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1997 Fiscal Year Final Research Report Summary

Psychosocial support for breast cancer patients through the support group system.

Research Project

Project/Area Number 07307024
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionUniversity of Tokyo

Principal Investigator

KAI Ichiro  The University of Tokyo, Graduate School of Medicine, Professor, 大学院・医学系研究科, 教授 (30126023)

Co-Investigator(Kenkyū-buntansha) OHI Gen  The University of Tokyo, Graduate School of Medicine, Professor Emeritus, 大学院・医学系研究科, 名誉教授 (70114410)
KOINUMA Nobuo  Tohoku University, Professor, 医学部, 教授 (60134095)
志真 泰夫  国立がんセンター, 東病院, 医長
KASUMI Fujio  Cancer Institute Hospital, Chief, 乳腺外科, 部長
HIGASHI Yasuhiro  Saitama Cancer Center, Chief, 診療部, 部長
HISATA Mituru  Tokyo Women's Medical college, Associate Professor (50211503)
Project Period (FY) 1995 – 1997
Keywordsbreast canser / Psychosocial support / support group / self-help group / questionnaire / qualitativ research / 質的研究 / リエゾニ精神医学
Research Abstract

The incidence of breast cancer is increasing in Japan, with its prognosis being much better than before. Accordingly, there are many patients who live after undergoing breast cancer treatments which usually involve surgeries. These experiences influence their physical as well as their psychosocial status. This research examined the views of patients and breast cancer surgeons on this issue, then explored a possible psychosocial support system for them in Japan.
In the first part of the study, 41 semi-structured, in-depth interviews with breast cancer surnivors were performed in 1995 to understand their experiences of the illness through their own narratives. The interviews were analyzed using the Grounded Theory approach. The interviews uncovered the interviewees' psychosocial problems at various stages of the illness, and their acceptance of psychosocial support provided by medical professionals. The interviews also revealed many survivors appreciated the emotional and informational su … More pport from other patients they met in the breast surgery ward. However, they were not so interested in breast cancer self-help groups outside of the hospital. The need for hospital staff who take care of patients' psychosocial problems was indicated by many interviewees.
Next, in 1997, a questionnaire survey of 258 Japanese breast surgeons was conducted. A majority of surgeons answered they should play a major role in dealing with problems of medical treatments, patients' physical management in daily life, and death anxiety. However, the number of surgeons who regarded problems of body image and sexual life, patients' relationships with other people, and finance and job as their province was relatively small. Many surgeons were skeptical about the neutrality of the information provided by breast cancer self-help groups and peer visiting programs by former patients. Only a small number of surgeons had utilized those activities by peers. Finally, implications for a future psychosocial support system for breast cancer patients were discussed. Less

  • Research Products

    (14 results)

All Other

All Publications (14 results)

  • [Publications] 霞 富士雄: "乳癌の治療の進歩と問題点" 日本医師会雑誌. 118(3). 343-347 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 東 靖宏 他: "非触知乳癌の診断と治療" 外科診療. 11(13). 1257-1264 (1996)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 久田 満 他: "がん医療におけるインフォームド・ユニセントに対する外来患者の意識" 日本癌治療学会誌. 31(3). 9-23 (1996)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 濃沼 信夫: "がん患者さんの精神的ケア" からだの科学. 187. 92-95 (1996)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 大井 玄: "がん患者の生きがい〜「役割意識」再訪" ターミナルケア. 5(4). 301-302 (1995)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 高橋 都: "乳がんの心理社会的問題:診断と治療による影響" ターミナルケア. 7(2). 141-145 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Kasumi, F.: "History and present status of breast cancer surgery in Japan. (in Japanese)" Obstetrical and Gynecological Therapy. 74 (5). 698-707 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Hirose, H., Aoki, Y., Hisata.M.et al.: "Psychotherapeutic group approach for the cancer patients. (in Japanese)" Terminal Care. 7. 306-314 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Takahashi, M.: "Psychosocial issues of breast cancer : impact of diagnosis and treatments. (in Japanese)" Terminal Care. 7. 141-145 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Takahashi, M.et al.: "Human dry dock clients and breast self-examination (BSE) : How they practice BSE and how they behave if it's positive. (in Japanese)" Japanese Journal of Human Dry Dock. 12 (1). 56-60 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Hisata, M.et al.: "Attitudes of outpatients toward informed consent in cancer treatment. (in Japanese)" The Journal of Japan Society for Cancer Therapy. 31 (3). 171-185 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Koinuma, N.: "Psycho-social assessment and economic appraisal in breast cancer treatment. (in Japanese)" Pharma Medica. 13 (4). 41-45 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Kasumi, F.et al.: "Experience of quadrantectmy with axillary dissection without radiotherapy sustained by serial pathological examination for stage I breast cancer." J Cancer Res Clin Oncol. 121. 549-554 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Ohi, G.: "Ethical orientations and dignified death." Psy chiatry and Clinical Neurosciences. 49 (1). S155-159 (1995)

    • Description
      「研究成果報告書概要(欧文)」より

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Published: 1999-03-16  

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