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Csaba Laszlo Degi
Author of
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OA08 - Putting the Patient at the Center: Holistic Patient Care (ID 156)
- Event: WCLC 2020
- Type: Oral
- Track: Nursing and Allied Health Professionals
- Presentations: 1
- Moderators:
- Coordinates: 1/30/2021, 11:45 - 12:45, Scientific Program Auditorium
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OA08.01 - Chair (ID 4130)
11:45 - 12:45 | Presenting Author(s): Csaba Laszlo Degi
- Abstract
Abstract not provided
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P30 - Palliative and Supportive Care (ID 163)
- Event: WCLC 2020
- Type: Posters
- Track: Palliative and Supportive Care
- Presentations: 1
- Moderators:
- Coordinates: 1/28/2021, 00:00 - 00:00, ePoster Hall
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P30.11 - Psychosocial Requirements in Lung Cancer Care (ID 1502)
00:00 - 00:00 | Presenting Author(s): Csaba Laszlo Degi
- Abstract
Introduction
Cancer distress is always a multifactorial experience. Many studies have shown that stigmatization and smoking specific concerns are of high importance because they are related to delayed or denied treatment, reluctance to disclose cancer status and difficulties in attending support groups. The overall prevalence rate of distress for lung cancer was found to be 43.4%, and 51.4% of this population is interested in one ore more psychological services.
Methods
Moreover, it was found that oncologists failed to accurately identify distress in 68% of patients with lung cancer. Non-disclosure of the lung cancer diagnosis could be linked to the severity of distress in this context as knowing the diagnosis is associated with a lower level of depression than not knowing the diagnosis. Studies revealed some evidence that psychosocial factors might play a role in lung cancer-specific mortality and survival.
Results
Depressive coping, emotional distress, and anxiety were found to be associated with shorter survival, respectively increased lung cancer-specific mortality, after controlling for demographic, biomedical, and treatment prognosticators. In one of the largest systematic reviews and meta-analysis, psychosocial interventions in oncology produced significant effects on emotional distress/well-being, anxiety, depression, and quality of life. In another reference study, it was also demonstrated that supportive care might influence survival in lung cancer patients. Because elevated cancer distress is associated with continued smoking and lack of success in smoking cessation attempts, psycho-oncological interventions potentially could influence lung cancer survival.
Conclusion
These results suggest that priority should be given to promoting psychosocial interventions in lung care that may enhance stigma resistance skills. Recent research has validated a modified cognitive-behavioral intervention focused on altering thoughts and feelings associated with perceived lung cancer stigma, including a telephone support-based approach also.