From evidence to implementation: The global challenge for psychosocial oncology.

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Title: From evidence to implementation: The global challenge for psychosocial oncology.
Authors: Rodin, Gary
Source: Psycho-Oncology. Oct2018, Vol. 27 Issue 10, p2310-2316. 7p. 1 Color Photograph, 2 Diagrams.
Subjects: Palliative treatment, Terminal care, Cancer patient care, Cancer & psychology, Saunders, Cicely, Kübler-Ross, Elisabeth, 1926-2004, Holland, Jimmy
Abstract: The human dimensions of medical care were highlighted by such pioneering figures as Cicely Saunders, Elizabeth Kubler-Ross, and Jimmie Holland and their tireless advocacy helped to build an evidence base for psychosocial and palliative interventions. In that spirit, we studied physical and psychological distress in advanced cancer and modeled pathways to distress in this population. We considered acute stress disorder as the prototype for psychological disturbances following the acute onset of life-threatening disorders, showing that it occurred in one-third of patients after the diagnosis of acute leukemia. To treat and prevent these symptoms, we developed Emotion and Symptom-focused Engagement (EASE), an integrated psychotherapeutic and early palliative intervention. We showed that EASE reduced both traumatic stress and physical suffering in these patients and a large multi-center trial is now underway. We also identified symptoms of depression and hopelessness n one quarter of patients with metastatic and advanced cancer, with worsening toward the end of life. To alleviate this distress, we developed a brief supportive-expressive therapy, referred to as Managing Cancer and Living Meaningfully (CALM). We showed in a large RCT that CALM improves depression, distress related to dying and death, and preparation for the end of life. We have now launched a global initiative involving 20 sites to date across North and South America, Europe, Australia, and Asia to have CALM implemented routinely in cancer care. Such initiatives are needed to move psychosocial care in cancer from evidence to implementation and to fulfill the dream of Jimmie Holland that cancer care be as humanistic as it is effective. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: From evidence to implementation: The global challenge for psychosocial oncology.
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  Data: <searchLink fieldCode="AR" term="%22Rodin%2C+Gary%22">Rodin, Gary</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Oct2018, Vol. 27 Issue 10, p2310-2316. 7p. 1 Color Photograph, 2 Diagrams.
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  Data: <searchLink fieldCode="DE" term="%22Palliative+treatment%22">Palliative treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Terminal+care%22">Terminal care</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patient+care%22">Cancer patient care</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+%26+psychology%22">Cancer & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Saunders%2C+Cicely%22">Saunders, Cicely</searchLink><br /><searchLink fieldCode="DE" term="%22Kübler-Ross%2C+Elisabeth%2C+1926-2004%22">Kübler-Ross, Elisabeth, 1926-2004</searchLink><br /><searchLink fieldCode="DE" term="%22Holland%2C+Jimmy%22">Holland, Jimmy</searchLink>
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  Data: The human dimensions of medical care were highlighted by such pioneering figures as Cicely Saunders, Elizabeth Kubler-Ross, and Jimmie Holland and their tireless advocacy helped to build an evidence base for psychosocial and palliative interventions. In that spirit, we studied physical and psychological distress in advanced cancer and modeled pathways to distress in this population. We considered acute stress disorder as the prototype for psychological disturbances following the acute onset of life-threatening disorders, showing that it occurred in one-third of patients after the diagnosis of acute leukemia. To treat and prevent these symptoms, we developed Emotion and Symptom-focused Engagement (EASE), an integrated psychotherapeutic and early palliative intervention. We showed that EASE reduced both traumatic stress and physical suffering in these patients and a large multi-center trial is now underway. We also identified symptoms of depression and hopelessness n one quarter of patients with metastatic and advanced cancer, with worsening toward the end of life. To alleviate this distress, we developed a brief supportive-expressive therapy, referred to as Managing Cancer and Living Meaningfully (CALM). We showed in a large RCT that CALM improves depression, distress related to dying and death, and preparation for the end of life. We have now launched a global initiative involving 20 sites to date across North and South America, Europe, Australia, and Asia to have CALM implemented routinely in cancer care. Such initiatives are needed to move psychosocial care in cancer from evidence to implementation and to fulfill the dream of Jimmie Holland that cancer care be as humanistic as it is effective. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1002/pon.4837
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      – Code: eng
        Text: English
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        PageCount: 7
        StartPage: 2310
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      – SubjectFull: Palliative treatment
        Type: general
      – SubjectFull: Terminal care
        Type: general
      – SubjectFull: Cancer patient care
        Type: general
      – SubjectFull: Cancer & psychology
        Type: general
      – SubjectFull: Saunders, Cicely
        Type: general
      – SubjectFull: Kübler-Ross, Elisabeth, 1926-2004
        Type: general
      – SubjectFull: Holland, Jimmy
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      – TitleFull: From evidence to implementation: The global challenge for psychosocial oncology.
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              M: 10
              Text: Oct2018
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              Y: 2018
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              Value: 27
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              Value: 10
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            – TitleFull: Psycho-Oncology
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