Cancer and Meaning

2015 ◽  
Author(s):  
William S. Breitbart ◽  
Shannon R. Poppito
Keyword(s):  
Group Psychotherapy ◽  
Cancer Diagnosis ◽  
Sense Of Self ◽  
Before And After ◽  
Group Members ◽  
Basic Concepts ◽  
After Cancer ◽  
The Impact ◽  
First Session

This chapter provides instructions for conducting the second session of meaning-centered group psychotherapy. The reader is instructed to reintroduce the basic concepts and sources of meaning from the first session, and to explore the topic of ‘Cancer and Meaning’ in light of the guiding theme ‘Identity before and after Cancer Diagnosis.’ By the end of Session 2, the facilitator will have ensured that group members have a general understanding of what their authentic sense of self is and the impact cancer has had on it.

Abstract MP35: Physical Activity Before and After Cancer Diagnosis and Total and Cause-Specific Mortality

Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Paulette D Chandler ◽  
Deirdre Tobias ◽  
Jule E Buring ◽  
I-Min Lee ◽  
Daniel Chasman ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cancer Diagnosis ◽  
Cancer Mortality ◽  
Total Mortality ◽  
Health Study ◽  
Specific Mortality ◽  
Before And After ◽  
After Cancer ◽  
Cvd Mortality

Background: Given the increased prevalence of cancer survivors in the United States, it is imperative to define risk factors for potential reductions in total and cause-specific mortality. Physical activity (PA) represents a promising target for intervention. Design: We prospectively evaluated PA from questionnaires before and after cancer diagnosis with total and cause-specific mortality among 13,297 subjects diagnosed with invasive cancer combined from the Physicians’ Health Study (PHS) (n=6328), Physicians’ Health Study II (PHS II) (n=912), and Women's Health Study (WHS) (n=6057). WHS and PHS participants were free of baseline cancer; PHS II participants reported no active cancer at baseline. We ascertained PA before and after an incident cancer diagnosis based on reports on repeated follow-up questionnaires. Death was ascertained by medical records and death certificates. Cox regression estimated combined hazard ratios (HRs) of mortality by PA adjusted for age, randomized treatments, BMI, and other lifestyle/demographic factors. We evaluated the interaction between PA before and after cancer diagnosis by comparing PA ≤1 versus ≥2 times/wk. Results: The mean follow-up after cancer diagnosis was 8.0, 7.5, and 5.2 y for WHS, PHS, and PHS II, respectively, during which there were 5623 deaths (WHS, 2164; PHS, 3269; PHS II; 190). Higher PA before cancer diagnosis was associated with significantly lower mortality. Compared with PA ≤ once/wk, the HRs (95% CIs) associated with PA 2-4 and >4 times/wk were 0.87 (0.82-0.93) and 0.88 (0.82-0.94) for total mortality; 0.77 (0.63-0.95) and 0.79 (0.62-0.997) for CVD mortality, and 0.90 (0.83-0.98) and 0.90 (0.83-0.98) for cancer mortality. Higher PA after cancer diagnosis was associated with significantly lower total and cancer mortality and non-significantly lower CVD mortality, with HRs (95% CIs) of 0.65 (0.58-0.72) and 0.66 (0.59-0.73) for total mortality; 0.78 (0.59-1.03) and 0.82 (0.61-1.10) for CVD mortality, and 0.66 (0.57-0.77) and 0.64 (0.55-0.74) for cancer mortality. There was a significant interaction of PA before and after cancer diagnosis for total (p int =0.02) and cancer (p int =0.007) mortality, but not CVD mortality (p int =0.38). Conclusions: Greater PA both before and after cancer diagnosis were significantly associated with lower total and cancer mortality. Higher PA before cancer diagnosis was also associated with lower CVD mortality. PA may be an important target for lower mortality after cancer diagnosis.

Divorce after breast cancer diagnosis and its impact on quality of life

2021 ◽  
pp. 1-6
Author(s):  
Danbee Kang ◽  
Nayeon Kim ◽  
Gayeon Han ◽  
Sooyeon Kim ◽  
Hoyoung Kim ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Survivors ◽  
Cancer Diagnosis ◽  
Breast Cancer Survivors ◽  
Breast Cancer Diagnosis ◽  
Factors Associated ◽  
After Cancer ◽  
The Impact

Abstract Objective This study aims to identify factors associated with divorce following breast cancer diagnosis and measures the impact of divorce on the quality of life (QoL) of patients. Methods We used cross-sectional survey data collected at breast cancer outpatient clinics in South Korea from November 2018 to April 2019. Adult breast cancer survivors who completed active treatment without any cancer recurrence at the time of the survey (N = 4,366) were included. The participants were classified into two groups: “maintaining marriage” and “being divorced,” between at the survey and at the cancer diagnosis. We performed logistic regression and linear regression to identify the factors associated with divorce after cancer diagnosis and to compare the QoL of divorced and nondivorced survivors. Results Approximately 11.1/1,000 of married breast cancer survivors experienced divorce after cancer diagnosis. Younger age, lower education, and being employed at diagnosis were associated with divorce. Being divorced survivors had significantly lower QoL (Coefficient [Coef] = −7.50; 95% CI = −13.63, −1.36), social functioning (Coef = −9.47; 95% CI = −16.36, −2.57), and body image (Coef = −8.34; 95% CI = −6.29, −0.39) than survivors who remained married. They also experienced more symptoms including pain, insomnia, financial difficulties, and distress due to hair loss. Conclusion Identifying risk factors of divorce will ultimately help ascertain the resources necessary for early intervention.

Concepts and Sources of Meaning

2015 ◽  
Author(s):  
William S. Breitbart ◽  
Shannon R. Poppito
Keyword(s):  
Group Psychotherapy ◽  
Treatment Goals ◽  
General Overview ◽  
Group Members ◽  
First Session

This chapter provides instructions for conducting the first session of meaning-centered group psychotherapy. The reader is instructed to introduce facilitators and group members to one another, introduce patients to a general overview of the intervention (including treatment goals, structured weekly topics, and logistics), become familiar with each patient’s story of illness, introduce patients to the first session topic of Viktor Frankl’s work and foundations of meaning, and share definitions of meaning and conduct the “meaningful moments” experiential exercise.

Impact of precancer multimorbidity clusters on survival and functional outcomes after cancer in older patients.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 291-291 ◽  
Author(s):  
Kelly Kenzik ◽  
Joshua Richman ◽  
Erin E. Kent ◽  
Maria Pisu ◽  
Smita Bhatia
Keyword(s):  
Cancer Patients ◽  
Survey Data ◽  
Cancer Diagnosis ◽  
Functional Impairment ◽  
Regression Models ◽  
Poverty Level ◽  
Risk Of Death ◽  
Increased Risk ◽  
After Cancer ◽  
The Impact

291 Background: While multimorbidity clustering is a significant problem in older adults, the impact of clusters present prior to cancer on post-diagnosis survival and function is unknown. We used SEER-Medicare Health Outcomes Survey data for 4583 cancer patients to address this research gap. Methods: Patients with prostate (1741), breast (BC: 1345), colorectal (CRC: 904) and lung (593) cancer with pre- and post-diagnosis survey data were included. Surveys assessed comorbidity and activities of daily living (ADLs). Previously defined multimorbidity clusters were cardiovascular disease (CVD), skeletal, metabolic, pulmonary + major depressive disorder (MDD), and gastrointestinal (GI) + MDD. Cox regression models estimated hazard ratios (HR) for death after cancer diagnosis. Among those without pre-cancer ADL impairment, modified Poisson regression models estimated relative risk (RR) for developing post-cancer functional impairment (ADL ≤ 4). Models controlled for age, race, education, poverty level, stage, and treatment (radiation, surgery). Results: Median age at cancer diagnosis was 74y (65-103). Post-diagnosis mortality: After 6y median follow-up, mortality was 30%; 5y survival was 74%.Prostate, BC and CRC patients with pre-diagnosis CVD clusters were at increased risk of death compared to those without CVD cluster (HR 1.9, 2.0, 1.7, respectively, p < 0.05). Compared to those without the cluster, prostate and BC patients with metabolic cluster were at increased risk (HR 1.7, 1.9, respectively, p < 0.05) and prostate cancer patients with pulmonary conditions + MDD or GI + MDD (HR 1.9, 2.1, respectively, p < 0.05) were at increased risk. Post-diagnosis functional impairment: Prevalence of moderate functional impairment at a median of 1y after cancer diagnosis was 31%. Prostate, lung, and CRC survivors with GI + MDD had a significant RR of developing impairment (RR 1.8, 1.8, and 1.7, p < 0.001). For BC patients, those with skeletal cluster had a 2.1 RR (p < 0.001). Conclusions: Specific multimorbidity clusters prior to cancer are associated with post-cancer mortality and ADL impairment and identify at-risk groups where interventions can be instituted to decrease morbidity and mortality.

Clinical Diagnosis of Mental Disorders Immediately Before and After Cancer Diagnosis

JAMA Oncology ◽  
2016 ◽  
Vol 2 (9) ◽  
pp. 1188 ◽  
Author(s):  
Donghao Lu ◽  
Therese M. L. Andersson ◽  
Katja Fall ◽  
Christina M. Hultman ◽  
Kamila Czene ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Clinical Diagnosis ◽  
Cancer Diagnosis ◽  
Before And After ◽  
After Cancer

scholarly journals The impact of breast cancer treatments on sleep quality 1 year after cancer diagnosis

2017 ◽  
Vol 25 (11) ◽  
pp. 3529-3536 ◽  
Author(s):  
Filipa Fontes ◽  
Susana Pereira ◽  
Ana Rute Costa ◽  
Marta Gonçalves ◽  
Nuno Lunet
Keyword(s):  
Breast Cancer ◽  
Sleep Quality ◽  
Cancer Diagnosis ◽  
Cancer Treatments ◽  
After Cancer ◽  
The Impact

scholarly journals The benefits and burdens of cancer: A prospective, longitudinal cohort study of adolescents and young adults.

2016 ◽  
Vol 34 (26_suppl) ◽  
pp. 243-243
Author(s):  
Joelle P. Straehla ◽  
Krysta Shutske ◽  
Joyce P. Yi-Frazier ◽  
Claire M Wharton ◽  
Kevin Scott Baker ◽  
...  
Keyword(s):  
Young Adults ◽  
Cancer Diagnosis ◽  
Sense Of Self ◽  
Well Being ◽  
Adolescents And Young Adults ◽  
Personal Strengths ◽  
Patient Reported ◽  
After Cancer ◽  
Prospective Longitudinal ◽  
Time Point

243 Background: Much of the literature describing psychosocial consequences of cancer among adolescents and young adults (AYAs) has reported negative outcomes; however, AYAs also have potential for protective, positive outcomes. We aimed to prospectively characterize AYA patient-reported benefit and burden-finding after cancer diagnosis and hypothesized that benefit finding would be a salient coping mechanism. Methods: Semi-structured, 1:1 interviews were conducted with AYA patients after cancer diagnosis at 3 time points over 2 years, to elicit their expectations, hopes, worries, personal strengths, and challenges. A priori coding themes were defined from validated scales: changed sense of self, relationships, philosophy of life, and physical well-being. Verbatim transcripts were coded using content analyses by 3 independent coders for instances of benefit or burden by construct. Raw counts, ratios, and confidence intervals were calculated and compared by patient and time point. Results: Seventeen patients (mean age 17.1 ± 2.7; 8 [47%] male) completed 44 interviews with > 100 hours of transcript-data. Most common diagnoses were sarcoma (n = 8), acute leukemia (n = 6), and lymphoma (n = 3). Twelve patients completed all 3 interviews; reasons for withdrawal included death in all but 2 cases. Mean (±SD) counts of patient-reported benefit were higher than burden at each time point (T1, T2, T3); the benefit: burden ratio was > 1 in 68% of interviews (Table). Of the themes, changed sense of self was the most common benefit identified (44% of all reported benefits [95% CI 37%, 52%]) whereas physical complaints was the most common burden (32% [95% CI 25%, 39%]). Longitudinal analysis of subthemes among patients completing 3 interviews (N = 12) indicated an increase in self-identified positive and negative impact of cancer on personal, social and existential perspectives. Conclusions: AYA patients with cancer identified more benefits than burdens related to their diagnoses at all times studied. There was a shift over time in the distribution of benefit and burden finding constructs which may highlight areas for potential intervention. [Table: see text]

scholarly journals Psychological distress in men with prostate cancer and their partners before and after cancer diagnosis: a longitudinal study

2017 ◽  
Vol 47 (8) ◽  
pp. 735-742 ◽  
Author(s):  
Akira Oba ◽  
Naoki Nakaya ◽  
Kumi Saito-Nakaya ◽  
Masaru Hasumi ◽  
Hiroyuki Takechi ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Psychological Distress ◽  
Longitudinal Study ◽  
Cancer Diagnosis ◽  
Before And After ◽  
After Cancer

scholarly journals INTERNATIONAL STUDENT PERCEPTION OF COLLABORATIVE GROUP EXAMS IN A FIRST-YEAR ENGINEERING CHEMISTRY COURSE

2019 ◽  
Author(s):  
Roza Vaez Ghaemi ◽  
Agnes Peragovics ◽  
Gabriel Potvin
Keyword(s):  
International Students ◽  
International Student ◽  
Student Perception ◽  
Collaborative Group ◽  
First Year ◽  
Two Stage ◽  
Before And After ◽  
Group Members ◽  
Collaborative Skills ◽  
The Impact

Two-stage collaborative exams have previously been shown to improve students’ understanding and long-term retention of material, while helping to develop collaborative skills. Very little work has been done, however, on the impact of this practice on international students, who may be faced with particular challenges or contexts.. Building on previous work, the perception of first-year international students in an engineering chemistry course offered as part of the Vantage College Applied Science program at UBC regarding the practice of two-stage exams was assessed before and after participating in one for the first time. Although the experience was overall very positive, and the anticipated difficulties of the midterm seemed to be overestimated, several key challenges must be addressed before deciding whether to continue with this practice as part of this program, namely communication barriers preventing the effective participation of all group members, and a structural competitiveness that may discourage collaboration, both of which are inherent to the Vantage APSC program, as well as frustration associated with mixed technical proficiencies of group members, which is a more typical concern associated with this type of assessment.

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