A community-based approach to cancer counselling for patients and carers: a preliminary study

被引:16
作者
Hutchison, Sandy D. [1 ,2 ]
Sargeant, Hilary [1 ]
Morris, Bronwyn A. [1 ]
Hawkes, Anna Louise [1 ,3 ]
Clutton, Samantha [1 ]
Chambers, Suzanne K. [1 ,3 ]
机构
[1] Canc Council Queensland, Viertel Ctr Res Canc Control, Spring Hill, Qld 4004, Australia
[2] Univ Queensland, Sch Psychol, Brisbane, Qld 4072, Australia
[3] Griffith Univ, Sch Psychol, Nathan, Qld 4111, Australia
关键词
cancer; oncology; psychological intervention; PSYCHOSOCIAL INTERVENTIONS; PSYCHOLOGIC DISTRESS; DEPRESSION; ADJUSTMENT; PREVALENCE; ANXIETY;
D O I
10.1002/pon.1786
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objective: The delivery of psychological care services to people with cancer and their carers is a key clinical priority that has yet to be broadly implemented. The present study aimed to provide guidance for service provision by describing a community-based intervention approach; outlining the characteristics, psychological concerns, and distress outcomes for people who utilise the service. Methods: Over a 3-year period 681 patients and 520 significant others referred from a community-based Cancer Helpline received tele-based psychosocial interventions. Results: In this case series presenting problems varied between patients and significant others, with significant others reporting higher levels of distress (p<0.001). Both patients and significant others experienced decreases in distress over the period of the intervention (p<0.001). Conclusions: This study provides level IV evidence that the tele-based intervention for cancer-related distress is an effective approach to service delivery. A randomised control trial is currently underway to assess the effectiveness of this approach. Copyright (C) 2010 John Wiley & Sons, Ltd.
引用
收藏
页码:897 / 901
页数:5
相关论文
共 23 条
[1]   RETRACTED: Psychotherapy for depression among incurable cancer patients (Retracted Article) [J].
Akechi, T. ;
Okuyama, T. ;
Onishi, J. ;
Morita, T. ;
Furukawa, T. A. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2008, (02)
[2]  
[Anonymous], 1998, MULTIVARIATE DATA AN
[3]   Efficacy and medical cost offset of psychosocial interventions in cancer care: Making the case for economic analyses [J].
Carlson, LE ;
Bultz, BD .
PSYCHO-ONCOLOGY, 2004, 13 (12) :837-849
[4]   High levels of untreated distress and fatigue in cancer patients [J].
Carlson, LE ;
Angen, M ;
Cullum, J ;
Goodey, E ;
Koopmans, J ;
Lamont, L ;
MacRae, JH ;
Martin, M ;
Pelletier, G ;
Robinson, J ;
Simpson, JSA ;
Speca, M ;
Tillotson, L ;
Bultz, B .
BRITISH JOURNAL OF CANCER, 2004, 90 (12) :2297-2304
[5]   Beating the blues after Cancer: randomised controlled trial of a tele-based psychological intervention for high distress patients and carers [J].
Chambers, Suzanne K. ;
Girgis, Afaf ;
Occhipinti, Stefano ;
Hutchison, Sandy ;
Turner, Jane ;
Carter, Rob ;
Dunn, Jeff .
BMC CANCER, 2009, 9
[6]   Psychosocial morbidity in prostate cancer: II. A comparison of patients and partners [J].
Cliff, AM ;
MacDonagh, RP .
BJU INTERNATIONAL, 2000, 86 (07) :834-839
[7]  
Ey S, 1998, J PSYCHOSOC ONCOL, V16, P59
[8]   The tiered model of psychosocial intervention in cancer: A community based approach [J].
Hutchison, Sandy D. ;
Steginga, Suzanne K. ;
Dunn, Jeff .
PSYCHO-ONCOLOGY, 2006, 15 (06) :541-546
[9]   Psychosocial interventions for anxiety and depression in adult cancer patients: Achievements and challenges [J].
Jacobsen, Paul B. ;
Jim, Heather S. .
CA-A CANCER JOURNAL FOR CLINICIANS, 2008, 58 (04) :214-230
[10]   Screening for psychologic distress in ambulatory cancer patients - A multicenter evaluation of the distress thermometer [J].
Jacobsen, PB ;
Donovan, KA ;
Trask, PC ;
Fleishman, SB ;
Zabora, J ;
Baker, F ;
Holland, JC .
CANCER, 2005, 103 (07) :1494-1502