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Thursday, July 30 • 10:40am - 12:10pm
S4: Psychological Reactions to Recurrent and Metastatic Cancer: A New Challenge in Cancer Survivorship

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Response to the diagnosis of recurrent or metastatic disease is qualitatively different for survivors from that associated with initial diagnosis of cancer (Thornton et al., 2014).  Available data suggest that in contrast to initial diagnosis, patients with recurrent/metastatic cancer have lower functional status and report more pain, fatigue and relationship problems (Frost et al., 2000; Northouse et al., 2002; Sarenmalm et al., 2008).  Despite the psychological importance of a diagnosis of recurrence or metastatic disease to the cancer patient, there is little psychosocial research on the subject.
Following introductory remarks, the proposed symposium presents research on depression, social support, and emotion regulation in patients with recurrent/metastatic cancer, ending with outcome data from an intervention trial.  Longitudinal data from diagnosis through one year are presented.  The first presentation will discuss relationships between illness-related disruption of social/recreational activities and depressive symptoms in women with Stage IV breast cancer.  The second presentation will compare the impact of emotion regulation on quality of life in patients with recurrent cancer versus metastatic disease. The third presentation will describe a study of the mechanisms by which social support may be related to physical health outcomes in women with breast cancer recurrence. The final presentation will provide the results of a 20-session mindfulness- and hope-based intervention specifically designed for patients with recurrent cancer.  Together, this research provides a unique picture of socioemotional reactions to recurrent/metastatic cancer, as well as a novel treatment for addressing such reactions and enhancing quality of life.

Chair: Julia Rowland
Discussant: Neil Aaronson

S4-1: Social Support, Health, and Recurrent Breast Cancer: Understanding Psychological and Biological Mechanisms, C. Dorfman
S4-2: The Mediating Effects of Emotion Regulation in Cancer Recurrence, C. Conley
S4-3: Test of Mindfulness and Hope Components in a Psychological Intervention for Women with Cancer Recurrence, B. Andersen
S4-4: Depressive Symptoms, Goal Engagement, and Activity Disruption in Women with Metastatic Breast Cancer, A. Stanton 

Thursday July 30, 2015 10:40am - 12:10pm
Marquis Salon 7/8

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