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Psycho-Oncology - Science topic

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I want to study the effects of a pharmacological treatment (antidepressants) related to quality of life in oncologic patients. Apart from a depression diagnosis that would be a prerequisite for administering the treatment, i need another screening tool that could confirm the patient's ability to be functioning enough to give me true and valid answers later in the main tests. For this reason I am looking for a validated tool in clinical setting that could detect any cognitive impairment due to a psychiatric condition or substance induced (es. high doses of morphine).
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Hello, I'm developing a tool that can help with that, it works with id and color pigmentation areas, one of the tool's modules can help with that. I'll be happy to help.
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📢 Join the prestigious editorial board of Psycho-Oncologie journal! We're seeking dedicated professionals in psycho-oncology and related fields. Contribute to rigorous publishing, peer review, and shaping the future of cancer research. Apply now: psychooncol@techscience.com.
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Please feel free to contact me or leave a note on the comments section.
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On 21-22-23 June 2023, the Milan Medical School of Ambrosiana University promoted an International Conference in streaming, on the subject:
The paradigm change of medicine: the epistemological and scientific basis
of Person-Centered Medicine
This conference is aimed to underscore the urgent need for overcoming Medicine's current wrong and obsolete deterministic-mechanistic-biological paradigm based on the linear causality toward the assumption in Medical Education, Clinics, and Public Health of the right indeterministic person-centered paradigm of human nature, Medicine, medical science, and health.
Call for papers on the following topics:
EPISTEMOLOGY AND MEDICINE, ALLOSTASIS PHYSIOLOGY, EPIGENETICS PSYCHO-NEURO-ENDOCRINE-IMMUNOLOGY, PSYCHOPHYSIOLOGY, NEUROBIOLOGY, MEDICAL ETHICS, PERSON-CENTERED MEDICINE, PERSON-CENTERED HEALTH, PERSON-CENTERED PSYCHIATRY, MEDICAL EDUCATION, WHO and HEALTH DEFINITION, SOCIAL PSYCHIATRY
If you have an interactionist approach to behavior and affectivity quality, PNEI, neuromodulation, and epigenetics you are welcome.
Deadline: June 10, 2023
Registration and abstract forms on
Giuseppe R.Brera
Rector of Ambrosiana University
Director of the Milan School of Medicine
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Dear professor,
sorry but I have many problems to partecipate at the Conference because of my cronic heath problems.
All my best, Catina Feresin
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I am looking for information concerning the effect of publications regarding 5-year survival of diseases, like cancer, on the feelings of the patient. As the statistics are frequently published, and available on many websites with information on serious diseases, I was wondering whether psychological research was done as to the impact these statistics have on patients, dealing with diseases. I have tried to find such research myself, but the overwhelming majority of research I have found deals solely with diagnostic importance of these analysis. I will be most thankful for any advice and references on this issue.
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A high survival rate cultivate hope among patients with specific disease like cancer. If you tell a person that the five year survival is 90%, his hope of being one of the 90 who survived will be high and justifiable. If someone knows that the survival of lung cancer is very low, in most instances they will surrender to their fate
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Hello,
I am thinking of publishing my future article in the journal 'Psycho-oncology'. The information for authors seemed unclear about which reference style to use. Is there a standard reference style that suit this journal?
Thank you for your help.
Sophie
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Hello
II have looked at the psycho oncology journal and a couple of published journal articles within it and these look like they have used Vancouver reference system in that the references are numbered rather than in alphabetical order and there are references within the text with a number alongside
Could you not drop the publishers an email asking them for clarification if you are not sure? I don't think they would mind, I just googled the journal and it came up and the articles are all there, have a look at a few and see what you think, if they all use the method I suggest, then this is what I would use, if they vary then this suggest you can choose, I should drop the publishers, think it is Wiley and email and ask for clarification, good luck with your article.
Julie
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Anything unique that has been brought to the forefront in very recent years regarding health psychology?
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Agree with Dr@ Mahesh Kumar
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According to Kuhn, a paradigm change in science, that means an epistemological change, requests the agreement of the scientific community, like it is arrived with the institution of quantum physics. In medicine a new paradigm of Medical Science has been proposed and applied in Medical Education in 1998 at the Milan School of Medicine , with the introduction of Person Centered Clinical Method and after the presentation of the new person centered interactionist and teleological health paradigm in 2005 ,presented at WHO (by invitation) in 2011 along with Person Centered Medicine, Medical Education change the paradigm change has been formalized on 13-14-15 October in Milan along with the presentation of “La Charte Mondiale de la Santé-the World Health Charter”.
The person-centered paradigm change of Medicine,Health, Medical Education and research corresponds to re-birth of clinics like a discipline addressed to discover the individuality of the patient in a disease and not the opposite, reducing him/her to an abstract theory. To date it is impossible because the same basic sciences , neurobiology, physiology, psycho-neuro- immune-endocrinology (PNEI) , already at experimental level, evidenced the end of a mechanistic , deterministic paradigm in Medical Science and the birth o f a person centered one (Person Centered Medicine) , that discriminates biological reactions, whose variability is determined by the person’s existential choices (life style and quality) from biological constants , responsible of biological life, according the Relativity Theory of Biological Reactions (1996)
I invite you to read the e-book “ Medical Science and Health Paradigm Change” and to give your “YES or NOT” about this paradigm change determinant for the destiny of Medicine , Medical Science and Medical Education, reformulating in a new way the epistemological principles of medicine, clinical method and clinical supervision
You can download the e-book from Research Gate:
And , if you agree ,to fulfill the agreement form or download it from www.healthparadigmchange.it sending it to secretariat@healthparadigmchange.it
And to read some other info on Person Centered Medicine on www.unambro.it
Thank you
Giuseppe R.Brera
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In the 21st century a revision needs on our medical science. A medical research cursory attention by either device or molecule is ultimately wrong and being violated the medical ethics.
A 20 years after the real medical research negligence and its consequences may affect to the innocent patients. They buried their valued life by the wrong medical treatment. We must follow basic science, but what is basic science?. Can we retrieve one ampule injection once used from the blood?.
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There are many tools but which has best data to support use in palliative care setting?
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Hi David
I am sure you are aware my group has looked at this topic extensively but you raise a very interesting question about depression screening in those with cognitive impairment. As you know depression screening has been fairly extensively validated in mild to moderate dementia but rarely in severe dementia or in your area: delirium. the other issue often raised is whether there is contamination from somatic symptoms. We have an unpublished meta-analysis on this plus this primary paper (https://www.ncbi.nlm.nih.gov/pubmed/22310033) which found somatic contamination modest....and related to the point above not confounded by the item "poor concentration" which might give more information on your point about cognition. However this does deserve further study....are you looking into this? regards
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I would like to evaluate the effectiveness of a specific imaginative relaxation technique in a sample of cancer patients. My plan is to measure physiological parameters (e.g. surface electromyography, heart rate, respiration rate, skin surface temperature, or heart rate variability) as an addition to the subjective psychometric evaluation. 
Does anyone know studies that have investigated the effect of relaxation techniques on said physiological parameters in (cancer) patients?
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Hi David,
You might also look here - Hidderley M, Holt M. A pilot randomized trial assessing the effects of autogenic training in early stage cancer patients in relation to psychological status and immune system responses. Eur J Oncol Nurs 2004;8(1):61-65.
Best wishes,
Ruth
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I am after articles describing any adaptations or validations of the Problem List that goes with the Distress Thermometer (in adult oncology patients).
I am aware of Brennan et al in the UK and the NCCN alterations. I've had a reasonable search on Medline and of over 60 articles I've looked at no others appear to report changes to the Problem List, which seems improbable.
Many thanks for any references suggested.
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We use the Memorial Symptom Assessment Scale.  We find it more informative and more specific that the DT.
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I am interested in collaborating with other clinicians/ researchers regarding creative / new / effective (either / or) ACT techniques (metaphors, breathing, exercises, rituals, etc) for application in clinical practice with patients with Chronic Pain.
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Milton Erickson used metaphors in his naturalistic hypnosis to control severe pain.
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Im doing MA in Psychotherapy and want to do comparision with different groups ie compare maybe NZ or Austratia, America , europe with Irish thanks
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An important read is McAlpine H, Joubert L, Martin-Sanchez F, Merolli M, Drummond KJ. A systematic review of types and efficacy of online interventions for cancer patients. Patient Educ Couns. 2015;98(3):283-95. doi:10.1016/j.pec.2014.11.002.
It gives a good overview of what is out there. Further studies:
Beatty L, Koczwara B, Wade T. Evaluating the efficacy of a self-guided Web-based CBT intervention for reducing cancer-distress: a randomised controlled trial.Support Care Cancer. 2015. doi:10.1007/s00520-015-2867-6.
Duffecy J, Sanford S, Wagner L, Begale M, Nawacki E, Mohr DC. Project onward: an innovative e-health intervention for cancer survivors. Psychooncology. 2013;22(4):947-51. doi:10.1002/pon.3075.
Owen JE, Klapow JC, Roth DL, Shuster JL, Jr., Bellis J, Meredith R et al. Randomized pilot of a self-guided internet coping group for women with early-stage breast cancer. Ann Beh Med. 2005;30(1):54-64. doi:10.1207/s15324796abm3001_7.
Ritterband LM, Bailey ET, Thorndike FP, Lord HR, Farrell-Carnahan L, Baum LD. Initial evaluation of an Internet intervention to improve the sleep of cancer survivors with insomnia. Psychooncology. 2012;21(7):695-705. doi:10.1002/pon.1969.
Wootten AC, Abbott JA, Meyer D, Chisholm K, Austin DW, Klein B et al. Preliminary results of a randomised controlled trial of an online psychological intervention to reduce distress in men treated for localised prostate cancer. European urology. 2015;68(3):471-9. doi:10.1016/j.eururo.2014.10.024.
Carpenter KM, Stoner SA, Schmitz K, McGregor BA, Doorenbos AZ. An online stress management workbook for breast cancer. J Behav Med. 2014;37(3):458-68. doi:10.1007/s10865-012-9481-6.
Van den Berg SW, Gielissen MF, Custers JA, van der Graaf WT, Ottevanger PB, Prins JB. BREATH: Web-Based Self-Management for Psychological Adjustment After Primary Breast Cancer-Results of a Multicenter Randomized Controlled Trial. J Clin Oncol. 2015;33(25):2763-71. doi:10.1200/JCO.2013.54.9386.
Yun YH, Lee KS, Kim YW, Park SY, Lee ES, Noh DY et al. Web-based tailored education program for disease-free cancer survivors with cancer-related fatigue: a randomized controlled trial. J Clin Oncol. 2012;30(12):1296-303. doi:10.1200/JCO.2011.37.2979.
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I am a masters student  in palliative medicine, trying to develop my dissertation proposal. I want to survey symptom burden and its associated distress in cancer patients in my locality using the MSAS. 
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We use the MSAS a lot in our research. There are consistent associations both cross-sectionally and over time with distress. In our studies we have concluded that many  patients become "distressed" when there are residual physical symptoms or other factors associated with their cancer or treatment which prevent a patient's return to normal function.   We think this is because patients are frustrated, and scared by symptoms - in the former because they can't move on after treatment, the latter because, particularly symptoms that are intermittent  might signal recurrence of disease.  There is a very good paper by Paul Jacobson's group at Moffatt in Florida published in Health Psychology in 2013 showing how residual symptoms cascade to distress.  Insomnia  was associated with greater fatigue the next day and more depression the next day in a sample of women receiving chemo for ovarian cancer.
The MSAS is easily scored and the original paper by Victor Chang has details.  The paper below also details.
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I'm looking for any articles/posters/papers that support this coping trajectories (non in the parents, only in the children/adolescence) in different serious illnesses
In our studies we have found that recency of diagnosis was related to coping strategies used.
Children more recently diagnosed with their chronic disease (0-6 months)
used less cognitive strategies than those children who are in the period
between 1 and 2 years from diagnosis.
We have also found that there are different trajectories between cancer diseases and rheumatic diseases.
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Thank you all for the contributions,
Alessandro
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I need help in psycho-oncology every kind of articles referring to children cancer survivor and psychotherapy interventions during and after disease are welcome.
Thank you for any help you can give me
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Hello Duarte Ribeiro,
below, you can find some recent references to better explore the topic:
guidelines:
Wiener, L., Viola, A., Koretski, J., Perper, E. D., & Patenaude, A. F. (2015). Pediatric psycho-oncology care: standards, guidelines, and consensus reports. Psycho-Oncology, 24(2), 204-211. doi:10.1002/pon.3589
best practice model:
Wiener, L. S., Pao, M., Kazak, A. E., Kupst, M. J., Patenaude, A. F., & Arceci, R. (2015). Pediatric psycho-oncology: A quick reference on the psychosocial dimensions of cancer symptom management (2nd ed.). New York, NY, US: Oxford University Press.
CBT approach:
Last, B. F., & Grootenhuis, M. A. (2012). Psychosocial interventions: A cognitive behavioral approach. In S. Kreitler, M. W. Ben-Arush, A. Martin, S. Kreitler, M. W. Ben-Arush, A. Martin (Eds.) , Pediatric psycho-oncology: Psychosocial aspects and clinical interventions (2nd ed.) (pp. 92-103). Wiley-Blackwell. doi:10.1002/9781119941033.ch9
overall review of the approaches:
Wiener, L., Oppenheim, D., Breyer, J., Battles, H., Zadeh, S., & Patenaude, A. F. (2012). A worldview of the professional experiences and training needs of pediatric psycho-oncologists. Psycho-Oncology, 21(9), 944-953. doi:10.1002/pon.3064
Shemesh, E. (2013). Review of Pediatric psycho-oncology: Psychosocial aspects and clinical interventions. 2nd ed. Journal Of The American Academy Of Child & Adolescent Psychiatry, 52(9), 972-974. doi:10.1016/j.jaac.2013.06.004
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I am interested in finding studies which have conditioned drug effects in humans.
ie paired a UCS-CS and evoked a CR with the CS. There are some older studies but this seems to have dropped out of view in recent years. There are of course, numerous animals studies.
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Dear Kerrie, a PubMed search for "conditioning effect of drugs AND conditioning [TITLE] AND drug [TITLE]" reveals numerous and even newer publications. One area where there are many studies is dependency and addictions. Nevertheless, as you wrote, most studies on this topic are of older date. I think this is also due to the simple fact that nowadays classic experimental studies for proofing this effect are no longer approved by the ethics committees. Please find below a couple of items that - in my pesonal opinion - are interesting to read.
  • Robbins SJ, Ehrman RN. (1992). Designing studies of drug conditioning in humans. Psychopharmacology (Berl). 106(2):143-53.
  • Stockhorst U, Mahl N, Krueger M, et al. (2004). Classical conditioning and conditionability of insulin and glucose effects in healthy humans. Physiol Behav. 81(3):375-88.
  • Attwood A, Terry P, Higgs S. (2010). Conditioned effects of caffeine on performance in humans. Physiol Behav. 99(3):286-93.
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I found a lot about anxiety and depressive symptoms but not so much regarding this kind of externalizing behaviors.
Thank you
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Thank you for suggestions! They're a good start point!
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I am working on a meta-synthesis of qualitative findings about interventions for improving wellbeing in cancer patients. Thanks in advance for any input!
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Hi Ronán, brilliant, thank you so much - is there some special trick that allowed you to search my question? Seems too good to be true, but then Google are pretty amazing at that sort of thing.
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I have been challenged by Jimmie C. Holland, MD of Memorial Sloan-Kettering, the founder of Psycho-oncology, to explore if and when Quality of Life endpoints are evaluated in clinical trials.
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Hi Rhonda,
I have conducted a systematic review of the psychosocial interventions for the family caregivers of stroke survivors. The significant changes in quality of life was usually found at about 6-12 months after the completion of the intervention. So you might need a longer follow-up for your study if QOL is one of your primary outcomes.
If your study with a shorter follow-up duration, you might consider some psychological indicators, such as anxiety, depression, uncertainty or sense of mastery
Hope the information helps
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Empathy is more and more considered to be an important quality in doctors, but two major difficulties come up. First different definitions of the concept empathy exist (for an interesting exchange of ideas on this point see the question of Diego Reinero "what is your definition of empathy?"), and second many instruments have been developed to measure this concept but in your experience, which instrument is currently best?
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Empathy Quotient...
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In most studies, patients report (very) high satisfaction and results are skewed. I am looking for a sensitive instrument that accurately reflects the patients experience with his/her clinician. Should their expectations or other personal characteristics be included? What are your experiences in this subject?
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If I understood correctly in this case you are looking to parcel out the "satisfaction." If so then I would start with what are the "areas" that this satisfaction can be parceled into and generate the item set. You can set the items up using a system similar to what is used in the Student Satisfaction Inventory. Expectations and satisfaction for the two rating perhaps. Perhaps satisfaction and physician influence as the two ratings. It depends on what you wish to measure. See teh format at:
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We are planning to conduct a psycho-oncology trial including the topics end-of-life care and beraevement care.
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Dear Volker Beierlein,
Thank you for your quick response. You are completely rigth with your speculation about my screening intention and your note about sensitivity. I am looking forward to read you paper.
Best regards (also from Jochen Ernst)
Gregor
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I've attached the original reference. It was developed for the EORTC Trial 10801 and I'm curious to find out why it's not used with the QLQ-C30 and not featured on their website as an official measure. It looks ideal for the domains I wish to measure in my research study.
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Thank you for your response and information Juan.