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- Title
Surviving adult cancers. Part 2: Psychosocial implications.
- Authors
Welch-McCaffrey, Deborah; Hoffman, Barbara; Leigh, Susan A.; Loescher, Lois J.; Meyskens Jr., Frank L.; Welch-McCaffrey, D; Hoffman, B; Leigh, S A; Loescher, L J; Meyskens, F L Jr
- Abstract
<bold>Purpose: </bold>To address the psychosocial implications of surviving adult cancers by a comprehensive review of the literature.<bold>Data Identification: </bold>An English-language literature search using MEDLINE (1970 to 1988). Index Medicus (1970 to 1988), and bibliographic reviews of textbooks and review articles.<bold>Study Selection: </bold>Of 103 originally identified articles, 58 that specifically addressed the stated purpose were selected.<bold>Data Extraction: </bold>Four authors reviewed and critiqued the literature extrapolating the major themes on this topic.<bold>Results Of Data Synthesis: </bold>There is little information on the many psychosocial variables that affect an adult's long-term cancer survival trajectory. Collation of data identified the following significant psychosocial themes: fear of recurrence and death, relationships with the health care team, adjustment to physical compromise, alterations in customary social support, isolationism, psychosocial reorientation, and employment and insurance problems.<bold>Conclusions: </bold>The continuation of a rehabilitation effort begun around the initial diagnosis of cancer would be instrumental in providing post-therapy evaluation and guidance needed by adult long-term survivors of cancer. Education, research, and support interventions need to be mobilized for this population of adults with a history of cancer.
- Subjects
CANCER patients -- Social conditions; PATIENT psychology
- Publication
Annals of Internal Medicine, 1989, Vol 111, Issue 6, p517
- ISSN
0003-4819
- Publication type
journal article
- DOI
10.7326/0003-4819-111-6-517