PubMed  Springer Nature. This research was not a qualitative study. We chose this approach because we study social systems and social problems peculiar to Japan that cannot be measured by existing social problem scales. Wright EP, Kiely MA, Lynch P, et al. Assessing the social impact of cancer: a review of available tools. Manage cookies/Do not sell my data we use in the preference centre. For the spouse survey, in the same manner in November 2016, we selected spouses of patients who developed cancer within the previous 5 years. 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. These effects contribute to emotional distress and mental health problems among cancer patients, and together can lead to substantial social problems, such as the inability to work and reduced income. Mentioning: 6 - 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. https://doi.org/10.1186/s12904-018-0338-9, DOI: https://doi.org/10.1186/s12904-018-0338-9. Cancer sometimes begins in one part of the body before spreading to other areas. Men caregivers positioned caring as a competency task which they had mastered, and which provided them with satisfaction. BMC Palliative Care The demographic and clinical data were collected from self-administered surveys of all the study subjects. Correspondence to The journey is both challenging and costly, and many experiencing it for the first time feel lost about how they should handle the changes cancer brings. This paper discusses the importance of identifying the psychological and social concerns of breast cancer patients in the medical setting, and assisting them in obtaining appropriate psychosocial services. Privacy Yabroff KR, Dowling EC, Guy GP Jr, et al. 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). Current Problems in Cancer. Article  Reliability and validity tests endorsed the factor structure with the components on economics and emotions being particularly credible. Depression, cancer-related post-traumatic stress, or other emotional problems. In the present study, difficulty for cancer patients and their spouses in dealing with social problems was investigated and compared. Young adults are often establishing their own identities at this time and developing their own social, emotional, and financial independence. The diagnosis and treatment of cancer often not only impose physical and mental distress on patients, but also substantially change their daily lives. Google Scholar. Assessment of and intervention for psychosocial problems in routine oncology practice. Quinn GP, Goncalves V, Sehovic I, et al. 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. Supports open access. 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. Depression in family caregivers of cancer patients: the feeling of burden as a predictor of depression. Managing symptoms and side effects; Counselling and talking; Money and travel; Death and dying; Cancer Chat forum; Health Professionals. This paper presents a psychometric analysis of the Problems Checklist with a view to assessing its … Gendai no Esupuri. J Clin Oncol. 2015;6:19–51. Distress in couples coping with cancer: a meta-analysis and critical review of role and gender effects. 2014;23:481–92. 1 in 2 people will develop some form of cancer during their lifetime. The poor results of the treatment and aggravation of the symptoms often bring about a crisis of doubt on the part of the patient with regard to his doctor. 2008;134:1–30. Hodges et al. View aims and scope Submit your article Guide for authors. For each subcategory, α coefficient was calculated to evaluate internal consistency. Sign in to set up alerts. Evaluating an holistic assessment tool for palliative care practice. 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. 1). Teens are often establishing their own identities at this time and developing social, emotional, and financial independence. 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 Health care providers should show sufficient concern for both patients and their spouses, particularly young and female spouses. Social problems are common and important to cancer patients. Evaluation was undertaken using data from an earlier study of 505 patients who completed the checklist. 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. Then, they indicated that the mental distress of spouses or partners gradually increases after diagnosis and becomes more strongly correlated with that of patients. Article  Data reliability is limited by the facts that the participants in these surveys determined whether they met the eligibility criteria and that data on diagnosis, treatment regimens, etc., were self-reported. The internet survey company we used is a Japanese company specializing in academic research. This may be due to lack of a suitable questionnaire. A cancer diagnosis affects every area of a person’s life. Risk factors for mood disorders, adjustment disorders, and anxiety disorders. Causes of cancer. Screening for Distress and Unmet Needs in Patients With Cancer: Review and Recommendations. (in Japanese). Cancer is now the biggest cause of mortality worldwide. 2013;17:578–87. Screening for social problems has not become part of routine oncology practice. The degree of social difficulties experienced by cancer patients and their spouses. Muzzatti B, Annunziata MA. PubMed  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. Editor-in-Chief: Shivaani Kummar, MD, P. Lara Jr., MD . Br J Cancer. 2017;17:82. Google Scholar. J Clin Oncol. As several studies have indicated that social problems experienced by cancer patients have an important impact on their mental health and quality of life [6,7,8,9,10], the need for support for their social problems, as well as the mental care of patients, has been increasingly recognized. Developing a model of decision-making about complementary therapy use for patients with cancer: A qualitative study. The cancerous cells can invade and destroy surrounding healthy tissue, including organs. Breast cancer is no longer a simple disease to explain, and patients already experiencing emotional turmoil enter a strange new world of esoteric language and concepts. It is estimated that 16-25% of cancer patients develop depression. Screening for social problems has not become part of routine oncology practice. For the patient survey, in January 2010, we screened all registered members of the panel of internet-survey company A and selected those who developed cancer within the previous 5 years and experienced social problems. 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). Factor analysis produced a four‐factor structure with components labelled daily living, relationships, economics and emotions. However, we assume that the degree of “difficulty in seeking expert advice on the disease state and treatment” in the spouses was as high as that in the patients because spouses were greatly involved in treatment of patients soon after diagnosis. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. disability, fatigue, and pain that can result, even when there are no longer any signs of the disease. This may be due to lack of a suitable questionnaire. Frequency distributions of the matched data were generated for background factors in each group to assess the balance among the covariates. The significance level was set at 5%. The content and amount of information given by medical oncologists when telling patients with advanced cancer what their treatment options are. and you may need to create a new Wiley Online Library account. Explore journal content Latest issue Articles in press Article collections All issues. The development of “ultrabrief” screening … Ussher JM, Sandoval M. Gender differences in the construction and experience of cancer care: the consequences of the gendered positioning of cares. Patients with cancer and their families often experience an enhanced need for "social support." A diagnosis of cancer can throw all of these things into disarray. Specifically, two clinical psychologists independently classified the 60 items. Psychooncology. They include experts in survivorship, social work, rehabilitation, alternative medicine, nutrition and other specialties. J Cancer Surviv. Learn more. 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. I don't expect a whole lot from people; so, I don't get as disappointed. 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]. Use the link below to share a full-text version of this article with your friends and colleagues. Subjects were 259 patients who developed cancer within the previous five years and 259 patients’ spouses; the data were derived from two surveys in 2010 (patients) and 2016 (spouses) whose participants were not part of the same dyad but matched by propensity scores, estimated for age, sex, and the presence or absence of recurrence. The … That’s where social workers step in. Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychosocial (psychological and social)problems associated with the illness. Article  That is why we prepared the scale using the KJ method and confirmed the reliability with an α coefficient. Second, these labels were used as the subcategories of this list. The authors want to thank all cancer patients and their spouses who participated in this study. Effects of socioeconomic factors and cancer survivors’ worries on their quality of life (QOL) in Japan. Although the debilitating physical symptoms of cancer have long been known, the psychological and social impacts of cancer have become the subject of examination only relatively recently. 3.264 Impact Factor. 2008;17:606–11. Hodges LJ, Humphris GM, Macfarlane G. A meta-analytic investigation of the relationship between the psychological distress of cancer patients and their carers. Takeuchi, T., Ichikura, K., Amano, K. et al. One of the major issues facing cancer patients is access to funds. A diagnosis of cancer can throw all of these things into disarray. View editorial board. Copyright © 2001 John Wiley & Sons, Ltd. Psychooncology. Development and evaluation of an instrument to assess social difficulties in routine oncology practice. Article  Psychooncology. An exploratory study of Soc Probl experienced by ambulatory cancer patients in Japan: Frequency and association with perceived need for help. Physical and psychosocial problems in cancer survivors beyond return to work: a systematic review. Patients’ needs assessment in cancer care: a review of assessment tools. Social support has been found to be empirically related to influencing health outcomes. Working off-campus? Life situation and psychosocial care of adolescent and young adult (AYA) cancer patients – study protocol of a 12-month prospective longitudinal study. CAS  We investigated the social difficulties of cancer patients and patients’ spouses. Meanwhile, in the younger subgroups (≤39 years), the mean difficulty scores in the spouses increased for all subcategories except “difficulty in adapting to changes in the social environment.” The degree of difficulty was comparable between patients and spouses (Table 4). Validation of a needs‐based biopsychosocial distress instrument for cancer patients. Distress screening in the clinical environment can be used to detect persons who may benefit from additional emotional support. Enter your email address below and we will send you your username, If the address matches an existing account you will receive an email with instructions to retrieve your username, I have read and accept the Wiley Online Library Terms and Conditions of Use. 1995;72:229–35. Being younger, female, or nonwhite. This may be due to lack of a suitable questionnaire. Regarding social difficulties experienced by cancer patients and spouses, the 60 patient survey items were categorized into 14 labels by the Jiro Kawakita (KJ) method, which is a qualitative synthesis method developed by Kawakita to classify categorical data. Among breast cancer patients, inadequate social support is associated with a substantial increase in cancer-related mortality. 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]. First, the results may have been affected by measurement bias because of the use of data from internet-based surveys. Subjects were 259 patients and 259 patients’ spouses and all cancer types were selected. My husband and I rely on each other. Fourth, an unstandardized scale was used in this study. Part of volume 17, Article number: 83 (2018) Hisamura K. Problems in social lives cancer patients experience and the importance of social support. Tokyo: Chuokoron-Shinsha; 1970. 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. Major depression is defined as at least five of the following symptoms for two weeks o… 2005;60:1–12. Data were collected by KA, WT, KH, analyzed by KI, and interpreted by TT and KI. [18] investigated mental distress of spouses or partners of patients over the course of disease and confirmed that the distress of spouses or partners significantly correlated with that of patients. BMC Palliat Care 17, 83 (2018). Some might also be starting families of their own. Leuteritz K, Friedrich M, Nowe E, et al. PubMed Google Scholar. Siegel K, Raveis VH, Houts P, Mor V. Caregiver burden and unmet patient needs. It was noted that there are nine different types of social support, with "emotional support" being one of the most important. 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. List of 129 causes for Breast cancer and Social problems, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more. 2008;23:945–63. Finding Social Support and Information Hearing the Oncologists' Perspective Trusted, compassionate information for people with cancer and their families and caregivers, from the American Society of Clinical Oncology (ASCO), the voice of the world’s cancer physicians and oncology professionals. For this reason, young caregivers in this generation often seem to feel burdened [21, 22] and to perceive a high degree of difficulty. Thus, in future studies, patient-and-spouse pairs need to be targeted and surveyed around the same time. Catt S, Starkings R, Shilling V, Fallowfield L. Patient-reported outcome measures of the impact of cancer on patients’ everyday lives: a systematic review. Some of the greatest challenges faced by teens with cancer come from the fact that this tends to be a time of great change in a person’s life, which comes with many of its own stresses. Palliat Med. 2013;60:178–87. http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/, https://doi.org/10.1186/s12904-018-0338-9. The authors received no financial support for the research, authorship, and/or publication of this article. (in Japanese), Kawakita J. Zoku Hassoho [Aboduction: part two]. Having a lower level of education. 2016;34:259–67. Fourteen items were well endorsed. Psychooncology. 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R, Bolks HN, et al area of a suitable questionnaire ; Counselling talking... About 35 % of cancer often not detected by health professionals the social of... In family caregivers of cancer patients in non‐Western countries in academic research because of gendered... About health care providers should show sufficient concern for both patients and their spouses, particularly young and female.. Of patients had adequate social support. a meta-analytic investigation of the summated scales were carried.! Specifically, two clinical psychologists independently classified the 60 items duijts SF van... Not yet been sufficiently understood, relationships, economics and emotions being credible... Support. clinical environment can be used to perform statistical analyses has limitations! Covariates and other background factors for mood disorders, and the manuscript was reviewed and by... Yabroff KR, Dowling EC, social problems of cancer patients GP Jr, et al [. 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