RESUMO
This study investigated cancer portrayals in newspapers now and 20 years ago. Six major daily newspapers from regions across Canada were studied. All articles from a 3-month period in 2008 (n = 576) and 1988 or 1989 (n = 412) focusing on cancer were analyzed. Cancer is a more prevalent topic and is depicted in a more positive light in newspapers now when compared to 20 years ago. In 2008, the most common cancer-related themes were cancer research (27%), risk factors (26%), treatment (24%), education/prevention (20%), and fundraising events (19%). Compared to 1988/1989, in 2008, there was a significant decrease in articles covering the end of life and surgery, while there was a significant increase in articles portraying the senior population, male issues, individual stories depicting people suffering from cancer, the health care system, fundraising events, and ethics and law. The percentage of articles on psychosocial aspects of the cancer experience remained the same in 1988/1989 compared with 2008, with 16% of articles covering psychological aspects (vs. 17% in 2008), 5.6% social aspects (vs. 3.9% in 2008), and 0.2% spiritual aspects (vs. 0.5% in 2008). In 2008, few cancer articles spoke in-depth about palliative care (2.8%), issues concerning death and dying (5%), or bereavement (1%). Cancer newspaper reporting mostly focuses on the physical aspects of cancer rather than presenting a more holistic approach including psychosocial issues. Implications of the shifts in tone and content of newspaper reporting are discussed. We highlight the importance of promoting coverage of distress as the sixth vital sign in newspaper press so as to inform readers about the experience of cancer and the existence of psychosocial services designed to optimize quality of life.
Assuntos
Neoplasias , Jornais como Assunto/tendências , Canadá , Atenção à Saúde/organização & administração , Humanos , Neoplasias/patologia , Neoplasias/psicologia , Neoplasias/terapia , Qualidade de VidaRESUMO
OBJECTIVE: This pilot study aimed to provide supportive evidence for the acceptability and usefulness of the Meaning-Making intervention (MMi) in patients newly diagnosed with Stage III or IV ovarian cancer, and to provide estimates of parameters needed to design a full-scale study. METHODS: A randomized controlled trial with 24 patients (12 experimental and 12 control) was conducted. Existential well-being (primary outcome), overall quality of life, distress, anxiety, depression and self-efficacy were measured. RESULTS: Compared to the control group, patients in the experimental group had a better sense of meaning in life at one and three months post-intervention. CONCLUSION: The MMi seems a promising intervention for advanced cancer patients, and a full randomized controlled trial is warranted to further investigate its efficacy.