Pretreatment Behavioral Profiles Associated with Subsequent Psychosocial Adjustment in Radiation Therapy Patients: A Prospective Study

Author:

Schmale Arthur H.1,Morrow Gary R.2,Davis Ardis,Illies Elizabeth,McNally Janet,Wright Gretchen,Craytor Josephine K.3

Affiliation:

1. Professor of Psychiatry, Associate Professor of Medicine

2. Assistant Professor of Oncology, in Psychiatry (Psychology)

3. Professor of Nursing, Associate Director of Nursing Oncology, University of Rochester Medical Center, Rochester, New York

Abstract

A clinically derived system of judging cancer patients' engagement, reality testing and degree of arousal during a pretreatment consultation was found predictive of psychosocial problems or no problems reported by sixty cancer patients one month after starting radiation therapy. Independent ratings of psychosocial problems by the treating oncologists, nurses and radiation therapists three months after starting treatment were also found significantly associated with the pretreatment composite. Disease, treatment and demographic factors were not predictive of psychosocial problems and were not associated with the pretreatment clinical composite. Follow-up observations at six months and eighteen to twenty-four months of forty-four and twenty-four of the original patients available for study revealed there was no continuing association between their pretreatment clinical composites and psychosocial problem ratings.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

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