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1
Cerna, Zuzana. "Psychological preparedness for breast cancer surgery." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ56522.pdf.
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Steggles, Naomi. "Psychological aspects of genetic testing for cancer." Thesis, University College London (University of London), 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.271020.
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Martin-Christian, Sue Ellen. "Sexual adjustment following surgical treatment for gynecological cancer." CSUSB ScholarWorks, 1990. https://scholarworks.lib.csusb.edu/etd-project/463.
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Amor, Lynne. "What is the intimate experience of couples following the woman's cancer-related breast surgery?" Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1997. https://ro.ecu.edu.au/theses/919.
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The purpose of this phenomenological study is to describe and interpret the experience of couples following the woman's surgery for breast cancer, in order to gain an in depth understanding of how this mutilating surgery affects their everyday lives. Breast cancer is the most prevalent form of cancer in Australian women, and in most industrialised nations. Women in Australia have a one in fourteen lifetime risk of developing the disease. Little is known concerning what meanings this surgery brings to the intimacy experienced between partners. It is important to seek knowledge of the phenomenon of intimacy, how the couples understand it, and how breast surgery has affected it, if at all. Literature to date has focused on the psychological and physiological effects of mastectomy on women, with little attention given to the plight of partners. A phenomenological approach was chosen for the study, and a purposive sample of seven couples was selected for the interviews. Primary data was obtained from audio taped interviews and from participant observation. Data analysis followed the protocol outlined by Colaizzi (1978), and seeks to describe, interpret and extrapolate common themes and meanings from the data.
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Deuser, Kathryn Deatherage 1949. "Personal hardiness and psychosocial adjustment in a population of lung cancer patients." Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/558054.
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Morgan, Dale Owen. "Spirituality and psychosocial adjustment in a population of terminally ill cancer patients." Thesis, The University of Arizona, 1989. http://hdl.handle.net/10150/558113.
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Wan, Chau-kuk Stella. "Coping and psychological outcomes of newly diagnosed cancer patients and the people without cancer." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B29727595.
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Poon, Yuet-fai Helena. "The psychological reactions of breast cancer patients with mastectomy." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B29697475.
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Gregory, David Michael. "Narratives of suffering in the cancer experience." Diss., The University of Arizona, 1994. http://hdl.handle.net/10150/186965.
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Suffering is a fundamental experience of the human condition. Whereas the arts and humanities have struggled to make sense of this condition, no concerted effort has taken place in nursing. Suffering is painfully absent within the cancer nursing research literature, a place where suffering should be conspicuous. The purpose of this study was to explore suffering inherent in the cancer experience. The concurrent use of Travelbee's Human-To-Human Relationship Model and narrative theory provided the conceptual underpinning for this prospective ethnography. Narratives of suffering were explored among seven patients diagnosed with cancer (breast, n = 4; brain; malignant melanoma; and ovarian cancer). Five women and two men were interviewed weekly (N = 89 interviews) for a period of up to five months. Participant observation supplemented the interview data. Seven richly textured narratives revealed the suffering endured in the living-of-cancer. The narratives also detailed the informant as person, the cancer trajectory, and explanatory models of cancer causation. A second level analysis of the narratives provided an intra-group comparison of suffering. "Cascade of losses" was the overarching theme. The undermining of personhood, and a loss of faith and trust in the medical system characterized this cascade of losses. Losses were further encountered: the dismissal of symptoms presented to physicians, the failure of treatment as cure, the death of other cancer patients, and the false reassurance that "cancer can be beaten". The remaining themes were "cancer as torture" and "the work of suffering--the beauty of cancer". The findings of this study suggest that nurses may not be capable of alleviating patient suffering. Patients' lives intersect at the suffering experience; their suffering is shaped by the past, present, and future. Nurses may influence these intersections of suffering to some extent, however, it is the individual who ultimately determines the living and outcome (if any) of their suffering. In the lives of the informants, it was the love of spouses and children, faith and trust in God, and satisfaction with life's accomplishments which permitted the endurance of suffering. Competent, comfort-care provided by compassionate nurses is needed by patients who suffer with cancer.
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Yuen, Nga-yee Ada, and 袁雅儀. "The role of hope and rumination in childhood cancer adjustment." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/209670.
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In support of Snyder’s cognitive theory, hope has been found to be a positive factor in psychological adjustment among adult cancer patients and non-cancer paediatric patients with various illnesses. Nonetheless, Snyder’s cognitive theory of hope has not been specifically examined among childhood cancer patients and survivors. Unlike adult cancer patients, childhood cancer patients and survivors are characterized by early onset age in their cancer diagnosis which may mean that they face different psychological and physiological challenges. The identification of positive factors that attenuate negative psychological adjustment outcomes may be crucial in the development of effective therapeutic interventions.
Despite that previous studies support the correlation between hope and positive adjustment outcomes, the exact cognitive mechanism that underpins the cognitive theory of hope remains underexplored. Although Snyder postulated that hope is goal-directed thinking which comprises willpower and waypower, he failed to establish any association between hope and rumination. The role of rumination in predicting the onset of mood symptoms and maintaining psychopathology has been well-researched, but it is conceptually meaningful to investigate the potential association between hope and rumination and their respective roles in affecting psychological adjustments in cancer experiences.
The current thesis improves on the understanding of relationships between hope, rumination and cancer adjustment, and expands on studies of cancer adjustment by tapping into both positive and negative psychological outcomes, and examines how these two juxtaposed outcomes are associated with hope as mediated by positive and negative ruminations respectively.
Eighty-nine childhood cancer survivors from the Children’s Cancer Foundation in Hong Kong took part in questionnaires that measured their levels of hope, rumination, mood symptoms and self-perceived positive changes or post-traumatic growth (PTG). The findings suggest that hope is negatively correlated with depression and anxiety, which are specifically mediated by negative cancer-related rumination. Hope is also positively correlated with PTG, which is specifically mediated by positive cancer-related rumination. These results provide empirical evidence to support the postulation by Snyder that low hope individuals adjust poorly because they are more likely to have negative rumination. High hope individuals adjust better as they are more likely to engage in positive rumination which is associated with PTG. The overall findings provide a possible explanation for the cognitive mechanism that underlies hope.
A supplementary pilot study conducted measuring 20 childhood cancer patients’ hope level and mood symptoms over a period of nine months post-acute treatment also suggests patients have fewer prospective depressive symptoms have higher hope level in early measurement.
The findings of the current thesis have important clinical implications. The understanding of hope and its association with rumination and cancer adjustment may inform the specific development of hope-based therapeutic interventions for childhood cancer patients and survivors, such as the hope-based storybook developed in this study with the aim to increase the hope levels of childhood cancer patients.published_or_final_version
Clinical Psychology
Doctoral
Doctor of Psychology
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Ho, Mun-yin Samuel. "Psychological aspects of pain and ego defense in cancer and hand-injured patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1992. http://hub.hku.hk/bib/B29688693.
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Mak, Wai-ming Vivian. "Psychological predictors of marital adjustment in breast cancer patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B29726426.
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Hayat, Roshanai Afsaneh. "Psychological and Behavioral Aspects of Receiving Genetic Counseling for Hereditary Cancer." Doctoral thesis, Uppsala universitet, Vårdvetenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-128870.
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The overall aims of this thesis were to investigate psychological and behavioral effects of receiving cancer genetic counseling for breast, ovarian and colorectal cancer and/or with a family history of these cancer types and to determine whether counselees’ informational needs were met. Study I was performed 3-7 years post-counseling. Participants (n=214) reported a relatively high level of anxiety but a low level of depression compared to cancer patients in general. However, there was no indication that the distress experienced was due to the counseling. Moderate changes in life and family relations, high level of adherence to recommended controls and satisfaction was reported. Study II was a randomized control trial (RCT) intervention study which involved 147 counselees. An increase in the level of knowledge and correct estimation of personal risk was reported in both the intervention and control groups, although this increase declined at later follow-up. Enhanced information led to significantly greater satisfaction with the given information, and the way of informing relatives. Most counselees had shared information with their at-risk relatives. Study III focused on sharing information with at-risk relatives among participants in study II and their relatives (n=81). Counselees were interviewed and answered a questionnaire, whilst their relatives only answered the questionnaire. Counselees reported positive/neutral feelings about communicating genetic information and mostly interpreted their relatives’ reactions as positive/ neutral. Also, approximately 50% of relatives reported positive/neutral reactions and were generally satisfied with the received information. Study IV was conducted in Sweden and Norway based on 235 counselees. Counselees expected counselors to be skillful and thoughtful, take them seriously and provide risk estimations and medical information. Most important issues to counselees were satisfactorily addressed by the counselors. Analyzing importance rankings resulted in five categories of needs: a need for facts, caring communication and medical information, need for understanding and support in sharing genetic information, practical care and medical/practical information. In conclusion, no adverse psychological or behavioral effect on counselees was observed. Apparently, genetic counseling is managed properly and counselors successfully address counselees’ needs. Providing extended information does not seem necessary, however, tailoring information to individual counselees needs may create a more effective counseling.
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Jarvis, Renee Lauren. "Factors participants value in breast cancer support groups." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3112.
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Payton, Suzanne Marguerite. "Alterations in body image in patients with chronic renal failure or cancer." Thesis, The University of Arizona, 1989. http://hdl.handle.net/10150/277002.
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The purpose of this study was to examine how chronic renal failure or cancer patients felt about their bodies during treatment. The sample was comprised of 22 subjects; 10 hemodialysis, six continuous ambulatory peritoneal dialysis (CAPD), and six chemotherapy patients. The settings included an outpatient dialysis center and an inpatient/outpatient chemotherapy treatment center. Two instruments, the Body Attitude Scale and the Body Cathexis Scale, were used to describe the patients' feelings about their bodies. Descriptive statistics were used to analyze the data. A significant difference on the Body Cathexis Scale among the subjects indicated that the chemotherapy patients had the most positive body attitude. The implications of the study for nursing are related to how nurses can provide anticipatory guidance to their clients. Both cancer and renal failure treatment require significant adaptation by the client. Therefore, appropriate nursing interventions must be instituted.
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Sun, Nee-ngor. "Stress, coping and psychological distress in Hong Kong nasopharyngeal carcinoma patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B29697645.
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Lesniak, Karen. "Psychological and Sociodemographic Predictors of Psychological Distress in BRCA1 and BRCA2 Genetic Testing Participants within a Community Based Genetic Screening Program." Thesis, University of North Texas, 2000. https://digital.library.unt.edu/ark:/67531/metadc2565/.
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Mutations in BRCA1 and BRCA2, the first two breast cancer susceptibility genes identified, carry as much as an 85% lifetime risk of developing breast, ovarian or other cancers. Genetic testing for mutations in these two genes has recently become commercially available. There have been varying amounts of psychological distress noted among women with a family history of breast cancer. Distress has been observed to impact psychological functioning, activities of daily living, and the practice of breast cancer surveillance behaviors. Within the genetic screening process, psychological distress has been shown to impact the decision to undergo genetic screening, the comprehension and retention of risk assessment information, as well as affecting the subject following the receipt of the genetic test results. Little work has been done to examine predictors of distress within at risk subjects. This study examines psychological distress among 52 community women presenting for BRCA1 and BRCA2 genetic mutation testing. Predictors of distress included family cancer history, education, age, Ashkenazi ethnicity, and Internality and Powerful Others Health Locus of Control. Vulnerable sub-groups of patients include younger women, women with higher levels of education and women of Ashkenazi ethnicity.
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Fochtman, Dianne. "Understanding the Meaning of the Lived Experience of Adolescents in Treatment for Cancer." Diss., University of Hawaii at Manoa, 2010. http://hdl.handle.net/10125/22052.
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The increased intensity and complexity of cancer treatment has an impact on the lives of the adolescents undergoing such treatments. Living with cancer is a distinct experience for them which include physical, psychological, spiritual and social dimensions. The cancer experience comprises more than the measurement of symptom occurrence, frequency, duration and severity, or the ratings of quality oflife. The meanings of the lived experience from the adolescent's perspective and self-report can give a more accurate, holistic picture of the nature and scope of the experience. Practitioners need to know and understand the meaning of the experience from the adolescent's perspective in order to design appropriate interventions to prevent or relieve distress in these patients.
The purpose of this study was to describe the meanings of the lived experience ofhaving cancer for adolescents undergoing treatment. Phenomenology was the qualitative research methodology used. As outlined by Patricia Munhall, this methodology seeks to understand the meaning of lived experiences. Seven adolescents, 14 to 18 years of age, in treatment for cancer were interviewed. Six males and one female participated in this study. Six were receiving treatment for acute lymphocytic leukemia and one for a solid tumor. All participants were of Pacific Island origin; two live in Hawaii and five were temporary residents. The audio taped interviews were transcribed and analyzed to understand the meaning of the cancer experience. The essence of the experience for the individual adolescent was described and a composite interpretation of the meaning derived.
Recommendations to healthcare providers for improving communication with adolescents in treatment for cancer are provided, including discussing death and dying early in the illness trajectory. The interdisciplinary concept of care is stressed, as well as the importance of a thorough physical examination. The importance of social support and techniques to potentially strengthen and increase this support are outlined. Solutions to the problems of school reintegration are introduced.
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Bassett-Smith, Joan L. "Women with breast cancer and their living in and through discourses : a feminist postmodern study." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/NQ58558.pdf.
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Edwards, Lynn. "Needs, problems and stress of rural cancer patients : an interpretation according to the biomatrix theory." Master's thesis, University of Cape Town, 1988. http://hdl.handle.net/11427/17073.
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Bibliography: pages 119-139.The purpose of this study was to identify the needs and problems that were experienced by rural cancer patients and to investigate the level of emotional stress that they reported. A further purpose was to interpret the main findings of the study according to the Biomatrix Theory. 496 Cancer patients who lived in rural areas of the Western Cape and 140 urban cancer patients were interviewed. The urban cancer patients formed a control group for comparison of the stress data. In order to consider the needs and problems of rural cancer patients from a widespread area, stratified random sampling of magisterial districts was applied and an attempt was made to interview all cancer patients who were living in each of the 21 magisterial districts sampled. Data on needs and problems were collected by use of a questionnaire, and the stress data was collected by administering a modified format of the Stress Evaluation Inventory (SEI). The findings of this study revealed that financial difficulties were the most frequently reported problem while transport difficulties and frustration of emotional support needs were also frequently reported. Patients who reported experiencing these problems also reported statistically significantly higher stress according to the SEI than those who did not.
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Mastaglia, Barbara. "Decision regret, decision role discrepancy and adjustment to breast cancer : development of a model." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2007. https://ro.ecu.edu.au/theses/320.
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Following a diagnosis of early stage breast cancer women need to make decisions for surgical and adjuvant treatment in a short period of time. They also face a period of adjustment. Little information is available as to how women describe their decision making for breast cancer surgery after some time has elapsed following completion of adjuvant treatment. Moreover, it is not known if women experience decision regret and how decision-making outcomes might later affect their psychosocial adjustment. Therefore, the purpose of the study was to determine the nature and extent of decision regret experienced by women during the first two years following surgery for early stage breast cancer and to describe how this could affect their psychosocial adjustment. A descriptive correlational study was conducted in three phases. The supporting Iiterature guided the conceptual framework for the study .
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Wade, Walsh Margo. "Women Receiving Genetic Counseling for Breast Cancer Risk: Cancer Worry, Psychological Distress, and Risk Recall Accuracy." Thesis, University of North Texas, 1999. https://digital.library.unt.edu/ark:/67531/metadc2185/.
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This follows an earlier study of the same data set, which, through its findings, presented new questions that are investigated in this study. Both studies used a prospective controlled design, wherein women receiving genetic counseling for breast cancer risk were randomized into two groups. Subjects receiving an audiotaped recording of their genetic consultation (tape group) were compared to subjects who also had a genetic consultation but did not receive an audiotaped recording of it (no-tape group). Participants were drawn from attendees at the genetic clinics of two London hospitals and included 115 women with a family history of breast cancer. Cancer worry and psychological distress were assessed before genetic consultation (baseline), and at one- and six-month follow-ups by post. Objective risk was estimated by the geneticist during the consultation, and subjective risk was assessed at one month follow-up. The goals of the current study were to investigate relationships between cancer worry, psychological distress, and recall of genetic risk for breast cancer in a sample of women receiving genetic counseling for breast cancer risk, and to investigate the role sociodemographic variables on cancer worry, psychological distress, or risk recall for these women. Results for this sample of women with a family history of breast cancer found that there were consistent relationships between cancer worry, psychological distress, objective risk, and subjective risk before and after genetic consultation. This suggests that women=s psychological responses are appropriate to their level of cancer risk. There were no differences found between the tape and no-tape groups for objective or subjective risk, or for nearness of recall accuracy or degree of under-/over-estimation. Provision of an audiotaped recording of the genetic consultation did not appear to enhance recall of risk information. The role of sociodemographic variables on the psychological and risk variables assessed in this study was very minor. Age was mildly correlated with cancer worry, and employment was predictive of cancer worry only at baseline.
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Lo, Ka-yee, and 勞嘉儀. "Therapeutic play intervention in promoting psychological well-being inhospitalized children with cancer." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B43251389.
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Ng, Tsz-yin Carina, and 伍紫燕. "Illness, ideology, and identity: the "pregnancy" of cancer." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B38671074.
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Neuling, Sandra J. "Psychosocial needs and responses in breast cancer recovery /." Title page, contents and abstract only, 1989. http://web4.library.adelaide.edu.au/theses/09PH/09phn487.pdf.
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Thesis (Ph. D.)--Dept. of Psychology, University of Adelaide, 1991.Typescript (Photocopy). Includes two papers co-authored by the author as appendix D. Includes bibliographical references (leaves 397-425).
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Siu, Ho-yee Vivian. "The role of monitoring style in managing psychological distress associated with genetic colorectal cancer testing." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B29760161.
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Pau, Ka-yan Barbara, and 鮑家欣. "The role of cancer locus of control, hope and coping in cancer patients' subjective well-being." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/209526.
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Cancer has long been a prevalent illness in Hong Kong which caused tremendous stress on patients and their families. This study examined the cognitive process and behavioral efforts which related to cancer patients’ subjective well-being. Three hypotheses were proposed. First, higher internal locus of control over the cause of illness was hypothesized to relate to poorer subjective well-being through maladaptive coping. Second, higher internal locus of control over the course of illness may result in better subjective well-being through adaptive coping. Third, higher levels of hope may relate to better subjective well-being through adaptive coping. Ninety-eight patients with different types of cancers were recruited in this study. The results showed that internal locus of control over the cause of illness was not directly related to subjective well-being. The relationship between internal locus of control over the course of illness and social/family well-being was fully mediated by adaptive cognitive-behavioral coping and social and activity-engagement coping respectively in two separate mediation analyses. The relationship between levels of hope and social/family well-being was partially mediated by social and activity-engagement coping, while levels of hope significantly associated with social/family, emotional, functional and overall well-being. The study findings enhance understanding of close relationship between cognitive process and behavioral efforts in enhancing cancer patients’ adjustment to the illness.published_or_final_version
Clinical Psychology
Master
Master of Social Sciences
28
Wryobeck, John M. "The role of fatigue, positive affect and negative affect in the reporting of quality of life in a group of radiation oncology patients." Virtual Press, 1998. http://liblink.bsu.edu/uhtbin/catkey/1074539.
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The use of quality of life instruments to evaluate the effect of cancer and its treatment on individuals has increased but the process by which the patient comes to make these quality of life evaluations has not been addressed. Earlier studies have shown the reporting of physical symptoms and the evaluation of one's health to be related to negative affect. The purpose of this study was to investigate whether the relationship between negative affect and the evaluation of ones health would remain the same in a group of cancer patients, when a major disease and treatment symptom, fatigue was controlled for. The current study found no relationship between negative affect and the evaluation of health once fatigue was controlled for. Negative affect and fatigue were found to be moderately correlated and fatigue accounted for a large proportion of the variance in the quality of life domains of physical, functional and emotional well-being. Both empirical and theoretical issues are discussed.Department of Counseling Psychology and Guidance Services
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Pon, Kwai-ling, and 潘桂玲. "My wonderful life: developing a game based intervention for patients with advanced cancer." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B44751461.
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Petersen, Larra R. "A model of psychosocial adjustment to cancer : additional contributions of agency, communion, unmitigated agency, and unmitigated communion." Virtual Press, 2004. http://liblink.bsu.edu/uhtbin/catkey/1292037.
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Prior research shows a wealth of investigation into the variables contributing to psychosocial adjustment to cancer. However, the literature consistently calls for more complex investigation of the contributing factors. This investigation attempted to clarify and expand the adjustment literature in two primary areas. First, the study investigated the relationships between the variables suspected of predicting adjustment to cancer, such as socidemographic, social support, and gender-related personality variables. Second, the study determined the differential influence that the traits of agency, communion, and the unmitigated constructs had on adjustment to cancer, compared to sex. The investigator used two statistical approaches to identify the differential importance: hierarchical regression and structural equation modeling (SEM). Using SEM, the investigator tested three models to determine which variables had direct and indirect effects on adjustment.The study used a sample of 417 (238 used in final analyses) early stage (0, I, and II) male and female cancer patients diagnosed between 1998 and 2000. The patients completed mail surveys assessing their social support, gender-related personality characteristics, and adjustment to cancer. Results from bivariate correaltional analyses found that being male, having less functional social support, experiencing more problematic support encounters, and possessing unmitigated agentic traits contributed to more maladjustment. In contrast, the results revealed that possessing communion traits related to less maladjustment.Results from the regression analysis also supported that the unmitigated agentic and communal traits contributed significantly to the variance in maladjustment. When determining strength of associations, less social support from family, more informationfrom friends, and being male more strongly predicted the likelihood of maladjustment. However, findings also suggested that being on medical leave and possessing either traits of unmitigated agency or communion contributed to maladjustment to cancer.Finally, while structural models exhibited less than adequate fit, the significant paths within the models supported many of the proposed relationships. Overall, the findings supported the multifactorial nature of maladjustment, such that sex, social support, and personality traits all emerged as significant predictors. The study concluded with a discussion on improving model fit and directions for future research.Department of Counseling Psychology and Guidance Services
31
Hackman, Marcia. "Coping strategies of women with breast cancer." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276869.
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An ethnographic study was utilized to identify coping strategies of women with breast cancer. Five women were interviewed; four were interviewed on three separate occasions, and one was interviewed twice. The data were analyzed for specific coping strategies taken by the women to deal with the stresses of breast cancer. These strategies were compared and organized into categories of coping strategies: Actions Taken, Emotional Support, Positive Outcomes, Getting Control, and Keeping a Positive Attitude. These five categories were integrated as new coping incidents appeared in the data. The original five categories were merged into three categories: Getting Control, Compensating, and Emotional Support. From these three categories the theory was written: Women with breast cancer will obtain support, get control over what they can control, and compensate for what they cannot control.
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Elliott, Diana. "The impact of genetic counselling for familial breast cancer on women's psychological distress, risk perception and understanding of BRCA testing." University of Western Australia. School of Population Health, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0190.
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[Truncated abstract] Background: A review of the literature indicated there was a need for more long-term randomised controlled studies on the effects of BRCA counselling/testing on high risk women, including improved strategies for risk communication. Reviews have also shown women are confused about the significance of inconclusive or non informative results with a need for more research in this area. Aims: The general aim of this study was to evaluate the impact of breast cancer genetic counselling on psychological distress levels, perception of risk, genetic knowledge and understanding of BRCA testing/test results in a cohort of 207 women from high risk breast cancer families who were referred for genetic counselling in Perth during the period 1997 to 2001. Short- and long-term impact of BRCA genetic counselling/testing was determined in women with and without cancer in a randomised controlled trial as part of which women were randomised to either receive immediate versus delayed genetic counselling. This included family communication patterns before BRCA testing, anticipated outcomes of testing on oneself and family including intentions for result disclosure. Comprehension of index and predictive BRCA testing with possible results was assessed both in the short- and the long-term and understanding of individual or family BRCA test results was evaluated at long-term. The effect of genetic counselling on breast cancer risk perception in unaffected women was evaluated. This study considered a theoretical framework of educational learning theories to provide a basis for risk communication with possible relevance for future research. ... Only 25% of the original study population (52/207) reported BRCA results and women's understanding of results is concerning. Key findings were: 1. The majority of affected women received an inconclusive result. 2. Out of twelve unaffected women who reported results, seven were inconclusive which are not congruent with predictive testing. This implies that these women did not understand their test result. 3. A minority of untested relatives did not know whether a family mutation had or had not been found in their tested family member or what their actual test result was. This implies either a lack of disclosure or that woman did not understand the rationale for and significance of testing for a family mutation. 4. Three relatives did not understand a positive result was a mutation. Conclusion: The implication of this research for breast cancer counselling and testing services is that women who wait for counselling are no worse off in terms of short- or long-term general psychological distress than women who receive the intervention early. There is a suggestion that unaffected women without the disease found counselling more advantageous than affected women. The meaning of BRCA results as reported by women is concerning particularly women's understanding of negative and inconclusive results and further research is needed in this area. Too much information presented at counselling may affect women's comprehension of risk, BRCA testing and future test results and further research is required to evaluate the effects of information overload.
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Dirksen, Shannon Elaine Ruff. "Subjective well-being in patients diagnosed with malignant melanoma." Diss., The University of Arizona, 1987. http://hdl.handle.net/10150/184289.
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The purpose of this study was to test a theoretical model which predicted subjective well-being in patients who had been diagnosed with malignant melanoma. The theoretical model was developed from empirical findings based on a review of the literature in which health locus of control, social support and self-esteem were identified as significant predictors of well-being. The specific aim of this study was to examine the strength of the predicted relationships between selected psychosocial variables and subjective well-being. The study utilized a nonexperimental correlational design with a causal modeling approach. The convenience sample was composed of 75 individuals (x age = 52.5) who had been diagnosed with malignant melanoma. Subjects completed four instruments which measured the theoretical concepts under study. Two additional instruments were administered which indexed the variables of search for meaning and concern of recurrence. Descriptive statistics were used in examining the demographic and situational characteristics of the sample. Multiple regression techniques were utilized to empirically test the predicted theoretical relationships and to estimate predictive validity for the theoretical concepts. Graphic residual analysis was performed to assess for violations in the statistical and causal model assumptions. Study findings revealed that social support had a direct positive impact on self-esteem (B =.27, R² =.06) and that self-esteem had a direct positive impact on well-being (B =.49, R² =.37). The two demographic variables of employment and income were found to have a direct positive impact on well-being (B =.22 and B =.26, respectively), and resulted in a 10% increase in the total explained variance in well-being. The theoretical model, which was generated to predict subjective well-being in malignant melanoma patients, explained 47% of the total variance in well-being. Research into the variables which influence patient well-being during the cancer experience is vital if nursing is to implement therapeutic interventions which will promote an improved life quality. By intervening with nursing actions that focus on a positive self-esteem, a greater sense of well-being could be attained by individuals diagnosed with cancer.
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Jones, Tracy L. "Depression, Anxiety, Self-Esteem, and Coping in Children and Adolescents Newly Diagnosed with Cancer and Children and Adolescents on Cancer Treatment for a Period of Seven Months or Longer." Thesis, University of North Texas, 2000. https://digital.library.unt.edu/ark:/67531/metadc2467/.
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Differences in self-reported depression, anxiety, self-esteem, and coping were evaluated in two groups of pediatric oncology patients: newly diagnosed (less than six months post-diagnosis) (n=5) and patients on cancer treatment for seven months or longer (n=5). Participants (6 males, 4 females, ages 7-17 years) completed the Children's Depression Inventory (CDI), the State-Trait Anxiety Inventory for Children (STAIC), and the Culture-Free Self-Esteem Inventory (CFSEI-2); nine of the ten participants discussed in a semi-structured interview their personal experiences and feelings about having cancer. Although the newly diagnosed group had a higher mean score on the CDI than the 7 months or greater group, the difference was not significant (p = .054). The newly diagnosed group also had higher mean state and trait anxiety scores on the STAIC, indicating higher anxiety levels, and a slightly lower CFSEI-2 mean score, indicating slightly lower self-esteem than the 7 months or greater group, but differences were not at a statistically significant level (p>.05).
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Swartz, Esti. "Emotional intelligence and locus of control of adult breast cancer patients receiving treatment." Thesis, Nelson Mandela Metropolitan University, 2010. http://hdl.handle.net/10948/d1015686.
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Breast cancer is the most prevalent cancer of women in South Africa, with one in twenty-seven women diagnosed with breast cancer in their lifetime. By building on human strengths, ways can be found to cope effectively with adversity. This will contribute to psychological well-being and result in living constructive and meaningful lives. Emotional intelligence and locus of control are two constructs which, according to previous research, may be associated with psychological wellbeing. Limited research has been conducted on these constructs in populations facing adversity. Adaptation to breast cancer treatment is considered to be an extremely difficult process. The research aimed to explore and describe emotional intelligence and locus of control within an adult breast cancer population. A sample of 67 breast cancer patients receiving treatment was approached to complete a biographical questionnaire and two pencil-and-paper questionnaires. Descriptive and inferential statistics were be used to analyze the data. The results of the quantitative analysis indicated a significant negative correlation between emotional intelligence and locus of control which shows that patients with higher levels of emotional intelligence possess more internal locus of control orientations, while patients with lower emotional intelligence possess more external locus of control orientations. The population presented with above average emotional intelligence and an internal locus of control orientation. The study can be regarded as the first step in opening a field of research which could contribute to more effective coping and the overall psychological well-being of individuals facing adversity in South Africa. Furthermore, the findings of the study contributed to understanding the role of emotional intelligence and locus of control in these populations and encouraged further research and the development and implementation of programmes that promote skills development in these areas.
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Radcliffe-Branch, Deborah S. "The contribution of interactive health communication (IHC) and constructed meaning to psychosocial adjustment among women newly diagnosed with breast cancer /." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=85956.
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This doctoral dissertation, as part of a large and ongoing CIHR-funded study, used a subset of the total sample to evaluate the contribution of interactive health communication (IHC) as a complement to more traditional means of informational support (Care-as-usual) to optimal adjustment of women newly diagnosed with breast cancer (N = 135). According to the study protocol, participants in the experimental group received an IHC educational intervention for an eight-week period. Measures of psychosocial adjustment and information-related variables were administered in interviews at Time 1 (pre-intervention) within 8 weeks of initial diagnosis, and again 8 weeks post-intervention (Time 2). Psychosocial adjustment variables included: depressive symptoms (CESD), anxiety (STAI-Y), well-being (IWB), and quality of life (SF-36)-mental and physical health components. Information-related variables included: the need for information related to cancer, cancer-specialist, and family or friend's informational support, and overall satisfaction with information. Optimism and Constructed meaning were evaluated at Time 1 and 2, respectively. A GLM MANCOVA model tested overall F-ratios and regression coefficients using difference scores. Predictors in the model were: group (experimental versus control), constructed meaning, and optimism. The overall model (df = 8, 121) was significant for Group, F = 3.66, p < .001, effect size eta2 = .20, Constructed Meaning, F = 3.04, p < .004, effect size eta2 = .17, and Optimism, F = 2.95, p < .005, effect size eta2 = .16. Participants in the dissertation experimental group had significant improvements in QOL-physical health and overall satisfaction with information when compared with the control group. Constructed meaning was significantly associated with beneficial changes in all of the adjustment-related variables. The results of this dissertation clarify the potentially significant roles IHC and constructed meaning pl
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Haldeman, Kristi Beaughan. "Testing of the Sexual Adjustment Questionnaire in a population of women with breast cancer." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276663.
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A descriptive study was conducted with the purpose of refining the Sexual Adjustment Questionnaire (SAQ) and further establishing reliability and validity. Twelve women receiving treatment for breast cancer and 22 women who were at least three months post-treatment for breast cancer voluntarily participated in the research study. Each was administered the Sexual Adjustment Questionnaire. Findings of the study revealed that the SAQ in its entirety was internally consistent. Repatterning of sexual behavior subsequent to having breast cancer did not occur in either group of women. Both the women receiving cancer treatment and those post-treatment experienced a noticeable change in their sexual behavior since having cancer.
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Johnson, Sharon Ann. "The Relationships among Coping, Control, and Adjustment to Cancer." PDXScholar, 1996. https://pdxscholar.library.pdx.edu/open_access_etds/5280.
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This study proposed that a major function of coping is to regain perceptions of control that are threatened by the cancer experience and that perceived control mediates the relationship between coping and adjustment. Participants were 258 cancer patients, 61 % women and 39% men, aged 29 to 93 years. A variety of cancer sites were represented with breast and prostate cancer the most prevalent. Patterns of coping, perceived control in four areas (symptom-emotion, relationship, medical care, and disease control), and emotional adjustment were measured. It was expected that a sixth pattern of coping, problem-focused, would emerge when additional problem-focused items were added to the Ways of Coping-Cancer inventory. However, the expected problem-focused pattern was not distinct from the seek and use social support pattern. It was suggested that seeking and using social support may be a problem-focused strategy when dealing with relationships that are altered by the cancer experience. The study provided some support for the notion that symptom-emotion control has a greater influence than disease control on emotional adjustment as measured by the bipolar Profile of Mood States. However, all four areas of perceived control made substantial contributions to emotional adjustment. The findings only partially supported the proposed model in which perceived control mediated the relationship between coping and adjustment. All five patterns of coping influenced perceived control, and perceived control was strongly associated with emotional adjustment. The cognitive escape-avoidant pattern of coping exerted an indirect (mediated) influence on emotional adjustment through perceived control. The behavioral escape-avoidant and focus on the positive patterns exerted both indirect and direct influences on emotional adjustment. While social support and distancing coping patterns were not predictive of emotional adjustment, they did predict perceived control. It was suggested that efforts to bolster cancer patients' emotional adjustment should focus on both teaching positive coping strategies and on efforts to increase perceptions of control.
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Larery, Angela R. D. "Hierarchical neuropsychological functioning in pediatric survivors of acute lymphoblastic leukemia." Thesis, University of North Texas, 2007. https://digital.library.unt.edu/ark:/67531/metadc3949/.
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Acute lymphocytic leukemia (ALL) is one of the most common types of pediatric cancers. Improvements in treatment within the last 20 years have resulted in reduced mortality and a greater focus upon quality of life. Several researchers have documented neuropsychological impairments in children following treatment for ALL; however, there have not been any comparative studies documenting differences in neuropsychological functioning based upon treatment modality despite the documented effects of radiation therapy and combined radiation/chemotherapy upon the developing brain. In addition, past studies have focused on unitary measures, ignoring the hierarchical relationship between basic cognitive functions and more abstract skills. This study examined the neuropsychological functioning of 81 children who were treated for ALL at a metropolitan children's hospital. All children were tested a minimum of two years after the final treatment session and were administered the NEPSY. Results do not support any interactions or main effects with the exception of the age of the child at diagnosis. Children diagnosed prior to the age of 5 showed greater impairments on tasks measuring attention, memory, and visuospatial reasoning in comparison to peers diagnosed after age 6.
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Barbosa, Leopoldo Nelson Fernandes. "A condição humana do paciente laringectomizado total: perspectivas para a clínica." Universidade Católica de Pernambuco, 2008. http://www.unicap.br/tede//tde_busca/arquivo.php?codArquivo=313.
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O tratamento de pacientes com câncer de laringe que realizam a cirurgia de Laringectomia Total (LT), freqüentemente implica a necessidade de procedimentos
agressivos que podem causar lesões estéticas e funcionais irrecuperáveis, tais como o uso de sonda nasogástrica, traqueostoma, perda da fala e do sentido olfativo,
dificuldade para engolir certos alimentos e a impossibilidade de imersão em líquidos, acarretando uma série de repercussões em uma dimensão psicossocial. Através de uma metodologia qualitativa, baseada na narrativa dos pacientes e seus cuidadores, objetivamos investigar as possíveis repercussões psicossociais na construção subjetiva de pacientes submetidos à LT. Caracterizamos mudanças ocorridas no
cotidiano dos pacientes e em suas relações familiares e sociais, com o intuito de compreender como estas mudanças afetam o seu equilíbrio emocional e as suas estratégias de enfrentamento psicológico frente a elas. Todo o percurso em torno da doença é vivido pelo paciente e por sua família como um momento de crise, atravessado por um profundo sentimento de precariedade, que exige uma série de
readaptações que afetam expressivamente a rotina e o contexto social em que vivem. Diante das diversas seqüelas físicas decorrentes da LT e do seu tratamento, a perda da fala assume papel prioritário levando o paciente a isolar-se do seu convívio social, afastar-se de suas funções profissionais, o que gera, conseqüentemente, sentimentos de inadequação, baixa auto-estima, vergonha e, até mesmo, culpa pela crença de que seus maus hábitos contribuíram para o adoecer. A família, por seu turno, sofre duplamente: de um lado pela percepção de fragilidade e medo de perda de um ente querido e, de outro, por tentativas, nem sempre bem sucedidas, de dar suporte e oferecer ambiência para as novas necessidades que se apresentam. Percebe-se, ainda, que os aspectos ligados à religiosidade, ao apoio da família e confiabilidade na equipe são encarados como fonte de motivação para o tratamento. A experiência do adoecimento é extremamente rica de sentidos: des-armando, des-pre-ocupando para ocupar-se com o que interessa e realmente está presente no aqui e agora, pedindo espaços de amparo onde o abdicar de si implica em abrir-se para outro. Além de aprofundar temáticas relativas à Psicologia Clínica e Hospitalar, acreditamos que essa pesquisa pôde nos auxiliar na identificação de dispositivos clínicos para a ação do Psicólogo que trabalha nesse contexto. Outros estudos e reflexões são necessários para que possamos melhor compreender essas tantas facetas que envolvem o humano, sem aprisioná-lo, considerando-o em sua singularidade múltipla. No entanto, podemos afirmar que o contato com esses pacientes e a busca de compreensão de seus sofrimentos leva-nos, cada vez mais, a tomar a ética do cuidado como o principal referencial em nossa atividade ClínicaThe treatment of patients with larynx cancer who carry through the surgery of Total Laringectomy (TL), frequently implies the necessity of aggressive procedures that they can cause irretrievable esthetic and functional injuries, such as the use of nasogastric feeding, stoma, loss of speaks and the olfactive sense, difficulty to swallow certain foods and the impossibility of immersion in liquids, causing a series of repercussions a psychosocial dimension. Through a qualitative methodology based in the narrative of the patients and its caregivers, we objectify to investigate the possible psychosocial repercussions in the subjective construction of patients submitted to the TL. We search, also, to characterize the occured changes in the daily one of the patients, its familiar and social relations, with intention to understand as these changes affect its emotional balance and to understand its strategies of psychological confrontation. All the passage around the illness is lived by the patient and its family as a moment of crisis, crossed for a deep feeling of precariousness, demanding a series of readjustments that affect its routine expressivelly and of its family ones. Ahead of the diverse physical sequels decurrent of the TL and its treatment, the loss of speaks assumes with priority role taking the patient to isolate itself of its social conviviality, to move away from its professional functions, what it generates, consequently, improper feelings, low auto-esteem, shame and, even though, guilt for the belief of that its bad habits had contributed to become sick. The family, for its turn, suffers doubly: of a side for the perception of fragility and fear of loss and, of another one for attempts, nor always successful, to give support and to offer ambience for the new necessities that if present. One perceives, still, that on aspects to the religiosity, to the support of the family and trustworthiness in the team are faced as source of motivation for the treatment. The experience of become sick is extremely rich of is felt: dis-arming, easying to occupy with what it interests and reallyis present in here and now, asking for support spaces where abdicating of itself it implies in confiding for another one. Beyond going deep thematic relative to Clinical and Hospital Psychology, we believe that this research could assisting in them in the identification of clinical devices for the action of the Psychologist who works in this context. Other studies and reflections are necessary so that let us can more good understand these as much faces that involved the human being, without imprisoning it, considering it in its multiple singularity, however, can affirm that the contact with these patients and the search of understanding of its sufferings take us, each time more, to take the ethics of the care as the main referencial in our Clinical activity
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Koenig, LeRoy Michael 1951. "PERSONAL NEEDS OF SIGNIFICANT OTHERS OF CANCER PATIENTS." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/275512.
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Price, Melanie Anne. "Psychosocial variables in the development of breast cancer." Phd thesis, Department of Psychological Medicine, 2002. http://hdl.handle.net/2123/7776.
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Zucchero, Renee A. "Marital adjustment of older adult couples with breast cancer, prostate cancer, and couples without cancer." Virtual Press, 1998. http://liblink.bsu.edu/uhtbin/catkey/1117099.
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The purpose of this study was to explore the marital adjustment of older adult couples with breast cancer, prostate cancer, and couples who have experienced neither. Participants were 64 couples in which at least one of the spouses was over 55 years of age, including 19 breast cancer couples, 20 prostate cancer couples, 25 couples who had experienced neither of these cancers. Most participants were young-old, Protestant, Caucasians from a high socioeconomic class. The breast cancer and prostate cancer participants had completed treatment an average of 39.5 months prior to participation. The methodology was a mail survey. Participants completed a demographic questionnaire, the Marital Satisfaction Questionnaire for Older Adults (MSQFOP) (Haynes et al., 1992), Primary Communication Inventory (PCI) (Navran, 1967), Miller Social Intimacy Scale (MSIS) (Miller & Lefcourt, 1982), and the Index of Sexual Satisfaction (ISS) (Hudson et al., 1981).There were no differences in the amount of discordance between the couples groups' level of marital satisfaction, communication, intimacy, and sexual satisfaction. In addition, there were no differences in the level of marital satisfaction, communication, intimacy, and sexual satisfaction between the participant groups. There was a significantly greater correlation between the prostate cancer couples' scores on the ISS than the correlation between the breast cancer couples' scores and the scores of the couples who had not experienced breast cancer or prostate cancer.The level of marital satisfaction, communication, intimacy, and sexual satisfaction reported was similar to that of the normative samples. There was no difference between the marital adjustment of the cancer couples and older couples who had experienced neither type of cancer. These results are good news for breast and prostate cancer survivors, and professionals. Older adults may be better able to incorporate the experience of cancer into their lives or are better prepared for chronic illness through anticipatory socialization. The high degree of agreement between the prostate cancer spouses on the ISS may be related to the sexual dysfunction that frequently accompanies treatment for this cancer. Future research should be qualitative and longitudinal and continue to explore the psychosocial implications of prostate cancer.Center for Gerontology
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Greene, Saara. "Breast cancer : the social construction of beauty and grieving." Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=23980.
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Coming to terms with breast loss and its effect on body image, femininity and self-esteem are major issues confronting women who have lost a breast to cancer. Furthermore, messages from the media, cosmetic industry and health care profession perpetuate the 'beauty myth' affecting the self-esteem of breast cancer patients. This emphasis on the aesthetic often takes precedence the grief associated with losing a body part that for many women is strongly linked to their self-concept. Based on interviews with nine breast cancer survivors in Winnipeg, Manitoba and Montreal, Quebec, three issues will be addressed: first how the cultural influences that support and perpetuate the 'beauty myth' affect breast cancer survivors; how, as a result of this issue, the grieving process is hindered and third, the experiences of women treated for breast cancer within the medical system. Implications for social work will also be discussed.
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Schoen, Eva G. "Perceived existential meaning, coping, and quality of life in breast cancer patients : a comparison of two structural models." Virtual Press, 2003. http://liblink.bsu.edu/uhtbin/catkey/1263897.
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Daniels, Danielle-Kirsty. "Exploring the experiences of patients with breast cancer from diagnosis through management." Thesis, University of the Western Cape, 2011. http://hdl.handle.net/11394/3955.
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Magister Artium (Psychology) - MA(Psych)The aim of this study is to explore the role of communication between the physician and women with breast cancer, and to examine women’s coping mechanisms from diagnosis through the management of the illness to its resolution. A qualitative methodology was utilised, with purposive sampling of participants from a public hospital in the Western Cape. A semi-structured interview was used to gather the data, after which a thematic analysis was conducted. The findings reveal the information exchange between physician and patient was clear, direct and understandable. Furthermore, the participants coped by accessing and using support from family and friends, by recourse to spirituality and prayer (bargaining with God, questioning of God), and by developing a positive attitude, with hope for recovery and acceptance. There were also emotional and psychological reactions from women in the sample when they received their diagnoses. This study may provide valuable insights into the experiences of women with stages I to III of breast cancer
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Forjaz, Maria João Bettencourt Pereira. "Comparative Models of the Impact of Social Support on Psychological Distress in Cancer Patients." Thesis, University of North Texas, 2000. https://digital.library.unt.edu/ark:/67531/metadc2533/.
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This study tested the relationship between Social Support, Psychological Distress, and Illness Stress in individuals who report cancer as a health condition. This study was based on archival data obtained from the Wave 1 of the Health and Retirement Study (HRS). The HRS provides a nationally representative sample of individuals aged 51 to 61 in 1992 and their spouses. The study sample was limited to cancer patients with a spouse or partner (n = 503).
A structural equation modeling analysis procedure was used to test the theoretical models. Measures of social support were limited to variables assessing the participant's satisfaction with social support. Evidence was found for the Stress Prevention and the Support Deterioration models. This is congruent with previous research using measures of social support perception. Both the Stress Prevention and the Support Deterioration models predict a negative relationship between Illness Stress and Social Support.
In addition, a univariate analysis of variance was used to test the stress buffering model. Similarly to other studies measuring the individual's degree of integration, or its perception, in the social network, the present research supported the only the Main Effect model and not the Stress Buffering model.
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Karnas, Diana Maria Girardi. "The psychology of the environment in children's health care setting : James Whitcomb Riley Hospital for Children - Cancer Unit." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/845987.
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Hospitals are constantly evolving to keep pace with the latest medical technologies. Whether it is a refurbishment of an existing facility or the addition of a new unit, the design process usually focuses on the technological requirements rather than the human elements of such an undertaking. The Riley Hospital for Children in Indianapolis presents an architectural opportunity to incorporate psychology of the environment into the design and construction of a new Cancer Unit. By balancing the technological requirements with the physical and psychological needs of the pediatric bone marrow transplant and hematology/oncology patients, one can create a healing environment more conducive to a rapid recovery.Department of Architecture
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Luk, Yin-ching, and 陸燕青. "Evidence-based psychosocial intervention for families with childhood cancer patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44625698.
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Cheng, Wing-ming Edward, and 鄭永明. "Emotional well-being in Chinese lung cancer patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B3197157X.
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