摘要:

AbstractThis paper contains an overview of psycho‐oncology. A definition of this discipline and its aims is given. Advances in knowledge are described in the following areas: the psychological toll of cancer and its treatments, psychological factors affecting quality of life, psychological precursors of cancer, psychological prognostic factors and psychobiological research. Advances in clinical practice comprise the development and controlled evaluation of psychological therapy for cancer patients. Finally, some major challenges facing psycho‐oncology in the immediate future are lis

ISSN:1057-9249    

DOI:10.1002/pon.2960030203

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

ISSN:1057-9249    

DOI:10.1002/pon.2960030204

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractThis study compares, in a prospective randomized design, a rehabilitation ‘Starting again’ program for cancer patients (n= 98) and a control condition (n= 101). Assessments were carried out pre‐ and post‐intervention and at a 3 months follow‐up. The program consisted of 11 structured, two‐hour sessions run for a period of seven weeks by an oncology nurse specialist assisted by experts in various fields. The contents focused on physical training, information and coping skills training. Patients in the ‘Starting again’ condition improved significantly more than controls with respect to physical training, physical strength, body avoidance, appraisal of having received sufficient information, fighting spirit and frequency of sleeping problems. Results indicate improvement with respect to the three areas focused on in the ‘Starting again’ program: physical training, information and cop

ISSN:1057-9249    

DOI:10.1002/pon.2960030205

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractThis paper explores the complexities of medical social work undertaken with stepfamilies caring for a child suffering from cancer. Although there is a growing literature dealing with the psycho‐social effects of childhood cancer, there is an unexamined assumption that children are cared for by their birth parents within a traditional nuclear family. It is argued that the paediatric oncology social worker is challenged increasingly to develop understandings and modes of intervention which are appropriate and sympathetic to the particular issues facing stepfamilies. Using a systemic and chronological framework from referral and diagnosis through to bereavement, the authors identify challenges for the stepfamily, corresponding implications for social work practice, and questions for future researc

ISSN:1057-9249    

DOI:10.1002/pon.2960030206

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractThe relationships between patient characteristics, cognitive responses and psychiatric disorder have been examined in 105 women with operable breast cancer in the 6 months around the time of diagnosis. Patients underwent interview‐based psychosocial assessments at approximately 6 and 20 weeks post diagnosis. Information concerning patient characteristics was obtained at the 6 week assessment. Cognitive responses were assessed using a newly developed schedule at both the 6 and 20 week assessments. Psychiatric disorder from one month prior to diagnosis to five months post diagnosis was assessed at 20 weeks using the Present State Examination and Bedford College Rating Criteria. The point prevalence of psychiatric disorder (borderline and full case) was 48% at 6 weeks and 17% at 20 weeks post diagnosis. The period prevalence for the 6 months around the time of diagnosis was 66%, with 37% of women experiencing psychiatric disorder which was unresolved 6 weeks after diagnosis (persistent psychiatric disorder).The patient characteristics independently associated with psychiatric disorder included age<50 (p= 0.05), lack of an intimate relationship (p= 0.05) and having previous psychological difficulties (p= 0.07). The frequencies of the cognitive responses assessed were generally similar at 6 and 20 weeks. So too was the extent to which each individual response was reported by each patient at each time point. Lack of optimism was significantly associated with psychiatric disorder at 20 weeks (p= 0.04), but not at 6 weeks post diagnosis. None of the other cognitive responses assessed were related to psychiatric disorder at either assessmen

ISSN:1057-9249    

DOI:10.1002/pon.2960030207

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

ISSN:1057-9249    

DOI:10.1002/pon.2960030208

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

ISSN:1057-9249    

DOI:10.1002/pon.2960030209

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

ISSN:1057-9249    

DOI:10.1002/pon.2960030210

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

ISSN:1057-9249    

DOI:10.1002/pon.2960030211

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

ISSN:1057-9249    

DOI:10.1002/pon.2960030212

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY