Maladaptive coping and affective disorders among cancer patients

Parle, Michael; Jones, Bradley R.; Maguire, Peter

doi:10.1017/s0033291700037752

Cited by 188 publications

(111 citation statements)

References 23 publications

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“…The clinically significant effect for anxiety but not depression may in part be attributable to the well-established finding that the prevalence of anxiety in oncology populations is greater than that for depression (Parle et al, 1996). Prevalence is relevant in this case as the great majority of both the anxiety and depression trials in this sample were preventative in nature, i.e.…”

Section: Discussionmentioning

confidence: 88%

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The effect of psychological interventions on anxiety and depression in cancer patients: results of two meta-analyses

Sheard

Maguire²

1999

Br J Cancer

489

332

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Between 15 and 40% of cancer patients develop clinical anxiety and/or depression (Derogatis et al, 1983;Massie and Holland, 1990;Parle et al, 1996). Even for those ostensibly cured the prevalence remains appreciably higher than that of the general population a year or more after diagnosis (Devlen et al, 1987). This evidence, combined with significant pressure from service users, has led to increasing provision of psychological interventions in British oncology services. This has been piecemeal (Fallowfield, 1988) and guided more by local factors than evidence of efficacy. There is little evidence based consensus about optimal methods of intervention, appropriate standards for clinical practice and training, or whether service provision is best directed towards prevention or the treatment of disorder (Fallowfield and Roberts, 1992;Hopwood and Maguire, 1992;Brennan and Sheard, 1994).The impact of psychological interventions in oncology on psychosocial, disease, symptom and treatment side-effect outcomes has been evaluated in a relatively large number of trials which vary considerably in their research questions, methodology, settings and results. Meyer and Mark (1995) aggregated all psychological outcomes for 45 such trials and reported a small mean effect size of 0.24 standard deviations for a single aggregate measure of psychological outcome. Their broad entry criteria ensured the inclusion of a large number of trials but the resulting extreme heterogeneity in terms of diversity of research questions and outcome measures render the meaning of this aggregate finding difficult to assess. We conducted, therefore, two metaanalyses of trials of interventions which sought to treat or prevent anxiety and/or depression. The relevance of the findings to clinical practice and service provision is assessed. METHODS Identical methods were used for the two meta-analyses Search strategyMedline, PsycLit and BIDS social sciences computerized databases were searched using the using the keywords cancer, counselling, psychotherapy, psychological therapy, group support/therapy, relaxation, imagery and visualization. Citations in identified papers and reviews (Watson, 1983;Cunningham, 1988;Vachon, 1988;Harman, 1991;Andersen, 1992;Trijsburg et al, 1992), Aslib. index to theses (keywords cancer, counselling and psychotherapy), and Comprehensive Dissertation Abstracts: Psychology (keyword cancer) were manually searched. SummaryThe findings of two meta-analyses of trials of psychological interventions in patients with cancer are presented: the first using anxiety and the second depression, as a main outcome measure. The majority of the trials were preventative, selecting subjects on the basis of a cancer diagnosis rather than on psychological criteria. For anxiety, 25 trials were identified and six were excluded because of missing data. The remaining 19 trials (including five unpublished) had a combined effect size of 0.42 standard deviations in favour of treatment against no-treatment controls (95% confidence interval (CI) 0.08-0.74, ...

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Section: Discussionmentioning

confidence: 88%

“…

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mentioning

confidence: 99%

The effect of psychological interventions on anxiety and depression in cancer patients: results of two meta-analyses

Sheard

Maguire²

1999

Br J Cancer

489

332

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“…The field of psycho-oncology in particular has often advocated and incorporated the stress-coping model of Lazarus and Folkman [15] to investigate the psychological impact of cancer [16][17][18][19]. Coping with cancer is a process that enables the individual to effectively manage a variety of demands, either internal or external, that the individual perceives as being challenging or surpassing the resources available to them [15].…”

Section: The Stress-coping Modelmentioning

confidence: 99%

Individual differences in well-being in older breast cancer survivors

Perkins

Small

Balducci

et al. 2007

Critical Reviews in Oncology/Hematology

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Older women who survive breast cancer may differ significantly in their long-term well-being. Using a risk and protective factors model, we studied predictors of well-being in 127 women age 70 and above with a history of at least one year's survival of breast cancer. Mean post-cancer survivorship was 5.1 years. Using life satisfaction, depression and general health perceptions as outcome variables, we assessed whether demographic variables, cancer-related variables, health status and psychosocial resources predicted variability in well-being using correlational and hierarchical regression analyses. Higher age predicted increased depression but was not associated with life satisfaction or general health perceptions. Cancer-related variables, including duration of survival, and type of cancer treatment, were not significantly associated with survivors' well-being. Poorer health status was associated with poorer well-being in all three dependent variables. After controlling for demographics, cancer-related variables, and health status, higher levels of psychosocial resources including optimism, mastery, spirituality and social support predicted better outcome in all three dependent variables. While many older women survive breast cancer without severe sequelae, there is considerable variability in their well-being after survivorship. Successful intervention with older breast cancer survivors might include greater attention not only to cancer-specific concerns, but also attention to geriatric syndromes and functional impairment, and enhancement of protective psychosocial resources.

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“…Psychological distress has been correlated with lower quality of life [3,4,54,58], a desire to hasten death [5], and caregiver distress [30,50,57], as well as increased health-care utilization [15,22,33] and shorter survival [19,35,52]. Cancer patients with unresolved concerns are more distressed than those whose concerns are resolved [7,18,26,38]. The way oncologists communicate impacts patients' disclosure of concerns and their distress associated with such concerns.…”

Section: Introductionmentioning

confidence: 99%

“What concerns me is…” Expression of emotion by advanced cancer patients during outpatient visits

Anderson

Alexander

Rodriguez

et al. 2007

Support Care Cancer

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Objective-Cancer patients have high levels of distress, yet oncologists often do not recognize patients' concerns. We sought to describe how patients with advanced cancer verbally express negative emotion to their oncologists. Materials and methods-As part of the Studying Communication in Oncologist-PatientEncounters Trial, we audio-recorded 415 visits that 281 patients with advanced cancer made to their oncologists at three US cancer centers. Using qualitative methodology, we coded for verbal expressions of negative emotion, identified words patients used to express emotion, and categorized emotions by type and content.

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Maladaptive coping and affective disorders among cancer patients

Cited by 188 publications

References 23 publications

The effect of psychological interventions on anxiety and depression in cancer patients: results of two meta-analyses

The effect of psychological interventions on anxiety and depression in cancer patients: results of two meta-analyses

Individual differences in well-being in older breast cancer survivors

“What concerns me is…” Expression of emotion by advanced cancer patients during outpatient visits

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