and emotional expression may be important therapeutic mechanisms. This study examined how they work together over 1 year of supportive-expressive group therapy (SET). Participants were 41 women randomized to SET. We coded emotional expression and story types (story vs. non-story) at the initial session, 4, 8, and 12 months. Women engaged in more storytelling in their initial than later sessions. In later sessions, women expressed significantly more emotion, specifically compassion and high-arousal positive affect. Direct communication (non-story) allowed more positive but also more defensive expression as women supported and challenged each other. Greater hostility in non-story and greater constrained anger during story were associated with increasing depression. Greater high-arousal positive affect in non-story and greater primary negative affect in story were associated with increasing social network size. These results inform clinicians about cues they might use to improve the effectiveness of cancer support groups.
Literatuur
go back to reference Angus, L. (2012). Toward an integrative understanding of narrative and emotion processes in emotion-focused therapy of depression: Implications for theory, research and practice. Psychotherapy Research, 22(4), 367–380.PubMedCrossRef Angus, L. (2012). Toward an integrative understanding of narrative and emotion processes in emotion-focused therapy of depression: Implications for theory, research and practice. Psychotherapy Research, 22(4), 367–380.PubMedCrossRef
go back to reference Arrington, M. I. (2010). Theorizing about social support and health communication in a prostate cancer support group. Journal of Psychosocial Oncology, 28(3), 260–268.PubMedCrossRef Arrington, M. I. (2010). Theorizing about social support and health communication in a prostate cancer support group. Journal of Psychosocial Oncology, 28(3), 260–268.PubMedCrossRef
go back to reference Baumeister, R. F., & Newman, L. S. (1994). How stories make sense of personal experiences: Motives that shape autobiographical narratives. Personality and Social Psychology Bulletin, 20(6), 676–690.CrossRef Baumeister, R. F., & Newman, L. S. (1994). How stories make sense of personal experiences: Motives that shape autobiographical narratives. Personality and Social Psychology Bulletin, 20(6), 676–690.CrossRef
go back to reference Bell, K., Lee, J., Foran, S., Kwong, S., & Christopherson, J. (2010). Is there an “ideal cancer” support group? Key findings from a qualitative study of three groups. Journal of Psychosocial Oncology, 28(4), 432–449.PubMedCrossRef Bell, K., Lee, J., Foran, S., Kwong, S., & Christopherson, J. (2010). Is there an “ideal cancer” support group? Key findings from a qualitative study of three groups. Journal of Psychosocial Oncology, 28(4), 432–449.PubMedCrossRef
go back to reference Blake, R. L., & McKay, D. A. (1986). A single-item measure of social supports as a predictor of morbidity. The Journal of Family Practice, 22(1), 82–84.PubMed Blake, R. L., & McKay, D. A. (1986). A single-item measure of social supports as a predictor of morbidity. The Journal of Family Practice, 22(1), 82–84.PubMed
go back to reference Bohart, A. C., & Greenberg, L. S. (1997). Empathy reconsidered: New directions in psychotherapy. Washington, DC: American Psychological Association.CrossRef Bohart, A. C., & Greenberg, L. S. (1997). Empathy reconsidered: New directions in psychotherapy. Washington, DC: American Psychological Association.CrossRef
go back to reference Boritz, T. Z., Angus, L., Monette, G., Hollis-Walker, L., & Warwar, S. (2011). Narrative and emotion integration in psychotherapy: Investigating the relationship between autobiographical memory specificity and expressed emotional arousal in brief emotion-focused and client-centred treatments of depression. Psychotherapy Research, 21(1), 16–26.PubMedCrossRef Boritz, T. Z., Angus, L., Monette, G., Hollis-Walker, L., & Warwar, S. (2011). Narrative and emotion integration in psychotherapy: Investigating the relationship between autobiographical memory specificity and expressed emotional arousal in brief emotion-focused and client-centred treatments of depression. Psychotherapy Research, 21(1), 16–26.PubMedCrossRef
go back to reference Butler, L. D., Koopman, C., Neri, E., Giese-Davis, J., Palesh, O., ThorneYocam, K. A., et al. (2009). Effects of supportive-expressive group therapy on pain in women with metastatic breast cancer. Health Psychology, 28(5), 579–587.PubMedCrossRef Butler, L. D., Koopman, C., Neri, E., Giese-Davis, J., Palesh, O., ThorneYocam, K. A., et al. (2009). Effects of supportive-expressive group therapy on pain in women with metastatic breast cancer. Health Psychology, 28(5), 579–587.PubMedCrossRef
go back to reference Cameron, L. D., & Jago, L. (2008). Emotion regulation interventions: A common-sense model approach. British Journal of Health Psychology, 13(2), 215–221.PubMedCrossRef Cameron, L. D., & Jago, L. (2008). Emotion regulation interventions: A common-sense model approach. British Journal of Health Psychology, 13(2), 215–221.PubMedCrossRef
go back to reference Campbell, A., & Muncer, S. (2008). Intent to harm or injure? Gender and the expression of anger. Aggressive Behavior, 34(3), 282–293.PubMedCrossRef Campbell, A., & Muncer, S. (2008). Intent to harm or injure? Gender and the expression of anger. Aggressive Behavior, 34(3), 282–293.PubMedCrossRef
go back to reference Carryer, J. R., & Greenberg, L. S. (2010). Optimal levels of emotional arousal in experiential therapy of depression. Journal of Consulting and Clinical Psychology, 78(2), 190–199.PubMedCrossRef Carryer, J. R., & Greenberg, L. S. (2010). Optimal levels of emotional arousal in experiential therapy of depression. Journal of Consulting and Clinical Psychology, 78(2), 190–199.PubMedCrossRef
go back to reference Classen, C., Butler, L. D., Koopman, C., Miller, E., DiMiceli, S., Giese-Davis, J., et al. (2001). Supportive-expressive group therapy and distress in patients with metastatic breast cancer: A randomized clinical intervention trial. Archives of General Psychiatry, 58(5), 494–501.PubMedCrossRef Classen, C., Butler, L. D., Koopman, C., Miller, E., DiMiceli, S., Giese-Davis, J., et al. (2001). Supportive-expressive group therapy and distress in patients with metastatic breast cancer: A randomized clinical intervention trial. Archives of General Psychiatry, 58(5), 494–501.PubMedCrossRef
go back to reference Coreil, J., Wilke, J., & Pintado, I. (2004). Cultural models of illness and recovery in breast cancer support groups. Qualitative Health Research, 14(7), 905–923.PubMedCrossRef Coreil, J., Wilke, J., & Pintado, I. (2004). Cultural models of illness and recovery in breast cancer support groups. Qualitative Health Research, 14(7), 905–923.PubMedCrossRef
go back to reference Fleiss, J. L. (1971). Measuring nominal scale agreement among many raters. Psychological Bulletin, 76(5), 378–382.CrossRef Fleiss, J. L. (1971). Measuring nominal scale agreement among many raters. Psychological Bulletin, 76(5), 378–382.CrossRef
go back to reference Gerrig, R. J. (1994). Narrative thought? Personality and Social Psychology Bulletin, 20(6), 712–715.CrossRef Gerrig, R. J. (1994). Narrative thought? Personality and Social Psychology Bulletin, 20(6), 712–715.CrossRef
go back to reference Gibbons, R. D., Hedeker, D. R., Elkin, I., Waternaux, C., Kraemer, H. C., Greenhouse, J. B., et al. (1993). Some conceptual and statistical issues in analysis of longitudinal psychiatric data: Application to the NIMH treatment of depression collaborative research program dataset. Archives of General Psychiatry, 50(9), 739–750.PubMedCrossRef Gibbons, R. D., Hedeker, D. R., Elkin, I., Waternaux, C., Kraemer, H. C., Greenhouse, J. B., et al. (1993). Some conceptual and statistical issues in analysis of longitudinal psychiatric data: Application to the NIMH treatment of depression collaborative research program dataset. Archives of General Psychiatry, 50(9), 739–750.PubMedCrossRef
go back to reference Giese-Davis, J., Collie, K., Rancourt, K. M., Neri, E., Kraemer, H. C., & Spiegel, D. (2011). Decrease in depression symptoms is associated with longer survival in patients with metastatic breast cancer: A secondary analysis. Journal of Clinical Oncology, 29(4), 413–420.PubMedCentralPubMedCrossRef Giese-Davis, J., Collie, K., Rancourt, K. M., Neri, E., Kraemer, H. C., & Spiegel, D. (2011). Decrease in depression symptoms is associated with longer survival in patients with metastatic breast cancer: A secondary analysis. Journal of Clinical Oncology, 29(4), 413–420.PubMedCentralPubMedCrossRef
go back to reference Giese-Davis, J., DiMiceli, S., Sephton, S., & Spiegel, D. (2006). Emotional expression and diurnal cortisol slope in women with metastatic breast cancer in supportive-expressive group therapy: A preliminary study. Biological Psychology, 73(2), 190–198.PubMedCrossRef Giese-Davis, J., DiMiceli, S., Sephton, S., & Spiegel, D. (2006). Emotional expression and diurnal cortisol slope in women with metastatic breast cancer in supportive-expressive group therapy: A preliminary study. Biological Psychology, 73(2), 190–198.PubMedCrossRef
go back to reference Giese-Davis, J., Koopman, C., Butler, L. D., Classen, C., Cordova, M., Fobair, P., et al. (2002). Change in emotion-regulation strategy for women with metastatic breast cancer following supportive-expressive group therapy. Journal of Consulting and Clinical Psychology, 70(4), 916–925.PubMedCrossRef Giese-Davis, J., Koopman, C., Butler, L. D., Classen, C., Cordova, M., Fobair, P., et al. (2002). Change in emotion-regulation strategy for women with metastatic breast cancer following supportive-expressive group therapy. Journal of Consulting and Clinical Psychology, 70(4), 916–925.PubMedCrossRef
go back to reference Giese-Davis, J., Piemme, K. A., Dillon, C., & Twirbutt, S. (2005). Macro-variables in affective expression in women with breast cancer participating in support groups. In J. A. Harrigan, R. Rosenthal, & K. R. Scherer (Eds.), Nonverbal behavior in the affective sciences: A handbook of research methods (pp. 399–445). Oxford: Oxford University Press. Giese-Davis, J., Piemme, K. A., Dillon, C., & Twirbutt, S. (2005). Macro-variables in affective expression in women with breast cancer participating in support groups. In J. A. Harrigan, R. Rosenthal, & K. R. Scherer (Eds.), Nonverbal behavior in the affective sciences: A handbook of research methods (pp. 399–445). Oxford: Oxford University Press.
go back to reference Goodwin, P. J., Leszcz, M., Ennis, M., Koopmans, J., Vincent, L., Guther, H., et al. (2001). The effect of group psychosocial support on survival in metastatic breast cancer. New England Journal of Medicine, 345(24), 1719–1726.PubMedCrossRef Goodwin, P. J., Leszcz, M., Ennis, M., Koopmans, J., Vincent, L., Guther, H., et al. (2001). The effect of group psychosocial support on survival in metastatic breast cancer. New England Journal of Medicine, 345(24), 1719–1726.PubMedCrossRef
go back to reference Gottman, J. M. (1995). What predicts divorce: The measures. Hillsdale, NJ: Lawrence Erlbaum Assoc. Gottman, J. M. (1995). What predicts divorce: The measures. Hillsdale, NJ: Lawrence Erlbaum Assoc.
go back to reference Hoybye, M. T., Johansen, C., & Tjornhoj-Thomsen, T. (2005). Online interaction. Effects of storytelling in an internet breast cancer support group. Psycho-Oncology, 14(3), 211–220.PubMedCrossRef Hoybye, M. T., Johansen, C., & Tjornhoj-Thomsen, T. (2005). Online interaction. Effects of storytelling in an internet breast cancer support group. Psycho-Oncology, 14(3), 211–220.PubMedCrossRef
go back to reference Kemeny, M. E., Foltz, C., Cavanagh, J. F., Cullen, M., Giese-Davis, J., Jennings, P., et al. (2012). Contemplative/emotion training reduces negative emotional behavior and promotes prosocial responses. Emotion, 12(2), 338–350.PubMedCrossRef Kemeny, M. E., Foltz, C., Cavanagh, J. F., Cullen, M., Giese-Davis, J., Jennings, P., et al. (2012). Contemplative/emotion training reduces negative emotional behavior and promotes prosocial responses. Emotion, 12(2), 338–350.PubMedCrossRef
go back to reference Kissane, D. W., Grabsch, B., Clarke, D. M., Christie, G., Clifton, D., Gold, S., et al. (2004). Supportive-expressive group therapy: The transformation of existential ambivalence into creative living while enhancing adherence to anti-cancer therapies. Psycho-Oncology, 13(11), 755–768.PubMedCrossRef Kissane, D. W., Grabsch, B., Clarke, D. M., Christie, G., Clifton, D., Gold, S., et al. (2004). Supportive-expressive group therapy: The transformation of existential ambivalence into creative living while enhancing adherence to anti-cancer therapies. Psycho-Oncology, 13(11), 755–768.PubMedCrossRef
go back to reference Kreuter, M. W., Green, M. C., Cappella, J. N., Slater, M. D., Wise, M. E., Storey, D., et al. (2007). Narrative communication in cancer prevention and control: A framework to guide research and application. Annals of Behavioral Medicine, 33(3), 221–235.PubMedCrossRef Kreuter, M. W., Green, M. C., Cappella, J. N., Slater, M. D., Wise, M. E., Storey, D., et al. (2007). Narrative communication in cancer prevention and control: A framework to guide research and application. Annals of Behavioral Medicine, 33(3), 221–235.PubMedCrossRef
go back to reference Leszcz, M., & Goodwin, P. J. (1998). The rationale and foundations of group psychotherapy for women with metastatic breast cancer. International Journal of Group Psychotherapy, 48(2), 245–273.PubMed Leszcz, M., & Goodwin, P. J. (1998). The rationale and foundations of group psychotherapy for women with metastatic breast cancer. International Journal of Group Psychotherapy, 48(2), 245–273.PubMed
go back to reference Lieberman, M. A., & Goldstein, B. A. (2006). Not all negative emotions are equal: The role of emotional expression in online support groups for women with breast cancer. Psycho-Oncology, 15(2), 160–168.PubMedCrossRef Lieberman, M. A., & Goldstein, B. A. (2006). Not all negative emotions are equal: The role of emotional expression in online support groups for women with breast cancer. Psycho-Oncology, 15(2), 160–168.PubMedCrossRef
go back to reference Matsunaga, D. S., & Gotay, C. C. (2004). Characteristics contributing to an enduring prostate cancer support group in an Asian and Pacific Islander community. Journal of Psychosocial Oncology, 22(4), 1–30.CrossRef Matsunaga, D. S., & Gotay, C. C. (2004). Characteristics contributing to an enduring prostate cancer support group in an Asian and Pacific Islander community. Journal of Psychosocial Oncology, 22(4), 1–30.CrossRef
go back to reference Mustafa, M., Carson Stevens, A., Gillespie, D., & Edwards, A. G. K. (2013). Psychological interventions for women with metastatic breast cancer. Cochrane Database of Systematic Reviews, 6, CD004253–CD004253.PubMed Mustafa, M., Carson Stevens, A., Gillespie, D., & Edwards, A. G. K. (2013). Psychological interventions for women with metastatic breast cancer. Cochrane Database of Systematic Reviews, 6, CD004253–CD004253.PubMed
go back to reference Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.CrossRef Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.CrossRef
go back to reference Sandaunet, A. (2008). The challenge of fitting in: Non-participation and withdrawal from an online self-help group for breast cancer patients. Sociology of Health & Illness, 30(1), 131–144.CrossRef Sandaunet, A. (2008). The challenge of fitting in: Non-participation and withdrawal from an online self-help group for breast cancer patients. Sociology of Health & Illness, 30(1), 131–144.CrossRef
go back to reference Shim, M., Cappella, J. N., & Han, J. Y. (2011). How does insightful and emotional disclosure bring potential health benefits? Study based on online support groups for women with breast cancer. Journal of Communication, 61(3), 432–454.PubMedCentralPubMedCrossRef Shim, M., Cappella, J. N., & Han, J. Y. (2011). How does insightful and emotional disclosure bring potential health benefits? Study based on online support groups for women with breast cancer. Journal of Communication, 61(3), 432–454.PubMedCentralPubMedCrossRef
go back to reference Spiegel, D., Butler, L. D., Giese-Davis, J., Koopman, C., Miller, E., DiMiceli, S., et al. (2007). Effects of supportive-expressive group therapy on survival of patients with metastatic breast cancer: A randomized prospective trial. Cancer, 110(5), 1130–1138.PubMedCrossRef Spiegel, D., Butler, L. D., Giese-Davis, J., Koopman, C., Miller, E., DiMiceli, S., et al. (2007). Effects of supportive-expressive group therapy on survival of patients with metastatic breast cancer: A randomized prospective trial. Cancer, 110(5), 1130–1138.PubMedCrossRef
go back to reference Spiegel, D., & Classen, C. (2000). Group therapy for cancer patients. A research-based handbook of psychosocial care. New York: Basic. Spiegel, D., & Classen, C. (2000). Group therapy for cancer patients. A research-based handbook of psychosocial care. New York: Basic.
go back to reference Turner-Cobb, J. M., Sephton, S. E., Koopman, C., BlakeMortimer, J., & Spiegel, D. (2000). Social support and salivary cortisol in women with metastatic breast cancer. Psychosomatic Medicine, 62(3), 337–345.PubMedCrossRef Turner-Cobb, J. M., Sephton, S. E., Koopman, C., BlakeMortimer, J., & Spiegel, D. (2000). Social support and salivary cortisol in women with metastatic breast cancer. Psychosomatic Medicine, 62(3), 337–345.PubMedCrossRef
go back to reference Ussher, J. M., Kirsten, L., Butow, P., & Sandoval, M. (2008). A qualitative analysis of reasons for leaving, or not attending, a cancer support group. Social Work in Health Care, 47(1), 14–29.PubMedCrossRef Ussher, J. M., Kirsten, L., Butow, P., & Sandoval, M. (2008). A qualitative analysis of reasons for leaving, or not attending, a cancer support group. Social Work in Health Care, 47(1), 14–29.PubMedCrossRef
go back to reference Walker, L. M., Bischoff, T. F., & Robinson, J. W. (2010). Supportive expressive group therapy for women with advanced ovarian cancer. International Journal of Group Psychotherapy, 60(3), 407–427.PubMedCrossRef Walker, L. M., Bischoff, T. F., & Robinson, J. W. (2010). Supportive expressive group therapy for women with advanced ovarian cancer. International Journal of Group Psychotherapy, 60(3), 407–427.PubMedCrossRef
go back to reference Yalom, I. D. (1980). Existential psychotherapy. New York: Basic Books. Yalom, I. D. (1980). Existential psychotherapy. New York: Basic Books.
Metagegevens
Titel
Deconstructing therapeutic mechanisms in cancer support groups: do we express more emotion when we tell stories or talk directly to each other?
Auteurs
Rie Tamagawa
Yong Li
Theo Gravity
Karen Altree Piemme
Sue DiMiceli
Kate Collie
Janine Giese-Davis
Publicatiedatum
01-02-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 1/2015
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-014-9589-y