Table 2.

Psychiatric disorders in a population with gynecologic cancer recurrence

Authors	Year	Question	No of patients	Design	Methods	Results
Thornton et al52	2014	Emotions and social relationships for breast and gynecologic cancer patients: coping with recurrence	35	Qualitative	Individuals receiving follow-up care for recurrent breast or gynecologic cancer participated in an individual or a group interview; transcripts of interviews were analyzed using a coding form with two areas of emphasis.	Patients identified notable differences in their initial responses to the diagnosis of cancer and their current responses to recurrence.
Thornton et al53	2014	Test of mindfulness and hope components in a psychological intervention for women with cancer recurrence	32	Prospective	Patients with recurrent breast or gynecologic cancer received 20 treatment sessions in an individual (n=12) or group (n=20) format; independent variables (eg, hope and mindfulness) and psychological outcomes (eg, depression, negative mood, worry, and symptoms of generalized anxiety disorder) were assessed pretreatment and after 2, 4, and 7 months; measures of session-by-session therapy process (positive and negative affect and quality of life) and mechanism (use of intervention-specific skills) were also included.	Distress, anxiety, and negative affect decreased, whereas positive affect and mental health-related quality of life increased over the course of treatment, as demonstrated using mixed-effects models with the intent-to-treat sample. Both hope and mindfulness increased, and use of mindfulness skills was related to decreased anxiety.