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For example view all recent relevant publications on Epigenetics and associated publications and clincial trials.
Unmet health care needs require additional care resources to achieve optimal patient well-being. In this nationwide study we examined associations between a number of risk factors and unmet needs after treatment among women with breast cancer, while taking into account their health care practices. We expected that more care use would be associated with lower levels of unmet needs.
Clinical experience suggests a high prevalence of emotional distress in patients with desmoid tumor (DT). We examine longitudinal Distress Assessment and Response Tool (DART) scores to estimate prevalence and persistence of distress, and compare cross sectional data between DT and malignant sarcoma cohorts, to identify predictors of distress.
Breast cancer (BC) accounts for 24% of female cancers, with approximately one-quarter of women likely to have offspring aged
Survivors of multiple primary cancers (MPC) are at increased risk for poor health outcomes compared to survivors of single cancers. Using an adapted psychobehavioral stress-response model, the study purpose was to identify pathways and individual risk factors associated with poor health outcomes in adults with MPC.
The prevalence of smoking among cervical cancer survivors typically exceeds what is found among women in the general population and other cancer survivors. Yet, there is a dearth of literature on risk and protective factors related to smoking among cervical cancer survivors, especially when it comes to identification of variables that are amendable to intervention. To help fill this gap in the literature, this qualitative study examines the nature of smoking-related causal attributions and risk perceptions ...
To investigate the association between prophylactic bilateral oophorectomy and use of antidepressants in women with a family history of cancer.
Palliative care encompasses an interdisciplinary team, including mental health care professionals, to address psychological distress of cancer patients.
With the rapid development of the Internet, e-health interventions are becoming popular and are showing positive impacts. Cancer affects not only patients, but also their caregivers, leading to a recognition that cancer patient-caregiver dyads cope with cancer as a unit rather than as individuals. The objectives of this paper are to explore web-based interventions for cancer patient-caregiver dyads coping with cancer from the aspects of intervention content, delivery format, outcome measurements, and outcom...
This paper reports on the continuation of an initial study that demonstrated the effectiveness, as rated by experts, of an undergraduate training in breaking bad news (BBN) using simulated patient (SP) and individual feedback. The current study aimed to further explore whether such an individualized training approach also has positive effects from the perspective of the patient, using the analogue patient (AP) methodology.
To determine if cognition can identify persons with cancer at high risk for the impaired ability to understand treatment decisions.
To qualitatively investigate and explore oncology nurses' perceptions of cancer diagnosis disclosure (CDD) for cancer patients.
Advanced breast cancer patients around the world experience high symptom burden (i.e., distress, pain, fatigue) and are in need of psychosocial interventions that target symptom management. This study examined the feasibility, acceptability, and engagement of a psychosocial intervention that uses cognitive-behavioral strategies along with mindfulness and values-based activity to enhance patients' ability to manage symptoms of advanced disease in a cross-cultural setting (United States, Singapore). Pre- to p...
The primary objective of this research was to examine patterns of parent-child relationship functioning among pediatric cancer survivors and their caregivers across a variety of relationship indicators (i.e., Involvement, Attachment, Communication, Parenting Confidence, and Relational Frustration), and evaluate how these factors relate to psychosocial outcomes in survivors.
The aim of this study is to describe a user-centered (e.g., cancer survivors and clinicians) development process of an eHealth tool designed to facilitate self-management of cancer survivorship follow-up care.
Internet-delivered interventions may alleviate distress in cancer survivors with limited access to psychological face-to-face treatment. In collaboration with a group of cancer survivors, we developed and tested the efficacy of a therapist-assisted internet-delivered mindfulness-based cognitive therapy (iMBCT) program for anxiety and depression in cancer survivors.
This paper presents the results of a study developed to inform the design of a multigenerational digital lifestyle intervention for overweight/obese women cancer survivors and their families. We followed the first six phases of the Integrate, Design, Assess, and Share (IDEAS) framework.
Breast cancer (BC) can be understood as a we-disease, which affects the couple as a unit and requires coping as a unit (e.g., common dyadic coping, CDC). However, partners can be incongruent in their perception of CDC, for example due to misunderstandings, lack of mutuality or conflict, which may likely be associated with greater distress. Thus, this paper examines the effect of CDC congruence on individual psychological distress in cancer patients and their partners.
Fear of cancer recurrence (FCR) is a common consequence of surviving cancer, therefore an easily accessible self-help training could help many cancer survivors to deal with FCR at low costs. The CAncer REcurrence Self-help Training [CAREST] trial evaluates the effectiveness of an online tailored self-help training, based on evidence-based cognitive behavioral therapy principles in breast cancer survivors. Also, possible predictors for benefitting from the online self-help training were examined.
We developed an Interactive Voice Response System (IVRS), an automated telephone survey technology, to assess real-time decision making about sun protection. We examined the feasibility and acceptability of IVRS in this electronic health (eHealth) context.