| The problems reported by cancer patients with major depression. | |
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MedLine Citation:
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PMID: 20336636 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: To describe the problems reported by people with cancer and major depressive disorder as elicited before starting problem-solving therapy (PST). METHODS: Ninety-eight outpatients, with a variety of cancers who met criteria for major depression, received PST as part of a system of treatment called 'Depression Care for People with Cancer' within a randomized trial. During the first session of PST, each patient was asked to provide an exhaustive list of problems defined as 'anything that was bothering them'. A coding system, based on thematic content, was developed to categorize the problems listed. Each problem was then coded by two raters independently (κ=0.81). The resulting categories were organized into larger conceptual domains using a card-sorting task. RESULTS: Thirty-six problem categories were generated which were in turn organized into 11 larger conceptual domains. Patients reported problems in a mean of 9.2 different categories (range 3-21) and 5.7 domains (range 2-9). The most common problem categories were 'concerns about other people's well-being' (65%), 'problems in interpersonal relations' (61%), 'loss of interest' (56%), 'low mood' (55%), and 'cancer recurrence or relapse' (54%). CONCLUSIONS: People with cancer and major depression report a wide variety of problems that include, but go beyond concerns about, both cancer and depression. The large number of problems related to concerns about other people's well-being and difficulties in interpersonal relationships, stresses the importance of these topics to patients and should be given more weight in the assessment and management of depressed cancer patients. |
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Authors:
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Annet Kleiboer; Frances Bennett; Laura Hodges; Jane Walker; Parvez Thekkumpurath; Michael Sharpe |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Psycho-oncology Volume: 20 ISSN: 1099-1611 ISO Abbreviation: Psychooncology Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2010-12-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9214524 Medline TA: Psychooncology Country: England |
Other Details:
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Languages: eng Pagination: 62-8 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 John Wiley & Sons, Ltd. |
Affiliation:
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Psychological Medicine Research, Edinburgh Cancer Research Centre, School of Molecular and Clinical Medicine, University of Edinburgh, Edinburgh, UK. annet.kleiboer@ed.ac.uk |
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ID/Acronym/Agency:
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//Cancer Research UK |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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