Table of Contents
ISRN Nursing
Volume 2012, Article ID 716367, 8 pages
Research Article

Guided Self-Help for Prevention of Depression and Anxiety in Women with Breast Cancer

1Faculty of Nursing and Medical Care, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan
2St. Luke’s College of Nursing, Tokyo 104-0044, Japan
3School of Nursing, Hyogo University of Health Sciences, Hyogo 650-8530, Japan
4Department of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, The University of Texas, Houston, TX 77030, USA
5School of Medicine, Showa University, Tokyo 142-8555, Japan
6Department of Breast Medical Oncology, MD Anderson Cancer Center, The University of Texas, Houston, TX 77030, USA

Received 11 September 2012; Accepted 27 September 2012

Academic Editors: N. M. C. Alexandre and N. Jarrett

Copyright © 2012 Hiroko Komatsu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Depression and anxiety are prevalent in women with breast cancer. We developed a self-help kit as a self-learning package of necessary preparatory information (basic knowledge on chemotherapy, side effects, and problem-solving skills). We provided an oncology nurse-guided self-help kit with a cognitive behavioral therapy approach to 46 women with breast cancer in the intervention group and usual care to 36 in the control group in outpatient chemotherapy settings. The oncology nurse monitored and facilitated the patient’s progress using the diary during the patient’s chemotherapy. We also provided professional-led support group programs. Depression, anxiety, and quality of life were measured at baseline, 1 week, 3 months, and 6 months. The chi-square test and t were used to examine differences between the two groups, and repeated measures analysis of variance was used to test the effects of the intervention on the measures over time. All depression and anxiety scores were improved in both the intervention and control groups, but there were no significant differences between the two groups. Further studies are needed to evaluate the effectiveness of an oncology nurse-guided self-help approach for cancer patients.