Bibliografías temáticas / Spouses of cancer patients

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Literatura académica sobre el tema "Spouses of cancer patients"

Autor: Grafiati
Publicado: 4 de junio de 2021
Última modificación: 20 de febrero de 2023

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Artículos de revistas sobre el tema "Spouses of cancer patients"

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ONISHI, HIDEKI, MASANARI ONOSE, SHIGEKO OKUNO, SUZU YAE, YASUHIRO MIZUNO, MIZUHO ITO, HIDEYUKI SAITO y CHIAKI KAWANISHI. "Spouse caregivers of terminally-ill cancer patients as cancer patients: A pilot study in a palliative care unit". Palliative and Supportive Care 3, n.º 2 (junio de 2005): 83–86. http://dx.doi.org/10.1017/s1478951505050157.

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Objective: It is known that families of terminally-ill cancer patients show levels of emotional and functional disruption and are called “second order patients,” however, little is actually known about the health problems of family members, especially in terms of cancer.Methods: This study reviewed the family histories of terminally-ill cancer patients in a palliative care unit and investigated cancer related health problems of the spouses of terminally-ill cancer patients.Results: We investigated the past medical history of 125 spouses of terminally-ill cancer patients and found that five spouses had a past medical history of cancer. In these five spouses, the duration of illness, present status of treatment and physical condition were reviewed from the database. Of these five spouses, three patients continued to attend an outpatient clinic regularly for checkup and one patient was hospitalized for nephrectomy. Two spouses did not have physical symptoms that made them unable to provide direct care for the terminally-ill spouses, while three could not provide care because of their own physical symptoms derived from cancer.Significance of results: Our findings indicated that some of the spouses of terminally-ill cancer patients are not only “second order patients” but also “cancer patients.” Our findings also suggest that some spouses of terminally-ill cancer patients might experience distress both as a cancer patient and as a spouse and may need care both as a cancer patient and as a spouse.
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Ikezawa, Kenji, Sachiko Tanaka, Junko Fukuda, Miho Nakao, Yoko Nakano, Mayumi Chagi, Hiromi Yamanaka y Kazuyoshi Ohkawa. "Main pancreatic duct dilatation and pancreatic cysts in relatives and spouses of patients with pancreatic cancer". PLOS ONE 18, n.º 1 (11 de enero de 2023): e0280403. http://dx.doi.org/10.1371/journal.pone.0280403.

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Although main pancreatic duct dilatation and pancreatic cysts are risk factors for developing pancreatic cancer, limited data exist regarding these findings in relatives and spouses of pancreatic cancer patients. The frequency of these findings was examined using long-term follow-up data and transabdominal ultrasonography focusing on the pancreas. We prospectively enrolled 184 relatives and spouses of pancreatic cancer patients and performed special pancreatic ultrasonography to detect main pancreatic duct dilatation and pancreatic cysts. First-degree relatives (148 participants) of patients with pancreatic cancer were significantly younger than the spouses (36 participants; 41 vs. 65 years old). The frequency of ultrasonographic findings was significantly different between the relative (8.8%) and spouse (33.3%) groups. Main pancreatic duct dilatation and pancreatic cysts were observed in seven (4.7%) and seven (4.7%) participants in the relative group, and in nine (25.0%) and five (13.9%) participants in the spouse group, respectively. On multivariate analysis, age was an independent risk factor for the ultrasonographic findings. The frequency of ultrasonographic findings was significantly higher in spouses than in first-degree relatives of patients with pancreatic cancer and was strongly influenced by the age gap between the groups. Main pancreatic duct dilatation was frequently observed, especially in the spouse group.
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Salminen, E. K., R. Portin y M. J. Nurmi. "Distress among Prostate Cancer Patients and Spouses is Associated with Hormone Treatment and Participation in Decision-Making". Clinical medicine. Oncology 1 (enero de 2007): 117955490700100. http://dx.doi.org/10.1177/117955490700100005.

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Background The aim of this study was to chart cancer experience and distress shared between prostate cancer (PC) patients and their spouses, focusing on effects of hormone treatment and treatment decision-making. Patients and methods This observational prospective study involved 203 PC patients and 194 spouses surveyed within 5 years from being diagnosed with PC. Fifty percent of the patients had received hormone treatment. Results Younger (<65 years) patients and spouses were significantly more distressed than the older. Patients receiving hormone treatment tended to be more distressed than those not treated (sum of scores, 5.6 vs 4.3, p = 0.017), and the same trend was seen in their spouses (p = 0.08). The spouse experienced difficulties in concentration and decision-making (Chi-squared test, p = 0.012) and somatic symptoms (p = 0.049) more often if the patient suffered the same problems. Use of alcohol/drugs was significantly more common among younger (<65 years) spouses (27.8% vs 7.2%, p < 0.001) and in those with higher level of education (26.1% vs 12.2%, p = 0.015). Conclusions Significant associations were observed in distress variables between prostate cancer patients and spouses, especially among younger patients and when hormone treatment was used. Distress among patients was associated with participation in treatment-decision making, and among spouses with age and educational level.
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PASSIK, STEVEN D. y KENNETH L. KIRSH. "A pilot examination of the impact of cancer patients' fatigue on their spousal caregivers". Palliative and Supportive Care 3, n.º 4 (diciembre de 2005): 273–79. http://dx.doi.org/10.1017/s1478951505050431.

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Objective: In this pilot project we examined the quality of life of spouses of cancer patients who had significant fatigue.Methods: We assessed both the spouses of cancer patients and the patients who presented with chemotherapy-induced fatigue and anemia. Study endpoints included the impact that cancer patients' fatigue had on their spouses' quality of life, including their own levels of fatigue, depressive symptoms, activity levels, work absenteeism, and marital adjustment. We examined the extent to which changes in patients' fatigue from baseline to one month follow-up were associated with changes in spouses' quality of life indices.Results: 25 couples completed the study. Seven (28%) spousal caregivers reported handling fewer responsibilities at work, 8 (32%) had reduced their work hours, and 8 (32%) felt that they were less effective overall at work. Spousal caregivers also missed a significant amount of time at work during the month long study, missing an average of 2.7 (SD = 2.95) days, with an additional 1.29 (SD = 2.97) sick days and 1.76 (SD = 2.63) vacation days during that time. Spouses reporting greater levels of caregiver strain were more likely to have increased fatigue at baseline (F1,23 = 8.11, p < .01), and worse dyadic adjustment at both time points (baseline: F1,23 = 7.80, p < .01; follow-up: F1,21 = 9.24, p < .01). Also, those with more caregiver strain were less likely to engage in social activity at baseline (F1,23 = 6.11, p < .05) and more likely to engage in less work by the one month follow-up (F1,20 = 8.36, p < .01).Significance of results: Spouses who were identified as having elevated burden experienced more personal fatigue, had worse dyadic adjustment, reported poor energy levels, and tended to engage in fewer work and social activities; the impact of patient's fatigue level on these parameters was highly variable in this small pilot study.
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Northouse, Laurel L., Darlene W. Mood, James E. Montie, Howard M. Sandler, Jeffrey D. Forman, Maha Hussain, Kenneth J. Pienta, David C. Smith, Martin G. Sanda y Trace Kershaw. "Living With Prostate Cancer: Patients' and Spouses' Psychosocial Status and Quality of Life". Journal of Clinical Oncology 25, n.º 27 (20 de septiembre de 2007): 4171–77. http://dx.doi.org/10.1200/jco.2006.09.6503.

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Purpose Despite the high prevalence of prostate cancer, little information is available on the quality of life of men and their spouses during the phases of illness. This study assessed patients' and spouses' quality of life, appraisal of illness, resources, symptoms, and risk for distress across three phases of prostate cancer: newly diagnosed, biochemical recurrence, and advanced. Patients and Methods The sample consisted of 263 patient/spouse dyads. A stress-appraisal conceptual model guided the selection of variables which were then assessed with established instruments. Study variables were examined for phase effects (differences in dyads across three phases), role effects (patients v spouses), and phase-by-role interactions (differences within dyads across phases) using analysis of variance (ANOVA). Results More phase effects than role effects were found, indicating that the psychosocial experiences of patients and their spouses were similar, but differed from dyads in other phases. Dyads in the advanced phase were at highest risk for distress. These patients had the lowest physical quality of life, and their spouses had the lowest emotional quality of life of all participants. Dyads in the biochemical recurrence and advanced phases had more negative appraisals of illness and caregiving, greater uncertainty, and more hopelessness compared with dyads in the newly diagnosed phase. Spouses, in contrast to patients, had less confidence in their ability to manage the illness and perceived less support across all phases of illness. Conclusion Phase-specific programs of care are needed to assist both men with prostate cancer and their spouses to manage the effects of illness.
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Hu, Kejia, Qianwei Liu, Krisztina D. László, Dang Wei, Fen Yang, Katja Fall, Hans-Olov Adami et al. "Risk of Psychiatric Disorders Among Spouses of Patients With Cancer in Denmark and Sweden". JAMA Network Open 6, n.º 1 (5 de enero de 2023): e2249560. http://dx.doi.org/10.1001/jamanetworkopen.2022.49560.

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ImportanceThere is emerging evidence that spouses of patients with cancer may have a higher prevalence of mental illness, but these studies have been limited by pre-post designs, focus on a single mental illness, and short follow-up periods.ObjectivesTo assess the overall burden of psychiatric disorders among spouses of patients with cancer vs spouses of individuals without cancer and to describe possible changes in this burden over time.Design, Setting, and ParticipantsThis population based cohort study included spouses of patients with cancer (diagnosed 1986-2016 in Denmark and 1973-2014 in Sweden; exposed group) and spouses of individuals without cancer (unexposed group). Members of the unexposed group were individually matched to individuals in the exposed group on the year of birth, sex, and country. Spouses with and without preexisting psychiatric morbidity were analyzed separately. Data analysis was performed between May 2021 and January 2022.ExposuresBeing spouse to a patient with cancer.Main Outcomes and MeasuresThe main outcome was a clinical diagnosis of psychiatric disorders through hospital-based inpatient or outpatient care. Flexible parametric models and Cox models were fitted to estimate hazard ratios (HRs) with 95% CIs, adjusted for sex, age and year at cohort entry, country, household income, and cancer history.ResultsAmong 546 321 spouses in the exposed group and 2 731 574 in the unexposed group who had no preexisting psychiatry morbidity, 46.0% were male participants, with a median (IQR) age at cohort entry of 60 (51-68) years. During follow-up (median, 8.4 vs 7.6 years), the incidence rate of first-onset psychiatric disorders was 6.8 and 5.9 per 1000 person-years for the exposed and unexposed groups, respectively (37 830 spouses of patients with cancer [6.9%]; 153 607 of spouses of individuals without cancer [5.6%]). Risk of first-onset psychiatric disorders increased by 30% (adjusted HR, 1.30; 95% CI, 1.25-1.34) during the first year after cancer diagnosis, especially for depression (adjusted HR, 1.38; 95% CI, 1.30-1.47) and stress-related disorders (adjusted HR, 2.04; 95% CI, 1.88-2.22). Risk of first-onset psychiatric disorders increased by 14% (adjusted HR, 1.14; 95% CI, 1.13-1.16) during the entire follow-up, which was similar for substance abuse, depression, and stress-related disorders. The risk increase was more prominent among spouses of patients diagnosed with a cancer with poor prognosis (eg, pancreatic cancer: adjusted HR, 1.41; 95% CI, 1.32-1.51) or at an advanced stage (adjusted HR, 1.31; 95% CI, 1.26-1.36) and when the patient died during follow-up (adjusted HR, 1.29; 95% CI, 1.27-1.31). Among spouses with preexisting psychiatric morbidity, the risk of psychiatric disorders (first-onset or recurrent) increased by 23% during the entire follow-up (adjusted HR, 1.23; 95% CI, 1.20-1.25).Conclusions and RelevanceIn this cohort study of 2 populations in Denmark and Sweden, spouses of patients with cancer experienced increased risk of several psychiatric disorders that required hospital-based specialist care. Our results support the need for clinical awareness to prevent potential mental illness among the spouses of patients with cancer.
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D'Souza, Gypsyamber, Neil D. Gross, Sara I. Pai, Robert I. Haddad, Maura L. Gillison y Marshall R. Posner. "Oral HPV infection in HPV-positive oropharyngeal cancer cases and their spouses." Journal of Clinical Oncology 31, n.º 18_suppl (20 de junio de 2013): CRA6031. http://dx.doi.org/10.1200/jco.2013.31.18_suppl.cra6031.

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CRA6031 Background: Incidence of human papillomavirus-positive oropharyngeal cancer (HPV-OPC) is increasing, and spouses of these patients have high anxiety about their own HPV-related cancer risk. Methods: Partner study of 149 HPV-OPC and 81 of their spouse/long-term partners. Data collection included a 30-second rinse and gargle (at diagnosis and again 1 year later for 103 cases and 46 partners), computer-assisted risk factor survey, tumor collection (cases), and visual oral examination (spouses). Oral rinse samples were tested for 36 types of HPV DNA using PGMY09/11 primers and line-blot amplification, and HPV16 copy-number using real-time PCR. Results: Cases were primarily male (89%), white non-Hispanic (92%), had performed oral sex (94%), and never-smokers (51%) with a median age of 56 years. Twelve-month survival was high among never- and ever-smoking HPV-OPC (100% vs 93%, p=0.18). The 81 spouses of HPV-OPC were primarily female (81%), white non-Hispanic (92%), never-smokers (54%), with a median age of 53 years. Spouses were significantly less likely than cases to have >10 lifetime oral sex partners (11% vs 39%, p<0.001). Prevalence of any oral HPV (65%) and oral HPV16 (52%) was high among HPV-OPC at diagnosis. Four (7.7%) of 52 HPV-OPC with HPV16 DNA detectable before therapy, had HPV16 persistently detected one year after diagnosis/therapy. Prevalence of any oral HPV DNA among partners was significantly lower than among HPV-OPC (7.3% vs 65%, p<0.001). Oral HPV prevalence was significantly higher among the 7 male partners than the 74 female partners (29% vs 5%, p=0.025). Oral HPV infections among partners included HPV16 (n=2), HPV62 (n=2), HPV 83 and 51 (1 each). Both partners with oral HPV16 infections were female and no longer had oral HPV16 detected at the one year follow-up. 64% of spouses had a visual oral exam, and no pre-cancers or cancers were identified. However, two (2.5%) enrolled spouses reported a personal history of cervical cancer, and 6 HPV-HNC cases (4.0%) reported a previous spouse who developed cervical or vaginal cancer. Conclusions: Oral HPV16 DNA is common among HPV-OPC, but not among their spouses. Spouses of HPV-OPC may have an elevated risk or history of cervical cancer.
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Noveiri, Marzieh Jahani Sayad, Farshid Shamsaei, Masoud Khodaveisi, Zohreh Vanaki y Lily Tapak. "The concept of coping in male spouses of Iranian women with breast cancer: A qualitative study using a phenomenological approach". Canadian Oncology Nursing Journal 31, n.º 3 (22 de julio de 2021): 314–21. http://dx.doi.org/10.5737/23688076313314321.

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Introduction: Breast cancer is a multidimensional crisis that affects not just the patient, but the spouse and other family members. Coping with this phenomenon, as one of the important challenges for the families and spouses, requires investigation. Understanding more about how spouses of women with breast cancer cope with this crisis could lead to better performance of spouses in front of their wives and raise their wives’ quality of life. Purpose: The study was conducted to explore the concept of coping based on the lived experiences of spouses of women with breast cancer. Methods: This qualitative study was conducted with a phenomenological approach in Hamedan and Rasht cities in Iran in 2019. Participants included 20 spouses of women with breast cancer selected by a purposive sampling method. Data were collected through unstructured face-to-face interviews and analyzed using van Manen’s six-stage phenomenological method. Results: The lived experiences of participants showed that the phenomenon of coping in spouses of women with breast cancer included five themes: Emotional pain, Shouldering the burden of care, Striving for family life cohesion, Future in ambiguity, and Sense of loss of self concept. Understanding the concept of coping in the spouses of women with breast cancer in health strategies can help wives achieve effective adaptation and also help professionals take effective measures in the field of medical care for patients and their spouses.
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Mehta, Anita y Hélène Ezer. "My Love is Hurting: The Meaning Spouses Attribute to Their Loved Ones’ Pain during Palliative Care". Journal of Palliative Care 19, n.º 2 (junio de 2003): 87–94. http://dx.doi.org/10.1177/082585970301900203.

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The purpose of this qualitative study was to develop our knowledge of the pain experiences of family members by addressing the meaning of cancer pain to the spouse of a patient receiving palliative care. In particular, this study explored factors associated with the meanings the spouses ascribe to the experience of pain during palliative care and whether the meanings the patients attributed to pain were similar to the meanings held by the spouse. Two different states emerged, the “in-pain state” and the “out of pain state”. The spouses described feelings of helplessness, fear, and unfairness when witnessing their loved one in pain. Once the pain had been controlled, spouses described feelings of peace and relaxation, and felt this meant that the couple could return to their old routines because their spouse was still alive. It was discovered that the meanings placed on the cancer pain differed for the spouse and the patient, with the spouse focusing on future consequences. Implications and suggestions for nursing practice and future research are proposed.
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Reblin, Maija, Brian Gonzalez, Richard E. Heyman, Lee Ellington y Susan Thomas Vadaparampil. "Relationships between distress and sleep in advanced cancer patients and spouse caregivers." Journal of Clinical Oncology 36, n.º 34_suppl (1 de diciembre de 2018): 195. http://dx.doi.org/10.1200/jco.2018.36.34_suppl.195.

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195 Background: Sleep disturbance is a common problem among individuals with advanced cancer. Distress and sleep disturbance are highly interdependent in spouses. Little research has examined dyadic effects of psychological distress on sleep in patient-caregiver spouses, most of whom sleep together. The goal of this study was to determine how anxiety and depression impact one’s own sleep and partner’s sleep in advanced cancer patients and their spouse caregivers. Methods: As part of a larger study, 86 advanced cancer patients and their spouse caregivers completed surveys on demographics and self-reported health, including sleep duration, and the HADS measure of anxiety and depression. A path analysis was conducted to determine the impact of patient and caregiver anxiety and depression on their own and their partner’s sleep. Results: The majority of dyads were white (n = 79) and all were heterosexual. The patient was female in 25 couples. The average age for patients was 67 and 65 for caregivers; couples had been together an average of 35 years. Patients reported sleeping 7.2 hours/night (SD = 1.7) and caregivers reported sleeping 6.72 hours/night (SD = 1.3). Patient and caregiver sleep was significantly correlated (r = .42, p < .01). Controlling for age, sex, and general health, one’s own anxiety was negatively associated with one’s own sleep duration (patient B = -.12, p = .04; caregiver B = -.13, p < .01), but patients’ anxiety was not associated with caregivers’ sleep duration or vice versa. Individuals’ depression was not associated with their own sleep duration, but patient depression was positively associated with caregiver sleep duration (B = .10, p = .05). Conclusions: This is one of the first dyadic explorations of psychological distress and sleep duration in advanced cancer patients and spouse caregivers. The increase in the caregivers’ reported sleep duration associated with patient depression may be an early indicator of caregiver depression. These findings strongly support further research of the dyadic effects of distress on sleep to identify longitudinal effects on holistic sleep outcomes for spouses coping with cancer.
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Tesis sobre el tema "Spouses of cancer patients"

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Chan, Chun-wai Raymond. "Bereavement of spouses of cancer patients". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B29726694.

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Hunt, Chantal K. "Stress, coping, and health in spouses of cancer patients". Columbus, Ohio : Ohio State University, 2004. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1080318948.

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Thesis (Ph. D.)--Ohio State University, 2004.
Title from first page of PDF file. Document formatted into pages; contains x, 133 p.; also includes graphics. Includes abstract and vita. Advisor: Carol Kennedy, School of Nursing. Includes bibliographical references (p. 122-133).
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Rosenbaum, Deborah Ilse. "What's good for the gander is good for the goose helping cancer patients to cope by treating their spouses /". Diss., Online access via UMI:, 2006.

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Laverdière-Ranger, Lynn. "Breast cancer patients and their spouses, husbands' participation, worries and social support in the cancer experience". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0023/MQ31448.pdf.

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Winterling, Jeanette. "Hope and Despair : Philosophy of life, expectations and optimism in cancer patients and their spouses". Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7580.

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Dhanbhoora, Khushnud A. "Spousal communication among patients with cancer". Virtual Press, 2007. http://liblink.bsu.edu/uhtbin/catkey/1364940.

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Using primarily grounded theory methodology, the purpose of this study was to understand how the experience of cancer affects communication patterns in married couples where one spouse has been diagnosed with cancer. Nine couples, five in which women were diagnosed with cancer and four in which men were diagnosed with cancer, were interviewed individually. They were asked questions pertaining to changes in their relationship and communication patterns since the diagnosis of cancer. Potential barriers and facilitators to communication were explored. Additionally, gender differences that could play a role in these marital communication patterns were examined. Participants were also administered a measure of mood states, the Profile of Mood States (POMS) and, a measure of family cohesion, flexibility and communication, the Family Adaptability and Cohesion Evaluation Scale-version IV (FACES IV). Findings from both qualitative and quantitative methods were triangulated.Information gathered from the interviews generated eight themes: initial reactions to diagnosis, the experience of cancer, coping strategies, impact of cancer on the spousal relationship, spousal communication prior to cancer, spousal communication since the diagnosis of cancer, barriers to communication, and impact of gender and gender role on communication and adjustment. These categories and their subcategories generated an integrated grounded theory on the dimensions of communication. The theory consisted of three interactive elements: facilitators of communication, barriers to communication and the role of gender.Findings from this study confirmed existing trends in the current literature on communication among couples facing cancer. Results demonstrated that the experienceof cancer and its treatment brought couples closer to each other, where they experienced increased intimacy and communication with their spouses. There were several factors that facilitated these changes. On the other hand, barriers to communication were also identified; however, some of these barriers also served as coping strategies for participants. Furthermore, although there were differences and similarities noted among men and women in the study, results highlighted the importance of viewing them within the context of each participant's role as a patient and a caregiver, and not merely as a result of gender.Several research and practice implications are presented. Results of this study can help health care and mental health professionals gain a better understanding of the needs of cancer patients and their families. Couples and families can also benefit from an awareness of specific facilitators and barriers to communication.
Department of Counseling Psychology and Guidance Services
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McFarlane, Michael J. "Volatile organic compound and microbiome profiling in patients with colorectal cancer, their spouses and first degree relatives". Thesis, University of Warwick, 2017. http://wrap.warwick.ac.uk/111126/.

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Colorectal cancer (CRC) is the one of the commonest causes of cancer and cancer related death worldwide. Its aetiology is linked to a number of reversible and irreversible genetic and environmental factors, including age, sex, genetics, smoking and diet. There has been a drive in recent years for non-invasive biomarkers for many malignant and non-malignant diseases across multiple medical specialties. One of the areas of interest is the detection of volatile organic compounds (VOCs) in various bodily substances by means such as mass spectrometry and electronic noses. CRC patients have been shown to be distinguishable from healthy controls using urinary VOC detection in several studies, including two published by the research group at UHCW and the University of Warwick. There has also been much interest in recent years into the role that the intestinal microbiome plays in health and disease in humans. The aim of this thesis was to characterise the urinary VOC and stool microbiome profiles of CRC patients, their spouses and first degree relatives. The aim being to determine whether the urinary VOC profiles could be distinguished using this technology and to try and better understand the underlying mechanism which lead to CRC carcinogenesis. The first degree relatives and spouses were selected as “common gene pool” and “shared environment” control groups respectively. This work was done using an LC-FAIMS-MS hybrid machine to detect urinary VOCs and 16s RNA sequencing using an Illumina Miseq platform. Comparisons were also made between pre-treatment and post-treatment CRC samples to try and determine if there was any change in either VOC or microbiome profiles after CRC treatment. The urinary VOC profiles of CRC subjects could be distinguished from both sets of healthy controls using a 5-fold cross validation and sparse logistics regression and Random Forrest statistical classifiers, achieving sensitivities of 63-69%, specificities of 64-69% and AUC 0.71-0.72. No statistically significant differences could be found in the urinary VOC profiles of pre-operative and post operative samples. Microbiome analysis revealed over 1300 operational taxonomic units (OTUs), with a similarity of >93% between the CRC samples and the control groups, with significantly different bacterial abundances identified in only 82 OTUs (6.2%), mainly Clostridiales bacteria. Pre-treatment and post-treatment sample analysis revealed differences of 17 (3%) and 22 (4%) OTUs at 3 and 6 months respectively, again principally clostridiales. This thesis provides further data on the microbiome composition in CRC. It also provides further proof of the utility of urinary VOCs, for the first time here using LC-FAIMS-MS technology, a variant of the previously utilised FAIMS technology, as a non-invasive biomarker for CRC.
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Lewis, Adam Michael. "A terror management theory based intervention for anxiety in spouses of cancer patients: a multiple-baseline study". Diss., University of Iowa, 2016. https://ir.uiowa.edu/etd/2235.

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As the U.S. population ages the number of family caregivers is expected to rise. Family caregivers are a valuable source of informal healthcare services for patients and the public, in terms of reducing healthcare costs. However, research suggests family caregiving is not only financially costly for individuals, but associated with a number of medical and mental health risks, with spouses at higher risk for negative outcomes compared to other family members. Traditional evidence-based therapies for stress in family caregivers have been shown to be minimally efficacious with spouses. No therapies take into account the existential nature of spouse caregiver stress, including the potential nonconscious role of loss of life meaning/purpose and death anxiety. This study of multiple baseline design preliminarily explored the effects of a novel 8-week Terror Management Theory integrated existential psychotherapy (TIE) on stress and nonconscious mechanisms believed to function as buffers for existential anxiety, in five women with spouses receiving cancer treatment. Methods included ecological momentary assessment (EMA) of anxiety and self-esteem states via text message sent three times daily – and intermittent assessment of death anxiety, self-compassion, meaning in life, and quality of life at baseline, intervention, immediate post, and 1-month follow-up. Visual and statistical analyses indicated significant between-phase trend changes in anxiety and self-esteem within participants, although direction of changes varied across participants. Additionally, changes in death anxiety, self-compassion, meaning in life, and quality of life between phases varied across participants in directions inconsistent with intervention aims and participants’ subjective impressions of intervention-related changes. Mixed findings point to the complexity of spouse caregiver psychology and highlight the need for more effective therapies with this population. Results may also guide future research and development of existentially-informed therapies.
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Jenick, Marcus y n/a. "Couples Coping With End-Stage Cancer: The Influence of Attachment, Emotional Support, and Positive Meaning on Psychological Adjustment and Each Other". Griffith University. School of Applied Psychology, 2003. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20030804.121524.

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This thesis was concerned with the psychological adjustment of 67 end-stage cancer patients, and three psychosocial variables considered to influence that adjustment: emotional support from spouse, positive meaning, and working models of attachment. Furthermore, this thesis was also concerned with the psychological adjustment of the patients' spouses, and the influence of emotional support from patient and working models of attachment on their adjustment. It was hypothesised that each of these psychosocial variables would directly influence the psychological adjustment of patients and spouses, measured using the negative affectivity scale of the Positive and Negative Affect Scale (PANAS). Furthermore, it was hypothesised that emotional support would influence positive meaning, and working models of attachment would influence both emotional support and positive meaning. Variables were measured via paper and pencil self-report inventories, with the exception of positive meaning, where verbal responses to an open question were coded. Univariate analyses indicated an association between patients' and spouses' emotional support provided by one another and their psychological adjustment. Univariate results also showed that patients' positive meaning was related to patients' psychological adjustment, and that patients' working models of attachment involving higher levels of attachment anxiety were associated with patients' poorer psychological adjustment. All these individual associations remained statistically significant after three control variables related to the patients' physical condition were taken into account. In addition, univariate analyses indicated that attachment was associated with emotional support, and that emotional support was associated with positive meaning. Following univariate analyses, variables were integrated into one model for patients and another for spouses using path analyses. Results were generally consistent with the prior sets of analyses. However, patients' working models of attachment involving higher levels of attachment anxiety no longer had a direct effect on patients' psychological adjustment to statistically significant levels. Rather, the influence of the working models of attachment on patients' psychological adjustment was mediated by emotional support. In addition, patients' positive meaning no longer had a significant direct effect on patients' psychological adjustment. The insignificant path coefficients between attachment anxiety and psychological adjustment, and between positive meaning and psychological adjustment, were attributed to the large amount of variance in negative affect due to emotional support. In summary, this research indicates that emotional support given and received between patients and spouses is important to the psychological adjustment of each party. Furthermore, emotional support influences patients' ability to construe positive meaning in their illness, although positive meaning does not appear to be as critical to the psychological adjustment of patients as emotional support. Working models of attachment influence the psychological adjustment of patients primarily through their influence on emotional support.
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Jenick, Marcus. "Couples Coping With End-Stage Cancer: The Influence of Attachment, Emotional Support, and Positive Meaning on Psychological Adjustment and Each Other". Thesis, Griffith University, 2003. http://hdl.handle.net/10072/365492.

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This thesis was concerned with the psychological adjustment of 67 end-stage cancer patients, and three psychosocial variables considered to influence that adjustment: emotional support from spouse, positive meaning, and working models of attachment. Furthermore, this thesis was also concerned with the psychological adjustment of the patients' spouses, and the influence of emotional support from patient and working models of attachment on their adjustment. It was hypothesised that each of these psychosocial variables would directly influence the psychological adjustment of patients and spouses, measured using the negative affectivity scale of the Positive and Negative Affect Scale (PANAS). Furthermore, it was hypothesised that emotional support would influence positive meaning, and working models of attachment would influence both emotional support and positive meaning. Variables were measured via paper and pencil self-report inventories, with the exception of positive meaning, where verbal responses to an open question were coded. Univariate analyses indicated an association between patients' and spouses' emotional support provided by one another and their psychological adjustment. Univariate results also showed that patients' positive meaning was related to patients' psychological adjustment, and that patients' working models of attachment involving higher levels of attachment anxiety were associated with patients' poorer psychological adjustment. All these individual associations remained statistically significant after three control variables related to the patients' physical condition were taken into account. In addition, univariate analyses indicated that attachment was associated with emotional support, and that emotional support was associated with positive meaning. Following univariate analyses, variables were integrated into one model for patients and another for spouses using path analyses. Results were generally consistent with the prior sets of analyses. However, patients' working models of attachment involving higher levels of attachment anxiety no longer had a direct effect on patients' psychological adjustment to statistically significant levels. Rather, the influence of the working models of attachment on patients' psychological adjustment was mediated by emotional support. In addition, patients' positive meaning no longer had a significant direct effect on patients' psychological adjustment. The insignificant path coefficients between attachment anxiety and psychological adjustment, and between positive meaning and psychological adjustment, were attributed to the large amount of variance in negative affect due to emotional support. In summary, this research indicates that emotional support given and received between patients and spouses is important to the psychological adjustment of each party. Furthermore, emotional support influences patients' ability to construe positive meaning in their illness, although positive meaning does not appear to be as critical to the psychological adjustment of patients as emotional support. Working models of attachment influence the psychological adjustment of patients primarily through their influence on emotional support.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Applied Psychology
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Libros sobre el tema "Spouses of cancer patients"

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Laverdière-Ranger, Lynn Denise. Breast cancer patients and their spouses: Husbands' participation, worries and social support in the cancer experience. Sudbury, Ont: Laurentian University, Human Development Department, 1998.

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Sōmayāji, Śāntārāma. Mēriya kate: Kyānsar mattu saṃsāra saṅgharṣada kathana. Beṅgaḷūru: Navakarnāṭaka Prakāśana, 2007.

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Tillman, David. In the failing light: A memoir. Berkeley, Calif: Creative Arts Book Co., 1999.

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Albertelli, Jorge. Los " cien días" de Eva Perón. Cap. Fed., República Argentina: Editorial Cesarini Hnos., 1994.

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Stone, Barbara. Cancer as initiation: Surviving the fire : a guide for living with cancer for patient, provider, spouse, family, or friend. Chicago: Open Court, 1994.

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Resilience: Reflections on the burdens and gifts of facing life's adversities. New York: Broadway Books, 2009.

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Edwards, Elizabeth. Saving graces: Finding solace and strength from friends and strangers. Waterville, Me: Thorndike Press, 2007.

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Edwards, Elizabeth. Saving graces: Finding solace and strength from friends and strangers. Waterville, Me: Thorndike Press, 2007.

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Edwards, Elizabeth. Saving Graces. New York: Broadway Books, 2006.

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Hallerman, Victoria. How we survived prostate cancer: What we did and what we should have done. New York: Newmarket Press, 2009.

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Capítulos de libros sobre el tema "Spouses of cancer patients"

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Fan, Timothy M. "Cancer Patients". En Veterinary Anesthesia and Analgesia, 993–1003. Chichester, UK: John Wiley & Sons, Ltd, 2017. http://dx.doi.org/10.1002/9781119421375.ch55.

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Deixonne, B. "Treated Patients". En Exocrine Pancreatic Cancer, 201–8. Berlin, Heidelberg: Springer Berlin Heidelberg, 1986. http://dx.doi.org/10.1007/978-3-642-71178-7_11.

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De Conno, F. y K. Foley. "Elderly patients". En Cancer Pain Relief, 39. Dordrecht: Springer Netherlands, 1995. http://dx.doi.org/10.1007/978-94-011-0099-1_19.

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Timmermann, Carsten y Elizabeth Toon. "Introduction". En Cancer Patients, Cancer Pathways, 1–9. London: Palgrave Macmillan UK, 2012. http://dx.doi.org/10.1057/9781137272089_1.

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Zuiderent-Jerak, Teun, Roland Bal y Marc Berg. "Patients and their Problems: Situated Alliances of Patient-Centred Care and Pathway Development". En Cancer Patients, Cancer Pathways, 204–29. London: Palgrave Macmillan UK, 2012. http://dx.doi.org/10.1057/9781137272089_10.

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Pickstone, John. "Radicalism, Neoliberalism and Biographical Medicine: Constructions of English Patients and Patient Histories Around 1980 and Now". En Cancer Patients, Cancer Pathways, 230–55. London: Palgrave Macmillan UK, 2012. http://dx.doi.org/10.1057/9781137272089_11.

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Baines, Joanna. "Three Stories: Generations of Breast Cancer". En Cancer Patients, Cancer Pathways, 13–35. London: Palgrave Macmillan UK, 2012. http://dx.doi.org/10.1057/9781137272089_2.

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Timmermann, Carsten. "Running Out of Options: Surgery, Hope and Progress in the Management of Lung Cancer, 1950s to 1990s". En Cancer Patients, Cancer Pathways, 36–56. London: Palgrave Macmillan UK, 2012. http://dx.doi.org/10.1057/9781137272089_3.

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Kutcher, Gerald. "A Case Study in Human Experimentation: The Patient as Subject, Object and Victim". En Cancer Patients, Cancer Pathways, 57–77. London: Palgrave Macmillan UK, 2012. http://dx.doi.org/10.1057/9781137272089_4.

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Johnstone, Emm Barnes. "Captain Chemo and Mr Wiggly: Patient Information for Children with Cancer in the Late Twentieth Century". En Cancer Patients, Cancer Pathways, 78–100. London: Palgrave Macmillan UK, 2012. http://dx.doi.org/10.1057/9781137272089_5.

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Actas de conferencias sobre el tema "Spouses of cancer patients"

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Gouliaev, Anja, Ole Hildberg y Anders Løkke. "Economic and Health Consequences of Spouses of Lung cancer Patients in Denmark 1998–2010". En ERS International Congress 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/13993003.congress-2020.1671.

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Mcfarlane, Michael, Andrew Millard, Richard Savage, Ramesh Arasaradnam y Chuka Nwokolo. "PTU-045 Urinary VOC and faecal microbiome characterisation of colorectal cancer patients, their first-degree relatives and spouses". En British Society of Gastroenterology, Annual General Meeting, 4–7 June 2018, Abstracts. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2018. http://dx.doi.org/10.1136/gutjnl-2018-bsgabstracts.386.

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Li, Qiu Ping, Alice Yuen Loke, Jolene Ying King Yung, Yim Wah Mak y Wan Chaw Shae. "Abstract 1369: Cancer-related communication and decision making between patients and their spousal caregivers." En Proceedings: AACR 104th Annual Meeting 2013; Apr 6-10, 2013; Washington, DC. American Association for Cancer Research, 2013. http://dx.doi.org/10.1158/1538-7445.am2013-1369.

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Chakravarthula, Sandeep Nallan, Haoqi Li, Shao-Yen Tseng, Maija Reblin y Panayiotis Georgiou. "Predicting Behavior in Cancer-Afflicted Patient and Spouse Interactions Using Speech and Language". En Interspeech 2019. ISCA: ISCA, 2019. http://dx.doi.org/10.21437/interspeech.2019-1888.

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Davydow, Dimitry, Catherine Hough, Kenneth Langa y Theodore J. Iwashyna. "Severe Sepsis And The Family: Depressive Symptoms In Spouses Of Patients With Severe Sepsis". En American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a5987.

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Bove, Dorthe Gaby, Ann-Britt Zakrisson, Julie Midtgaard, Kirsten Lomborg y Dorthe Overgaard. "The experiences of spouses as informal caregiver of patients with severe chronic obstructive pulmonary disease". En Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa330.

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Mullerpattan, Jai B. y Zarir F. Udwadia. "Impact Of Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS) On Quality Of Life Of Patients And Their Spouses". En American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a5045.

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Lerro, Catherine, Laura Beane Freeman, Stella Koutros, Gabriella Andreotti, Jonathan Hofmann, Curt DellaValle, Michael Alavanja et al. "O25-1 Pesticide use and thyroid cancer incidence among spouses of pesticide applicators in the agricultural health study". En Occupational Health: Think Globally, Act Locally, EPICOH 2016, September 4–7, 2016, Barcelona, Spain. BMJ Publishing Group Ltd, 2016. http://dx.doi.org/10.1136/oemed-2016-103951.128.

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Sun, Yang. "IDDF2019-ABS-0242 Analysis and pathogenic mechanism of gut microbiome in patients with ulcerative colitis and their healthy spouses". En International Digestive Disease Forum (IDDF) 2019, Hong Kong, 8–9 June 2019. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2019. http://dx.doi.org/10.1136/gutjnl-2019-iddfabstracts.2.

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Rivers, Brian, Euna August, Clement K. Gwede, Julio Pow-Sang, Bernard Lee Green y Gwendolyn P. Quinn. "Abstract A72: A qualitative examination of the quality of life of African American prostate cancer survivors and their spouses". En Abstracts: AACR International Conference on the Science of Cancer Health Disparities‐‐ Sep 30-Oct 3, 2010; Miami, FL. American Association for Cancer Research, 2010. http://dx.doi.org/10.1158/1055-9965.disp-10-a72.

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Informes sobre el tema "Spouses of cancer patients"

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Lipkus, Isaac. The Effects of Supportive and Nonsupportive Behaviors on the Quality of Life of Prostate Cancer Patients and Their Spouses. Fort Belvoir, VA: Defense Technical Information Center, febrero de 2002. http://dx.doi.org/10.21236/ada410543.

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Novinger, Leah. Identification of Autoantibodies to Breast Cancer Antigens in Breast Cancer Patients. Fort Belvoir, VA: Defense Technical Information Center, octubre de 2011. http://dx.doi.org/10.21236/ada555908.

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Diefenbach, Michael A. Prostate Cancer Survivors with Rising PSA and Their Spouses: Treatment Decision Making and Quality of Life. Fort Belvoir, VA: Defense Technical Information Center, diciembre de 2006. http://dx.doi.org/10.21236/ada484327.

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Diefenbach, Michael A. Prostate Cancer Survivors with Rising PSA and Their Spouses: Treatment Decision Making and Quality of Life. Fort Belvoir, VA: Defense Technical Information Center, diciembre de 2008. http://dx.doi.org/10.21236/ada494412.

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Diefenbach, Michael A. Prostate Cancer Survivors With Rising PSA and Their Spouses: Treatment Decision Making and Quality of Life. Fort Belvoir, VA: Defense Technical Information Center, diciembre de 2007. http://dx.doi.org/10.21236/ada479367.

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Fisher, Richard. Early Diagnosis, Treatment and Care of Cancer Patients. Fort Belvoir, VA: Defense Technical Information Center, septiembre de 2008. http://dx.doi.org/10.21236/ada494164.

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Dy, Sydney M., Arjun Gupta, Julie M. Waldfogel, Ritu Sharma, Allen Zhang, Josephine L. Feliciano, Ramy Sedhom et al. Interventions for Breathlessness in Patients With Advanced Cancer. Agency for Healthcare Research and Quality (AHRQ), noviembre de 2020. http://dx.doi.org/10.23970/ahrqepccer232.

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Objectives. To assess benefits and harms of nonpharmacological and pharmacological interventions for breathlessness in adults with advanced cancer. Data sources. We searched PubMed®, Embase®, CINAHL®, ISI Web of Science, and the Cochrane Central Register of Controlled Trials through early May 2020. Review methods. We included randomized controlled trials (RCTs) and observational studies with a comparison group evaluating benefits and/or harms, and cohort studies reporting harms. Two reviewers independently screened search results, serially abstracted data, assessed risk of bias, and graded strength of evidence (SOE) for key outcomes: breathlessness, anxiety, health-related quality of life, and exercise capacity. We performed meta-analyses when possible and calculated standardized mean differences (SMDs). Results. We included 48 RCTs and 2 retrospective cohort studies (4,029 patients). The most commonly reported cancer types were lung cancer and mesothelioma. The baseline level of breathlessness varied in severity. Several nonpharmacological interventions were effective for breathlessness, including fans (SMD -2.09 [95% confidence interval (CI) -3.81 to -0.37]) (SOE: moderate), bilevel ventilation (estimated slope difference -0.58 [95% CI -0.92 to -0.23]), acupressure/reflexology, and multicomponent nonpharmacological interventions (behavioral/psychoeducational combined with activity/rehabilitation and integrative medicine). For pharmacological interventions, opioids were not more effective than placebo (SOE: moderate) for improving breathlessness (SMD -0.14 [95% CI -0.47 to 0.18]) or exercise capacity (SOE: moderate); most studies were of exertional breathlessness. Different doses or routes of administration of opioids did not differ in effectiveness for breathlessness (SOE: low). Anxiolytics were not more effective than placebo for breathlessness (SOE: low). Evidence for other pharmacological interventions was limited. Opioids, bilevel ventilation, and activity/rehabilitation interventions had some harms compared to usual care. Conclusions. Some nonpharmacological interventions, including fans, acupressure/reflexology, multicomponent interventions, and bilevel ventilation, were effective for breathlessness in advanced cancer. Evidence did not support opioids or other pharmacological interventions within the limits of the identified studies. More research is needed on when the benefits of opioids may exceed harms for broader, longer term outcomes related to breathlessness in this population.
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Jordan, Craig T. y Richard I. Fisher. Early Diagnosis, Treatment, and Care of Cancer Patients. Fort Belvoir, VA: Defense Technical Information Center, septiembre de 2010. http://dx.doi.org/10.21236/ada541190.

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Fisher, Richard. Early Diagnosis, Treatment, and Care of Cancer Patients. Fort Belvoir, VA: Defense Technical Information Center, septiembre de 2009. http://dx.doi.org/10.21236/ada523889.

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Fisher, Fichard I. y Craig T. Jordan. Early Diagnosis, Treatment and Care of Cancer Patients. Fort Belvoir, VA: Defense Technical Information Center, septiembre de 2012. http://dx.doi.org/10.21236/ada569436.

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