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Open AccessJournal ArticleDOI

A short-term psychoeducational intervention for patients newly diagnosed with cancer.

Fawzy I. Fawzy
- 01 Jul 1995 - 
- Vol. 3, Iss: 4, pp 235-238
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TLDR
A structured, psychiatric intervention consisting of health education, stress management/behavioral training, coping, coping (including problem-solving techniques), and psychosocial group support offers the greatest potential benefit for patients newly diagnosed or in the early stages of their treatment.
Abstract
The psychological and medical problems encountered by cancer patients are numerous and unique. The diagnosis of cancer frequently produces psychological distress. A review of the literature and the authors' clinical and research experience suggest that cancer patients may benefit from a variety of psychological intervention programs. A structured, psychiatric intervention consisting of health education, stress management/behavioral training, coping (including problem-solving techniques), and psychosocial group support offers the greatest potential benefit for patients newly diagnosed or in the early stages of their treatment. Early-stage interventions that encourage active behavioral coping and active cognitive coping rather than avoidance or passive acceptance of the illness can be helpful psychologically. These active behavioral and cognitive coping behaviors, which can be learned, can attenuate the psychological distress caused by stressful illness, decrease the amount of psychosocial adjustment to the illness needed, improve overall quality of life, and may also be associated with longer survival times.

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High levels of untreated distress and fatigue in cancer patients

TL;DR: In this article, the authors assess a large representative sample of cancer patients on distress levels, common psychosocial problems, and awareness and use of psychOSocial support services, and conclude that distress is very common in cancer patients across diagnoses and across the disease trajectory.
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Stress hormones and immune function.

TL;DR: Evidence is provided that stress increases neuroendocrine hormones, particularly glucocorticoids and catecholamines but to some extent also prolactin, growth hormone and nerve growth factor that have detrimental effects on immune function and implications for health.
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Efficacy and medical cost offset of psychosocial interventions in cancer care: making the case for economic analyses.

TL;DR: Conclusions support adding costing data into evaluations of the efficacy of psychosocial treatments in order to detail the often present but usually overlooked long‐term cost savings that may be accrued to overburdened health‐care systems.
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Benefits of psychosocial oncology care: Improved quality of life and medical cost offset

TL;DR: Taking a whole-person approach to psychosocial interventions would not only help to treat the emotional and social aspects of living with cancer, but also provide considerable long-term cost savings to overburdened health-care systems.
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Cancer patients' desire for psychological support: prevalence and implications for screening patients' psychological needs.

TL;DR: This research aims to investigate cancer patients' desire for psychological support and to identify patients' sociodemographic, disease‐related and psychological factors associated with this desire.
References
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Journal ArticleDOI

Effect of psychosocial treatment on survival of patients with metastatic breast cancer

TL;DR: The effect of psychosocial intervention on time of survival of 86 patients with metastatic breast cancer was studied prospectively and survival plots indicated that divergence in survival began at 20 months after entry, or 8 months after intervention ended.
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Malignant Melanoma: Effects of an Early Structured Psychiatric Intervention, Coping, and Affective State on Recurrence and Survival 6 Years Later

TL;DR: Psychiatric interventions that enhance effective coping and reduce affective distress appear to have beneficial effects on survival but are not proposed as an alternative or independent treatment for cancer or any other illness or disease.
Journal ArticleDOI

Group support for patients with metastatic cancer. A randomized outcome study.

TL;DR: Objective evidence is provided that a supportive group intervention for patients with metastatic cancer results in psychological benefit and mechanisms underlying the effectiveness of this group intervention are explored.
Journal ArticleDOI

A structured psychiatric intervention for cancer patients: I. Changes over time in methods of coping and affective disturbance.

TL;DR: It is indicated that a short-term psychiatric group intervention for patients with malignant melanoma effectively reduces psychological distress and enhances longer-term effective coping.
Journal ArticleDOI

Critical review of psychosocial interventions in cancer care.

TL;DR: This comprehensive review of the intervention literature reveals the availability of a wide range of options for patients with cancer and their potential psychological and physical health benefits.
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