Various groups in need of AIDS-related counselling, ranging from diverse patient populations thro... more Various groups in need of AIDS-related counselling, ranging from diverse patient populations through their families to staff caring for those patients, are identified. The particular difficulties encountered in dealing with AIDS, as distinct from other life-threatening illnesses, are reviewed and guidelines for counselling the various groups are evaluated. It is concluded that the optimal therapeutic strategy involves a balance of directive and non-directive approaches.
Transactional models of stress emphasize the role of appraisal of stress in adjustment to illness... more Transactional models of stress emphasize the role of appraisal of stress in adjustment to illness. The current qualitative study uses this framework to explore the subjective response to these stressors in women with breast cancer. Reappraisals or opportunities for growth from the experience are also examined. The objective of this study was to explore the experience of stress in Irish women with breast cancer using the Stress-Coping Model. The diaries of 30 women newly diagnosed with breast cancer were analyzed using thematic template analysis. A template of 5 themes based on elements of the Stress-Coping Model was defined prior to analysis. Six top-level and 14 second-level themes were defined in the final template. Following initial diagnosis of breast cancer, women viewed it as either a threat or a challenge. After diagnosis, however, other stressful events included treatment effects, loss of womanhood, and illness disclosure. Women described coping strategies and social interactions that both increased and decreased their stress. In tandem with negative consequences of breast cancer, women also reported benefit from the experience. Women differed in their identification of stressful events and subsequent coping strategies. Their reports also illustrated the complex relationships between appraisal of the event, personal resources, and social interactions, which can result in both positive and negative outcomes. Appraisal of breast cancer can vary, and awareness of this by health professionals can facilitate adjustment. Women need advice in regard to disclosure of diagnosis to others and need more information on managing treatment effects.
... [CrossRef], [PubMed] View all references; Lorish, Abraham, Austin, Bradley & ... more ... [CrossRef], [PubMed] View all references; Lorish, Abraham, Austin, Bradley & Alarcón, 199132. Lorish, C, Abraham, N, Austin, J, Bradley, L and Alarcón, G. 1991. ... (200152. Sharpe, L, Sensky, T and Allard, S. 2001. ... Weinman, J, Petrie, KJ, Moss-Morris, R and Horne, R. 1996. ...
This research aims to help us understand men's experience with prostate cancer. Participants ... more This research aims to help us understand men's experience with prostate cancer. Participants were invited to complete a battery of web-based questionnaires via online prostate cancer forums (Cancer Support Network, The New Prostate Cancer InfoLink). Clinical Gatekeepers were sent a brief description of the study and then disseminated the survey link to forum users. Prospective participants read a Participant Information sheet and provided written informed consent. The enrolment period was January 2018 to September 2018. The sample consisted of men who had been diagnosed with prostate cancer in the last 5 years. The study protocol was approved by the Research Ethics Committee of the National University of Ireland, Galway and was conducted in accordance with the principles of the Declaration of Helsinki.
Background The incidence of prostate cancer in men has risen and numbers undergoing a prostate ne... more Background The incidence of prostate cancer in men has risen and numbers undergoing a prostate needle biopsy have increased correspondingly. While biopsy can be associated with adverse side effects, evidence of its psychological impact is lacking. This study assessed the relative importance of stress appraisal, self-efficacy and personality in predicting adjustment in men facing the threat of a cancer diagnosis. Method Men attending a Rapid Access Prostate Clinic for a biopsy (N=115) participated in the study. Psychological variables included global stress measured by the Perceived Stress scale (PSS) and General Self Efficacy ( GSES) and Sense of Coherence ( SOC ). Adjustment was measured by the profile of mood states (POMS) and quality of life (EORTC QLC – C30 ). Demographic data was also gathered. Findings Hierarchical regression analyses demonstrated that the set of predictors accounted for 46% of variance on total mood and 17% on global quality of life. Discussion Perceived stre...
Incidence of prostate cancer is increasing as opportunistic screening becomes widespread and life... more Incidence of prostate cancer is increasing as opportunistic screening becomes widespread and life expectancy rises. Despite screening availability, research reveals conflicting results on medical outcomes, for example, disease specific mortality. However the gold standard in early diagnosis of potentially curable organ confined prostate cancer is transrectal ultrasound-guided systematic prostate biopsy (TRUS-BX). While focus has been given to medical sequalae there is a paucity of research on the psychological impact of biopsy. Awaiting biopsy may be inherently stressful but no studies to date, have assessed men's perception of stress and its impact on emotional response. This study, therefore, examines the role of stress and also personal resources namely, self-efficacy and sense of coherence in emotional adjustment in men awaiting a prostate biopsy. Men attending a Rapid Access Prostate Cancer Clinic for a transrectal prostate biopsy (N = 114) participated in the study. They c...
Various groups in need of AIDS-related counselling, ranging from diverse patient populations thro... more Various groups in need of AIDS-related counselling, ranging from diverse patient populations through their families to staff caring for those patients, are identified. The particular difficulties encountered in dealing with AIDS, as distinct from other life-threatening illnesses, are reviewed and guidelines for counselling the various groups are evaluated. It is concluded that the optimal therapeutic strategy involves a balance of directive and non-directive approaches.
Transactional models of stress emphasize the role of appraisal of stress in adjustment to illness... more Transactional models of stress emphasize the role of appraisal of stress in adjustment to illness. The current qualitative study uses this framework to explore the subjective response to these stressors in women with breast cancer. Reappraisals or opportunities for growth from the experience are also examined. The objective of this study was to explore the experience of stress in Irish women with breast cancer using the Stress-Coping Model. The diaries of 30 women newly diagnosed with breast cancer were analyzed using thematic template analysis. A template of 5 themes based on elements of the Stress-Coping Model was defined prior to analysis. Six top-level and 14 second-level themes were defined in the final template. Following initial diagnosis of breast cancer, women viewed it as either a threat or a challenge. After diagnosis, however, other stressful events included treatment effects, loss of womanhood, and illness disclosure. Women described coping strategies and social interactions that both increased and decreased their stress. In tandem with negative consequences of breast cancer, women also reported benefit from the experience. Women differed in their identification of stressful events and subsequent coping strategies. Their reports also illustrated the complex relationships between appraisal of the event, personal resources, and social interactions, which can result in both positive and negative outcomes. Appraisal of breast cancer can vary, and awareness of this by health professionals can facilitate adjustment. Women need advice in regard to disclosure of diagnosis to others and need more information on managing treatment effects.
... [CrossRef], [PubMed] View all references; Lorish, Abraham, Austin, Bradley & ... more ... [CrossRef], [PubMed] View all references; Lorish, Abraham, Austin, Bradley & Alarcón, 199132. Lorish, C, Abraham, N, Austin, J, Bradley, L and Alarcón, G. 1991. ... (200152. Sharpe, L, Sensky, T and Allard, S. 2001. ... Weinman, J, Petrie, KJ, Moss-Morris, R and Horne, R. 1996. ...
This research aims to help us understand men's experience with prostate cancer. Participants ... more This research aims to help us understand men's experience with prostate cancer. Participants were invited to complete a battery of web-based questionnaires via online prostate cancer forums (Cancer Support Network, The New Prostate Cancer InfoLink). Clinical Gatekeepers were sent a brief description of the study and then disseminated the survey link to forum users. Prospective participants read a Participant Information sheet and provided written informed consent. The enrolment period was January 2018 to September 2018. The sample consisted of men who had been diagnosed with prostate cancer in the last 5 years. The study protocol was approved by the Research Ethics Committee of the National University of Ireland, Galway and was conducted in accordance with the principles of the Declaration of Helsinki.
Background The incidence of prostate cancer in men has risen and numbers undergoing a prostate ne... more Background The incidence of prostate cancer in men has risen and numbers undergoing a prostate needle biopsy have increased correspondingly. While biopsy can be associated with adverse side effects, evidence of its psychological impact is lacking. This study assessed the relative importance of stress appraisal, self-efficacy and personality in predicting adjustment in men facing the threat of a cancer diagnosis. Method Men attending a Rapid Access Prostate Clinic for a biopsy (N=115) participated in the study. Psychological variables included global stress measured by the Perceived Stress scale (PSS) and General Self Efficacy ( GSES) and Sense of Coherence ( SOC ). Adjustment was measured by the profile of mood states (POMS) and quality of life (EORTC QLC – C30 ). Demographic data was also gathered. Findings Hierarchical regression analyses demonstrated that the set of predictors accounted for 46% of variance on total mood and 17% on global quality of life. Discussion Perceived stre...
Incidence of prostate cancer is increasing as opportunistic screening becomes widespread and life... more Incidence of prostate cancer is increasing as opportunistic screening becomes widespread and life expectancy rises. Despite screening availability, research reveals conflicting results on medical outcomes, for example, disease specific mortality. However the gold standard in early diagnosis of potentially curable organ confined prostate cancer is transrectal ultrasound-guided systematic prostate biopsy (TRUS-BX). While focus has been given to medical sequalae there is a paucity of research on the psychological impact of biopsy. Awaiting biopsy may be inherently stressful but no studies to date, have assessed men's perception of stress and its impact on emotional response. This study, therefore, examines the role of stress and also personal resources namely, self-efficacy and sense of coherence in emotional adjustment in men awaiting a prostate biopsy. Men attending a Rapid Access Prostate Cancer Clinic for a transrectal prostate biopsy (N = 114) participated in the study. They c...
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