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.
Subject(s)
Neoplasms/psychology , Social Adjustment , Adult , Aged , Female , Humans , Male , Middle Aged , Neoplasms/radiotherapy , Prospective Studies , Psychomotor Agitation , Radiotherapy/psychology , Reality Testing , RiskABSTRACT
The Activity Vector Analysis was administered to four independent samples of hospital staff nurses (40 working on surgical floors, 40 on medical floors, 10 cancer specialists, and 10 in an outpatient department) to investigate differences in how nurses perceived themselves versus the type of nurse who works best with cancer patients, as well as differences in the perceptions of typical hospital patients, ideal patients, and cancer patients. Highly congruent stereotype clusters for the perception of the typical patient and cancer patient were found along with two less congruent stereotype clusters of the ideal patient and a stereotype cluster of perceptions of the cancer nurse. Both typical patients and typical cancer patients were seen as significantly below average in terms of their potential for action and were perceived as exercising less foresight, planning ability, moral judgment, and ethical conduct than nurses.
