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201.
B R Cassileth 《The New England journal of medicine》1982,306(24):1482-1484
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The purpose of this study was to investigate the relationship between the use of alternative medicine (AM) by cancer patients' and the level of self-perceived mental distress. One hundred and fifty-seven cancer patients were included in a longitudinal questionnaire-based study 12 months after their first contact with the Department of Oncology, University Hospital of Troms?, during the period 1990 to 1991. Eligible patients received follow-up questionnaires after 24 and 60 months recording their use of AM and measuring their perceived mental distress (GHQ-20). A total of 64 (41%) of the 157 patients who completed at least one questionnaire reported using AM one or more times during follow-up (ever-use). Between 65% and 79% of patients who were eligible at each point of the study completed the GHQ questionnaire. After 60 months of follow-up, 104 patients were still alive and 54 patients (52% of the survivors) had completed all the questionnaires. At inclusion in the study, significantly more AM users reported mental distress (57%) than non-users (20%) (p = 0.001). After 24 and 60 months, the corresponding figures were 42% versus 29% (p = 0.18), and 30% versus 10% (p = 0.02), respectively. When adjusted for sex, age and disease progression, use of AM was found to be an independent factor highly associated with mental distress at 12 months (OR = 5.5, 95% CI 2.1-14.4). Later in the study, progression/relapse of cancer proved to be a more important predictor of mental distress. These findings suggest that, in North Norway, seeking alternative treatment is more common among mentally distressed cancer patients. 相似文献
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Barrie R. Cassileth Ph. D. 《Supportive care in cancer》1995,3(4):264-266
Several important aspects of the history of psychotherapeutic interventions in cancer patients, such as the historical role of the cancer personality, the change in the conceptualization of the mind-body relationship and the influence of medical progress and social developments, are discussed.Presented at the Symposium Psychotherapeutic Interventions in Cancer Patients, Flims, Switzerland, 12–14 January 1995 相似文献
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