Hostname: page-component-788cddb947-xdx58 Total loading time: 0 Render date: 2024-10-10T08:53:58.841Z Has data issue: false hasContentIssue false

Adjuvant Psychological Therapy: A Cognitive Behavioural Treatment for Patients with Cancer

Published online by Cambridge University Press:  16 June 2009

S. Moorey
Affiliation:
Royal Marsden Hospital and Institute of Psychiatry
S. Greer
Affiliation:
Royal Marsden Hospital

Extract

Cancer and its treatment are known to have a substantial psychological morbidity, but relatively little work has been done to investigate the effectiveness of psychotherapy with this group of patients. This paper outlines a newly developed cognitive behavioural approach for distressed cancer patients based on Beck's cognitive therapy. In addition to using cognitive and behavioural techniques to relieve depression and anxiety Adjuvant Psychological Therapy seeks to help patients develop a fighting spirit towards their illness. The application of the treatment is illustrated with the use of two case reports.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Burish, T. G. and Lyles, J. N. (1979). Effectiveness of relaxation training in reducing the aversiveness of chemotherapy in the treatment of cancer. Journal of Behavioural Therapy and Experimental Psychiatry 10, 357361.CrossRefGoogle Scholar
Coursey, K., Dawson, J. J. and Luce, J. K. (1975). Comparative anxiety levels of cancer patients and family members. Proceedings of the American Association for Cancer Research 16, 246.Google Scholar
Derogatis, L. R. and Lopez, M. C. (1983). The Psychosocial Adjustment to Illness Scale (PAIS and PAIS–SR). Scoring, Procedures and Administration Manual–I Baltimore: Clinical Psychometric Research.Google Scholar
Derogatis, L. R., Morrow, G. R., Fetting, J., Penman, D., Piasetsky, S., Schmale, A. M., Henrichs, M. and Carnicke, C. L. M. (1983). The prevalence of psychiatric disorder among cancer patients. Journal of the American Medical Association 249, 751757.CrossRefGoogle ScholarPubMed
Di Clemente, R. J. and Temoshok, L. (1985). Psychological adjustment to having cutaneous malignant melanoma as a predictor of follow up clinical status. Psychosomatic Medicine 47, 81.Google Scholar
Fallowfield, L. J., Baum, M. and Maguire, G. P. (1986). Effects of breast conservation on psychological morbidity associated with diagnosis and treatment of early breast cancer. British Medical Journal 293, 13311334.CrossRefGoogle ScholarPubMed
Farber, J. M., Weinerman, B. H. and Kuypers, J. A. (1984). Psychosocial distress in oncology outpatients. Journal of Psychosocial Oncology 2, 109118.CrossRefGoogle Scholar
Greer, S. and Watson, M. (1987). Mental adjustment to cancer: its measurement and prognostic importance. Cancer Surveys 6, 439453.Google ScholarPubMed
De Haes, J. C. J. M., Raatgever, J. W., van der Burg, M. E. L., Hamersma, E. and Neijt, J. P. (1987). Evaluation of the quality of life of patients with advanced ovarian cancer treated with combination chemotherapy. In The Quality of Life of Cancer Patients (eds. Aaronsen, N. K. and Beckmann, J.) pp. 215226. New York: Raven Press.Google Scholar
Heinrich, R. L. and Schag, C. C. (1985). Stress and activity management: group treatment for cancer patients and spouses. Journal of Counselling and Clinical Psychology 53, 439446.CrossRefGoogle ScholarPubMed
Horowitz, M. J. (1979). Psychological response to serious life events. In Hamilton, V. and Warburton, D. M. (Eds.) Human Stress and Cognition: an information processing approach. John Wiley & Sons.Google Scholar
Lazarus, R. S. and Folkman, S. (1984) Stress, Appraisal and Coping. New York: Springer Publishing Company Inc.Google Scholar
Maguire, G. P., Lee, E. G., Bevington, D. J., Kucherman, C., Crabtree, R. J. and Cornell, C. E. (1978). Psychiatric problems in the first year after mastectomy. British Medical Journal i, 963965.CrossRefGoogle Scholar
Maguire, G. P., Tait, A., Brooke, M., Thomas, C., Howat, J. M. T., Sellwood, R. A. and Bush, H. (1980). Psychiatric morbidity and physical toxicity associated with mastectomy. British Medical Journal 2, 14541456.CrossRefGoogle Scholar
Moorey, S. and Greer, S. (1989) Psychological Therapy for Patients with Cancer: A New Approach. Oxford: Heinemann.Google Scholar
Morris, T., Greer, H. S. and White, P. (1977). Psychological and social adjustment to mastectomy: a 2 year follow up study. Cancer 40, 23812387.3.0.CO;2-B>CrossRefGoogle ScholarPubMed
Morris, T., Greer, S. Pettingale and Watson, M. (1981). Patterns of expression of anger and their correlates in women with breast cancer. Journal of Psychosomatic Research 25, 111117.CrossRefGoogle ScholarPubMed
Pettingale, K. W., Morris, T., Greer, S. and Haybittle, J. L. (1985). Mental attitudes to cancer: an additional prognostic factor. Lancet 1, 750.CrossRefGoogle ScholarPubMed
Rachman, S. (1980). Emotional processing. Behaviour Research and Therapy 18, 5160.CrossRefGoogle ScholarPubMed
Spiegel, D., Bloom, J. R. and Yalom, I. (1981). Group support for patients with metastatic cancer. Archives of General Psychiatry 38, 527533.CrossRefGoogle ScholarPubMed
Spiegel, D. and Bloom, J. R. (1983). Group therapy and hypnosis reduce metastatic breast carcinoma pain. Psychosomatic Medicine 45, 333339.CrossRefGoogle ScholarPubMed
Stam, H. J. and Bultz, B. D. (1986). The treatment of severe insomnia in a cancer patient. Journal of Behaviour Therapy and Experimental Psychiatry 17, 3337.CrossRefGoogle Scholar
Tarrier, N. and Maguire, G. P. (1984). Treatment of psychological distress following mastectomy: An initial report. Behaviour Research and Therapy 22, 8184.CrossRefGoogle ScholarPubMed
Tarrier, N., Maguire, G. P. and Kincey, J. (1983). Locus of control and cognitive behaviour therapy with mastectomy patients: A pilot study. British Journal of Medical Psychology 56, 265270.CrossRefGoogle ScholarPubMed
Watson, M. (1983). Psychosocial intervention with cancer patients: a selected review. Psychological Medicine 13, 839846.CrossRefGoogle Scholar
Watson, M., Greer, S., Young, J.Inayat, Q, Burgess, C. and Robertson, B. (1988). Development of a questionnaire measure of adjustment to cancer: the MAC scale. Psychological Medicine 18, 203209.CrossRefGoogle ScholarPubMed
Watson, M.Pettingale, K. W. and Greer, S. (1984). Emotional control and autonomic arousal in breast cancer patients. Journal of Psychosomatic Research 28, 467474.CrossRefGoogle ScholarPubMed
Zigmond, A. S. and Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavia 67, 361370.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.