Psychosocial Oncology

Nezu, Arthur M.; Nezu, Christine Maguth; Felgoise, Stephanie H.; Zwick, Marni L.

doi:10.1002/0471264385.wei0912

Cited by 16 publications

(30 citation statements)

References 132 publications

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“…Humour is one of the coping responses that has been found to be adaptive (Carver et al . 1993), and denial one of the avoidance‐based coping responses that usually is associated with poor adjustment if used for a prolonged time (Nezu et al . 2003; Hack & Degner 2004; Vos et al .…”

Section: Discussionmentioning

confidence: 99%

“…Anxiety and depression are the most common psychological problems found in cancer patients (Odgen 1999; Venâncio 2004). Clinical anxiety has been observed in 15–30% of patients, and clinical depression in 20–25% (Bottomley 1998; Nezu et al . 2003; Bultz & Holland 2006).…”

Section: Introductionmentioning

confidence: 99%

“…On the contrary, avoidant or passive coping strategies (e.g. denial, behavioural disengagement, hopelessness, anxious preoccupation) usually are related to higher levels of psychological distress (Nezu et al . 2003; Vos et al .…”

Section: Introductionmentioning

confidence: 99%

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A longitudinal study on emotional adjustment of sarcoma patients: the determinant role of demographic, clinical and coping variables

Paredes

Pereira

Simões

et al. 2011

European Journal of Cancer Care

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The present study examined change on emotional distress of sarcoma patients from the diagnostic to treatment phases, the distinct trajectories of adjustment and the influence of demographic, clinical and coping variables on anxiety and depression. Thirty-six sarcoma patients completed questionnaires on emotional distress (Hospital Anxiety and Depression Scale) and coping strategies (Brief Cope) at time of diagnosis, and again during treatment. No significant change in emotional distress levels was found from diagnostic to treatment phase, with mean anxiety and depression scores remaining below the clinical range. Over time, 52.8% and 66.7% of patients maintained non-clinical anxious and depressive symptoms respectively, and 25% and 11.1% remained with clinical anxiety and depression. Living with partner, less use of humour and more denial were associated with high emotional distress at time of diagnosis and during treatments, and high levels of distress at baseline were predictive of poorer emotional adjustment during treatments. Although sarcoma patients, in general, seem to exhibit good psychological adjustment, there is a significant minority that requires mental health services in order to help decrease their emotional distress following the diagnosis, and prevent psychological difficulties during treatments. Our findings are an important contribution to understanding the psychological adjustment of patients with a specific and rare type of cancer.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A longitudinal study on emotional adjustment of sarcoma patients: the determinant role of demographic, clinical and coping variables

Paredes

Pereira

Simões

et al. 2011

European Journal of Cancer Care

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“…Such time commitments may be prohibitive for AYAs with cancer and their caregivers . Additionally, having a trained doctoral‐level psychologist that provides individual therapy to all cancer patients is infeasible because of personnel shortages . The result is inconsistent and delayed delivery of care, missed opportunities to prevent escalating distress, and a focus on emergent interventions for families in crisis.…”

Section: Discussionmentioning

confidence: 99%

Exploratory analysis of treatment response trajectories in the PRISM trial: Models of psychosocial care

Lau

Bradford²,

Steineck

et al. 2019

Psycho-Oncology

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Objective Adolescents and young adults (AYAs) with cancer are at high risk of negative psychosocial outcomes. Promoting Resilience in Stress Management (PRISM), a novel, brief, skill‐based intervention, has demonstrated efficacy in improving psychosocial well‐being for AYAs. We utilized data from a recent randomized trial of PRISM versus usual care (UC) to categorize and explore group differences in change trajectories of patient reported outcomes (PROs) over time. Methods One hundred English‐speaking AYAs (aged 12‐25 years old) with cancer were randomized to PRISM versus UC. At enrollment and 6 months later, AYAs completed validated PROs measuring resilience (Connor‐Davidson Resilience Scale [CDRISC‐10]), hope (Hope Scale), benefit finding (Benefit and Burden Scale for Children), cancer‐specific quality of life (Pediatric Quality of Life [PedsQL] Cancer Module), and distress (Kessler‐6). Patient response trajectories were categorized as “improved,” “consistently well,” “consistently at risk,” or “deteriorated” using minimal clinically important differences (MCIDs) or established measure cutoffs for all PROs. Positive response trajectories consisted of the first two categories (“improved” and “consistently well”), and negative response trajectories consisted of the latter two categories (“consistently at risk” and “deteriorated”). Results Across all PROs, more patients in the PRISM arm “improved” in psychosocial well‐being over time, and fewer PRISM recipients “deteriorated” over time. Across all PROs, a greater proportion of PRISM participants (vs UC) experienced positive response trajectories. Across all PROs, a greater proportion of UC participants experienced negative response trajectories. Conclusions PRISM shows evidence of both a prevention effect and an intervention effect. Thus, PRISM may serve as a viable prevention and early intervention model for psychosocial care.

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“…Por outro lado, há evidencias que fatores como coping, suporte social, otimismo, habilidades para resolução de problemas, esquiva/negação, podem influenciar no impacto do diagnóstico e do tratamento (Nezu, Nezu, Felgoise & Zwick, 2003).…”

Section: Introductionunclassified

Applications of cognitive-behavioral therapy in cancer treatment

Lourenção

Santos

Luiz

2009

Revista Brasileira De Terapias Cognitivas

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Endereço para correspondência RESUMOOs estressores associados ao diagnóstico e tratamento de câncer acarretam perdas importantes na qualidade de vida implicando em uma necessidade de ajustamento psicossocial para pacientes e familiares. O presente estudo teve por objetivo realizar um levantamento de atualização do uso da Terapia Cognitivo Comportamental (TCC) em tratamentos oncológicos. Foi realizado um processo de revisão da literatura recente utilizando os bancos de dados Med line, Psycinfo e Scielo com as palavras-chave: oncology e cognitive behavioral therapy; câncer e cognitive behavioral therapy; psycho-onology e cognitive behavioral therapy. Foram encontrados 45 artigos escritos entre 2004 e 2009 dos quais foram excluídos artigos de revisão, meta-análise, estudos que envolviam outras doenças crônicas resultando um total de 25 artigos. Para a apresentação dos resultados os estudos foram categorizados de acordo com os objetivos da intervenção. Neste levantamento as principais aplicações da TCC em Oncologia foram: Manejo do estresse,

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Psychosocial Oncology

Cited by 16 publications

References 132 publications

A longitudinal study on emotional adjustment of sarcoma patients: the determinant role of demographic, clinical and coping variables

A longitudinal study on emotional adjustment of sarcoma patients: the determinant role of demographic, clinical and coping variables

Exploratory analysis of treatment response trajectories in the PRISM trial: Models of psychosocial care

Applications of cognitive-behavioral therapy in cancer treatment

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