Psychotherapy for the Spouses of Lung Cancer Patients: Assessment of an Intervention

Goldberg, Richard J.; Wool, Margaret S.

doi:10.1159/000287871

Cited by 64 publications

(36 citation statements)

References 12 publications

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“…group, although most of the patients and significant others were adapting well, leaving little room for improvement on the measures used in the study [74]. Another individualized intervention that introduced problem solv-…”

Section: Impact Of Pituitary Disease On the Family Caregivermentioning

confidence: 99%

The Impact of Pituitary Disease on the Family Caregiver and Overall Family Functioning

Weitzner

Knutzen²

1998

Psychother Psychosom

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Chronic medical illness not only affects the patient but the entire family. The family system undergoes a tremendous change in focus during the acute illness, with members marshaling their resources to help the ill member. This inward focus is costly, producing profound stress. Often, family communication styles change to protect the family system and prior functioning. When the stress of caring for an ill member becomes chronic, as is seen in pituitary disease, the initially adaptive changes in family functioning may become problematic even in those families with previously healthy coping. Those families with previously less healthy functioning become even more dysfunctional. Each family identifies a caregiver for their ill member. This caregiver also experiences significant stress related to caregiving demands. Caregiver adaptation to the stress depends on how the stress is perceived, as well as the caregiver’s coping patterns and availability of and satisfaction with social support. These elements comprise a stress process model of caregiving, which has been well-validated in dementia caregiving research. Although the majority of research has focused on dementia and cancer caregiving, identified issues have applicability to caregiving and family issues related to pituitary disease. This report will review: (1) the field of caregiving research, focusing on a stress process model; (2) those issues identified in prior caregiving research which have applicability in caregiving for patients with pituitary disease; (3) stresses on the family system; (4) assessment of family functioning, and (5) interventions for caregivers and areas for future research.

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Section: Impact Of Pituitary Disease On the Family Caregivermentioning

confidence: 99%

The Impact of Pituitary Disease on the Family Caregiver and Overall Family Functioning

Weitzner

Knutzen²

1998

Psychother Psychosom

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“…Previous assessments of the efficacy of active intervention have failed to show consistent benefit (Jacobs et al, 1983;Goldberg & Wool, 1985;Nolan et al, 1987). This may be because such intervention was non-specific and thus failed to help or support patients in their area of major concern.…”

mentioning

confidence: 99%

Identifying priorities of psychosocial need in cancer patients

Liang

Sm²,

Gorman³

et al. 1990

Br J Cancer

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Inconsistent findings on the efficacy of psychosocial interventions in cancer may be due to their lack of specificity. The aim of this study was to identify priorities of psychosocial need among cancer patients currently receiving treatment in Western Sydney (NSW) as a prelude to targeted intervention. A sample of 188 patients (129 female, median age 52 years, median time since diagnosis 12 months), with various solid tumours, completed a self-report ranking questionnaire listing eight major areas of psychosocial need based on a literature search of relevant studies. The resulting ranking of priorities was: family (1), dealing with emotional stress (2), getting information (3), money (4), work (5), social life (6), sex life (7), and dealing with hospital staff (8). These priorities were independent of demographic characteristics, including time since diagnosis, suggesting that support in the areas of major need may be just as important during follow-up as it is at diagnosis. Males reported less distress than females, and patients with cancer of the head/neck or breast reported most distress. To be maximally effective, psychosocial intervention for cancer patients should focus on the principal areas of family interaction, effective stress management, and access to information.

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“…These results are of importance in light of the small overall number of controlled studies on interventions with relatives of cancer patients; these generally reported no change in psychological distress [16,17] or adjustment problems [15] as a result of the intervention. Our study is likewise especially significant considering the dearth of research evaluating CB interventions for relatives of cancer patients.…”

Section: Discussionmentioning

confidence: 83%

“…The still fewer controlled studies that could be located were conducted in the United States. Goldberg and Wool [15] provided an unstructured supportive intervention for the spouses and adult children of lung cancer patients. They found no difference in the levels of psychosocial adjustment or in psychological distress between the 23 participants and the control subjects.…”

Section: Introductionmentioning

confidence: 99%

Cognitive–behavior group intervention for relatives of cancer patients: a controlled study

Cohen

Kuten

2006

Journal of Psychosomatic Research

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Psychotherapy for the Spouses of Lung Cancer Patients: Assessment of an Intervention

Cited by 64 publications

References 12 publications

The Impact of Pituitary Disease on the Family Caregiver and Overall Family Functioning

The Impact of Pituitary Disease on the Family Caregiver and Overall Family Functioning

Identifying priorities of psychosocial need in cancer patients

Cognitive–behavior group intervention for relatives of cancer patients: a controlled study

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