Quality of life of patients with prostate cancer and their spouses. The value of a data base in clinical care.
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A data base was established to examine the nature and extent of problems in patients' and spouses' adaptation and their interrelationships and the effect of disease stage combined with treatment regimen on patients' quality of life.Abstract:
Background. Because of the dearth of information concerning the quality of life of patients with prostate cancer, a data base was established to examine the nature and extent of problems in patients’ and spouses’ adaptation and their interrelationships and to examine the effect of disease stage combined with treatment regimen on patients’ quality of life. Methods. One hundred seventy-two patients and 83 spouses/partners completed quality of life questionnaires in a prostate cancer health education lecture series. The measures used were the European Organization for Research and Treatment of Cancer (EORTC) Prostate Cancer Quality of Life Questionnaire, the Intrusion subscale (IS) of the Impact of Event Scale; and Selby’s QL Uniscale. Fifty-five percent of patients had received medical and/or surgical hormonal therapy, 28% had received a radical prostatectomy and/or radiation therapy only, and 18% had not been placed on any treatment. Results. Patients experiencing problems in adaptation were significantly more likely to have advanced stage disease: received surgical or medical hormonal therapy: and were reporting greater pain, fatigue, urinary problems, and deteriorating physical functioning. Spouses reported significantly greater psychological distress than did patients (EORTC Psychological Distress subscale, P < 0.001; IS, P < 0.001). Conclusions. A two-stage clinical evaluation is recommended, in which quality of life questionnaires would initially be used to identify patients and spouses experiread more
Citations
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Rapid screening for psychologic distress in men with prostate carcinoma: a pilot study.
Andrew J. Roth,Alice B. Kornblith,Laure Batel-Copel,Elizabeth Peabody,Howard I. Scher,Jimmie C. Holland +5 more
TL;DR: As more oncology care is moved to the outpatient setting, the need for a rapid means for oncologists to identify patients with significant distress has increased and the likelihood that a distressed patient will not be recognized and will remain untreated in the current health care environment.
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Distress in couples coping with cancer: A meta-analysis and critical review of role and gender effects
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Interventions with Family Caregivers of Cancer Patients: Meta-Analysis of Randomized Trials†‡§
TL;DR: Meta‐analysis indicated that although these interventions had small to medium effects, they significantly reduced caregiver burden, improved caregivers' ability to cope, increased their self‐efficacy, and improved aspects of their quality of life.
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Couples' patterns of adjustment to colon cancer
TL;DR: Gender differences were found, with women reporting more distress, more role problems, and less marital satisfaction, regardless of whether they were patient or spouse.
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Differences in urologist and patient assessments of health related quality of life in men with prostate cancer: results of the capsure database
TL;DR: In men with early stage and advanced prostate cancer physician ratings of patient symptoms do not correlate well with patient self-assessments of health related quality of life, and urologists should attempt to elucidate more completely the components of patientquality of life after the diagnosis and treatment of prostate cancer.
References
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Book
Using multivariate statistics
TL;DR: In this Section: 1. Multivariate Statistics: Why? and 2. A Guide to Statistical Techniques: Using the Book Research Questions and Associated Techniques.
Book
Applied multiple regression/correlation analysis for the behavioral sciences
TL;DR: In this article, the Mathematical Basis for Multiple Regression/Correlation and Identification of the Inverse Matrix Elements is presented. But it does not address the problem of missing data.
Journal ArticleDOI
Impact of Event Scale: a measure of subjective stress.
TL;DR: A scale of current subjective distress, related to a specific event, was based on a list of items composed of commonly reported experiences of intrusion and avoidance, and responses indicated that the scale had a useful degree of significance and homogeneity.
Journal ArticleDOI
THE McMASTER FAMILY ASSESSMENT DEVICE
TL;DR: The McMaster Family Assessment Device (FAD) as mentioned in this paperAD is a questionnaire designed to evaluate families according to the McMaster Model of Family Functioning and is made up of seven scales which measure Problem Solving, Communication, Roles and Affective Responsiveness, Affective Involvement, Behavior Control and General Functioning.
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