Factor analysis produced a four‐factor structure with components labelled daily living, relationships, economics and emotions. Supports open access. 4.4 CiteScore. Patients with cancer and their families often experience an enhanced need for "social support." Article  In the young subgroup, the degree of difficulty perceived by the spouses was as high as that of difficulty perceived by the patients for all subcategories except “difficulty in adapting to changes in the social environment (I feel that my appearance has changed or that I am treated differently).” People aged 39 years or younger, who were classified as the younger generation in the present study, are called “adolescents and young adults (AYA).” Cancer patients in the AYA generation experience, after diagnosis and treatment, not only difficulties associated with social relationships, work, academic background, property, etc., but also many physical and psychosocial problems, such as interruptions to romantic and/or intimate relationships, reconsideration of family planning, infertility, and body image dissatisfaction [19, 20]. It is estimated that 16-25% of cancer patients develop depression. Cookies policy. The list of social difficulties experienced by cancer patients and spouses was prepared based on a list of patients’ problems developed from the results of a qualitative survey asking, “What bothers you as a cancer patient?” in our previous study [14]. Physical and psychosocial problems in cancer survivors beyond return to work: a systematic review. Thus, the present study aimed to investigate the degree of social difficulties experienced by cancer patients and their spouses, to identify cancer-associated social problems from the perspectives of both patients and their spouses, and to compare and analyze differences in their problems. Because terminal home care is expected to be further promoted in the future, it is assumed that the main site of cancer patient care will increasingly be shifted from hospitals to homes. Diagnosis of and treatment for cancer may not only create physical and emotional difficulties for patients but may also have an impact on social aspects of patients' lives. 2627 Doctors do not recognize about 35% of these cases and many patients remain untreated. The consequences of this positioning are over-responsibility and self-sacrifice, physical costs and overwhelming emotions. What are the biggest barriers to health care for cancer patients? Social problems are common and important to cancer patients. BMC Cancer. This list contains 60 items, on which patients are asked to answer the question, “Have you ever experienced any difficulty concerning the following matters at home, at work, or in your community because of your disease and treatment?” by choosing one of the following 6 options: It has been very difficult; it has been fairly difficult; it has not been very difficult; it has never been difficult; I do not know; and not applicable (Table 1). 1). Most patients who have survived cancer will feel both a sense of “survivor’s guilt” and a sense of doom whenever there is a complication or progression in a patient who has similar disease. Although patients had higher scores on most subcategories, young spouses aged 39 or younger and female spouses had difficulty scores as high as the corresponding patients on many subcategories. volume 17, Article number: 83 (2018) PubMed Google Scholar. This process is known as metastasis. Cite this article. Cancer is a condition where cells in a specific part of the body grow and reproduce uncontrollably. In this previous study, the list of social difficulties of patients was developed through discussion between an oncology social worker and a psychiatrist who reviewed articles published in Japan and other countries on social problems, distress, stressors, and patients’ unmet needs. List of 129 causes for Breast cancer and Social problems, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more. View editorial board. Copyright © 2001 John Wiley & Sons, Ltd. Major depression is defined as at least five of the following symptoms for two weeks o… Introduction Depression can be a very important mental issue for cancer patients. However, in this study, comparison was made while the differences in background problems were minimized as much as possible by matching propensity scores for data on sex, age group, and presence or absence of recurrence. Quality of life in adolescent and young adult cancer patients: a systematic review of the literature. Specifically, the cancer patients were asked to answer multiple-choice questions on their sex, age, the presence or absence of recurrence, cancer sites, treatment, treatment regimens, state of treatment, academic background, and occupation. When the patients and spouses were matched based on the propensity scores calculated from logistic regression models, 259 subjects were selected from each of the patient and spouse groups (Fig. First, the results may have been affected by measurement bias because of the use of data from internet-based surveys. In the present study, to investigate difficulty perceived by spouses regarding the social problems of patients, we asked spouses to answer the question, “Have you ever experienced any difficulty concerning the following matters at home, at work, or in your community because of the disease (cancer) and treatment of the patient (your spouse)?” on the 60 items in the same manner. Cancer. Although recent studies have increasingly reported physical and psychological problems associated with cancer and its treatment, social problems of cancer patients and their families have not been sufficiently elucidated. 2015;33:3423–30. I don't expect a whole lot from people; so, I don't get as disappointed. Reliability and validity tests endorsed the factor structure with the components on economics and emotions being particularly credible. Recent studies have increasingly reported on physical problems associated with cancer and its treatment and psychological problems, such as anxiety and depression. PubMed  The diagnosis and treatment of cancer often not only impose physical and mental distress on patients, but also substantially change their daily lives. Psychooncology. http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/, https://doi.org/10.1186/s12904-018-0338-9. Psychiatrists should be involved in the multidisciplinary treatment team who work with the … CAS  The development of “ultrabrief” screening … A common explanation is that socially isolated individuals fare worse due to reduced instrumental support (i.e., assistance meeting the demands of treatment). Health care providers should show sufficient concern for both patients and their spouses, particularly young and female spouses. BMC Palliative Care The spouse is the primary informal caregiver for cancer patients, and can experience high levels of stress, potential burnout, depressive symptoms, marital distress, poor health, and unmet needs [12, 13]. They include experts in survivorship, social work, rehabilitation, alternative medicine, nutrition and other specialties. Dapueto JJ, Servente L, Francolino C, Hahn EA. A diagnosis of cancer can throw all of these things into disarray. Next, a group led by a psychiatrist that included clinical psychologists routinely involved in supporting cancer patients reviewed the list of labeled items, made corrections to the arrangement of items and wording of the labels, and finalized the labels. Hagedoom M, Sanderman R, Bolks HN, et al. This may be due to lack of a suitable questionnaire. Use the link below to share a full-text version of this article with your friends and colleagues. Distress in couples coping with cancer: a meta-analysis and critical review of role and gender effects. PubMed  The authors received no financial support for the research, authorship, and/or publication of this article. 1 in 2 people will develop some form of cancer during their lifetime. The present study aimed to identify cancer-associated social problems from the perspectives of both patients and their spouses and to compare and analyze differences in their problems. One third of patients with cancer will experience distress which requires evaluation and treatment, and the most common psychiatric disorders are depression, anxiety disorders and adjustment disorders. Terms and Conditions, 2005;60:1–12. Wright EP, Kiely MA, Lynch P, et al. The diagnosis and treatment of cancer often not only impose physical and mental distress on patients, but also substantially change their daily lives. Hisamura K. Problems in social lives cancer patients experience and the importance of social support. Because currently treated patients and spouses of such patients accounted for 50% of the subjects in the present study, the degree of difficulty perceived by the spouses might not have been as high as that of difficulty perceived by the patients. Correspondence to Managing symptoms and side effects; Counselling and talking; Money and travel; Death and dying; Cancer Chat forum; Health Professionals. Current Problems in Cancer seeks to promote and disseminate innovative, transformative, and impactful data on patient-oriented cancer research and clinical care. The degree of difficulty was higher in the patient than the spouse group for all subcategories except “difficulty in seeking expert advice on the disease state and treatment (lack of opportunities to consult for patient transfer arrangement, hospital selection, second opinion, psychological counseling, etc. Social & Emotional Impacts of Cancer Almost all cancer survivors will face psychological and emotional issues that can show up many years after treatment. At the OHSU Knight Cancer Institute, we offer teams of specialists who can help. Because of current advances in medical technology and availability of outpatient care, the length of hospital stay has been reduced for cancer patients. 2013;22:2693–701. Some might also be starting families of their own. 1999;13:37–44. BMC Palliat Care 17, 83 (2018). Evaluation was undertaken using data from an earlier study of 505 patients who completed the checklist. Missing data rates ranged from 4 to 18% over the 16 items. Financial hardship associated with cancer in the United States: findings from a population based sample of adult cancer survivors. The Psychosocial Impact of Cancer on the Individual, Family, and Society If physicians do not tell patients the diagnosis, a risk always exists that someone will inadvertently share the information with the patient, causing the patient to greatly distrust the healthcare team and family. Yabroff KR, Dowling EC, Guy GP Jr, et al. 2012;20:2249–57. The content and amount of information given by medical oncologists when telling patients with advanced cancer what their treatment options are. Specifically, the journal's scope is focused on reporting the results of well-designed cancer studies that influence/alter practice or identify new directions in clinical cancer research. Rhee YS, Yun YH, Park S, et al. This research was not a qualitative study. Takeuchi, T., Ichikura, K., Amano, K. et al. Support Care Cancer. The full text of this article hosted at iucr.org is unavailable due to technical difficulties. A spectrum of hidden morbidities among spousal caregivers for patients with cancer, and differences between the genders: a review of the literature. Li Q, Loke AY. J Clin Oncol. Evaluating an holistic assessment tool for palliative care practice. Leuteritz K, Friedrich M, Nowe E, et al. Among breast cancer patients, inadequate social support is associated with a substantial increase in cancer-related mortality. For the combination of a male patient and a female spouse, the degree of difficulty perceived by the spouses was as high as that of difficulty perceived by the patients for “difficulty in seeking expert advice on the disease state and treatment (lack of opportunities to consult for patient transfer arrangement, hospital selection, second opinion, psychological counseling, etc. 2015;6:19–51. These effects are magnified in the presence of any psychological and social stressors that predate the onset of … As cancer clinics are busy, social problems assessment would have to meet requirements of brevity, simplicity, relevance, practical utility and ease of scoring. Article  A number of oncology-specific questionnaires have been developed encompassing aspects of social assessment including the 59-item Cancer Rehabilitation Evaluation System short form (CARES-SF) Schag and Heinrich, 1991), the 61 … Thus, in future studies, more accurate medical data need to be collected by conducting questionnaire or interview surveys at medical institutions in combination with review of medical records. 28 Depression is also more common in cancer patients than the general population. Social problems in oncology. Patient Relat Outcome Meas. 29 There are several categories of depression with major depression being the most noticeable type. Google Scholar. The significance level was set at 5%. Under these circumstances, cancer patients and their families are required to deal with various social problems arising as the disease and treatment progress. RSS | open access RSS. Google Scholar. Editor-in-Chief: Shivaani Kummar, MD, P. Lara Jr., MD . Men caregivers positioned caring as a competency task which they had mastered, and which provided them with satisfaction. Tokyo: Chuokoron-Shinsha; 1967. 2008;23:945–63. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. This may be due to lack of a suitable questionnaire. In the male patient/female spouse subgroups, the mean difficulty scores in the spouses increased for the following subcategories: “difficulty in seeking expert advice on the disease state and treatment,” “complaints with health care providers,” “lack of information on treatment and disease state,” “lack of information on self-care,” “concerns for family members,” “lack of local support services,” “difficulty in making financial arrangements,” and “lack of information on welfare services available during treatment.” The degree of difficulty for these subcategories was comparable between patients and spouses (Table 5). Int Nurs Rev. Participation and Satisfaction with Surgical Treatment Decision-Making in Breast Cancer Among Chinese Women. 2017;17:82. 2016;34:259–67. and you may need to create a new Wiley Online Library account. (in Japanese), Kawakita J. Hassoho [Aboduction]. The study asked participants about their access to insurance, services, and providers, and direct and indirect costs of treatment. Ussher JM, Sandoval M. Gender differences in the construction and experience of cancer care: the consequences of the gendered positioning of cares. Section of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan, Section of Liaison Psychiatry and Palliative Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan, Kanako Ichikura, Kanako Amano & Wakana Takeshita, Graduate School of Human Sciences, Waseda University, Saitama, Japan, Department of Medical Oncology, Kanazawa Medical University, Ishikawa, Japan, Department of Health Science, School of Allied Health Sciences, Kitasato University, Kanagawa, Japan, You can also search for this author in To use the 60 items for the spouse survey, the word “you” was replaced with “the patient,” and “your family” with “you.” For both the patient and spouse surveys, the options, “It has never been difficult,” “I do not know,” and “not applicable,” were combined as “It has never been difficult,” and the survey results were statistically analyzed as those of a four-choice survey: “It has never been difficult (0 points),” “It has not been very difficult (1 point),” “It has been fairly difficult (2 points),” and “It has been very difficult (3 points).” Furthermore, in the present study, these 60 items were first classified by the Jiro Kawakita (KJ) method (Affinity Diagram). Life situation and psychosocial care of adolescent and young adult (AYA) cancer patients – study protocol of a 12-month prospective longitudinal study. Health care providers should show sufficient concern for both patients and their spouses, particularly young and female spouses. Hodges LJ, Humphris GM, Macfarlane G. A meta-analytic investigation of the relationship between the psychological distress of cancer patients and their carers. As a tool for screening for social problems it has some limitations. Second, because of arrangements for this study and funding issues, several years passed between the patient and spouse surveys, and we were unable to collect data from patient-and-spouse pairs. Cull A, Stewart M, Altman DG. Eur J Oncol Nurs. Depression in family caregivers of cancer patients: the feeling of burden as a predictor of depression. Social environment is a well-recognized determinant in health and wellbeing. 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