Dyadic psychosocial intervention for advanced lung cancer patients and their family caregivers: Results of a randomized pilot trial

Badr, Hoda; Smith, Cardinale B.; Goldstein, Nathan E.; Gomez, Jorge; Redd, William H.

doi:10.1002/cncr.29009

Cited by 151 publications

(229 citation statements)

References 35 publications

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“…Although PD is a common problem among patients with cancer, many of those patients are not recognized and referred for interventions [19,20]. Several interventions for coping with PD exist, such as individual psychological support, support groups or education programs [20,21,36]. Therefore, screening might be considered.…”

Section: Discussionmentioning

confidence: 99%

“…Routine screening of distress in patients with disseminated cancer is uncommon [20], despite the fact that several interventions exist which can decrease PD, such as psychosocial interventions [21], cognitive therapy [22] or psycho-educational interventions [23,24]. Some patients disclose the presence of PD to their health care providers spontaneously and are therefore easily identified.…”

Section: Introductionmentioning

confidence: 99%

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Screening for psychological distress before radiotherapy for painful bone metastases may be useful to identify patients with high levels of distress

et al. 2017

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Background: Psychological distress (PD) has a major impact on quality of life. We studied the incidence of PD before and after radiotherapy for painful bone metastases. Furthermore, we aimed to identify factors predictive for PD. Methods: Between 1996 and 1998, the Dutch Bone Metastasis Study included 1157 patients with painful bone metastases. Patients were randomized between two fractionation schedules. The study showed a pain response of 74% in both groups. Patients filled out weekly questionnaires for 13 weeks, then monthly for two years. The questionnaires included a subscale for PD on the Rotterdam Symptom Checklist. We used generalized estimating equations and multivariable logistic regression analyses. Results: At baseline, 290 patients (27%) had a high level of PD. For the entire group, the level of PD remained constant over time. The majority of patients with a low level of PD at baseline remained at a low level during follow-up. In patients with a high level of PD at baseline, the mean level of PD decreased after treatment and stabilized around the cutoff level. Female patients, higher age, worse performance, lower pain score and worse self-reported QoL were associated with an increased chance of PD, although the model showed moderate discriminative power. Conclusions: A substantial proportion of patients had a high level of PD before and after radiotherapy for painful bone metastases. Most patients who reported high levels of PD when referred for palliative radiotherapy remained at high levels thereafter. Therefore, screening of PD prior to treatment seems appropriate, in order to select patients requiring intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Screening for psychological distress before radiotherapy for painful bone metastases may be useful to identify patients with high levels of distress

et al. 2017

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“…Over the last few decades, researchers have recognized the need to view cancer in a relationship context and a burgeoning literature involving psychosocial interventions to improve couples' coping and quality of life (QOL) has emerged [15][16][17][18][19][20]. Here, we use the term 'couple-based' to refer to any intervention in which the two partners are seen together by a therapist, interventionist or health educator.…”

mentioning

confidence: 99%

New frontiers in couple-based interventions in cancer care: refining the prescription for spousal communication

Badr

2016

Acta Oncologica

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Background: The diagnosis and treatment of cancer is a life-altering experience that signals profound changes in a person's life. However, most people do not experience cancer in isolation or cope alone. Despite the fact that partners (i.e. spouses, significant others) provide emotional support and play a critical role in caregiving, cancer exacts a heavy toll on them and challenges their relationship with the patient by altering established communication patterns and roles. In recognition of this, a burgeoning literature involving couple-based interventions to improve patient and partner quality of life and adaptation has emerged. However, questions remain regarding how we can improve these interventions to exact greater impact on patient and partner outcomes. Material and methods: A narrative review of the literature on couples' communication processes in cancer was conducted in order to describe knowledge gaps and directions for future research. Results: Most couple-based interventions have included a communication skills training component because communication is an important process through which couples make sense of cancer, engage in social support, negotiate role changes and coordinate coping responses. However, scholars still know very little about what they should instruct couples to talk about, how often they should talk and when talking (or not talking) is beneficial (and for whom -the patient, partner, or both). Conclusion: In order push this field forward, we need to develop a more nuanced view of couples' communication that acknowledges that there are multiple ways to talk, different aspects of the cancer experience to talk about, and preexisting communication patterns and preferences for different couples that may influence the utility of talk. Interventions that replace the unilateral and generic prescription to talk openly about cancer with targeted questions that prompt reflection on couples' unique strengths, preexisting communication patterns and support resources may thus help bolster the impact of couple-based interventions on patient and partner quality of life.

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“…Porcentagem de casos diagnosticados por estádio da doença (Ismael, 2011 (Calman et al, 2011). Em um modelo de análise de regressão logística, foi observado que os domínios capacidade funcional, aspectos físicos e saúde mental tiveram associação estatisticamente significativa com os estágios mais avançados da doença (IIIB e IV), conforme demonstra a Tabela 5 (Franceschini et al, 2008 (Badr et al, 2015).…”

Section: Comorbidades Associadasunclassified

“…A fadiga foi relatada pelos pacientes como um dos mais comuns e debilitantes sintomas, em que indivíduos com câncer de pulmão demonstram uma maior prevalência da fadiga relacionada ao câncer, levando a sérios prejuízos funcionais (Badr et al, 2015).…”

Section: Comorbidades Associadasunclassified

Impacto socioeconômico do câncer de pulmão não-pequenas células no Brasil

Ferreira¹,

Blunk²,

Santana³

et al. 2016

JBES

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RESUMOO câncer de pulmão é considerado uma das principais causas de morte por câncer no Brasil e no mundo. Entre os principais tipos de câncer de pulmão, o tipo não-pequenas células corresponde a aproximadamente 85% dos casos da doença. Sua alta mortalidade pode ser atribuída ao diagnós-tico tardio, sendo a maioria dos pacientes diagnosticada com a doença em estádios avançados. O manejo do câncer de pulmão não-pequenas células exige a utilização intensiva de cuidados, além da abordagem multidisciplinar no diagnóstico, tratamento e reabilitação, que em um cenário de recursos finitos, gera importante custo de oportunidade para o sistema de saúde brasileiro em relação à oferta de recursos na assistência oncológica. Assim, o objetivo do presente estudo foi descrever o impacto que o câncer de pulmão não-pequenas células promove na sociedade brasileira, por meio de uma busca na literatura. ABSTRACTLung cancer is considered the major cause of death due to cancer in Brazil and worldwide. Among the main types of lung cancer, non-small cell lung cancer corresponds to approximately 85% of cases of the disease. The high mortality can be attributed to the late diagnosis once most of the patients are diagnosed when the disease is at an advanced stage. Non-small cell lung cancer management requires an intensive use of cares, besides multidisciplinary approach at diagnoses, treatment and rehabilitation, what in a finite resources set, bring relevant opportunity cost to health system about resource offer in oncologic assistance. Therefore, the aim of this study was to describe the impact that non-small cell lung cancer promotes in Brazilian society, through literature search.

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Dyadic psychosocial intervention for advanced lung cancer patients and their family caregivers: Results of a randomized pilot trial

Cited by 151 publications

References 35 publications

Screening for psychological distress before radiotherapy for painful bone metastases may be useful to identify patients with high levels of distress

Screening for psychological distress before radiotherapy for painful bone metastases may be useful to identify patients with high levels of distress

New frontiers in couple-based interventions in cancer care: refining the prescription for spousal communication

Impacto socioeconômico do câncer de pulmão não-pequenas células no Brasil

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