Crisis intervention: A functional model for hospitalized cancer patients.

Capone, Mary Ann; Westie, K. S.; Chitwood, Janet S.; Feigenbaum, Dolly; Good, Raphael S.

doi:10.1111/j.1939-0025.1979.tb02645.x

Cited by 19 publications

(5 citation statements)

References 13 publications

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“…The fields of sexual medicine and psycho‐oncology provide us with insight about effective modalities. Crisis interventions can accelerate return to sexual activity [139]. Long‐term (12‐week) interventions show improved sexual function and mood [140].…”

Section: Recent Evidence‐based Psychosexual Interventions With Gynecomentioning

confidence: 99%

The Physical Consequences of Gynecologic Cancer Surgery and Their Impact on Sexual, Emotional, and Quality of Life Issues

Carter

Stabile

Gunn

et al. 2013

The Journal of Sexual Medicine

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Introduction Surgical management of gynecologic cancer can cause short- and long-term effects on sexuality, reproductive function, and overall quality of life (QOL) (e.g., sexual dysfunction, infertility, lymphedema). However, innovative approaches developed over the past several decades have improved oncologic outcomes and reduced treatment sequelae. Aim To provide an overview of the standards of care and major advancements in gynecologic cancer surgery, with a focus on their direct physical impact, as well as emotional, sexual, and QOL issues. This overview will aid researchers and clinicians in the conceptualization of future clinical care strategies and interventions to improve sexual/vaginal/reproductive health and QOL in gynecologic cancer patients. Main Outcome Measures Comprehensive overview of the literature on gynecologic oncology surgery. Methods Conceptual framework for this overview follows the current standards of care and recent surgical approaches to treat gynecologic cancer, with a brief overview describing primary management objectives and the physical, sexual, and emotional impact on patients. Extensive literature support is provided. Results The type and radicality of surgical treatment for gynecologic cancer can influence sexual function and play a significant role in QOL. Psychological, sexual, and QOL outcomes improve as surgical procedures continue to evolve. Procedures for fertility preservation, laparoscopy, sentinel lymph node mapping, and robotic and risk-reducing surgery have advanced the field while reducing treatment sequelae. Nevertheless, interventions that address sexual and vaginal health issues are limited. Conclusions It is imperative to consider QOL and sexuality during the treatment decision-making process. New advances in detection and treatment exist; however, psycho-educational interventions and greater patient–physician communication to address sexual and vaginal health concerns are warranted. Large, prospective clinical trials including patient-reported outcomes are needed in gynecologic oncology populations to identify subgroups at risk. Future study designs need clearly defined samples to gain insight about sexual morbidity and foster the development of targeted interventions.

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Section: Recent Evidence‐based Psychosexual Interventions With Gynecomentioning

confidence: 99%

The Physical Consequences of Gynecologic Cancer Surgery and Their Impact on Sexual, Emotional, and Quality of Life Issues

Carter

Stabile

Gunn

et al. 2013

The Journal of Sexual Medicine

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“…In clinical practice, effective psychotherapeutic intervention for these syndromes involves supportive therapy based on a crisis intervention model (Capone et al, 1979). In addition to the therapist's knowledge and understanding of the patient's medical condition, the initial evaluation of patients includes a baseline mental status examination; an assessment of the meaning of the illness to the individual within the context of previous experience with sickness; a history of handling prior stressful situations; effective coping strategies; and an assessment of the support systems available (Lipowski, 1970;Viederman, 1983).…”

Section: Individual and Group Counselingmentioning

confidence: 99%

Depression in patients with cancer

1992

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This paper reviews the clinical aspects of depression in cancer from the perspective of prevalence, diagnosis, clinical symptoms, classification and treatment. Clinical trials, reported since 1960, of psychosocial, psychopharmacologic and behavioral interventions are critically evaluated. Therapeutic guidelines are offered for the management of the depressed patients with cancer. Research directions are suggested for the future.

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“…That the short-term impact of the crisis-intervention counseling appears to have been largely as predicted should not surprise the reader, given the body of knowledge about such effects now available (Wolberg, 1980). Much of the relevant work that focused on crises induced by illness and treatment has been successful in achieving its short-term goals (Auerbach & Kilman, 1977; Capone, Westie, Chitwood, Feigenbaum, & Goods, 1979; Gruen, 1975; Mickel, 1982). That some long-term impact may have been identified may surprise some readers, given that the number of counseling interventions was so few and that the follow-up was conducted at least 1 year after the interventions took place.…”

Section: Discussionmentioning

confidence: 99%

Crisis-intervention counseling: An evaluation of long- and short-term effects.

Viney¹,

Clarke²,

Bunn³

et al. 1985

Journal of Counseling Psychology

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Crisis-intervention counseling was implemented with hospitalized patients for whom illness or injury and hospitalization constituted the crisis. Its longterm as well as short-term psychological effects were monitored. When compared with a biographically and psychologically similar sample who were not counseled, counseled patients on discharge from the hospital showed the hypothesized short-term reductions in anxiety and in indirectly expressed anger. Their self-perceptions of helplessness were fewer, whereas their statements of competence increased. On follow-up 12 months later, reductions in their levels of anxiety were found to be even more notable, and more expressions of direct anger were observed. Reductions in depression proved statistically significant only on follow-up. Significant effects for self-perceptions were not apparent on follow-up. Although the findings for short-term effects provided some support for the use of crisis-intervention counseling to achieve immediate goals, the long-term effects suggested that it may have potential for achiev-" ing primary prevention goals.People in crisis are passing through a phase of disturbed psychological equilibrium on the way to a new equilibrium (Caplan, 1955(Caplan, ,1961. This disturbance lasts only for a short period of days or weeks. It usually occurs as a reaction to a change in their world and so requires changes in the assumptions they make about themselves in that world (Kelly, 1955;Parkes, 1971). People in crisis suddenly face different circumstances that demand different coping responses from them. The crisis is, therefore, a time of cognitive disorganization and emotional disturbance, and also a time of increased vulnerability to external influences (Pasewark & Albers, 1972;. For this reason, and because the extent to which crises are effectively resolved seems to be largely a function of the interpersonal sup-This work was supported by a grant from the Commonwealth Department of Health, Australia. We wish to thank Ms. Rosemary Caruana and the part-time members of the research team for their help with data collection and analysis. We also wish to thank the crisis-intervention counselors.

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Crisis intervention: A functional model for hospitalized cancer patients.

Cited by 19 publications

References 13 publications

The Physical Consequences of Gynecologic Cancer Surgery and Their Impact on Sexual, Emotional, and Quality of Life Issues

The Physical Consequences of Gynecologic Cancer Surgery and Their Impact on Sexual, Emotional, and Quality of Life Issues

Depression in patients with cancer

Crisis-intervention counseling: An evaluation of long- and short-term effects.

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