Emotion-Focused Therapy

2021 ◽  
pp. 452-458
Author(s):  
Sharon Manne
Keyword(s):  
Cancer Patients ◽  
Empirical Evidence ◽  
Adaptive Functioning ◽  
Psychological Treatment ◽  
Emotion Focused Therapy ◽  
Self Compassion ◽  
Traumatic Life Events ◽  
Treatment Of Depression ◽  
The Individual ◽  
Future Work

Emotion-focused therapy (EFT) is a psychological treatment that posits that exploring and understanding one’s painful emotions is necessary for adaptive functioning. EFT enhances clients’ awareness and ability to access, understand, interpret, regulate, and potentially transform their maladaptive emotional responses. This chapter describes the principles, intervention approaches, and empirical evidence evaluating EFT in both nononcology and oncology populations. There is extensive empirical evidence supporting EFT for the treatment of depression, anxiety, and traumatic life events and relationship distress among the general population. Although components of EFT, such as inner awareness and self-compassion, can be found in other psychological interventions provided to cancer patients and survivors, EFT has received little empirical attention in the psycho-oncology literature. There are only two studies that have evaluated EFT for cancer patients, and one of these studies did not support its efficacy. It may be premature to conclude whether EFT has clinical utility. Future work may benefit from a more formal test of EFT, where therapists are carefully trained and monitored to deliver EFT using the phases, steps, and approaches described in this chapter, both in the individual and couples’ context.

scholarly journals Malnutrition and cancer, diagnosis and treatment

2021 ◽  
Author(s):  
Angelika Beirer
Keyword(s):  
Weight Loss ◽  
Cancer Patients ◽  
Cancer Cachexia ◽  
Screening Tool ◽  
Psychological Treatment ◽  
Early Stage ◽  
Nutritional Therapy ◽  
German Society ◽  
Fat Free Mass ◽  
Nutritional Risk

Summary Background The prevalence of malnutrition in cancer patients ranges from about 20% to more than 70%. However, 10–20% of cancer patients’ deaths are related to malnutrition, not the malignancy itself. To reverse the pattern of weight loss, improve the patients’ quality of life, reduce the treatment toxicity, the psychological stress and the risk of mortality, the diagnosis of malnutrition should be made as early as possible to facilitate the best possible treatment. Methods A systematic literature search was conducted following guidelines of ESPEN (European Society for Clinical Nutrition), DGEM (German Society for Nutritional Medicine) and ASPEN (American Society for Parenteral and Enteral Nutrition). Results and conclusion To assess the risk of malnutrition, all cancer patients should be screened regularly with a valid screening tool (e.g., MUST [Malnutrition Universal Screening Tool], NRS [Nutritional Risk Screening] or PG-SGA [Scored Patient-Generated Subjective Global Assessment]). If risk of malnutrition is present, adequate nutritional therapy is recommended to stop involuntary weight loss. Patients should engage in exercise to maintain and improve muscle mass, strength and function. They should be offered regular dietetic counselling, and their muscle depletion should be monitored by determining fat-free mass. As cachectic patients in particular are at risk, the presence of cachexia should also be recognized at an early stage. Three consensus-based definitions are widely accepted: Fearon et al. and the EPCRC (European Palliative Care Research Collaborative) propose definitions specifically for cancer cachexia, while Evans et al. put forward a definition for cachexia associated with all types of underlying chronic diseases. However, if there is a cancer cachexia diagnosis, additional pharmacological and psychological treatment should be considered.

scholarly journals The trends of complementary alternative medicine use among cancer patients

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abdul Rahman Jazieh ◽  
Khadega A. Abuelgasim ◽  
Husam I. Ardah ◽  
Mohammad Alkaiyat ◽  
Omar B. Da’ar
Keyword(s):  
Alternative Medicine ◽  
Cancer Patients ◽  
Clinical Information ◽  
Cross Sectional Study ◽  
Complementary Alternative Medicine ◽  
Cultural Changes ◽  
Cross Sectional ◽  
Patients With Cancer ◽  
Cam Use ◽  
The Individual

Abstract Background The use of complementary and alternative medicine (CAM) is common among cancer patients and it may reflect the individual and societal beliefs on cancer therapy. Our study aimed to evaluate the trends of CAM use among patients with cancer between 2006 and 2018. Methods We included 2 Cohorts of patients with cancer who were recruited for Cohort 1 between 2006 and 2008 and for Cohort 2 between 2016 and 2018. The study is a cross-sectional study obtaining demographic and clinical information and inquiring about the types of CAM used, the reasons to use them and the perceived benefits. We compared the changes in the patterns of CAM use and other variables between the two cohorts. Results A total of 1416 patients were included in the study, with 464 patients in Cohort 1 and 952 patients in Cohort 2. Patients in Cohort 2 used less CAM (78.9%) than Cohort 1 (96.8%). Cohort 1 was more likely to use CAM to treat cancer compared to Cohort 2 (84.4% vs. 73%, respectively, p < 0.0001,); while Cohort 2 used CAM for symptom management such as pain control and improving appetite among others. Disclosure of CAM use did not change significantly over time and remains low (31.6% in Cohort 1 and 35.7% for Cohort 2). However, physicians were more likely to express an opposing opinion against CAM use in Cohort 2 compared to Cohort 1 (48.7% vs. 19.1%, p < 0.001, respectively). Conclusion There is a significant change in CAM use among cancer patients over the decade, which reflects major societal and cultural changes in this population. Further studies and interventions are needed to improve the disclosure to physicians and to improve other aspects of care to these patients.

scholarly journals Considerations for the Management of Women with Breast Cancer during the COVID-19 Pandemic

2020 ◽  
Vol 5 (03) ◽  
pp. 260-263
Author(s):  
Monica Irukulla ◽  
Palwai Vinitha Reddy
Keyword(s):  
Breast Cancer ◽  
Resource Allocation ◽  
Patient Care ◽  
Cancer Patients ◽  
Cancer Care ◽  
Clinical Care ◽  
Current Availability ◽  
The Individual

AbstractOutcomes in cancer patients are strongly influenced by timeliness and quality of multidisciplinary interventions. The COVID-19 pandemic has led to severe disruption in cancer care in many countries. This has necessitated several changes in clinical care and workflow, including resource allocation, team segregation and deferment of many elective procedures. Several international oncological societies have proposed guidelines for the care of patients afflicted with breast cancer during the pandemic with a view to optimize resource allocation and maximize risk versus benefit for the individual and society. Clinicians may utilize these recommendations to adapt patient care, based on the current availability of resources and severity of the COVID-19 pandemic in each region. This article discusses the guidelines for care of patients afflicted with breast cancer during the pandemic.

Are palliative cancer patients willing and able to participate in a physical exercise program?

2005 ◽  
Vol 3 (4) ◽  
pp. 281-287 ◽  
Author(s):  
LINE M. OLDERVOLL ◽  
JON H. LOGE ◽  
HANNE PALTIEL ◽  
MAY B. ASP ◽  
UNNI VIDVEI ◽  
...  
Keyword(s):  
Palliative Care ◽  
Physical Exercise ◽  
Training Program ◽  
Cancer Patients ◽  
Physical Training ◽  
Exercise Program ◽  
Group Exercise ◽  
Medical Problems ◽  
Incurable Cancer ◽  
The Individual

Objective: The primary aim of the present article was to identify palliative care patient populations who are willing to participate in and able to complete a group exercise/physical training program designed specifically for the individual patient.Method: We conducted a prospective phase II intervention study examining the willingness and ability of palliative care cancer patients to participate in a group exercise physical training program. Patients who were diagnosed with incurable cancer and had a life expectancy of less than 1 year at two outpatient clinics were invited to participate in an exercise program in the hospitals. The groups met twice a week over a 6-week period.Results: One hundred one consecutive patients were asked for inclusion. Sixty-three patients agreed to participate. Sixteen (25%) of the 63 patients dropped out after consent was given, but before the program started due to medical problems, social reasons, or death. Thus, 47 patients started the exercise program. Thirteen patients withdrew during the program due to sudden death, medical problems, or social reasons. The most frequent reasons for withdrawal were increased pain or other symptoms. Thirty-four patients completed the exercise program.Significance of results: A high proportion of incurable cancer patients were willing to participate (63%) in a structured exercise program. The attrition rate was high, but despite being severely ill, 54% of the patients completed the exercise period. This shows that a physical exercise program tailored to the individual patient is feasible in this population.

Flexibility Effects in a Single Link Robotic Manipulator

1993 ◽  
Author(s):  
C. Nataraj
Keyword(s):  
Large Scale ◽  
Robotic Manipulator ◽  
Flexible Beam ◽  
Rotating Speed ◽  
Weighted Residuals ◽  
Individual Interaction ◽  
Single Link ◽  
Rigid Mass ◽  
The Individual ◽  
Future Work

Abstract A single link robotic manipulator is modeled as a rotating flexible beam with a rigid mass at the tip and accurate energy expressions are derived. The resulting partial differential equations are solved using an approximate method of weighted residuals. From the solutions, coupling between axial and flexural deformations and the interactions with rigid body motions are rigorously analyzed. The emphasis in the current paper is not on an exhaustive analysis of existing systems but it is rather intended to compare and highlight the various flexibility effects in a relatively simple system. Hence, a nondimensional parametric analysis is performed to determine the effect of several parameters (including the rotating speed) on the errors and the individual interaction effects are discussed. Comparison with previous work in the field shows important phenomena often ignored or buried in large scale numerical analyses. Future work including application to multi-link robots is outlined.

Dissociative Amnesia and Dissociative Identity Disorder

2021 ◽  
Vol 11 (73) (1) ◽  
pp. 207-216
Author(s):  
Bogdan Eduard Patrichi ◽  
Cristina Ene ◽  
Cristina Rîndaşu ◽  
Arina Cipriana Trifu
Keyword(s):  
Life Events ◽  
Dissociative Identity Disorder ◽  
Current Paper ◽  
Dissociative Disorders ◽  
Contemporary Society ◽  
Traumatic Life Events ◽  
Dissociative Amnesia ◽  
The Individual ◽  
The Mind

The current paper aims to describe and exemplify the pathology that is increasingly common in contemporary society, compared to the Freudian period in which repression was dominating. Dissociative disorders are usually associated with overwhelming stress, which can be generated by traumatic life events, accidents or disasters experienced directly or witnessed by the individual, or unbearable inner conflicts, which force the mind to separate incompatible or unacceptable pieces of information and feelings.

Arterial Thrombosis in Cancer Patients: An Update

2021 ◽  
Author(s):  
Massimo Franchini ◽  
Antonella Tufano ◽  
Aniello Casoria ◽  
Antonio Coppola
Keyword(s):  
Cancer Patients ◽  
Arterial Thrombosis ◽  
Cardiovascular Events ◽  
Tumor Burden ◽  
Vascular Events ◽  
Time Period ◽  
Treatment Considerations ◽  
Arterial Thromboembolic Events ◽  
The Individual ◽  
Patients Experience

AbstractCancer is associated with an increased incidence of both venous thromboembolism (VTE) and arterial thrombosis (cardiovascular events and ischemic stroke). Cancer-associated arterial thrombotic events are less well studied than VTE, but increasingly recognized, particularly in specific malignancies and in association with specific anticancer therapies. The pathogenesis of arterial thrombotic events in cancer is complex and involves generation of tumor-associated procoagulant factors and a variety of alterations in platelet function as well as in the coagulation and fibrinolytic systems, and endothelial injury and dysfunction, that combine to produce hypercoagulability. The multifactorial interaction between this prothrombotic state, the individual cardiovascular risk, advanced age and presence of comorbidities, and the specific neoplasm characteristics and therapy, may induce the vascular events. Recent studies based on population databases and prospective or retrospective analyses with prolonged follow-up highlight that cancer patients experience an increased (approximately 1.5–2-fold) risk of both cerebrovascular and cardiovascular events compared with noncancer individuals, which peaks in the time period of the diagnosis of cancer but may persist for years. Beyond the type of cancer, the risk reflects the tumor burden, being higher in advanced stages and metastatic cancers. The occurrence of arterial thromboembolic events is also associated with increased overall mortality. We here present an update of the pathophysiology, risk factors, clinical evidence, and treatment considerations on cancer-associated arterial thrombosis, in the light of the need for specific multidisciplinary prevention and surveillance strategies in this setting, in the frame of cardio-oncology approaches.

scholarly journals Contextual Determinants of Employee Entrepreneurial Behavior in Support of Corporate Entrepreneurship: A Systematic Review and Research Agenda

2018 ◽  
Vol 26 (03) ◽  
pp. 285-326 ◽  
Author(s):  
Michael Mustafa ◽  
Fiona Gavin ◽  
Mathew Hughes
Keyword(s):  
Corporate Entrepreneurship ◽  
Research Field ◽  
Complex Nature ◽  
Contextual Influences ◽  
Entrepreneurial Behavior ◽  
Firm Level ◽  
Contextual Determinants ◽  
The Individual ◽  
Job Role ◽  
Future Work

The individual entrepreneurial behavior of employees represents one of the primary antecedents of Corporate Entrepreneurship. The complex nature of ‘employee entrepreneurial behavior’ suggests that a myriad of contextual influences act on the emergence of such behavior. It is imperative that theorists and practitioners alike understand both the subtle and sophisticated ways in which context influences employee entrepreneurial behavior. To address these issues and encourage future work, this study performs a systematic literature review to provide an overview of the field and examines the influence of the job/role, organizational/work and external contexts on employee entrepreneurial behavior. Findings suggest that employee entrepreneurial behavior is an emergent research field and that its behaviors can manifest themselves in different ways compared to firm-level entrepreneurial behaviors. We also show the sophisticated manner in which different types of context influence employee entrepreneurial behavior.

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