David Spiegel
Publication Details
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Psychological distress and pain significantly increase before death in metastatic breast cancer patients.
Psychosom Med. 2003 May-Jun; (3): 416-26
This study was designed to examine the course of psychological distress and pain from study entry to death in 59 women with metastatic breast cancer participating in a randomized trial of the effects of group psychotherapy on psychosocial outcomes and survival. It was hypothesized that psychological distress would increase significantly before death independent of changes in pain.

