Psychosocial issues in lung cancer patients

Bernhard, Jürg; Ganz, Patricia A.

doi:10.1007/978-1-4615-2630-8_17

Cited by 18 publications

(13 citation statements)

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“…[16][17][18] For instance, stress is identified as a common trigger for all these symptoms. 19 The episode of breathlessness, fatigue and anxiety usually begins with a trigger which is either physical or emotional stress. 3,[16][17][18][19] Physical stress includes pain, labored breathing while emotional stress may include fear, worry, and anger.…”

Section: Introductionmentioning

confidence: 99%

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Managing Symptoms in Patients with Advanced Lung Cancer During Radiotherapy: Results of a Psychoeducational Randomized Controlled Trial

Chan

Richardson

2011

Journal of Pain and Symptom Management

124

114

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(250 words)Context: Breathlessness, fatigue, and anxiety are distressing symptoms for patients with advanced lung cancer. Usually managed as isolated symptoms, they can often occur simultaneously. Previous research has often addressed management of discrete symptoms rather than considering them as a cluster, which in reality is the situation faced by patients.Objectives: This study aims to examine the effectiveness of a psychoeducational intervention (PEI) on the symptom cluster of anxiety, breathlessness and fatigue, compared with usual care. Methods:A pre-test post-test 2-group randomized controlled trial was conducted.Education on symptom management and coaching in the use of progressive muscle relaxation were delivered to patients one week prior to commencing radiotherapy (RT), and repeated 3 weeks after the first. Symptom data were collected at 4 time points: prior to the intervention, 3 weeks, 6 weeks, and 12 weeks post intervention.Results: 140 lung cancer patients receiving palliative RT were recruited from a public funded hospital in Hong Kong. Doubly multivariate MANOVA revealed a significant difference (Time *group interaction effect, p = .003) over time between the PEI and usual care control group on the pattern of change of the symptom cluster. Significant effects on the patterns of changes in breathlessness (p = .002), fatigue (p = .011), anxiety (p = .001) and functional ability (p = .000) were also found. 4Conclusions: PEI was a promising treatment for relieving the symptom cluster and each of the individually assessed symptoms. More effort needs to be directed at studying impact of interventions on common symptom clusters.

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Section: Introductionmentioning

confidence: 99%

“…Despite the reported benefits of PEI in the management of anxiety, there have been fewer studies of PEI in patients with lung cancer, in contrast to other cancers. 19 In addition, no research has been reported to date on the impact of PEI on the intensity and distress generated by these symptoms, when considered as a cluster.…”

Section: Introductionmentioning

confidence: 99%

Managing Symptoms in Patients with Advanced Lung Cancer During Radiotherapy: Results of a Psychoeducational Randomized Controlled Trial

Chan

Richardson

2011

Journal of Pain and Symptom Management

124

114

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“…In Japan, lung cancer is the most common of all cancers among men and the second most common among women [23]. Although lung cancer is not only one of the most common cancers, but also a refractory form of cancer, very few studies have focused on the specific psychosocial problems of lung cancer patients [2].…”

Section: Introductionmentioning

confidence: 99%

“…Lung cancer is one of the major causes of death around the world [2]. In Japan, lung cancer is the most common of all cancers among men and the second most common among women [23].…”

Section: Introductionmentioning

confidence: 99%

Predictive factors for psychological distress in ambulatory lung cancer patients

Akechi¹,

Kugaya

Okamura

et al. 1998

Supportive Care in Cancer

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Although there is a need for systematic research on the psychosocial issues faced by lung cancer patients, there have been few studies in this area. The objective of the present study was to investigate potential predictors of psychological distress among ambulatory lung cancer patients. The variables examined included the patients' characteristics, coping responses, and social support factors. Lung cancer patients completed the Profile of Mood States (POMS) and the Mental Adjustment to Cancer scale (MAC scale), and information pertaining to demographic variables and social support factors was obtained from them at a structured interview. Evaluable data were obtained from 87 patients. The results of multiple regression analysis indicated that female gender, living alone, no children in the role of confidant, nurses as confidants, and helplessness/hopelessness as a coping style were predictive for psychological distress. Information on patients' demographic variables and psychosocial correlates of psychological distress may later be useful in developing interventions to facilitate their adjustment to lung cancer.

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“…Da die soziale Unterstützung im Rahmen der Krankheitsverarbeitung einen hohen Stellenwert besitzt, sollten die Angehörigen frühzeitig in die Betreuung einbezogen werden [1164,1165]. Zielbereiche psychoonkologischer Interventionen sind: " Depression, Angst, Belastungserleben [1166,1161,1167] " Krankheitsverarbeitung [1161,1167] " Behandlungscompliance und -adherence [1168] " gesundheitsbezogene Lebensqualität [1169] " Therapienebenwirkungen, z. B. Übelkeit und Erbrechen [1161] " Schmerzen [1170 -1172] " Fatigue [1173 -1175] " soziale Beziehungen, Kommunikation [1172,1176] " Selbstkonzept und Körperbild [1177 -1179] " Sexualität [1152, 1177 -1179] " neuropsychologische Beeinträchtigungen (Aufmerksamkeit, Gedächtnis, Konzentrationsfähigkeit) [1180] Speziell bei Lungenkarzinompatienten: " Atemnot [1181,1182] " Lebensqualität in der Palliativsituation [1148] Psychoonkologische Interventionen umfassen mit unterschiedlicher Schwerpunktsetzung im Akutkrankenhaus und der akuten ambulanten Versorgung, in der Rehabilitationsklinik und im weiteren Verlauf der Nachsorge bzw.…”

Section: Kryotherapieunclassified