Paul Jacobsen

..The review concludes with a discussion of future directions for the continued development of an evidence-based approach to the psychosocial care of people with cancer...

....

..The article concludes with a critical appraisal of these activities and a consideration of how current efforts might be enhanced...

....

....

..The present study sought to determine whether fatigue was greater in women who had completed treatment for early-stage breast cancer relative to a demographically matched comparison group of women with no cancer history...

..The American Psychosocial Oncology Society has developed the first indicators of the quality of psychosocial care for cancer patients. This report describes the initial evaluation of these indicators...

..Fatigue is among the most common and distressing symptoms experienced by cancer patients...

..The use of evidence to promote changes in clinical practice represents one of the major ways in which the field of psycho-oncology can fully realize its potential to positively affect the lives of people with cancer...

..These guidelines provide a useful model of how guidelines for the psychosocial care of survivors of adult-onset cancers might be developed, organized, and implemented...

..The present report describes the first large-scale use of these indicators to evaluate psychosocial care in outpatient medical oncology settings...

..In addition, several priorities for future research are identified that involve how quality of life is measured, in whom it is measured, and what uses are made of quality of life data in the clinical care of cancer survivors...

..Effective interventions are needed during this difficult transitional period...

..Findings suggest considerable heterogeneity in the experience of fatigue following treatment and support the utility of a cognitive-behavioral model in predicting the course of posttreatment fatigue...

..Future research should use prospective longitudinal research designs incorporating appropriate comparison groups to further explore this issue...

..The current study examined changes in multiple domains of cognitive functioning of hematopoietic stem cell transplantation (HSCT) candidates tested pretransplantation, 6 months posttransplantation, and 12 months posttransplantation...

..This pilot project explored the feasibility, safety, and effectiveness of a self-administered exercise and stress management intervention for cancer patients receiving chemotherapy...

..to assess the prevalence and correlates of fatigue in cancer patients aged 60 and older during outpatient treatment with chemotherapy or pamidronate...

..The primary objective of this study was to determine if a stress management intervention was effective in improving quality of life and decreasing psychological distress in patients undergoing radiotherapy for cancer...

..The authors reported initial results for treatment decision-making strategies among men receiving definitive treatment for localized prostate carcinoma...

..For this study, the authors sought to determine whether the single-item Distress Thermometer (DT) compared favorably with longer measures currently used to screen for distress...

....

..To examine the use of complementary and alternative medicine (CAM) by women with varying levels of familial and perceived risk of breast cancer with the goal of preventing breast cancer...

..Findings suggest that the Fatigue Symptom Inventory can be used to discriminate effectively between individuals with and without clinically meaningful fatigue...

..Risk for skin cancer is increased by UV exposure and decreased by sun protection. Appearance reasons to tan and not tan have consistently been shown to be related to intentions and behaviors to UV exposure and protection...

..We evaluated available literatures to summarize the state of current knowledge and provide suggestions for future studies...

....

..Studies suggest that the period following completion of treatment can be distressing for cancer patients. One potentially important predictor of distress is physical symptoms/side effects during treatment...

....

..Further controlled studies are needed to more fully evaluate the efficacy of the SSRIs for hot flashes in women with breast cancer...

..The current study sought to examine the relationship between hot flashes and cancer-related distress during the first three months of ADT...

..Future research should further examine this relationship utilizing longitudinal designs and more diverse populations...

..Predictors, temporal course, and interventions to reduce traumatic stress and enhance growth are described. The review concludes with recommendations for addressing posttraumatic stress and posttraumatic growth in the clinical setting...

..Patients with colorectal cancer provide an ideal population within which to begin to empirically examine their clinical utility...

..The ultimate goal of the FIQCC is to improve cancer care throughout the state. This report provides an overview of the development and implementation of the FIQCC...

..To fill a gap in research by examining cancer patient-provider communication regarding tobacco use and patients' perspectives regarding their experiences with smoking cessation and relapse...

..This study examined the referral practices of oncologists in the United States...

..Patients who use acceptance/resignation coping and report low levels of two types of social support prior to HSCT may require additional intervention before HSCT, as they are at higher risk for depression and anxiety...

..Although skill in stress management is often the target of intervention efforts, its relationship to distress and quality of life in patients about to begin cancer treatment has not been examined...

..The current study was performed to determine whether neuropsychologic functioning differs in breast cancer survivors 6 months after the completion of adjuvant treatment compared with women without cancer...

..The purpose of this study was to review and characterize the use of the 14-item Fatigue Symptom Inventory (FSI) in published studies and to evaluate the available evidence for its psychometric properties...

....

..To review the evidence for considering fatigue, depression, and insomnia as a symptom cluster in cancer...

....

..However, modifiable prognostic factors are emerging as significant contributors to cancer outcomes, including obesity and obesity-related inflammation and metabolic conditions...

..However, the FACT-Cog assesses broader aspects of cognitive complaints, thereby providing greater information about the types of cognitive complaints patients are experiencing...

..These findings suggest that, in addition to previously reported relationships with fatigue, declines in hemoglobin levels during chemotherapy treatment are associated with adverse changes in cognitive functioning...

....

..These findings suggest that interventions to increase the frequency of SPB in at-risk individuals should highlight risk information as well as methods to improve individuals' confidence in their abilities to engage in SPB...

..Results suggest that focusing on symptoms is a maladaptive approach to illness, but that information seeking may yield benefits to physical recovery...

....

....

..Additional research is needed to evaluate the effectiveness of these therapies as well as other intervention strategies, such as the use of antidepressant and psychostimulant medications...

....

....

..Computerized cognitive tests are available and could simplify cooperative group studies on the matter, but have not been applied to older cancer patients...

....

..Although several barriers exist to routine assessment of quality of life in clinical practice, several strategies can be used to successfully overcome these barriers...

..Findings suggest that most institutions consider screening patients' mental health concerns important and worthwhile, but that greater implementation of guideline recommendations is needed...

..Findings partially support J. A. Schaefer and R. H. Moos's (1992) model of life crises and personal growth and also suggest that temporal self-comparisons contribute to the experience of posttraumatic growth...

....

..Findings confirm the increased likelihood of men with a positive family history to undergo prostate cancer screening and suggest that heightened concerns about developing the disease are an important motivating factor...

..The use of relaxation and guided imagery to reduce stress and improve immune function has great potential benefits for patients with breast cancer...

..Targeting higher risk individuals, such as melanoma patients' first-degree relatives, may be more efficient than mass skin cancer screening...

..Studies suggest that excessive sun exposure in childhood contributes to the development of skin cancer later in life...

..The general design, materials, and analysis plan can be directed toward the needs of the specific institution (and are available for distribution by contacting the authors)...

..We assessed the efficacy of the Cancer Screening Office Systems (Cancer SOS), an intervention designed to increase cancer screening in primary care settings serving disadvantaged populations...

....

..In addition, we studied the prevalence of fatigue and its correlation with anemia, depression, and nutritional status...

..Use a proposed case-definition approach to identify the prevalence of cancer-related fatigue (CRF), demographic, clinical and psychosocial predictors of subsequent CRF, and psychosocial factors associated with concurrent CRF...

..The optimal DT cutoff score of 4 found here was identical to that found in another study using different criteria. This cutoff score also identified patients with problems likely to reflect psychological distress...

....

..Scores on the DT were moderately correlated to the HADS (p<0.01) and EORTC QLQ-C30. Based on the significant correlations, we conclude that the DT has acceptable criterion validity...

..Impaired women, in turn, were more likely to reduce work effort and experience downturns in market earnings, among other things. Policy and research implications are discussed...

..Results further suggest that relief of vaginal dryness should be an essential component of efforts to improve sexual functioning among long-term breast cancer survivors...

..These findings identify patients at risk for psychological disturbance posttransplant and can serve to guide future intervention efforts...

....

....

..Research to understand the needs of cancer survivors will provide a foundation for effective programs to meet these needs...

..21 to 0.82). In sum, the current study provides support for the MFSI-SF as a valuable tool for the multidimensional assessment of cancer-related fatigue...

....

....

....

....

..5-year follow-up data on the two treated groups currently being followed, and the opportunity to collect complete initial and 3- _'ear follow-up data matched comparison groups of women with no histow of cancer. ..

..5-year follow-up data on the two treated groups currently being followed, and the opportunity to collect complete initial and 3- year follow-up data matched comparison groups of women with no history of cancer. ..

..abstract_text> ..