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This study explored how the coping strategies of breast cancer survivors and their partners influences their satisfaction with their relationship one to twenty-six months following completion of active treatment for breast cancer. The results indicated that coping factors play an important role in the adjustment of the couple and are predictive of relationship functioning above and beyond demographic and illness characteristics. There were differences observed, however, between the patients and partners in which coping strategies were related to relationship satisfaction. The patients' use of self controlling coping and the partners' use of distancing were associated with lowered relationship satisfaction for the couple, whereas the partners' use of positive reappraisal was associated with higher levels of relationship satisfaction. These findings were explored as they related to gender differences in coping as well as the differential roles the patient and partner play in relation to the illness experience. The results of this study suggested that the coping process that occurs within the relationship is complex and interdependent, and that coping may serve unique interpersonal functions. Future directions for research are suggested to better understand the concept of relational coping and the reciprocal process of coping with illness that occurs in couples over time.
Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness. This failure can compromise the effectiveness of health care and thereby adversely affect the health of cancer patients. Psychological and social problems created or exacerbated by cancer-including depression and other emotional problems; lack of information or skills needed to manage the illness; lack of transportation or other resources; and disruptions in work, school, and family life-cause additional suffering, weaken adherence to prescribed treatments, and threaten patients' return to health. Today, it is not possible to deliver high-quality cancer care without using existing approaches, tools, and resources to address patients' psychosocial health needs. All patients with cancer and their families should expect and receive cancer care that ensures the provision of appropriate psychosocial health services. Cancer Care for the Whole Patient recommends actions that oncology providers, health policy makers, educators, health insurers, health planners, researchers and research sponsors, and consumer advocates should undertake to ensure that this standard is met.
Rev. ed. of: Cognitive behaviour therapy for people with cancer / Stirling Moorey and Steven Greer. 2002.
This volume is the result of many years of clinical research by medical and health care professionals working with cancer patients and their families. It demonstrates the impact of cancer at different stages of a patient's life, and how certain factors influence treatment and management.
Meaning-Centered-Psychotherapy in the Cancer Setting provides a theoretical context for Meaning-Centered Psychotherapy (MCP), a non-pharmalogic intervention which has been shown to enhance meaning and spiritual well-being, increase hope, improve quality of life, and significantly decrease depression, anxiety, desire for hastened death, and symptom burden distress in the cancer setting. Based on the work of Viktor Frankl and his concept of logotherapy, MCP is an innovative intervention for clinicians practicing in fields of Psycho-oncology, Palliative Care, bereavement, and cancer survivorship. This volume supplements two treatment manuals, Meaning-Centered Group Psychotherapy (MCGP) for Patients with Advanced Cancer and Individual Meaning -Centered Psychotherapy (IMCP) for Patients with Advanced Cancer by Dr. Breitbart, which offer a step-wise outline to conducting a specific set of therapy sessions. In addition to providing a theoretical background on the MCP techniques provided in the treatment manuals, this volume contains chapters on adapting MCP for different cancer-related populations and for different purposes and clinical problems including: interventions for cancer survivors, caregivers of cancer patients, adolescents and young adults with cancer, as a bereavement intervention, and cultural and linguistic applications in languages such as Mandarin, Spanish, and Hebrew.
This timely revision of the authoritative handbook gives a wide range of providers practical insights and strategies for treating cancer survivors’ long-term physical and mental health issues. Details of new and emerging trends in research and practice enhance readers’ awareness of cancer survivor problems so they may better detect, monitor, intervene in, and if possible prevent disturbing conditions and potentially harmful outcomes. Of particular emphasis in this model of care are recognizing each patient’s uniqueness within the survivor population and being a co-pilot as survivors navigate their self-management. New or updated chapters cover major challenges to survivors’ quality of life and options for service delivery across key life domains, including: Adaptation and coping post-treatment. Problems of aging in survivorship, disparities and financial hardship. Well-being concerns including physical activity, weight loss, nutrition, and smoking cessation. Core functional areas such as work, sleep, relationships, and cognition. Large-scale symptoms including pain, distress, and fatigue. Models of care including primary care and comprehensive cancer center. International perspectives PLUS, insights about lessons learned and challenges ahead. With survivorship and its care becoming an ever more important part of the clinical landscape, the Second Edition of the Handbook of Cancer Survivorship is an essential reference for oncologists, rehabilitation professionals, public health, health promotion and disease prevention specialists, and epidemiologists.