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Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. 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Thus, clinical studies have shown no survival benefit for patients who undergo contralateral prophylactic mastectomy (CPM) compared to those undergoing unilateral surgeries for non‐familial unilateral breast cancers. Despite this evidence, there has been a steady increase in rates of CPM in the U.S. Patient factors influencing this choice have been identified in previous studies, but seldom in a prospective manner. This prospective study was designed to assess emotion and any association with a patient's decision to ultimately undergo CPM.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Methods\u003C\u002Fjats:title>\u003Cjats:p>We recruited patients with newly diagnosed, unilateral, non‐metastatic breast cancer, who had not yet had surgery, to participate in a prospective, longitudinal study to examine the impact of emotions on CPM decision‐making.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Results\u003C\u002Fjats:title>\u003Cjats:p>Among the 86 final participants, all completed the pre‐visit survey (100%) and 52 patients completed the post‐visit survey (60%). Patients undergoing CPM were significantly younger than those who did not. There was no statistically significant association between emotion and receipt of CPM. There was a trend towards undergoing CPM in patients with a less open personality type and those with more negative emotion, though not statistically significant.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Conclusions\u003C\u002Fjats:title>\u003Cjats:p>This study found a trend toward increased CPM receipt in those with less open personality types and more negative emotion, especially post‐consultation, but none of these findings was significant. Future work should include development of cancer‐specific emotion scales and larger studies of possible connections between emotion, personality type and surgical decision‐making for breast cancer patients.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>","\u003Cjats:title>Tóm tắt\u003C\u002Fjats:title>\u003Cjats:sec>\u003Cjats:title>Mục tiêu\u003C\u002Fjats:title>\u003Cjats:p>Các bệnh nhân bị ung thư vú đơn phương không do di truyền có nguy cơ thấp bị ung thư vú bên đối diện. Do đó, các nghiên cứu lâm sàng đã chỉ ra rằng không có lợi ích sống sót đáng kể cho các bệnh nhân thực hiện phẫu thuật cắt bỏ vú phòng ngừa bên đối diện (CPM) so với những người thực hiện phẫu thuật đơn phương cho các trường hợp ung thư vú đơn phương không do di truyền. Bất chấp chứng cứ này, tỷ lệ CPM đã gia tăng ổn định tại Hoa Kỳ. Các yếu tố của bệnh nhân ảnh hưởng đến quyết định này đã được xác định trong các nghiên cứu trước đây, nhưng thường không phải theo cách triển vọng. Nghiên cứu triển vọng này được thiết kế để đánh giá cảm xúc và bất kỳ mối liên hệ nào với quyết định của bệnh nhân cuối cùng thực hiện CPM.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Phương pháp\u003C\u002Fjats:title>\u003Cjats:p>Chúng tôi đã tuyển chọn các bệnh nhân mới được chẩn đoán mắc ung thư vú đơn phương không di căn, chưa thực hiện phẫu thuật, để tham gia vào một nghiên cứu tiềm năng, dài hạn nhằm xem xét tác động của cảm xúc đối với quyết định về CPM.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Kết quả\u003C\u002Fjats:title>\u003Cjats:p>Trong số 86 người tham gia cuối cùng, tất cả đều hoàn thành bảng khảo sát trước chuyến thăm (100%) và 52 bệnh nhân đã hoàn thành bảng khảo sát sau chuyến thăm (60%). Các bệnh nhân thực hiện CPM có độ tuổi trung bình thấp hơn đáng kể so với những người không thực hiện. Không có mối liên hệ thống kê đáng kể nào giữa cảm xúc và việc nhận CPM. Có một xu hướng thực hiện CPM ở những bệnh nhân có tính cách ít cởi mở hơn và những người có cảm xúc tiêu cực hơn, mặc dù không có ý nghĩa thống kê.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Kết luận\u003C\u002Fjats:title>\u003Cjats:p>Nghiên cứu này đã phát hiện ra một xu hướng tăng cường nhận CPM ở những người có tính cách ít cởi mở và cảm xúc tiêu cực hơn, đặc biệt là sau khi tham vấn, nhưng không có phát hiện nào trong số này có ý nghĩa. Các nghiên cứu trong tương lai nên bao gồm việc phát triển các thang đo cảm xúc đặc biệt cho ung thư và các nghiên cứu lớn hơn về mối liên hệ có thể tồn tại giữa cảm xúc, loại tính cách và quyết định phẫu thuật cho bệnh nhân ung thư vú.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>",{"EN":135,"VI":136},"Emotion and contralateral prophylactic mastectomy: A prospective study into surgical decision‐making","Cảm xúc và phẫu thuật cắt bỏ vú phòng ngừa bên đối diện: Một nghiên cứu tiềm năng về quyết định phẫu thuật",{"VOID":138},"35946336",{"VOID":140},"10.1002\u002Fpon.6013","PUBLICATION","VERIFIED","2025-01-25T16:28:10.013+00:00","Auto Verify",[146],"EN",[148],"VI","https:\u002F\u002Fonlinelibrary.wiley.com\u002Fdoi\u002F10.1002\u002Fpon.6013",[151,170,188,206,224,240,260,280,300],{"id":152,"sortIndex":24,"researcher":23,"roles":153,"affiliations":154,"properties":163,"displayName":167,"givenName":23,"familyName":23},"675adf54-ba15-420e-a175-98e145cc8c00",[],[155],{"id":156,"sortIndex":24,"affiliation":157,"properties":23},"e7734d6d-8545-4f40-b3c1-836994fe1d58",{"id":156,"createTime":23,"updateTime":23,"relativeEntities":158,"slug":23,"properties":159,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":162,"statistic":23},[],{"title":160},{"EN":161},"Department of Plastic and Reconstructive Surgery The Ohio State University Wexner Medical Center  Columbus Ohio USA",[],{"orcid":164,"title":166,"openalex":168},{"VOID":165},"https:\u002F\u002Forcid.org\u002F0000-0002-6490-2025",{"EN":167},"Peter J. 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study assessed patient awareness and use—as well as obstacles to use—of HMO‐ and community‐based psychosocial support services designed for cancer patients. Participants were a randomly selected group of patients from a large Northwest HMO, with breast (\u003Cjats:italic>N\u003C\u002Fjats:italic>=145), prostate (\u003Cjats:italic>N\u003C\u002Fjats:italic>=151), or colon cancer (\u003Cjats:italic>N\u003C\u002Fjats:italic>=72), and their oncology and urology providers (\u003Cjats:italic>N\u003C\u002Fjats:italic>=29). Patient awareness was highest for HMO‐based services (68–90%) and lower for community‐ (33%) or Internet‐based (10–14%) services, and use rates were low across all services (range 2–8%). Providers reported referring 70% of their patients to HMO cancer support services, but their estimates of actual patient use of these services (40%) were inflated. Providers reported few barriers to referring patients to support services. The most commonly reported patient barriers to using such services were already having adequate support, lack of awareness of the service, and lack of provider referral. Results of regression analyses suggest that education, physician referral, social support, and spirituality may be important influences on use of cancer support services. This study takes a first step toward understanding patient use of existing cancer support services and suggests ways to increase participation in these services. Copyright © 2001 John Wiley & Sons, Ltd.\u003C\u002Fjats:p>",{"EN":503},"Awareness and barriers to use of cancer support and information resources by HMO patients with breast, prostate, or colon cancer: patient and provider perspectives",{"VOID":505},"11268137",{"VOID":507},"10.1002\u002Fpon.500",[146],"https:\u002F\u002Fonlinelibrary.wiley.com\u002Fdoi\u002F10.1002\u002Fpon.500",[511,532],{"id":512,"sortIndex":24,"researcher":23,"roles":513,"affiliations":514,"properties":523,"displayName":527,"givenName":23,"familyName":23},"28d5f43b-fdd4-4b11-8ff8-cabf9f8d539e",[],[515],{"id":516,"sortIndex":24,"affiliation":517,"properties":23},"4cd6c8f9-5cea-4632-87e9-e628b8076ce8",{"id":516,"createTime":23,"updateTime":23,"relativeEntities":518,"slug":23,"properties":519,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":522,"statistic":23},[],{"title":520},{"VI":521},"AMC Cancer Research Center, Denver, CO, USA",[],{"orcid":524,"title":526,"gsAuthor":528,"openalex":530},{"VOID":525},"https:\u002F\u002Forcid.org\u002F0000-0002-8835-9995",{"EN":527},"Elizabeth Eakin",{"VOID":529},"[\"CjmgC6IAAAAJ\"]",{"VOID":531},"A5084895096",{"id":533,"sortIndex":172,"researcher":23,"roles":534,"affiliations":535,"properties":544,"displayName":548,"givenName":23,"familyName":23},"be81febb-e797-4197-a95c-799a772411c7",[],[536],{"id":537,"sortIndex":24,"affiliation":538,"properties":23},"c7bde91d-7a5a-4ad6-a9c2-ead60b7bd11c",{"id":537,"createTime":23,"updateTime":23,"relativeEntities":539,"slug":23,"properties":540,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":543,"statistic":23},[],{"title":541},{"VI":542},"Oregon Research Institute Eugene, Oregon, USA",[],{"orcid":545,"title":547,"openalex":549},{"VOID":546},"https:\u002F\u002Forcid.org\u002F0000-0001-8264-400X",{"EN":548},"Lisa A. 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BL, 1992, Psychological interventions for cancer patients to enhance the quality of life, J Consult Clin Psychol, 60, 552, 10.1037\u002F0022-006X.60.4.552",{"doi":633},"10.1037\u002F0022-006X.60.4.552",{"id":23,"text":635,"url":23,"identifiers":636},"10.1007\u002F978-94-009-5115-0_5",{"doi":635},{"id":23,"text":638,"url":23,"identifiers":639},"10.1016\u002FS1073-4449(12)80007-0",{"doi":638},{"id":23,"text":641,"url":23,"identifiers":642},"10.1037\u002F0278-6133.9.2.117",{"doi":641},{"id":23,"text":644,"url":23,"identifiers":645},"10.1037\u002F0278-6133.16.6.529",{"doi":644},{"id":23,"text":647,"url":23,"identifiers":648},"10.1001\u002Farchpsyc.1993.01820210015002",{"doi":647},{"id":23,"text":650,"url":23,"identifiers":651},"10.1001\u002Farchpsyc.1995.03950140018003",{"doi":650},{"id":23,"text":653,"url":23,"identifiers":654},"10.1037\u002F0278-6133.14.6.509",{"doi":653},{"id":23,"text":656,"url":23,"identifiers":657},"Holland JC, 1996, ASCO Educational 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Scores",{},{"id":23,"text":686,"url":23,"identifiers":687},"Wenzel LB, 1998, Desire for counseling: Views of prostate cancer patients and their support person, J Cancer Educ",{},{"id":689,"createTime":690,"updateTime":691,"relativeEntities":692,"slug":693,"properties":694,"entityType":141,"verifyStatus":142,"verifyTime":690,"verifyNote":144,"languages":712,"translateLanguages":713,"viewCount":24,"primaryUrl":714,"fullTextUrl":23,"authors":715,"publicationType":330,"publisherRelationship":930,"citationCount":991,"citationInfo":992,"publishDate":995,"publishYear":993,"citationAnalyzeStatus":22,"lastCitationAnalyze":23,"indexDatabases":996,"openAccess":23,"references":997,"isForceReanalyzing":486},"b10b9591-b6ad-4aa4-b015-ae1320f6eb17","2024-11-28T17:55:00.113+00:00","2025-02-15T07:26:09.167+00:00",[],"Support-service-use-and-interest-in-support-services-among-distressed-family-caregivers-of-lung-cancer-patients",{"mag":695,"keywords":697,"pmc":698,"openalex":700,"abstract":702,"title":705,"pm":708,"doi":710},{"VOID":696},"2145525450",{"VI":128},{"VOID":699},"3535684",{"VOID":701},"W2145525450",{"EN":703,"VI":704},"\u003Cjats:title>Abstract\u003C\u002Fjats:title>\u003Cjats:sec>\u003Cjats:title>Objective\u003C\u002Fjats:title>\u003Cjats:p>This study examined support service use and interest in support services among distressed family caregivers of patients recently entering comprehensive cancer care facilities.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Methods\u003C\u002Fjats:title>\u003Cjats:p>Primary family caregivers of lung cancer patients (\u003Cjats:italic>N\u003C\u002Fjats:italic> = 83) were recruited from three medical centers within 12 weeks of the patient's new visit to the oncology clinic. All family caregivers were screened for psychological distress, and those reporting significant anxiety or depressive symptoms were eligible for this study. Caregivers completed a baseline assessment of support service use (i.e., use of mental health services and complementary and alternative medicine [CAM]) and interest in support services. Support service use was also assessed 3 months later.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Results\u003C\u002Fjats:title>\u003Cjats:p>Although all caregivers reported clinically meaningful distress, only 26% used mental health and 39% used CAM services during the 3‐month study period. Patients' receipt of chemotherapy was positively associated with caregivers' mental health service use, whereas greater education and receiving assistance with caregiving tasks were associated with CAM use. Forty percent of caregivers who did not use CAM at baseline were interested in CAM. In addition, 29% of caregivers who did not receive mental health services at baseline were interested in professional psychosocial support, and 29% of caregivers who did not receive staff assistance with practical needs at baseline were interested in this service.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Conclusions\u003C\u002Fjats:title>\u003Cjats:p>Findings suggest that distressed family caregivers of lung cancer patients underuse mental health services and that a sizable minority are interested in professional help with psychosocial and practical needs. Copyright © 2012 John Wiley & Sons, Ltd.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>","\u003Cjats:title>Tóm tắt\u003C\u002Fjats:title>\u003Cjats:sec>\u003Cjats:title>Mục tiêu\u003C\u002Fjats:title>\u003Cjats:p>Nghiên cứu này xem xét việc sử dụng dịch vụ hỗ trợ và mức độ quan tâm đến dịch vụ hỗ trợ trong số những người chăm sóc gia đình gặp khó khăn khi bệnh nhân mới vào cơ sở chăm sóc ung thư toàn diện.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Phương pháp\u003C\u002Fjats:title>\u003Cjats:p>Các người chăm sóc gia đình chính của bệnh nhân ung thư phổi (\u003Cjats:italic>N\u003C\u002Fjats:italic> = 83) đã được tuyển chọn từ ba trung tâm y tế trong vòng 12 tuần kể từ khi bệnh nhân có chuyến thăm mới đến phòng khám ung thư. Tất cả những người chăm sóc gia đình đều được sàng lọc tình trạng căng thẳng tâm lý, và những người báo cáo có triệu chứng lo âu hoặc trầm cảm nghiêm trọng đủ điều kiện tham gia nghiên cứu này. Những người chăm sóc đã hoàn thành một đánh giá cơ bản về việc sử dụng dịch vụ hỗ trợ (tức là sử dụng dịch vụ sức khỏe tâm thần và y học bổ sung và thay thế [CAM]) và sự quan tâm đến dịch vụ hỗ trợ. Việc sử dụng dịch vụ hỗ trợ cũng được đánh giá lại sau 3 tháng.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Kết quả\u003C\u002Fjats:title>\u003Cjats:p>Mặc dù tất cả các người chăm sóc đều báo cáo có căng thẳng lâm sàng có ý nghĩa, chỉ có 26% sử dụng dịch vụ sức khỏe tâm thần và 39% sử dụng dịch vụ CAM trong thời gian nghiên cứu 3 tháng. Đối với bệnh nhân nhận hóa trị, có mối liên hệ tích cực với việc sử dụng dịch vụ sức khỏe tâm thần của người chăm sóc, trong khi giáo dục cao hơn và nhận hỗ trợ trong các nhiệm vụ chăm sóc có mối liên hệ với việc sử dụng CAM. Bốn mươi phần trăm những người chăm sóc không sử dụng CAM ở mức cơ bản đã quan tâm đến CAM. Ngoài ra, 29% những người chăm sóc không nhận dịch vụ sức khỏe tâm thần ban đầu quan tâm đến hỗ trợ tâm lý chuyên nghiệp, và 29% những người chăm sóc không nhận hỗ trợ nhân viên về các nhu cầu thực tiễn ở mức cơ bản cũng quan tâm đến dịch vụ này.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Kết luận\u003C\u002Fjats:title>\u003Cjats:p>Những phát hiện cho thấy những người chăm sóc gia đình gặp khó khăn của bệnh nhân ung thư phổi đã không sử dụng dịch vụ sức khỏe tâm thần một cách đầy đủ và một tỷ lệ thiểu số đáng kể quan tâm đến sự hỗ trợ chuyên nghiệp về các nhu cầu tâm lý xã hội và thực tiễn. 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chết, cái chết tốt, nhân khẩu học, điều trị, bệnh nhân, gia đình",{"VOID":1115},"W2093306359",{"EN":1117,"VI":1118},"\u003Cjats:title>Abstract\u003C\u002Fjats:title>\u003Cjats:p>\u003Cjats:italic>Background\u003C\u002Fjats:italic>: Although it is important to achieve a good death in Japan, there have been no studies to explore factors associated with a good death. The aim of this study was to explore factors contributing to a good death from the bereaved family members' perspectives, including patient and family demographics and medical variables.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Methods\u003C\u002Fjats:italic>: A cross‐sectional anonymous questionnaire survey for bereaved family members of cancer patients who had died in a regional cancer center and a medical chart review were conducted. We measured the results from the Good Death Inventory and family demographics. In addition, we extracted patient demographics, medical variables, and medical interventions in the last 48 h before death from a medical chart review.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Results\u003C\u002Fjats:italic>: Of the 344 questionnaires sent to bereaved family members, 165 responses were analyzed (48%). We found, first, that death in the palliative care unit was more likely to be described as a good death compared with death on a general ward. Some significant characteristics were ‘environmental comfort,’ ‘physical and psychological comfort,’ ‘being respected as an individual,’ and ‘natural death.’ Second, we found that a patient's and family member's age and other demographic factors significantly correlated with an evaluation of a good death. In addition, life prolongation treatment and aggressive treatment such as chemotherapy in the last 2 weeks of life were barriers to attainment of a good death. Moreover, appropriate opioid medication contributed to a good death.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Conclusion\u003C\u002Fjats:italic>: Withholding aggressive treatment and life‐prolonging treatment for dying patients and appropriate opioid use may be associated with achievement of a good death in Japan. Copyright © 2007 John Wiley & Sons, Ltd.\u003C\u002Fjats:p>","\u003Cjats:title>Tóm tắt\u003C\u002Fjats:title>\u003Cjats:p>\u003Cjats:italic>Bối cảnh\u003C\u002Fjats:italic>: Mặc dù việc đạt được một cái chết tốt là rất quan trọng tại Nhật Bản, nhưng chưa có nghiên cứu nào khám phá các yếu tố liên quan đến một cái chết tốt. Mục tiêu của nghiên cứu này là khám phá các yếu tố góp phần vào một cái chết tốt từ góc nhìn của các thành viên gia đình người đã khuất, bao gồm nhân khẩu học của bệnh nhân và gia đình cũng như các biến số y tế.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Phương pháp\u003C\u002Fjats:italic>: Chúng tôi đã tiến hành một cuộc khảo sát bằng bảng hỏi ẩn danh qua cắt ngang đối với các thành viên gia đình người đã khuất do ung thư tại một trung tâm ung thư khu vực và đã thực hiện một cuộc tổng hợp hồ sơ y tế. Chúng tôi đã đo lường kết quả từ Bộ công cụ cái chết tốt và nhân khẩu học của gia đình. Ngoài ra, chúng tôi cũng đã trích xuất thông tin nhân khẩu học của bệnh nhân, các biến số y tế và can thiệp y tế trong 48 giờ cuối trước khi qua đời từ tổng hợp hồ sơ y tế.",{"EN":1120,"VI":1121},"Factors contributing to evaluation of a good death from the bereaved family member's perspective","Các yếu tố đóng góp vào việc đánh giá một cái chết tốt từ góc nhìn của các thành viên trong gia đình người đã 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has been reported to trigger symptoms of post‐traumatic stress disorder (PTSD) in a substantial proportion of individuals. Despite the significant burden associated with these symptoms, there are as yet no therapeutic guidelines. This systematic review aims to evaluate the effectiveness of interventions for cancer‐related post‐traumatic stress in order to provide an evidence base for developing appropriate clinical practice.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Methods\u003C\u002Fjats:title>\u003Cjats:p>Databases searched until April 2018 included Psych INFO, EMBASE, Medline, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL). No restrictions to study design were applied. Participants aged 18 years or older who received their cancer diagnosis in adulthood and had symptoms of cancer‐related PTSD were included. Because of significant clinical heterogeneity, a meta‐analysis was not performed.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Results\u003C\u002Fjats:title>\u003Cjats:p>Of 508 unique titles, eight studies met study inclusion criteria: five randomised controlled trials (RCTs), one before‐and‐after study, one case series, and one case study. Interventions were predominately psychological and were administered to patients with a range of cancer types. Eye movement desensitisation and reprocessing and cognitive behavioural therapy‐based interventions were associated with reduced symptomatology; however, overall the methodological quality of studies had limitations.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Conclusions\u003C\u002Fjats:title>\u003Cjats:p>At present, there is only weak evidence available for the effectiveness of psychological interventions in reducing symptoms of cancer‐related PTSD. The majority of interventions were administered to all cancer patients regardless of whether they showed pretreatment levels of post‐traumatic stress. Future studies would be better targeted towards patients with a diagnosis of cancer and who have significant levels of cancer‐related post‐traumatic symptoms. Higher quality trials are also needed before treatment recommendations can be made.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>","\u003Cjats:title>Tóm tắt\u003C\u002Fjats:title>\u003Cjats:sec>\u003Cjats:title>Mục tiêu\u003C\u002Fjats:title>\u003Cjats:p>Ung thư đã được báo cáo là nguyên nhân gây ra triệu chứng rối loạn stress sau chấn thương (PTSD) ở một tỷ lệ đáng kể cá nhân. Mặc dù gánh nặng đáng kể liên quan đến những triệu chứng này, nhưng hiện tại chưa có hướng dẫn điều trị nào. Tổng quan hệ thống này nhằm đánh giá hiệu quả của các can thiệp đối với stress hậu chấn thương liên quan đến ung thư nhằm cung cấp cơ sở bằng chứng cho việc phát triển thực hành lâm sàng phù hợp.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Phương pháp\u003C\u002Fjats:title>\u003Cjats:p>Các cơ sở dữ liệu được tìm kiếm cho đến tháng 4 năm 2018 bao gồm Psych INFO, EMBASE, Medline, và Cumulative Index to Nursing and Allied Health Literature (CINAHL). Không có hạn chế nào đối với thiết kế nghiên cứu được áp dụng. Những người tham gia từ 18 tuổi trở lên, đã nhận được chẩn đoán ung thư trong độ tuổi trưởng thành và có triệu chứng PTSD liên quan đến ung thư đã được bao gồm. Do sự khác biệt lâm sàng đáng kể, không thực hiện phân tích meta.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Kết quả\u003C\u002Fjats:title>\u003Cjats:p>Trong 508 tiêu đề độc nhất, tám nghiên cứu đáp ứng tiêu chí lựa chọn nghiên cứu: năm thử nghiệm ngẫu nhiên có đối chứng (RCT), một nghiên cứu trước và sau, một loạt trường hợp và một nghiên cứu trường hợp. Các can thiệp chủ yếu là tâm lý học và được thực hiện cho bệnh nhân mắc nhiều loại ung thư khác nhau. Các can thiệp dựa trên phương pháp điều chỉnh và xử lý chuyển động mắt cùng với liệu pháp hành vi nhận thức đã liên quan đến việc giảm triệu chứng; tuy nhiên, nhìn chung, chất lượng phương pháp luận của các nghiên cứu còn hạn chế.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Kết luận\u003C\u002Fjats:title>\u003Cjats:p>Hiện tại, chỉ có bằng chứng yếu về hiệu quả của các can thiệp tâm lý trong việc giảm triệu chứng PTSD liên quan đến ung thư. Phần lớn các can thiệp được thực hiện cho tất cả bệnh nhân ung thư mà không tính đến việc họ có biểu hiện mức độ stress sau chấn thương trước điều trị hay không. Các nghiên cứu trong tương lai sẽ được nhắm đến tốt hơn đối với những bệnh nhân có chẩn đoán ung thư và có mức độ triệu chứng hậu chấn thương liên quan đến ung thư đáng kể. Cũng cần có các thử nghiệm có chất lượng cao hơn trước khi có thể đưa ra khuyến nghị điều trị.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>",{"EN":1440,"VI":1441},"Interventions for the treatment of cancer‐related traumatic stress symptoms: A systematic review of the literature","Các can thiệp điều trị triệu chứng căng thẳng liên quan đến ung thư: Một tổng quan hệ thống về tài liệu",{"VOID":1443},"30847978",{"VOID":1445},"10.1002\u002Fpon.5055",[146],[148],"https:\u002F\u002Fonlinelibrary.wiley.com\u002Fdoi\u002F10.1002\u002Fpon.5055",[1450,1469,1488],{"id":1451,"sortIndex":24,"researcher":23,"roles":1452,"affiliations":1453,"properties":1462,"displayName":1466,"givenName":23,"familyName":23},"46e5cb62-4c71-4726-9c63-c68a10cb849b",[],[1454],{"id":1455,"sortIndex":24,"affiliation":1456,"properties":23},"2ed9b185-8382-44e2-9083-4dc836cfbe58",{"id":1455,"createTime":23,"updateTime":23,"relativeEntities":1457,"slug":23,"properties":1458,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":1461,"statistic":23},[],{"title":1459},{"EN":1460},"ENT Department, St Mary's Hospital, Imperial College Healthcare NHS Trust, London",[],{"orcid":1463,"title":1465,"openalex":1467},{"VOID":1464},"https:\u002F\u002Forcid.org\u002F0000-0002-3959-7292",{"EN":1466},"Lilia 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M, 2013, DSM‐5 trauma and stress‐related disorders: implications for screening for cancer‐related stress, Front Psych, 4",{},{"id":23,"text":1603,"url":23,"identifiers":1604},"10.1016\u002FS1470-2045(12)70211-5",{"doi":1603},{"id":23,"text":1606,"url":23,"identifiers":1607},"10.1891\u002F0889-8391.27.3.258",{"doi":1606},{"id":23,"text":1609,"url":23,"identifiers":1610},"10.1891\u002F1933-3196.7.3.134",{"doi":1609},{"id":23,"text":1612,"url":23,"identifiers":1613},"10.1891\u002F1933-3196.9.2.98",{"doi":1612},{"id":23,"text":1615,"url":23,"identifiers":1616},"10.1002\u002Fjts.2490080106",{"doi":1615},{"id":23,"text":1618,"url":23,"identifiers":1619},"10.1097\u002F00006842-197905000-00004",{"doi":1618},{"id":23,"text":1621,"url":23,"identifiers":1622},"Weiss DS, 1997, Assessing psychological trauma and PTSD, 399",{},{"id":23,"text":1624,"url":23,"identifiers":1625},"10.1037\u002F1040-3590.9.4.445",{"doi":1624},{"id":23,"text":1627,"url":23,"identifiers":1628},"10.1002\u002Fjts.2490060405",{"doi":1627},{"id":23,"text":1630,"url":23,"identifiers":1631},"10.1097\u002F00004850-200109000-00005",{"doi":1630},{"id":23,"text":1633,"url":23,"identifiers":1634},"10.1016\u002F0005-7967(96)00033-2",{"doi":1633},{"id":23,"text":1636,"url":23,"identifiers":1637},"10.1016\u002Fj.pec.2009.04.009",{"doi":1636},{"id":23,"text":1639,"url":23,"identifiers":1640},"10.1200\u002FJCO.2009.26.8722",{"doi":1639},{"id":23,"text":1642,"url":23,"identifiers":1643},"10.1002\u002Fpon.3208",{"doi":1642},{"id":23,"text":1645,"url":23,"identifiers":1646},"10.1002\u002Fpon.1653",{"doi":1645},{"id":23,"text":1648,"url":23,"identifiers":1649},"10.1002\u002Fpon.882",{"doi":1648},{"id":23,"text":1651,"url":23,"identifiers":1652},"10.1080\u002F13284207.2010.500307",{"doi":1651},{"id":23,"text":1654,"url":23,"identifiers":1655},"10.1016\u002FS0005-7894(00)80010-6",{"doi":1654},{"id":23,"text":1657,"url":23,"identifiers":1658},"10.1111\u002Fj.1526-4637.2007.00299.x",{"doi":1657},{"id":23,"text":1660,"url":23,"identifiers":1661},"10.1891\u002F1933-3196.5.1.2",{"doi":1660},{"id":23,"text":1663,"url":23,"identifiers":1664},"10.1176\u002Fajp.2006.163.10.1791",{"doi":1663},{"id":23,"text":1666,"url":23,"identifiers":1667},"10.1002\u002F(SICI)1099-0879(199809)5:3\u003C126::AID-CPP153>3.0.CO;2-H",{"doi":1666},{"id":23,"text":1669,"url":23,"identifiers":1670},"10.1016\u002FS0272-7358(01)00118-0",{"doi":1669},{"id":23,"text":1672,"url":23,"identifiers":1673},"10.1016\u002FS0140-6736(17)32133-5",{"doi":1672},{"id":23,"text":1675,"url":23,"identifiers":1676},"NICE.Post‐traumatic stress disorder. Published 2018. Accessed 26th December 2018.",{},{"id":23,"text":1678,"url":23,"identifiers":1679},"10.1037\u002F10402-006",{"doi":1678},{"id":1681,"createTime":1682,"updateTime":1683,"relativeEntities":1684,"slug":1685,"properties":1686,"entityType":141,"verifyStatus":142,"verifyTime":1682,"verifyNote":144,"languages":1703,"translateLanguages":1704,"viewCount":24,"primaryUrl":1705,"fullTextUrl":23,"authors":1706,"publicationType":330,"publisherRelationship":1928,"citationCount":1989,"citationInfo":1990,"publishDate":1993,"publishYear":1991,"citationAnalyzeStatus":22,"lastCitationAnalyze":23,"indexDatabases":1994,"openAccess":23,"references":1995,"isForceReanalyzing":486},"7acb3aae-90b3-47ae-acb0-15f66411aae7","2024-12-30T20:31:32.902+00:00","2025-02-15T07:23:13.075+00:00",[],"Can-telephone-counseling-post-treatment-improve-psychosocial-outcomes-among-early-stage-breast-cancer-survivors-",{"mag":1687,"keywords":1689,"pmc":1690,"openalex":1692,"abstract":1694,"title":1697,"pm":1700,"doi":1702},{"VOID":1688},"2083006778",{"VI":128},{"VOID":1691},"2891611",{"VOID":1693},"W2083006778",{"EN":1695,"VI":1696},"\u003Cjats:title>Abstract\u003C\u002Fjats:title>\u003Cjats:p>\u003Cjats:italic>Objective\u003C\u002Fjats:italic>: To determine whether a telephone counseling program can improve psychosocial outcomes among breast cancer patients post‐treatment.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Methods\u003C\u002Fjats:italic>: A randomized trial was conducted involving 21 hospitals and medical centers, with assessments (self‐administered questionnaires) at baseline, 12 and 18 months post‐enrollment. Eligibility criteria included early stage diagnosis, enrollment during last treatment visit, and the ability to receive the intervention in English. Endpoints included distress (Impact of Event Scale), depression (Center for Epidemiologic Studies Depression Scale), and two study‐specific measures: sexual dysfunction and personal growth. The control group (\u003Cjats:italic>n\u003C\u002Fjats:italic>=152) received a resource directory for breast cancer; the intervention group (\u003Cjats:italic>n\u003C\u002Fjats:italic>=152) also received a one‐year, 16 session telephone counseling program augmented with additional print materials.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Results\u003C\u002Fjats:italic>: Significant intervention effects were found for sexual dysfunction at 12 (\u003Cjats:italic>p\u003C\u002Fjats:italic>=0.03) and 18 months (\u003Cjats:italic>p\u003C\u002Fjats:italic>=0.04) and personal growth (12 months: \u003Cjats:italic>p\u003C\u002Fjats:italic>=0.005; 18 months: \u003Cjats:italic>p\u003C\u002Fjats:italic>=0.03). No differences by group were found in mean scores for distress and depression, with both groups showing significant improvement at 12 and 18 months (all \u003Cjats:italic>p\u003C\u002Fjats:italic> values for within‐group change from baseline were ⩽0.003). However, when dichotomized at cutpoints suggestive of the need for a clinical referral, the control group showed virtually no change at 18 months, whereas the intervention group showed about a 50% reduction in both distress (\u003Cjats:italic>p\u003C\u002Fjats:italic>=0.07) and depression (\u003Cjats:italic>p\u003C\u002Fjats:italic>=0.06).\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Conclusions\u003C\u002Fjats:italic>: Telephone counseling may provide a viable method for extending psychosocial services to cancer survivors nationwide. Copyright © 2010 John Wiley & Sons, Ltd.\u003C\u002Fjats:p>","\u003Cjats:title>Tóm tắt\u003C\u002Fjats:title>\u003Cjats:p>\u003Cjats:italic>Mục tiêu\u003C\u002Fjats:italic>: Xác định xem chương trình tư vấn qua điện thoại có thể cải thiện kết quả tâm lý xã hội ở những bệnh nhân ung thư vú sau điều trị hay không.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Phương pháp\u003C\u002Fjats:italic>: Một thử nghiệm ngẫu nhiên đã được tiến hành liên quan đến 21 bệnh viện và trung tâm y tế, với các đánh giá (bảng câu hỏi tự hoàn thành) tại thời điểm ban đầu, 12 và 18 tháng sau khi đăng ký. Tiêu chí đủ điều kiện bao gồm chẩn đoán giai đoạn sớm, đăng ký trong lần thăm khám điều trị cuối cùng, và khả năng nhận can thiệp bằng tiếng Anh. Các chỉ tiêu bao gồm căng thẳng (Thang đo ảnh hưởng của sự kiện), trầm cảm (Thang đo Trầm cảm của Trung tâm Nghiên cứu Dịch tễ học), và hai thang đo cụ thể của nghiên cứu: rối loạn chức năng tình dục và phát triển cá nhân. Nhóm đối chứng (\u003Cjats:italic>n\u003C\u002Fjats:italic>=152) nhận một danh sách tài nguyên cho bệnh ung thư vú; nhóm can thiệp (\u003Cjats:italic>n\u003C\u002Fjats:italic>=152) cũng nhận một chương trình tư vấn qua điện thoại kéo dài một năm, với 16 buổi tư vấn được bổ sung thêm tài liệu in.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Kết quả\u003C\u002Fjats:italic>: Các hiệu ứng can thiệp đáng kể được tìm thấy đối với rối loạn chức năng tình dục ở 12 (\u003Cjats:italic>p\u003C\u002Fjats:italic>=0.03) và 18 tháng (\u003Cjats:italic>p\u003C\u002Fjats:italic>=0.04) và phát triển cá nhân (12 tháng: \u003Cjats:italic>p\u003C\u002Fjats:italic>=0.005; 18 tháng: \u003Cjats:italic>p\u003C\u002Fjats:italic>=0.03). Không tìm thấy sự khác biệt theo nhóm về điểm số trung bình cho căng thẳng và trầm cảm, với cả hai nhóm đều cho thấy sự cải thiện đáng kể ở 12 và 18 tháng (tất cả các giá trị \u003Cjats:italic>p\u003C\u002Fjats:italic> cho sự thay đổi trong nhóm từ mức cơ bản đều ⩽0.003). Tuy nhiên, khi phân loại thành hai nhóm tại các điểm cắt gợi ý về sự cần thiết phải giới thiệu lâm sàng, nhóm đối chứng gần như không thay đổi ở 18 tháng, trong khi nhóm can thiệp cho thấy giảm khoảng 50% cả về căng thẳng (\u003Cjats:italic>p\u003C\u002Fjats:italic>=0.07) và trầm cảm (\u003Cjats:italic>p\u003C\u002Fjats:italic>=0.06).\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Kết luận\u003C\u002Fjats:italic>: Tư vấn qua điện thoại có thể cung cấp một phương pháp khả thi để mở rộng dịch vụ tâm lý xã hội cho những người sống sót sau ung thư trên toàn quốc. 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KD, 2007, Transition from treatment to survivorship: effects of a psychoeducational intervention on quality of life in breast cancer survivors, Oncol Nurs Forum, 34, 1007, 10.1188\u002F07.ONF.1007-1016",{"doi":2072},"10.1188\u002F07.ONF.1007-1016",{"id":23,"text":2074,"url":23,"identifiers":2075},"10.1097\u002F01.NNR.0000319496.67369.37",{"doi":2074},{"id":23,"text":2077,"url":23,"identifiers":2078},"10.1097\u002F01.NCC.0000300164.90768.ec",{"doi":2077},{"id":23,"text":2080,"url":23,"identifiers":2081},"10.1002\u002Fcncr.22355",{"doi":2080},{"id":23,"text":2083,"url":23,"identifiers":2084},"10.1002\u002Fcncr.10390",{"doi":2083},{"id":23,"text":2086,"url":23,"identifiers":2087},"10.1002\u002Fpon.909",{"doi":2086},{"id":23,"text":2089,"url":23,"identifiers":2090},"Sandgren AK, 2000, Telephone therapy for patients with breast cancer, Oncol Nurs Forum, 27, 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J, 1988, Statistical Power Analysis for the Behavioral Sciences",{},{"id":23,"text":2172,"url":23,"identifiers":2173},"Gotay CC, 1998, Providing psycho‐social support by telephone: what is its potential in cancer patients?, Eur J Cancer Care, 7, 225, 10.1046\u002Fj.1365-2354.1998.00110.x",{"doi":2174},"10.1046\u002Fj.1365-2354.1998.00110.x",{"id":23,"text":2176,"url":23,"identifiers":2177},"10.1002\u002Fpon.2960020307",{"doi":2176},{"id":23,"text":2179,"url":23,"identifiers":2180},"10.1002\u002F(SICI)1099-1611(200001\u002F02)9:1\u003C44::AID-PON431>3.0.CO;2-V",{"doi":2179},{"id":23,"text":2182,"url":23,"identifiers":2183},"10.1093\u002Fjnci\u002F92.13.1054",{"doi":2182},{"id":23,"text":2185,"url":23,"identifiers":2186},"10.1177\u002F107327480100800508",{"doi":2185},{"id":23,"text":2188,"url":23,"identifiers":2189},"Stanton AL, 2006, Handbook of Posttraumatic Growth, 138",{},{"id":23,"text":2191,"url":23,"identifiers":2192},"Hewitt M, 2004, Meeting Psychosocial Needs of Women with Breast Cancer",{},{"id":2194,"createTime":2195,"updateTime":2196,"relativeEntities":2197,"slug":2198,"properties":2199,"entityType":141,"verifyStatus":142,"verifyTime":2195,"verifyNote":144,"languages":2215,"translateLanguages":2216,"viewCount":24,"primaryUrl":2217,"fullTextUrl":23,"authors":2218,"publicationType":330,"publisherRelationship":2344,"citationCount":2404,"citationInfo":2405,"publishDate":2408,"publishYear":2406,"citationAnalyzeStatus":22,"lastCitationAnalyze":23,"indexDatabases":2409,"openAccess":23,"references":2410,"isForceReanalyzing":486},"4ddb0ba3-b325-4aa1-a834-29fa21616dca","2025-01-23T05:17:55.562+00:00","2025-02-15T07:22:13.070+00:00",[],"IQ-in-late-adolescence-early-adulthood-risk-factors-in-middle-age-and-later-cancer-mortality-in-men-the-Vietnam-Experience-Study",{"mag":2200,"keywords":2202,"openalex":2203,"abstract":2205,"title":2208,"pm":2211,"doi":2213},{"VOID":2201},"2137277305",{"VI":128},{"VOID":2204},"W2137277305",{"EN":2206,"VI":2207},"\u003Cjats:title>Abstract\u003C\u002Fjats:title>\u003Cjats:p>\u003Cjats:italic>Objectives\u003C\u002Fjats:italic>: (i) examine the relation, if any, of pre‐morbid IQ scores at 20 years of age with the risk of later cancer mortality; and (ii) explore the role, if any, of potential mediating factors (e.g. smoking, obesity), assessed in middle age, in explaining the IQ–cancer relation.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Methods\u003C\u002Fjats:italic>: Cohort study of 14, 491 male, Vietnam‐era, former US army personnel with IQ test scores at around 20 years of age (1965‐71), who participated in a risk factor survey at around age 38 years of age (1985‐6), who were then followed up for mortality experience for 15 years.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Results\u003C\u002Fjats:italic>: There were 176 cancer deaths during mortality surveillance. We found an inverse association of IQ with later mortality from all cancers combined (age‐adjusted HR\u003Cjats:sub>per one SD decrease in IQ\u003C\u002Fjats:sub>; 95% confidence interval: 1.27; 1.10, 1.46) and smoking‐related malignancies (1.37; 1.14, 1.64). There was some attenuation following control for mediating variables, particularly smoking and income, but the gradients generally held at conventional levels of statistical significance.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Conclusions\u003C\u002Fjats:italic>: Higher scores on pre‐morbid IQ tests are associated with lower risk of later cancer morality. The strength of the relation was partially mediated by established risk factors. Copyright © 2009 John Wiley & Sons, Ltd.\u003C\u002Fjats:p>","\u003Cjats:title>Tóm tắt\u003C\u002Fjats:title>\u003Cjats:p>\u003Cjats:italic>Mục tiêu\u003C\u002Fjats:italic>: (i) xem xét mối quan hệ, nếu có, giữa điểm IQ trước khi xảy ra bệnh ở độ tuổi 20 với nguy cơ tử vong do ung thư sau này; và (ii) khám phá vai trò, nếu có, của các yếu tố trung gian tiềm năng (ví dụ: smoking, béo phì), được đánh giá ở độ tuổi trung niên, trong việc giải thích mối quan hệ giữa IQ và ung thư.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Phương pháp\u003C\u002Fjats:italic>: Nghiên cứu đoàn hệ với 14.491 nam giới, từng là quân nhân Mỹ ở thời kỳ Việt Nam, với điểm kiểm tra IQ khoảng 20 tuổi (1965-71), tham gia khảo sát yếu tố nguy cơ ở độ tuổi khoảng 38 (1985-6), sau đó được theo dõi trải nghiệm tử vong trong 15 năm.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Kết quả\u003C\u002Fjats:italic>: Có 176 ca tử vong do ung thư trong quá trình giám sát tử vong. Chúng tôi phát hiện một mối liên hệ ngược giữa IQ với tỷ lệ tử vong sau này từ tất cả các loại ung thư (HR điều chỉnh theo tuổi\u003Cjats:sub>trên một SD giảm trong IQ\u003C\u002Fjats:sub>; khoảng tin cậy 95%: 1.27; 1.10, 1.46) và các bệnh ung thư liên quan đến khói thuốc (1.37; 1.14, 1.64). Có một số giảm nhẹ sau khi kiểm soát các biến trung gian, đặc biệt là thuốc lá và thu nhập, nhưng các gradient nói chung vẫn giữ nguyên ở mức độ có ý nghĩa thống kê thông thường.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Kết luận\u003C\u002Fjats:italic>: Điểm cao hơn trong các bài kiểm tra IQ trước khi xảy ra bệnh có liên quan đến nguy cơ tử vong do ung thư thấp hơn sau này. Sức mạnh của mối quan hệ này phần nào được trung gian hóa bởi các yếu tố nguy cơ đã được xác lập. Bản quyền © 2009 John Wiley & Sons, Ltd.\u003C\u002Fjats:p>",{"EN":2209,"VI":2210},"IQ in late adolescence\u002Fearly adulthood, risk factors in middle age, and later cancer mortality in men: the Vietnam Experience Study","IQ trong giai đoạn thanh niên muộn\u002Fđầu trưởng thành, các yếu tố nguy cơ ở trung niên và tỷ lệ tử vong do ung thư ở nam giới: Nghiên cứu Kinh nghiệm Việt Nam",{"VOID":2212},"19189278",{"VOID":2214},"10.1002\u002Fpon.1521",[146],[148],"https:\u002F\u002Fonlinelibrary.wiley.com\u002Fdoi\u002F10.1002\u002Fpon.1521",[2219,2246,2276,2295,2312,2327],{"id":2220,"sortIndex":24,"researcher":23,"roles":2221,"affiliations":2222,"properties":2239,"displayName":2243,"givenName":23,"familyName":23},"0e480115-dcf9-44e8-8f44-118343525bc1",[],[2223,2231],{"id":2224,"sortIndex":24,"affiliation":2225,"properties":23},"4425e2e0-bd21-485f-9f5f-f160653e1d90",{"id":2224,"createTime":23,"updateTime":23,"relativeEntities":2226,"slug":23,"properties":2227,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":2230,"statistic":23},[],{"title":2228},{"VI":2229},"Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, UK",[],{"id":2232,"sortIndex":172,"affiliation":2233,"properties":23},"cc3fbfb9-732f-4f4d-85ce-a300e02358c0",{"id":2232,"createTime":23,"updateTime":23,"relativeEntities":2234,"slug":23,"properties":2235,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":2238,"statistic":23},[],{"title":2236},{"VI":2237},"MRC Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK",[],{"orcid":2240,"title":2242,"openalex":2244},{"VOID":2241},"https:\u002F\u002Forcid.org\u002F0000-0003-1822-5753",{"EN":2243},"G. 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The impact of diagnosis and treatment for breast cancer, stressors that affect emotional well‐being, is influenced by several psychosocial factors and the relationships among them. The purpose of this study was to investigate the relationship between optimism and emotional well‐being (EWB) and the individual and combined mediation of this relationship by perceived social support (SS), problem focused coping (PFC), and self‐transcendence in women with breast cancer during radiation therapy.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Methods\u003C\u002Fjats:italic>: Ninety‐three women receiving radiation treatment for breast cancer completed questionnaires that measured EWB, optimism, SS, PFC, and self‐transcendence.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Results\u003C\u002Fjats:italic>: Correlational and multiple regression analysis revealed that optimism was positively related to EWB. Of the three mediators, self‐transcendence alone was found to partially mediate the relationship between optimism and EWB. The relationship between optimism and PFC was not significant. Optimism was related to SS, but its indirect effect on EWB through SS did not reach significance.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Conclusions and implications\u003C\u002Fjats:italic>: During breast cancer treatment, the positive effects of optimism on EWB are partially mediated by a woman's level of self‐transcendence. Brief screening of women's optimism may help identify women at risk for psychological distress. Early detection and interventions to promote psychological adjustment throughout the cancer trajectory (e.g. enhancing self‐transcendence) should receive attention in future research. Copyright © 2008 John Wiley & Sons, Ltd.\u003C\u002Fjats:p>","\u003Cjats:title>Tóm tắt\u003C\u002Fjats:title>\u003Cjats:p>\u003Cjats:italic>Mục tiêu\u003C\u002Fjats:italic>: Tác động của việc chẩn đoán và điều trị ung thư vú, những yếu tố gây stress ảnh hưởng đến sức khỏe cảm xúc, bị ảnh hưởng bởi một số yếu tố tâm lý xã hội và mối quan hệ giữa chúng. Mục đích của nghiên cứu này là điều tra mối quan hệ giữa sự lạc quan và sức khỏe cảm xúc (EWB), cũng như vai trò trung gian riêng lẻ và kết hợp của mối quan hệ này thông qua sự hỗ trợ xã hội cảm nhận được (SS), ứng phó tập trung vào vấn đề (PFC), và sự tự vượt trội ở phụ nữ mắc ung thư vú trong quá trình điều trị bằng xạ trị.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Phương pháp\u003C\u002Fjats:italic>: Chín mươi ba phụ nữ đang nhận điều trị xạ trị cho ung thư vú đã hoàn thành các bảng câu hỏi đo lường EWB, sự lạc quan, SS, PFC, và sự tự vượt trội.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Kết quả\u003C\u002Fjats:italic>: Phân tích tương quan và hồi quy đa biến cho thấy sự lạc quan có liên quan tích cực đến EWB. Trong ba yếu tố trung gian, chỉ có sự tự vượt trội được phát hiện là có vai trò trung gian một phần trong mối quan hệ giữa sự lạc quan và EWB. Mối quan hệ giữa sự lạc quan và PFC không có ý nghĩa thống kê. Sự lạc quan có liên quan đến SS, nhưng tác động gián tiếp của nó lên EWB thông qua SS không đạt ý nghĩa thống kê.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Kết luận và hàm ý\u003C\u002Fjats:italic>: Trong quá trình điều trị ung thư vú, tác động tích cực của sự lạc quan lên EWB được trung gian một phần bởi mức độ tự vượt trội của người phụ nữ. Việc sàng lọc nhanh mức độ lạc quan ở phụ nữ có thể giúp xác định những người có nguy cơ gặp phải căng thẳng tâm lý. Việc phát hiện sớm và can thiệp để thúc đẩy sự điều chỉnh tâm lý trong suốt quá trình điều trị ung thư (ví dụ: nâng cao sự tự vượt trội) nên được chú trọng trong các nghiên cứu trong tương lai. 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năng giao tiếp, bệnh nhân ung thư, bác sĩ ung bướu, đào tạo kỹ năng, hành vi bác sĩ",{"VOID":2958},"W2079911042",{"EN":2960,"VI":2961},"\u003Cjats:title>Abstract\u003C\u002Fjats:title>\u003Cjats:p>\u003Cjats:italic>Purpose\u003C\u002Fjats:italic>: Psychological morbidity in cancer patients is common, but often undetected and untreated. We developed a communication skills training (CST) program targeting this issue, and evaluated its impact on doctor behaviour.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Patients and Methods\u003C\u002Fjats:italic>: Thirty of 35 oncologists from six teaching hospitals in six Australian cities, participated. The CST was a 1.5‐day intensive face‐to‐face workshop incorporating presentation of principles, a DVD modelling ideal behaviour and role‐play practice, followed by four 1.5 h monthly video‐conferences incorporating role‐play of doctor‐generated scenarios. Doctors were randomized to receive the CST or not. Simulated patient interviews were videotaped and coded at baseline, after CST and 6 months later. Doctors completed questionnaires assessing stress and burnout at the same time points.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Results\u003C\u002Fjats:italic>: Doctors in the intervention group displayed more creating environment and fewer blocking behaviours at both follow‐ups; however, these differences did not reach statistical significance. Intervention doctors valued the training highly, but did not report substantial reductions in stress and burnout.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Conclusions\u003C\u002Fjats:italic>: This short training programme demonstrated a positive effect on aspects of doctor behaviour. Video‐conferencing after a short training course may be an effective strategy for delivering CST. Copyright © 2007 John Wiley & Sons, Ltd.\u003C\u002Fjats:p>","\u003Cjats:title>Tóm tắt\u003C\u002Fjats:title>\u003Cjats:p>\u003Cjats:italic>Mục đích\u003C\u002Fjats:italic>: Tình trạng tâm lý ở bệnh nhân ung thư là phổ biến, nhưng thường không được phát hiện và điều trị. Chúng tôi đã phát triển một chương trình đào tạo kỹ năng giao tiếp (CST) nhằm mục tiêu giải quyết vấn đề này và đánh giá tác động của nó đến hành vi của bác sĩ.\u003C\u002Fjats:p>\u003Cjats:p>\u003Cjats:italic>Bệnh nhân và Phương pháp\u003C\u002Fjats:italic>: Ba mươi trong số 35 bác sĩ ung bướu từ sáu bệnh viện đào tạo ở sáu thành phố của Úc đã tham gia. CST là một hội thảo trực tiếp kéo dài 1,5 ngày bao gồm trình bày các nguyên tắc, một DVD mô phỏng hành vi lý tưởng và thực hành diễn vai, tiếp theo là bốn video hội nghị dài 1,5 giờ mỗi tháng, bao gồm diễn vai các kịch bản do bác sĩ tạo ra. Các bác sĩ được ngẫu nhiên chọn tham gia CST hoặc không. Các cuộc phỏng vấn với bệnh nhân giả lập đã được ghi hình và mã hóa tại thời điểm ban đầu, sau CST và sau 6 tháng. Các bác sĩ đã hoàn thành bảng câu hỏi đánh giá mức độ căng thẳng và kiệt sức tại các thời điểm tương tự.",{"EN":2963,"VI":2964},"Increasing oncologists' skills in eliciting and responding to emotional cues: evaluation of a communication skills training program","Tăng cường kỹ năng của bác sĩ ung bướu trong việc nhận diện và phản hồi các dấu hiệu cảm xúc: đánh giá chương trình đào tạo kỹ năng giao tiếp",{"VOID":2966},"17575560",{"VOID":2968},"10.1002\u002Fpon.1217",[146],[148],"https:\u002F\u002Fonlinelibrary.wiley.com\u002Fdoi\u002F10.1002\u002Fpon.1217",[2973,2992,3009,3028,3043,3062,3081,3098],{"id":2974,"sortIndex":24,"researcher":23,"roles":2975,"affiliations":2976,"properties":2985,"displayName":2989,"givenName":23,"familyName":23},"5e4cfec1-4d06-4726-87e2-9d53042730ae",[],[2977],{"id":2978,"sortIndex":24,"affiliation":2979,"properties":23},"87d88b65-ae48-432d-b52b-0b74a4fa3e80",{"id":2978,"createTime":23,"updateTime":23,"relativeEntities":2980,"slug":23,"properties":2981,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":2984,"statistic":23},[],{"title":2982},{"EN":2983},"Medical Psychology Research Unit, School of Psychology, Brenan\u002FMcCallum Building, [A18], University of Sydney, Camperdown, NSW 2006, Australia",[],{"orcid":2986,"title":2988,"openalex":2990},{"VOID":2987},"https:\u002F\u002Forcid.org\u002F0000-0003-3562-6954",{"EN":2989},"Phyllis Butow",{"VOID":2991},"A5083209852",{"id":2993,"sortIndex":172,"researcher":23,"roles":2994,"affiliations":2995,"properties":3004,"displayName":3006,"givenName":23,"familyName":23},"c1220d43-b402-4b14-9430-c225b57e4859",[],[2996],{"id":2997,"sortIndex":24,"affiliation":2998,"properties":23},"772481ab-4b1b-4b8c-b8aa-54d0662319bf",{"id":2997,"createTime":23,"updateTime":23,"relativeEntities":2999,"slug":23,"properties":3000,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":3003,"statistic":23},[],{"title":3001},{"EN":3002},"School of Medical Practice and Population Health, University of Newcastle, Room 243A, David Maddison Building, Cnr Watt and King Streets, Newcastle, NSW 2300, Australia",[],{"title":3005,"openalex":3007},{"EN":3006},"Jill 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Girgis",{"VOID":3027},"A5004805198",{"id":3029,"sortIndex":208,"researcher":23,"roles":3030,"affiliations":3031,"properties":3038,"displayName":3040,"givenName":23,"familyName":23},"185b8f48-2505-41c0-bbc0-fc1c26ffa6b2",[],[3032],{"id":3014,"sortIndex":24,"affiliation":3033,"properties":23},{"id":3014,"createTime":23,"updateTime":23,"relativeEntities":3034,"slug":23,"properties":3035,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":3037,"statistic":23},[],{"title":3036},{"EN":3019},[],{"title":3039,"openalex":3041},{"EN":3040},"Deborah Bowman",{"VOID":3042},"A5112973433",{"id":3044,"sortIndex":226,"researcher":23,"roles":3045,"affiliations":3046,"properties":3055,"displayName":3059,"givenName":23,"familyName":23},"45d7c400-4027-402b-acd1-3dd73053fb3b",[],[3047],{"id":3048,"sortIndex":24,"affiliation":3049,"properties":23},"b3283e0c-4219-4558-a38e-373e260b8419",{"id":3048,"createTime":23,"updateTime":23,"relativeEntities":3050,"slug":23,"properties":3051,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":3054,"statistic":23},[],{"title":3052},{"EN":3053},"Supportive Care Research Group, Education Centre, Peter MacCallum Cancer, Centre Locked Bag 1, A'Beckett Street, Vic. 8006, Australia",[],{"orcid":3056,"title":3058,"openalex":3060},{"VOID":3057},"https:\u002F\u002Forcid.org\u002F0000-0001-9495-9543",{"EN":3059},"Penelope Schofield",{"VOID":3061},"A5048624603",{"id":3063,"sortIndex":242,"researcher":23,"roles":3064,"affiliations":3065,"properties":3074,"displayName":3078,"givenName":23,"familyName":23},"4713b62e-f955-4fdc-9a81-0770dd1b7490",[],[3066],{"id":3067,"sortIndex":24,"affiliation":3068,"properties":23},"bb77591c-0ba1-406c-9a76-5326e0c316c9",{"id":3067,"createTime":23,"updateTime":23,"relativeEntities":3069,"slug":23,"properties":3070,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":3073,"statistic":23},[],{"title":3071},{"EN":3072},"Deployment Health Surveillance Unit, Centre for Military and Veterans' Health, University of Queensland, Level 2, Mayne Medical School, Herston Road, Herston, Qld 4006, Australia",[],{"orcid":3075,"title":3077,"openalex":3079},{"VOID":3076},"https:\u002F\u002Forcid.org\u002F0000-0001-9125-0483",{"EN":3078},"Catherine D’Este",{"VOID":3080},"A5030751624",{"id":3082,"sortIndex":262,"researcher":23,"roles":3083,"affiliations":3084,"properties":3091,"displayName":3095,"givenName":23,"familyName":23},"db662a6b-5708-4992-9936-bca18fadd56c",[],[3085],{"id":3014,"sortIndex":24,"affiliation":3086,"properties":23},{"id":3014,"createTime":23,"updateTime":23,"relativeEntities":3087,"slug":23,"properties":3088,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":3090,"statistic":23},[],{"title":3089},{"EN":3019},[],{"orcid":3092,"title":3094,"openalex":3096},{"VOID":3093},"https:\u002F\u002Forcid.org\u002F0000-0002-2507-3877",{"EN":3095},"Elizabeth Stojanovski",{"VOID":3097},"A5039993017",{"id":3099,"sortIndex":282,"researcher":23,"roles":3100,"affiliations":3101,"properties":3110,"displayName":3112,"givenName":23,"familyName":23},"c7d6e5a1-842a-4a54-8269-68e4630e7da8",[],[3102],{"id":3103,"sortIndex":24,"affiliation":3104,"properties":23},"f11a22a7-452e-49c0-8d0a-66be36d66642",{"id":3103,"createTime":23,"updateTime":23,"relativeEntities":3105,"slug":23,"properties":3106,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":3109,"statistic":23},[],{"title":3107},{"EN":3108},"Medical Psychology Research Unit, Faculty of Medicine, Blackburn Building [D06], University of Sydney, Camperdown, NSW 2006, Australia",[],{"title":3111,"openalex":3113},{"EN":3112},"Martin H.N. Tattersall",{"VOID":3114},"A5111962488",{"url":23,"publisher":3116,"properties":3169},{"id":6,"createTime":7,"updateTime":8,"relativeEntities":3117,"slug":10,"properties":3118,"entityType":21,"verifyStatus":22,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":24,"subjectFields":3123,"manageAffiliations":3136,"indexDatabases":3147,"url":113,"thumbnailPath":23,"statistic":23,"gsStatistic":23,"type":23,"analyzePriority":23},[],{"country":3119,"eissn":3120,"issn":3121,"title":3122},{"VOID":13},{"VOID":15},{"VOID":17},{"EN":10},[3124,3128,3132],{"id":27,"createTime":23,"updateTime":23,"relativeEntities":3125,"label":3126,"description":3127,"parentId":23,"standard":23,"scholarHubFieldId":23},[],{"EN":30},{},{"id":33,"createTime":23,"updateTime":23,"relativeEntities":3129,"label":3130,"description":3131,"parentId":23,"standard":23,"scholarHubFieldId":23},[],{"EN":36},{},{"id":39,"createTime":23,"updateTime":23,"relativeEntities":3133,"label":3134,"description":3135,"parentId":23,"standard":23,"scholarHubFieldId":23},[],{"EN":42},{},[3137,3142],{"id":46,"createTime":23,"updateTime":23,"relativeEntities":3138,"slug":23,"properties":3139,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":3141,"statistic":23},[],{"title":3140},{"EN":50},[],{"id":53,"createTime":23,"updateTime":23,"relativeEntities":3143,"slug":23,"properties":3144,"entityType":23,"verifyStatus":23,"verifyTime":23,"verifyNote":23,"languages":23,"translateLanguages":23,"viewCount":23,"url":23,"parentIds":3146,"statistic":23},[],{"title":3145},{"EN":57},[],[3148,3155,3162],{"id":61,"indexDatabase":3149,"url":74,"indexYears":23,"academicFieldIds":3154,"indexDatabaseRanking":23},{"id":63,"createTime":23,"updateTime":23,"relativeEntities":3150,"label":3151,"description":3152,"key":70,"publicationTags":3153,"standard":23},[],{"EN":66,"VI":66},{"EN":68,"VI":69},[72,73],[76,77],{"id":79,"indexDatabase":3156,"url":90,"indexYears":91,"academicFieldIds":3161,"indexDatabaseRanking":96},{"id":81,"createTime":23,"updateTime":23,"relativeEntities":3157,"label":3158,"description":3159,"key":87,"publicationTags":3160,"standard":23},[],{"EN":84,"VI":84},{"EN":84,"VI":86},[89],[93,94,95],{"id":98,"indexDatabase":3163,"url":74,"indexYears":23,"academicFieldIds":3168,"indexDatabaseRanking":23},{"id":100,"createTime":23,"updateTime":23,"relativeEntities":3164,"label":3165,"description":3166,"key":107,"publicationTags":3167,"standard":23},[],{"EN":103,"VI":103},{"EN":105,"VI":106},[109,73],[111,112],{"issue":3170,"pages":3172,"volume":3174},{"VOID":3171},"3",{"VOID":3173},"209-218",{"VOID":1308},147,{"total":3175,"publishYear":1311,"statisticByYear":3177},{"2012":622,"2013":282,"2014":226,"2015":619,"2016":619,"2017":616,"2018":262,"2019":619,"2020":615,"2021":282,"2022":618,"2023":208,"2024":208},"2008-03-01",[109,72,96],[3181,3184,3188,3190,3194,3197,3200,3203,3206,3209,3212,3215,3218,3221,3224,3227,3230,3233,3236],{"id":23,"text":3182,"url":23,"identifiers":3183},"10.1192\u002FS0007125000298486",{"doi":3182},{"id":23,"text":3185,"url":23,"identifiers":3186},"Kissane DW, 1998, Psychological morbidity and quality of life in Australian women with early‐stage breast cancer: a cross‐sectional survey, Med J Austr, 1694, 192, 10.5694\u002Fj.1326-5377.1998.tb140220.x",{"doi":3187},"10.5694\u002Fj.1326-5377.1998.tb140220.x",{"id":23,"text":2025,"url":23,"identifiers":3189},{"doi":2025},{"id":23,"text":3191,"url":23,"identifiers":3192},"Wells KB, 1989, The functioning and well‐being of depressed patients: results from the medical outcomes study, J Am Med Assoc, 2627, 914, 10.1001\u002Fjama.1989.03430070062031",{"doi":3193},"10.1001\u002Fjama.1989.03430070062031",{"id":23,"text":3195,"url":23,"identifiers":3196},"Badger TA, 2001, Depression burden, self‐help interventions, and side effect experience in women receiving treatment for breast cancer, Oncol Nurs Forum, 283, 567",{},{"id":23,"text":3198,"url":23,"identifiers":3199},"Fulop G, 1987, Impact of psychiatric comorbidity on length of hospital stay for medical\u002Fsurgical patients: a preliminary report, Am J Psychiatry, 1447, 878",{},{"id":23,"text":3201,"url":23,"identifiers":3202},"10.1176\u002Fajp.147.11.1498",{"doi":3201},{"id":23,"text":3204,"url":23,"identifiers":3205},"10.1001\u002Farchpsyc.1995.03950220060012",{"doi":3204},{"id":23,"text":3207,"url":23,"identifiers":3208},"Clinical Practice Guidelines for the Psychosocial Care of Adults with Cancer. NHMRC and NBCC ISBN Print: 1 74127 000 6 2003.",{},{"id":23,"text":3210,"url":23,"identifiers":3211},"10.1016\u002F0277-9536(85)90336-3",{"doi":3210},{"id":23,"text":3213,"url":23,"identifiers":3214},"10.1054\u002Fbjoc.2001.1724",{"doi":3213},{"id":23,"text":3216,"url":23,"identifiers":3217},"10.1002\u002F(SICI)1097-0142(19981015)83:8\u003C1640::AID-CNCR21>3.0.CO;2-#",{"doi":3216},{"id":23,"text":3219,"url":23,"identifiers":3220},"10.1016\u002FS0140-6736(96)90077-X",{"doi":3219},{"id":23,"text":3222,"url":23,"identifiers":3223},"10.1046\u002Fj.1365-2923.2002.01331.x",{"doi":3222},{"id":23,"text":3225,"url":23,"identifiers":3226},"10.1016\u002FS0140-6736(02)07810-8",{"doi":3225},{"id":23,"text":3228,"url":23,"identifiers":3229},"10.1038\u002Fsj.bjc.6600412",{"doi":3228},{"id":23,"text":3231,"url":23,"identifiers":3232},"Cohen‐Cole SA, 1995, The Medical Interview; Clinical care, Education and Research",{},{"id":23,"text":3234,"url":23,"identifiers":3235},"10.1023\u002FA:1023284219871",{"doi":3234},{"id":23,"text":3237,"url":23,"identifiers":3238},"Grunfeld E, 2000, Cancer care workers in Ontario: prevalence of burnout, job stress and job satisfaction, Can Med Assoc J, 163, 166",{},{"id":3240,"createTime":3241,"updateTime":3242,"relativeEntities":3243,"slug":3244,"properties":3245,"entityType":141,"verifyStatus":142,"verifyTime":3241,"verifyNote":144,"languages":3264,"translateLanguages":3265,"viewCount":24,"primaryUrl":3266,"fullTextUrl":23,"authors":3267,"publicationType":330,"publisherRelationship":3451,"citationCount":3511,"citationInfo":3512,"publishDate":3522,"publishYear":3513,"citationAnalyzeStatus":22,"lastCitationAnalyze":23,"indexDatabases":3523,"openAccess":23,"references":3524,"isForceReanalyzing":486},"fbb125ed-797a-4ebd-860c-17f331a4ea52","2024-09-27T20:36:06.740+00:00","2025-02-15T06:29:22.102+00:00",[],"Patient-experiences-with-communication-about-sex-during-and-after-treatment-for-cancer",{"mag":3246,"keywords":3248,"pmc":3250,"openalex":3252,"abstract":3254,"title":3257,"pm":3260,"doi":3262},{"VOID":3247},"2024129007",{"VI":3249},"Ung thư, Giao tiếp, Vấn đề tình dục, Bệnh nhân, Chức năng tình dục.",{"VOID":3251},"3149787",{"VOID":3253},"W2024129007",{"EN":3255,"VI":3256},"\u003Cjats:title>Abstract\u003C\u002Fjats:title>\u003Cjats:sec>\u003Cjats:title>Objective\u003C\u002Fjats:title>\u003Cjats:p>We studied patients' experiences with oncology providers regarding communication about sexual issues during and after treatment for cancer.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Methods\u003C\u002Fjats:title>\u003Cjats:p>During development of the Patient‐Reported Outcomes Measurement Information System (PROMIS\u003Cjats:sup>®\u003C\u002Fjats:sup>) Sexual Function measure, we collected focus group and survey data on communication with oncology professionals about sexual problems. We conducted 16 focus groups with patients and survivors (\u003Cjats:italic>n\u003C\u002Fjats:italic> = 109) and analyzed the discussions for major themes, including experiences discussing sex during oncology visits. During testing of the PROMIS Sexual Function measure, we assessed experiences discussing sexual problems with oncology professionals (\u003Cjats:italic>n\u003C\u002Fjats:italic> = 819) and measured bivariate associations between asking for information from clinicians and sexual function and satisfaction with sex life.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Results\u003C\u002Fjats:title>\u003Cjats:p>Most patients and survivors (74%) thought that discussions with oncology professionals about sexual problems were important, but whether they had ever received information about sexual function from a provider varied by cancer type (23% lung, 29% breast, 39% colorectal, and 79% prostate). Those who had asked an oncology professional about sexual problems had significantly greater interest in sexual activity as well as more sexual dysfunction.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Conclusions\u003C\u002Fjats:title>\u003Cjats:p>Sexual problems are a widespread concern among patients and survivors, but there is much variation in experiences of communication about sexual issues, and many patients do not receive the information they need from their oncology providers. There are large differences in sexual function between patients who do and do not ask providers about sexual problems. Sexual health has yet to be fully integrated into oncology care, even for cancers involving sex organs.\u003C\u002Fjats:p>\u003Cjats:p>Copyright © 2011 John Wiley & Sons, Ltd.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>","\u003Cjats:title>Tóm tắt\u003C\u002Fjats:title>\u003Cjats:sec>\u003Cjats:title>Mục tiêu\u003C\u002Fjats:title>\u003Cjats:p>Chúng tôi đã nghiên cứu trải nghiệm của bệnh nhân với các nhà cung cấp dịch vụ ung thư về giao tiếp liên quan đến các vấn đề tình dục trong và sau khi điều trị ung thư.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Phương pháp\u003C\u002Fjats:title>\u003Cjats:p>Trong quá trình phát triển Hệ thống Đo lường Thông tin Kết quả Tự báo từ Bệnh nhân (PROMIS\u003Cjats:sup>®\u003C\u002Fjats:sup>) về Chức năng Tình dục, chúng tôi đã thu thập dữ liệu từ các nhóm tập trung và khảo sát về giao tiếp với các chuyên gia ung thư liên quan đến các vấn đề tình dục. Chúng tôi đã thực hiện 16 nhóm tập trung với bệnh nhân và người sống sót (\u003Cjats:italic>n\u003C\u002Fjats:italic> = 109) và phân tích các cuộc thảo luận để xác định các chủ đề chính, bao gồm cả trải nghiệm bàn luận về tình dục trong các cuộc hẹn với bác sĩ ung thư. Trong quá trình thử nghiệm đo lường Chức năng Tình dục PROMIS, chúng tôi đã đánh giá trải nghiệm thảo luận về các vấn đề tình dục với các chuyên gia ung thư (\u003Cjats:italic>n\u003C\u002Fjats:italic> = 819) và đo lường mối quan hệ bivariate giữa việc hỏi thông tin từ chuyên gia y tế với chức năng tình dục và sự hài lòng với đời sống tình dục.\u003C\u002Fjats:p>\u003C\u002Fjats:sec>\u003Cjats:sec>\u003Cjats:title>Kết quả\u003C\u002Fjats:title>\u003Cjats:p>Hầu hết bệnh nhân và người sống sót (74%) cho rằng việc thảo luận với các chuyên gia ung thư về các vấn đề tình dục là quan trọng, nhưng việc họ có nhận được thông tin về chức năng tình dục từ các nhà cung cấp hay không thì khác nhau tùy theo loại ung thư (23% phổi, 29% vú, 39% đại trực tràng và 79% tuyến tiền liệt). 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