Carolyn Pitceathly’s research while affiliated with University of Manchester and other places

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Publications (15)


Table 2 . Baseline data by intervention group 
Table 3 . The number (%) of SCID cases in intervention and usual care groups by risk 
Table 4 . Total HADS scores by intervention and usual treatment groups 
Can a brief psychological intervention prevent anxiety or depressive disorders in cancer patients? A randomised controlled trial
  • Article
  • Full-text available

February 2009

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170 Reads

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82 Citations

Annals of Oncology

C Pitceathly

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P Maguire

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We tested whether a brief psychological intervention could prevent anxiety or depressive disorders among newly diagnosed cancer patients. Patients free of anxiety or depressive disorder were randomised to receive immediate intervention (start of cancer treatment), delayed intervention (8 weeks after starting treatment) or usual care. They were stratified according to risk of developing anxiety or depressive disorders. Primary outcome was measured using a standardised psychiatric interview to detect any anxiety or depressive disorder at 6 and 12 months following the cancer diagnosis. Analyses used conditional odds logistic regression models adjusting for age, gender, concerns and past history to compare outcome of all intervention patients with usual care. A total of 465 patients were recruited. In all, 313 (79%) of the 397 well enough to be interviewed completed the study. At 12 months, there was no difference between the groups receiving the intervention and usual care [odds ratio (OR) = 0.69, 95% confidence interval (CI) 0.41-1.17, P = 0.17]. In high-risk patients, those who received the intervention were less likely to develop an anxiety or depressive disorder compared with those who received usual care (OR = 0.54, 95% CI 0.29-1.00, P = 0.050). In low-risk patients, there was no difference (OR = 1.50, 95% CI 0.51-4.43, P = 0.47). A brief intervention, delivered by nonspecialists, promoted adjustment among newly diagnosed cancer patients at high risk of developing anxiety or depressive disorders.

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Peter Maguire

November 2006

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27 Reads

The BMJ

Professor of psychological medicine who helped put communication skills training on the agenda for all healthcare staff and who promoted the role of the specialist cancer nurseSince 2004 all future cancer specialists in the United Kingdom have been expected to receive specific training in how best to communicate with patients. This achievement resulted, in no small part, from the work of Peter Maguire, professor of psychological medicine at the University of Manchester.




Maintaining a balance

September 2004

Medicine is a worthwhile and personally rewarding profession providing doctors strive to avoid some pitfalls and maintain an appropriate balance between their professional and personal lives. This chapter examines the demands of medical practice, common pitfalls such as unrealistic expectations, needing to appear in control, lack of personal boundaries and poor choice of posts and suggests solutions to enable doctors to cope effectively. Practical tips for junior doctors are found in the appendix to this chapter.


Dealing with strong emotions and difficult personalities

September 2004

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3 Reads

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3 Citations

Doctors tend to use strategies to distance themselves from patients and relatives who manifest strong emotions. This chapter examines the reasons for this distancing behaviour and its effect on patients. Strategies are discussed that can help deal with patients who are angry, distressed or withdrawn. When doctors are faced with patients whom they perceive have difficult personalities there is a danger they will react negatively and dismiss the patient as unreasonable, and uncooperative. Techniques are discussed that can help manage those difficult patients who manifest dependent, histrionic, narcissistic, obsessional-compulsive or borderline personalities.




Citations (7)


... The growing trend to provide cancer patients with CB intervention with favorable outcomes [18,21,22] is lacking from reports on interventions with relatives [18,23]. Moorey and Greer [18] reported using the CB model with couples; however, to the best of our knowledge, no report on group CB therapy for relatives has been published. ...

Reference:

Cognitive-behavior group intervention for relatives of cancer patients: a controlled study
Preventing affective disorders in partners of cancer patients: An intervention study
  • Citing Article
  • January 2000

... Some reports confirm that the character of the patient's connection with their caregiver prior to palliative care can be predictive of subsequent caregiver psychological problems. Williamson and Schulz found that those who had been in an intimate relationship felt less caregiving burden and had fewer depressive symptoms than those who had not been in a mutually supportive relationship [12]. In addition, caregivers in unfair relationships can feel distressed, and one research found that when partners feel that they benefit little from the relationship, they are likely to feel depressed and may become depressed [13]. ...

Preventing affective disorder amongst partners of cancer patients
  • Citing Article
  • September 1997

European Journal of Cancer

... It is a novel approach to identifying breast cancer patients who are most at risk for the disease's recurrence and the subsequent shift in their chances of survival. For instance, participation in preventative cognitive behavioural therapy (CBT) has reduced depressive symptoms and anxiety in cancer patients by 50% [7]. Nanocarriers will improve the therapeutic effectiveness of anti-cancer medications. ...

Can a brief psychological intervention prevent anxiety or depressive disorders in cancer patients? A randomised controlled trial

Annals of Oncology

... As mentioned, one of the required skills for empathetic communication in students is demonstrating communication skills [6], which encompass a range of potential and actual abilities that enable one to achieve acceptable and informative behavior, reaching a level of emotional connection. This interpersonal skill facilitates the establishment and strengthening of an individual's connections with others in the community [9]. ...

Key Communication skills and how to acquire them
  • Citing Article
  • October 2002

The BMJ

... The disease course is characterized by several severe symptoms associated with nutrition and quality of life [11][12][13][14] and it is reported that those who are most ill utilize more health care [15]. Realizing that everyday life might significantly change put a strain on family members [16,17]. Everyday life can be defined as the mundane life and routines that one often take for granted such as talking, working, eating, cleaning, shopping, resting and so on [18]. ...

The psychological impact of cancer on patients' partners and other key relatives: A review
  • Citing Article
  • August 2003

European Journal of Cancer

... 37 Especially in case of advanced lung cancer, patients and their relatives rely on family and friends for support in managing emotions and physical symptoms -they also benefit from interactions with health care professionals. 30,38 The fact that both our study and an independent qualitative study by Mosher ...

Improving the psychological care of cancer patients and their relatives. The role of specialist nurses
  • Citing Article
  • December 2003

Journal of Psychosomatic Research

... It can be achieved by being understanding, practicing reflective listening, being empathic (eliciting a patient's concern, acknowledging distress, and being sensitive to the emotions of caretakers as well), being honest, respectful, thorough, and always prepared to give our best not only to save lives but to make them the least distressing possible in our capacity of medicine or a medical practice blended with empathy, employing a palliative approach in case of incurable situations. [5,6] It is desirable that doctors support patients and their families by making the best possible arrangements not only for a comfortable life but also for a peaceful death in advanced or metastatic disease by practicing the principles of "holistic care" in personcentered medicine. [7,8] Patients with terminal illnesses who are not suffering obviously prefer peaceful death at home. ...

Managing the difficult consultation

Clinical medicine (London, England)