A supportive-expressive group intervention for women with a family historyof breast cancer: Results of a phase II study

Background: Evidence suggests that there are significant psychological and behavioural sequelae associated with having a family history of breast canc er (BC) which can interfere with comprehension of risk estimates. Purpose: The purpose of this study was to develop, standardize and do preliminary te sting of a group intervention designed to address the emotional impact of h aving a family history of BC. Method's: This study is a single-arm pilot design with pre- and post-measur es of perceived risk, psychosocial distress, knowledge and screening practi ces. Results: The primary study outcome measure of risk comprehension was signif icantly improved by 70%, according to our predetermined criteria for succes s. In addition, the most important secondary measures of psychosocial funct ioning, such as cancer-related distress (p = 0.025), depression (p = 0.05), anxiety (p = 0.005) and unresolved grief (p = 0.034) were significantly im proved. Conclusion: The results of this initial pilot study are encouraging; howeve r, further research is required, using a randomized controlled study design to evaluate the relative contribution of this intervention to the successf ul modification of risk comprehension, enhanced psychological functioning, and to promote optimal screening adherence. Copyright (C) 2000 John Wiley & Sons, Ltd.