A Structured Psychiatric Intervention for Cancer Patients

Fawzy, Fawzy I.

doi:10.1001/archpsyc.1990.01810200028004

Cited by 548 publications

(43 citation statements)

References 27 publications

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“…(4) On the basis of the results of coping research, coping skill-based psychosocial interventions or cognitive-behavioural therapy should be implemented to breast cancer patients (e.g. with high self-blame) in order to help them re-examine their coping strategies, adjust to the problems of living and improve their quality of life [52, 53, 54]. …”

Section: Discussionmentioning

confidence: 99%

Coping Strategies of Women with Breast Cancer: A Comparison of Patients with Healthy and Benign Controls

Anagnostopoulos

Vaslamatzis²,

Markidis³

2003

Psychother Psychosom

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Background: Cancer has an enormous impact on the patient, triggering fears of suffering, disability and death. Still, little research has been published which investigates the coping strategies adopted by cancer patients, when attempting to deal with their serious health threat. Moreover, it is often not clarified whether the selected coping strategies are used exclusively by cancer patients, or whether other groups of women facing benign breast diseases or having health worries regarding their breasts share similar coping strategies. This study attempts to identify those coping strategies that distinguish breast cancer patients from non-malignant controls. Methods: A sample of 180 breast cancer patients was assessed on how it coped with health threats. The control group was composed of 268 women who were diagnosed as having either a benign disease or were disease free. The Ways of Coping Questionnaire was administered in order to record the frequency of the coping strategies used under the health conditions. Univariate analyses were conducted to compare mean scores in coping strategies among the diagnostic groups. Multivariate analyses were performed to identify those variables that distinguish one group from the other. Results: Compared with women with benign breast disease and those who were disease free, breast cancer patients significantly infrequently exhibited attributions of blame to self, whereas they did not differ from controls in other ways of coping such as self-isolation, passive acceptance, seeking social support, problem-focused coping, positive reappraisal, distancing, and wishful thinking. Conclusion: Our results may suggest that under the conditions of a cancer diagnosis, patients do not tend to assign responsibility on themselves and their character, since they possibly need to avoid guilt, low self-esteem, and social distance, and to maintain a potential to invest in the adjustment process.

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Section: Discussionmentioning

confidence: 99%

Coping Strategies of Women with Breast Cancer: A Comparison of Patients with Healthy and Benign Controls

Anagnostopoulos

Vaslamatzis²,

Markidis³

2003

Psychother Psychosom

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“…Finally, studies evaluating the effectiveness of a psychotherapeutic intervention for cancer patients have found decreased fatigue-scores as a result of these interventions (Spiegel et al, 1981;Forester et al, 1985;Fawzy et al, 1990). Therefore interventions aimed at reducing emotional distress or enhance coping responses may also be an effective way to decrease feelings of fatigue.…”

Section: Discussionmentioning

confidence: 99%

Fatigue in cancer patients

Smets

Garssen²,

Schuster-Uitterhoeve³

et al. 1993

Br J Cancer

272

139

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(Cristensen, 1989).To date there are few studies which systematically register how many cancer patients experience fatigue, in which stage of the disease process and to what extent. To give an indication, a literature-search using MEDLINE with CD-ROM over the period 1980 to 1991 yielded nine references in which 'fatigue' was included in the title and 'cancer' was included in title, keyword or abstract. Eight of these references pertained to nursing research.An appraisal of the research literature concerning fatigue in cancer is presented in this paper to give an overview of what is currently known. Literature, other than obtained using the MEDLINE-procedure, was gathered either by searching for studies in which fatigue was assessed as part of patient functioning or through references of the papers obtained. This procedure does evidently not lead to an exhaustive list of all the studies which included fatigue as an outcome-variable. However, we think to have obtained a representative sample. Topics that will be discussed are: the conceptualisation of fatigue and its measurement, prevalence rates of fatigue during and after treatment and somatic and psychological correlates of fatigue. Finally, considerations with regard to research and interventions will be discussed.

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“…Despite investigation linking the relationship between psychosocial stressors and tumor development or progression facing many obvious difficulties including the stage of disease and a number of side-effects associated with the cancer treatments (Andersen et al 1994), a number of observations showed that stress-reducing interventions could improve immune function (Kiecolt-Glaser and Glaser 1992; Fawzy et al 1990Fawzy et al , 1993. Patients with stage I or II malignant melanoma, not having received any treatment after surgical excision of the cancer, showed significant relationship of reduced psychological distress with increased percent and cytotoxicity of NK cells compared with control groups.…”

Section: Cancer Treatmentmentioning

confidence: 99%

Psychological stress and cancer

Soung

Kim

2015

J Anal Sci Technol

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Psychological or psychosocial stress has been emerging as one of the key factors associated with cancer initiation, growth, and metastasis. Accumulating data, however, has mainly focused on cancer progression due to the inconsistent results of cancer etiology caused by emotional stress. Depression is closely linked to stress and induces hypothalamic-pituitary-adrenal (HPA) axis activation as well as sympathetic nervous system (SNS) down to immune cell surveillance. This review briefly describes the activation of neuroendocrine system by psychological stress/ depression and its effect on cancer occurrence and metastasis, which may be useful for the design of new cancer treatments.

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A Structured Psychiatric Intervention for Cancer Patients

Cited by 548 publications

References 27 publications

Coping Strategies of Women with Breast Cancer: A Comparison of Patients with Healthy and Benign Controls

Coping Strategies of Women with Breast Cancer: A Comparison of Patients with Healthy and Benign Controls

Fatigue in cancer patients

Psychological stress and cancer

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