We propose to investigate the 5-year effects of breast cancer and its treatment in a cohort of women diagnosed at age 50 or younger who where originally identified through the SEER tumor registry in the San Francisco Bay Area. In Phase I, we will resurvey eligible women from the original cohort of 336 (80 percent response) to assess change in social, emotional and physical concerns and functioning. These findings will inform our proposed Phase II eight session psychoeducation group intervention. We anticipate a sample of 434 women to be randomly assigned to intervention or control. In the intervention arm, participants in each of the 22 groups will learn the latest scientific information about topical issues of relevance to breast cancer. As part of this strategy, the woman will learn (or be re-exposed) to coping skills training and have opportunities to practice these skills. The effect of the intervention will be evaluated using a pre-post-test design. Pre-test in-person interviews will assess health behaviors, physical and mental health, and improved mood; post-test interviews will be conducted by telephone. Because the two samples for the proposed study are population-based, they are representative not only of younger breast cancer survivors, but also the multi-ethnic population of this region of the country.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA078951-04
Application #
6377226
Study Section
Special Emphasis Panel (ZCA1-RLB-X (M2))
Project Start
1998-09-30
Project End
2003-07-31
Budget Start
2001-09-21
Budget End
2003-07-31
Support Year
4
Fiscal Year
2001
Total Cost
$368,079
Indirect Cost
Name
University of California Berkeley
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
094878337
City
Berkeley
State
CA
Country
United States
Zip Code
94704
Bloom, Joan R; Stewart, Susan L; Oakley-Girvan, Ingrid et al. (2012) Quality of life of younger breast cancer survivors: persistence of problems and sense of well-being. Psychooncology 21:655-65
Chou, Ann F; Stewart, Susan L; Wild, Robert C et al. (2012) Social support and survival in young women with breast carcinoma. Psychooncology 21:125-33
Fernandes-Taylor, Sara; Bloom, Joan R (2011) Post-treatment regret among young breast cancer survivors. Psychooncology 20:506-16
Bloom, Joan R; Stewart, Susan L; D'Onofrio, Carol N et al. (2008) Addressing the needs of young breast cancer survivors at the 5 year milestone: can a short-term, low intensity intervention produce change? J Cancer Surviv 2:190-204
Wong-Kim, Evaon C; Bloom, Joan R (2005) Depression experienced by young women newly diagnosed with breast cancer. Psychooncology 14:564-73
Bloom, Joan R; Stewart, Susan L; Chang, Subo et al. (2004) Then and now: quality of life of young breast cancer survivors. Psychooncology 13:147-60
Bloom, J R; Stewart, S L; Johnston, M et al. (2001) Sources of support and the physical and mental well-being of young women with breast cancer. Soc Sci Med 53:1513-24