Download or read book A Clinical Data Mining Study of the Psychosocial Status of Chinese Cancer Patients in Palliative Care written by Chi-Ho Chan and published by Open Dissertation Press. This book was released on 2017-01-27 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "A Clinical Data Mining Study of the Psychosocial Status of Chinese Cancer Patients in Palliative Care" by Chi-ho, Chan, 陳智豪, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Abstract of thesis entitled A Clinical Data Mining Study of the Psychosocial Status of Chinese Cancer Patients in Palliative Care Submitted by Chan Chi Ho for the degree of Doctor of Philosophy at the University of Hong Kong in August 2007 Psychosocial studies of Chinese cancer patients in palliative care of Hong Kong are limited. Little has been known on the psychosocial issues of Chinese cancer patients in palliative care of Hong Kong. As a professional who is responsible for managing the psychosocial needs of cancer patients and families in palliative care, social workers are in pressing need of local research to inform indigenous social work practice. Thus, this study attempts to answer the research questions that emerge from the social work practice in palliative care, and aims at integrating social work research with practice. Clinical Data Mining (CDM), which emphasizes the use of the existing clinical data in conducting practice-based research, is adopted as the research approach in this study. Research gaps and research questions are proposed in relation to the clinical concerns in social work practice in palliative care, and the availability of clinical data. Based on the clinical data of patients who died in 2002 to 2005, a total of 935 Chinese cancer patients in palliative care are included in this study. Findings are discussed under five major themes, including 1) moving towards good death, 2) family and patient, 3) body-mind connection, 4) search for meaning, 5) psychosocial assessment. Findings may reflect the benefits of palliative care in managing physical and psychosocial symptoms of cancer patients. Patients who were at initially higher psychosocial risk level, experienced significant improvement in most of the psychosocial symptoms from the time of admission to palliative care to final days before death. This may imply palliative care, and social work interventions in palliative care may facilitate patients to move towards good death Family shows its unique importance on the patient outcomes. Chinese cancer patients may experience a cultural phenomenon of "support paradox," in which patients may desire for and benefit from family support, but also worry about and are influenced by the family distress in receiving support from family. Inter-relationship between body and mind is reflected from the findings. Inevitable physical deterioration, such as the "anorexia-cachexia" syndrome, may bring psychosocial distress to patients. "Negative somatization" is conceptualized to illustrate the impact of psychosocial distress on patients' under-reporting of physical symptoms. Findings also show the universal need for meaning among Chinese cancer patients in palliative care, despite many of them are atheists. Making sense of the illness, and searching for meaning in life with terminal illness may play an important role on the patient outcomes. Importance of psychosocial assessment on admission to palliative care is also highlighted. It shows to be an essential component in understanding patients' needs, comparing differences, identifying protective and risk factors, as well as monitoring changes of patients. Implications for social work practice and social work research are discussed. Cultural sensitivity in psychosocial intervention is particularly emphasized. Recommendations are proposed to enhance service improvemen

Download or read book A Clinical Data Mining Study of the Psychosocial Status of Chinese Cancer Patients in Palliative Care written by Chi-ho Chan (Social worker.) and published by . This book was released on 2007 with total page 504 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Clinical Data Mining written by Irwin Epstein and published by Oxford University Press. This book was released on 2010 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Data-Mining (CDM) involves the conceptualization, extraction, analysis, and interpretation of available clinical data for practice knowledge-building, clinical decision-making and practitioner reflection. Depending upon the type of data mined, CDM can be qualitative or quantitative; it is generally retrospective, but may be meaningfully combined with original data collection.Any research method that relies on the contents of case records or information systems data inevitably has limitations, but with proper safeguards these can be minimized. Among CDM's strengths however, are that it is unobtrusive, inexpensive, presents little risk to research subjects, and is ethically compatible with practitioner value commitments. When conducted by practitioners, CDM yields conceptual as well as data-driven insight into their own practice- and program-generated questions.This pocket guide, from a seasoned practice-based researcher, covers all the basics of conducting practitioner-initiated CDM studies or CDM doctoral dissertations, drawing extensively on published CDM studies and completed CDM dissertations from multiple social work settings in the United States, Australia, Israel, Hong Kong and the United Kingdom. In addition, it describes consulting principles for researchers interested in forging collaborative university-agency CDM partnerships, making it a practical tool for novice practitioner-researchers and veteran academic-researchers alike.As such, this book is an exceptional guide both for professionals conducting practice-based research as well as for social work faculty seeking an evidence-informed approach to practice-research integration.

Download or read book Dissertation Abstracts International written by and published by . This book was released on 2009-05 with total page 582 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Data Mining in Public and Private Sectors Organizational and Government Applications written by Syvajarvi, Antti and published by IGI Global. This book was released on 2010-06-30 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: The need for both organizations and government agencies to generate, collect, and utilize data in public and private sector activities is rapidly increasing, placing importance on the growth of data mining applications and tools. Data Mining in Public and Private Sectors: Organizational and Government Applications explores the manifestation of data mining and how it can be enhanced at various levels of management. This innovative publication provides relevant theoretical frameworks and the latest empirical research findings useful to governmental agencies, practicing managers, and academicians.

Download or read book For Whom the Bell Tolls written by Pandora O K Ng and published by Open Dissertation Press. This book was released on 2017-01-27 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "For Whom the Bell Tolls: Meaning Making at the End of Life Among Chinese Terminal Cancer Patients in Hong Kong" by Pandora O K, Ng, 吳愛群, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: In addition to alleviating pain and physical symptoms, caring for the psychosocial, spiritual and existential needs of terminal cancer patients is very important. Existential issue such as meaning is one of their major concerns. Meaning making can be a powerful mean to enhance the well being of these patients at their end of life. There is limited research on the meaning and meaning making experiences among the Chinese population. This study aims to examine the sources of meaning of these patients and illuminate how they make meaning at the end of life. Cultural features associated with meaning and meaning making at the end of life are explored as well. The current study adopted a constructivist grounded theory approach. Purposive sampling was used to recruit twenty terminal cancer patients from the palliative care unit. Semi-structured interviews and brief life review exercise were conducted with the patients. Forty-three interviews were produced and provided a foundation for the data, along with field notes, interview memos and journals. This study revealed that sources of meaning among the Chinese terminal cancer patients were derived from four major domains. They were self domain, relational domain, physical domain and spiritual domain. These domains were interrelated and having dynamic interactions with each other. A proposed model of meaning making at the end of life also emerged from the collected data. It consisted of four processes: sense making, self constructing, script creating and experiencing sense of connectedness (The 4S Model). Meaning making at the end of life was found to be a cognitive, affective and relational process. Findings revealed the significant role culture and family play in the meaning and meaning making processes of Chinese terminal cancer patients. Knowledge generated from this study informs the development of clinical intervention and practice to improve the well being of patients at the end of life. Implication for the development of meaning measurement and family intervention are suggested. Healthcare practitioners are equipped to move further on the path of developing a holistic care model at palliative care. This study also shed lights on promoting life education in the local community. Life can be brimmed with meaning even in the toughest hours. DOI: 10.5353/th_b5312356 Subjects: Cancer - Patients - Care - China - Hong Kong

Download or read book Psychosocial Resources and Adaptation Among Chinese People with Colorectal Cancer written by Wai-Kai Hou and published by Open Dissertation Press. This book was released on 2017-01-27 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Psychosocial Resources and Adaptation Among Chinese People With Colorectal Cancer" by Wai-kai, Hou, 侯維佳, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Abstract of the thesis entitled Psychosocial resources and adaptation among Chinese people with colorectal cancer Submitted by HOU Wai Kai for the degree of Doctor of Philosophy at The University of Hong Kong in January 2008 Regardless of rising demand for psychosocial care for Chinese colorectal cancer (CRC) patients in Hong Kong, no research has looked at CRC patients' psychosocial adaptation. Mounting research in the West has documented the negative impact of symptom distress and cancer-related intrusive thoughts on psychological distress and QoL in CRC patients, but no studies to date have investigated the nature of relationships among psychosocial resources, illness-specific demands, and psychological functioning among people with CRC. The present research aimed to (1) describe the adaptation process and psychosocial resources among Chinese people with CRC, (2) assess whether personal and social resources and cancer demands influence their psychological distress and well-being, and (3) explore how cancer-related intrusive thoughts impact the association between different resources and psychological distress and well-being among them. This research consisted of three phases: qualitative study, pilot study, and quantitative study. The phase one qualitative study (N = 16) explored Hong Kong Chinese patients' experiences of, and adaptation to, CRC diagnosis and treatment and the roles of different resources in this process. The pilot study developed a new instrument for measuring social relational quality in Chinese CRC patients based on the present qualitative findings as well as the current literature, and validated the instrument in a community and clinical sample of Hong Kong Chinese people with history of CRC (N = 166). Phase three prospective quantitative study examined the direct impact of personal and social resources and cancer-specific demands on psychological functioning in Chinese patients newly diagnosed with CRC (Time 1 N = 212; Time 2 N = 141) and explored the mediational role of cancer-related intrusive thoughts in the associations between resources and psychological functioning in these patients. Results of the phase one qualitative study not only described mechanisms through which psychosocial resources and coping procedures impact psychological distress in Chinese CRC patients, but also how psychosocial resources change with variations in medical experience. The pilot study developed a reliable and valid instrument for assessing social relational quality in Chinese people with CRC. The findings in the quantitative study were the first reported evidence for the psychological adjustment and associated psychosocial resources in Chinese patients newly diagnosed with CRC and the mechanisms through which selective resources impact psychological distress and well-being in part by modulating cognitive adaptation in these patients. In summary, the present research has provided important information on the adaptation process and psychosocial resources in Chinese people diagnosed with CRC and extended the current understanding on the adaptive utility of differential constructs of psychosocial resources, contributing to future development in psychosocial assessment and intervention program in Chinese CRC patients. (431 words) DOI: 10.5353/th_b3963434 Subjects: Adjustment (Psychology) Colon (Anatomy) - Cancer - Patients - Mental health - China -

Download or read book Psychosocial Interventions in End of Life Care written by Peggy Gordon and published by Routledge. This book was released on 2015-11-19 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: The concept of a "good death" has been hotly debated in medical circles for decades. This volume delves into the possibility and desirability of a "good death" by presenting the psychosocial measures of care as a crucial component, such as religion, existentialism, hope and meaning-making. The volume also focuses on oncologic psychiatry and the influence of technology as a means to alleviate pain and suffering, and potentially provide relief to those at the end of life. Such initiatives are aimed at diminishing pain and are socially bolstering and emotionally comforting to ensure a peaceful closure with life as opposed to a battle waged. Utilizing the most recent information from medical journals and books to present the latest on healthcare and dying today, this volume crosses the boundaries of thanatology, psychology, religion, spirituality, medical ethics and public health.

Download or read book Proceedings of 9th International Conference and Exhibition on Chinese Medicine Ayurveda Acupuncture 2018 written by ConferenceSeries and published by ConferenceSeries. This book was released on with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: March 12-13, 2018 Barcelona, Spain Key Topics : Traditional Chinese Medicine, Acupuncture, The Ayurveda : Eight Components, Branches of Alternative Medicines, Chinese Herbology, Folk Medicine, Homeopathy, Unani Medicology, Tibetan Medication, Mongolian Medicine, Chinese Nutrition, Acupuncture and Naturotherapy, Oriental Medicine, Traditional Physical Therapy, Holistic Therapy: Body, Mind, Spirit & Soul., Korean Medicine, Traditional African Medicine,

Download or read book Unmet Supportive Care Needs in Hong Kong Chinese Patients Newly Diagnosed with Colorectal Cancer written by King-Fung Sam and published by . This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Unmet Supportive Care Needs in Hong Kong Chinese Patients Newly Diagnosed With Colorectal Cancer: a Longitudinal Study" by King-fung, Sam, 岑檠峰, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Introduction Patient-centered care is a recognized approach to enhance quality of oncological care. While most studies on supportive care needs among cancer patients focused on the time patients receiving or completing adjuvant treatment, little is known about the extent of unmet supportive care needs among cancer patients at the time awaiting surgery which is often a primary treatment for some cancer types such as breast, lung and colorectal cancer. There is growing attention in supportive care need of colorectal cancer patient in recent decades with the advocacy of holistic care. The influence of supportive care unmet need on physical symptom and psychological distress is being concerned as a risk factor of the distress. Meanwhile, colorectal cancer in Hong Kong are being concerned by its growing incidence. Studies often targeted on prevalence of the needs but seldom on the association between supportive care needs and physical symptom and psychological distress. Moreover, surgery is often the primary treatment for curative colorectal cancer. There is little known about the influence of supportive care need during the surgical phase. The aim of this study was to investigate the extent of pre-surgical unmet supportive care needs among Hong Kong Chinese patients with colorectal cancer. It is hypothesized in this study that pre-surgical unmet needs influence on physical symptom and psychological distress at 4-week post-surgery. Methods Quantitative study was applied to analyze data of longitudinal study in supportive care needs, physical symptom distress, and psychological distress of Chinese patient with colorectal cancer. The data was collected at Queen Mary Hospital by School of Public Health, The University of Hong Kong. 503 patients were approached and 303 patients were eligible in this study. A total of 246 colorectal cancer patients provided written consent and enrolled to the longitudinal study. Primary outcomes were supportive care needs at pre-surgery, physical symptom distress and psychological distress in terms of anxiety and depression at 4-week post-surgery. A multiple linear regression was used to analyze the influence of supportive care needs on physical symptom and psychological distress at 4-week post-surgery, adjusted with participant''s baseline distress level, demographic and clinical characteristics. Results The present study showed a moderate pre-surgical unmet supportive care needs in health service and information (HSI) need with SCNS-SF34-C mean score of 36.29 (95% CI: 33.31, 39.27), ranging from 0 to 100. The extent of supportive care needs was small on Patient care and support (PCS) (mean score 18.35, 95% CI: 16.22, 20.48), Psychological (PSY) (mean score 11.15, 95% CI: 9.34, 12.96) and Physical and daily living (PDL) (mean score 10.10, 95% CI: 8.56, 11.69) domains. Low sexuality needs (Sex) (mean score 2.10, 95% CI: 0.98, 3.22) was observed in the present study. Furthermore, there was low level of post-surgical distress observed in this study. Physical symptom distress was reported with MSAS-SF mean score 0.42 (possible range of score 0 to 4) (95% CI: 0.36, 0.48). HADS Anxiety was reported with mean score of 1.64 (possible range of score 0 to 14) (95% CI: 1.26, 2.02) and HADS depression with mean score of 2.93 (possible range of score 0 to 14) (95% CI: 2.42, 3.43). In this study, the associations

Download or read book Proceedings of 10th International Conference on Chinese Medicine Ayurveda Acupuncture 2017 written by ConferenceSeries and published by ConferenceSeries. This book was released on with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt: May 18-19, 2017 Munich, Germany Key Topics : Traditional Chinese Medicine, Acupuncture, Holistic Medicine, Acupressure, Alternative Medicine, Herbal medicine, Ayurveda: Body, Mind & Soul, Homeopathy Medicine, The Ayurvedic System of Healing and Marma Therapy, Important Milestones in development of TCM Diagnostics, The Modernization of Chinese Medical Genre, Source of Innovations in Chinese Medicine,

Download or read book The Routledge Handbook of Social Work Practice Research written by Lynette Joubert and published by Routledge. This book was released on 2020-04-13 with total page 458 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Routledge Handbook of Social Work Practice Research is the first international handbook to focus on practice research for social work. Bringing together leading scholars in the field from Europe, the USA and the Asia Pacific region, it provides an up-to-the minute overview of the latest thinking in practice research whilst also providing practical advice on how to undertake practice research in the field. It is divided into five sections: State of the art Methodologies Pedagogies Applications Expanding the frontiers The range of topics discussed will enhance student development as well as increase the capacity of practitioners to conduct research; develop coordinating and leadership roles; and liaise with multiple stakeholders who will strengthen the context base for practice research. As such, this handbook will be essential reading for all social work students, practitioners and academics as well as those working in other health and social care settings.

Download or read book Practice Based Research in Social Work written by Sarah-Jane Dodd and published by Routledge. This book was released on 2012-03-12 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique textbook explores practice-based research (PBR), using numerous practice examples to actively encourage and engage students and practitioners to embrace research as a meaningful support for their practice. Whilst evidence-based practice gives practitioners access to information about "universal" best practices, it does not prioritize practitioner-generated knowledge or promote new research-based interventions relevant to their own practice circumstances as PBR does. This book discusses the evolution of PBR as a distinct social work research approach, describes its principles and methods and presents a range of exemplars illustrating the application of PBR within different practice methods in different practice settings. The chapters cover: Identifying the research question in a PBR model Designing a study and identifying a methodology Sampling Literature reviews Gathering data Ethics Analyzing data and interpreting results Putting research into practice Viewing the practitioner as central to the research process, and research as a necessary component of practice, this invaluable book emphasizes the seamless integration of practice and research. It is about research in social work practice rather than research on social work practice. Each chapter includes an overview, an introduction, and a key concepts summary. Practice-Based Research in Social Work is a very accessible text suitable for social work students, particularly MSW students, and practitioners.

Download or read book LIVING WITH DIGNITY AMONG CHINESE CANCER PATIENTS UNDERGOING CHEMOTHERAPY A QUALITATIVE STUDY written by Carmen W.H.Chan and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: Safeguarding the dignity for cancer patients has recently been gaining attention, whereas its development is constrained by the ambiguity construct of dignity. This study aims to describe dignity perceived by cancer patients receiving chemotherapy based on Dignity Model and provides insights on promoting dignity conserving care in China.Methods: A qualitative description design was conducted with face-to-face, semi-structured, individual interviews. Consecutive sampling of cancer patients receiving chemotherapy in a public hospital was recruited. Semi-structured interviews were performed by a registered nurse with experience in palliative care research. The data was analyzed using the Framework Method analysis with both inductive and deductive approaches.Results: Fifteen patients aged ranging from 28 to 66 years completed the interviews. Perceived dignity themes were classified into the three categories: illness-related concerns, dignity conserving repertoire and social dignity inventory. Compared with Dignity Model, communication openness and financial burden were two new themes emerged in the category of social dignity inventory, which affect patientsu2019 sense of dignity reported by Chinese patients.Conclusions: Patientsu2019 sense of dignity can be affected by various issues, including illness, personal attitudes and behavior, and social environment. Culture and economics impact the construct of dignity hugely among Chinese population. Family-oriented approaches are recommended to create an environment where patients feel valued, respected and supported, helping cancer patients adapt to the illness changing process and maintain dignity.

Download or read book Psychosocial Care of the Adult Cancer Patient written by Donald R. Nicholas and published by Oxford University Press, USA. This book was released on 2015-09 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: Increasing efficacy of biomedical treatments for cancer means that more and more people are living longer with the disease. The five-year relative survival rate for all cancers has increased considerably in the last three decades, with some survivors living for many years and thus facing increasingly complex psychosocial issues. As a result, the mental health subspecialty of psycho-oncology is growing and is responding to the many calls for increased availability of psychological services for cancer patients. Psychosocial Care of the Adult Cancer Patient introduces psychologists and other mental health professionals to the field of psycho-oncology, educates them about evidence-based interventions for individuals, groups, couples, and families, and describes how to successfully collaborate with oncologists and other cancer care professionals. Introductory in nature and providing ready access to a range of evidence-based interventions, this book briefs the reader on the field of psycho-oncology and the basics of cancer, explains screening and assessment for psychosocial distress, details the principles of evidence-based interventions, and concludes with case examples that illustrate the evidence-based practice competencies-ask, access, appraise, translate, integrate, and evaluate. In a unique writing style, the case examples reveal the decision-making process of an experienced clinician doing evidence-based practice. Practical strategies for addressing the psychological needs of cancer patients and their families are offered in an easy-to-use, quick reference format. Key points are highlighted and enhanced through the use of tables and figures designed to summarize and emphasize important information. This book will be of value to clinical and counseling psychologists and other mental health professionals, as well as graduate students in psychology, social work, mental health counseling, oncology nursing, and other cancer care professions.

Download or read book Trajectories of Psychological Distress and Chinese Patients Newly Diagnosed with Colorectal Cancer written by Professor of Chinese Literature Wai-Yee Li and published by Open Dissertation Press. This book was released on 2017-01-27 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Trajectories of Psychological Distress and Chinese Patients Newly Diagnosed With Colorectal Cancer: a Longitudinal Study" by Wai-yee, Li, 李蔚宜, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Substantial studies have investigated homogeneity of psychological distress level among cancer patients by using cross-sectional and longitudinal study design. Nonetheless, as proposed by Bonnano (2004), heterogeneity characteristics of psychological distress following stressful event could not be neglected and he further suggested that the majority of individuals were resilient in response to stressful events. To test this postulation, recent studies employed growth mixture modelling method to examine the heterogeneity characteristics of psychological distress trajectory among cancer patients. Furthermore, identifying relevant factors differentiate the psychological distress trajectories is an integral part for developing effective interventions for cancer patients in dealing with illness demands. However, only a few studies have examined these issues among Chinese colorectal cancer patients, a second most common cancer in Hong Kong. Therefore, it is of important need to address this knowledge gap. This study had two major aims: 1) to explore the patterns of psychological distress among Chinese patients with colorectal cancer from shortly after diagnosis but before surgery (i.e. 1-day prior operation) to 1-year post-surgery and to testify Bonnano's theory on resilience; 2) to identify the effects of cancer-related intrusive thoughts, physical symptom intrusiveness and dispositional optimism on differentiating psychological distress trajectories. A total of 246 Chinese patients with colorectal cancer were recruited for the current study. Altogether, 5 consecutive face-to-face interviews were conducted on one day prior to surgery (baseline), 1-, 4-, 8- and 12-month post-surgery (T2-T5). Patients' psychological distress (i.e. anxiety and depression), physical symptom intrusiveness, cancer-related intrusive thoughts, dispositional optimism, demographic and medical information were assessed by a standardised questionnaire with valid and reliable psychometric instruments. Growth mixture modelling was used to estimate and specify the psychological distress trajectories. Multinomial logistic regression was adopted to assess the proposed factors in relation to differentiate the trajectory patterns. Growth mixture modelling suggested three distinct trajectories were identified for both anxiety and depression model. The majority of patients with colorectal cancer were identified as resilient (i.e. maintaining low and stable distress level across time) for both models (anxiety: 82.3%, depression: 82.7%). Additionally, for anxiety trajectory model, the remaining 12.3% and 5.4% of patients were classified as moderately-low anxiety group (i.e. maintaining moderate to low distress level) and increasing anxiety group (i.e. increased from moderate level of distress at initial to subsequently high distress level) respectively. For depression trajectory model, the remaining 12.6% and 4.7% of the patients were grouped as delayed depression (i.e. delayed level of distress over time) and recovery depression (i.e. recovered from high distress level to low across time). Multinomial logistic regression showed that cancer-related negative intrusive thoughts, physical symptom intrusiveness and dispositional optimism were significant factors to differentiate anxiety and depression trajectories respectively. This study highlighted the heterogeneous feature of psy

Download or read book Psychosocial Resource Variables in Cancer Studies written by Mark R Somerfield and published by Routledge. This book was released on 2014-01-14 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Resource Variables in Cancer Studies reviews the literature on selected psychosocial resource variables in cancer in order to raise and examine conceptual and methodological issues and to offer suggestions for future directions in the field. It provides investigators and clinicians with a systematic treatment of the state of the art in research on specific resource factors and provides a careful consideration of more generic methodological and statistical issues in this research context. Editors Curbow and Somerfield define resources as aspects of a person or environment that are brought to bear on the maintenance or restoration of adaptation under taxing conditions. They hope Psychosocial Resource Variables in Cancer Studies is just the beginning of an ongoing discussion within the field of psychosocial oncology on the nature and use of resource variables. The book’s topics are crucial since researchers appear to be committed to using resource variables to explain outcomes. Also, resource variables are increasingly considered as explanatory concepts in quality-of-life research. Psychosocial Resource Variables in Cancer Studies offers critical reviews of the major resource variables investigated in contemporary psychosocial oncology research. It provides timely information on vital issues in this research, emphasizing studies of the influence of personal and social resources on adaptation to cancer. Chapters cover topics such as: the use of resource variables in the explanation of individual differences in adaptation to cancer and cancer treatment theories, measures, and methodological issues in the use of perceived control the use of the transactional model of coping to examine issues surrounding coping and the management of cancer demands religion and spirituality as resources in coping with cancer social support in adaptation to cancer and survival the clinical usefulness of research on psychosocial resources major measures of psychological functioning in psychosocial oncology research statistical and analytical issues in the use of resource variables roles of qualitative and quantitative approaches in exploring resource variables The editors begin with an overview of the oncology field and offer comments on issues that can be generalized to all psychosocial resource variables. Next is a presentation of a series of review papers on selected resource variables, including perceived control, coping, religion and spirituality, and social support, followed by a discussion of the clinical utility of research on these resource variables. The book concludes with a discussion of important cross-cutting methodological issues, including the selection of psychological functioning outcome measures, the statistical analysis of resource variables, and quantitative versus qualitative approaches. Psychosocial Reource Variables in Cancer is a valuable reference and guide for health psychologists, clinical health psychologists, clinical social workers in oncology, medical sociologists, medical anthropologists, and oncology nurses. It may also serve as important reading material for courses in health psychology, physiological factors in health and illness, personality and diseases, and stress and coping.