Predictors of patients' mental adjustment to cancer: patient characteristics and social support

Akechi, Tatsuo; Okamura, Hitoshi; Yamawaki, Shigeto; Uchitomi, Yosuke

doi:10.1038/bjc.1998.396

Cited by 67 publications

(69 citation statements)

References 34 publications

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“…Older men have been reported as more likely to feel 'helpless and hopeless' than younger men (Akechi et al, 1998), and may therefore need more emotional support. Older men are likely to be aware of prostate cancer (MORI, 1999), although few feel that sufficient information has been directed specifically to them (Health Education Authority, 1996).…”

Section: Discussionmentioning

confidence: 99%

Do men with prostate or colorectal cancer seek different information and support from women with cancer?

Boudioni

McPherson

Moynihan³

et al. 2001

Br J Cancer

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Summary Male cancer patients' use of a national cancer information service, their requests and key predictors of these over the period April 1996 to March 1998 are presented, in comparison with women. The most frequent requests of 411 prostate, 162 male and 217 female colorectal cancer patients were similar: site-specific information, emotional support, publications, specific therapies. Research or clinical trials (P < 0.05), diet and nutrition (P < 0.001) requests differed between men with prostate and colorectal cancers; complementary therapies (P < 0.05), prognosis (P < 0.05) requests differed between male and female colorectal cancer patients. Among prostate cancer patients, employed men aged 60+ were more likely to need emotional support than retired men aged 70 +; men < 59 years old were more likely to request publications, but less likely to enquire about specific therapies than others. Among male colorectal cancer patients, employed men were less likely to request site-specific information, but more likely to need emotional support than retired men; patients from geographical areas other than Thames were more likely to request publications; patients from manual classes were less likely to enquire about specific therapies than those from non-manual classes. The complexity of information and support seeking behaviour is demonstrated; no pattern was found among men or in comparison with women. Further research is needed to enable development of services that are appropriate to individual needs and concerns.

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Section: Discussionmentioning

confidence: 99%

Do men with prostate or colorectal cancer seek different information and support from women with cancer?

Boudioni

McPherson

Moynihan³

et al. 2001

Br J Cancer

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“…Because our previous study indicated that the physical function of cancer patients was associated significantly with hopelessness/helplessness, 28 and several studies demonstrated a significant association between hopelessness and suicidal ideation, 13,17 patients' hopelessness might serve as a mediator between physical function and suicidal ideation. Conversely, although a significant association was indicated by the univariate analysis, the multivariate analyses did not show any such significance.…”

Section: Physical Function and Suicidal Ideationmentioning

confidence: 90%

“…This information was obtained in a structured interview 28 conducted at the baseline and follow-up examinations. In the interview, the patients were asked whether they had confided in someone since being diagnosed with cancer and, if so, in whom.…”

Section: Social Supportmentioning

confidence: 99%

Predictive factors for suicidal ideation in patients with unresectable lung carcinoma

Akechi

Okamura

Nishiwaki

et al. 2002

Cancer

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Agglomerate particulate fluidization (APF), consisting of uniform bubbleless fluidization of agglomerated fine particles, has been observed in some fluidized beds of fine and ultrafine powders. Experiments performed in centrifugal fluidized beds (CFB) and vibrofluidized beds (VFB) show that the quality of fluidization is improved by increased effective acceleration. The Richardson‐Zaki modified equation is used, and a proposed criterion for agglomerate size is presented in order to predict the effect of the increase of gravitational acceleration on the APF bed. Following, model predictions are compared with experimental data on VFB of xerographic toners (particle size ≈ 10μ m) displaying APF in a wide interval of gas velocities. It is seen that the agglomerate size and agglomerate volume fraction ϕ* decrease as the effective acceleration is increased. The agreement with the model predictions is good, but at some critical acceleration visible bubbling is stimulated. At bubbling stimulation ϕ* is close to the value of ϕ* at the onset of bubbling in the absence of external vibrations when the gas velocity is increased up to the minimum bubbling velocity. This result indicates that the agglomerate size cannot be decreased indefinitely since at some critical point the concentration and size of local voids can be higher enough to yield the irreversible coalescence of voids into large bubbles. Particle agglomeration is, therefore, essential at some extent to the uniform fluidized state observed for fine particles. © 2006 American Institute of Chemical Engineers AIChE J, 2006

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“…Cancer is one of several illnesses that increase the risk of suicide in Asian countries (22)(23)(24)(25)(26)(27)(28). In Korea, cancer has been named as a suicide risk factor when coupled with comorbidities such as psychiatric diseases (22).…”

Section: Introductionmentioning

confidence: 99%

Suicide Rates and Risk Factors among Korean Cancer Patients, 1993-2005

Ahn

Shin

Cho

et al. 2010

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: As the number of cancer survivors increases, suicide risk approaches that of the general population. We therefore investigated suicide rates and risk factors among Korean cancer patients.Methods: We observed 816,295 cancer patients for 3,007,294 person-years from 1993 to 2005 through a nationwide cancer registry. We calculated their sex-and age-standardized mortality ratios (SMR) and studied suicide risk factors using rate ratios (RR) based on a log-linear Poisson regression model.Results: Compared with the Korean general population, the suicide rate among cancer patients was high [SMR, 2.00; 95% confidence interval (95% CI), 1.91-2.08]. The rates were highest in the year following the cancer diagnosis (SMR, 3.45; 95% CI,) and were still elevated 5 years later (SMR, 1.23; 95% CI, 1.12-1.36). The clinical groups at highest risk were male pancreas cancer patients (SMR, 6.01; 95% CI, 4.33-8.33) and female lung cancer patients (SMR, 3.55; 95% CI, 2.55-4.94). The sociodemographic groups at highest risk were those who had no spouse versus those who were married (RR, 1.50; 95% CI, 1.35-1.68), those who were not employed versus those who were (RR, 1.39; 95% CI, 1.26-1.54), and those who did not have high school education versus those who had (RR, 1.52; 95% CI, 1.30-1.79).Conclusions: Korean cancer patients are at increased risk of suicide. Both clinical and sociodemographic factors play a role.Impact: There is a need for social support and suicide prevention strategies for cancer survivors in Korea.

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Predictors of patients' mental adjustment to cancer: patient characteristics and social support

Cited by 67 publications

References 34 publications

Do men with prostate or colorectal cancer seek different information and support from women with cancer?

Do men with prostate or colorectal cancer seek different information and support from women with cancer?

Predictive factors for suicidal ideation in patients with unresectable lung carcinoma

Suicide Rates and Risk Factors among Korean Cancer Patients, 1993-2005

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