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Sue Ryder Care Spring Lecture:




     Do Psychological Factors

 Influence Cancer Progression?


Alex Mitchell alex.mitchell@leicspart.nhs.uk
• Introduction – Psychological Factors =>
                   Physical Outcomes (not QoL)

• I - Psychological Outlook (Observational Studies)
  Coping Styles Studies
  ? Psychiatric influences


• II - Psychological Interventions (RCTs)
  Individual Sessions
  Group
• Signif Heterogeneity

  Different measures
  Different cancers
  Different follow-up periods
  Different outcome measures
  Different control for physical factors

  * Different stages of disease *
Psychological Measures!
POMS     SCL90     SADS      SHS


MAACL    BOS       PAIS      JFS


HAS      VUL       LS        RSE


EO       HDRS      PSI       TSCS


PSE      SRSS      CANTRIL   HLC


STAI     BDI       SCQ       LC
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)
Sue Ryder05 -  Psychological Factors & Survival after Cancer (June 2005)

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Sue Ryder05 - Psychological Factors & Survival after Cancer (June 2005)

  • 1. Sue Ryder Care Spring Lecture: Do Psychological Factors Influence Cancer Progression? Alex Mitchell alex.mitchell@leicspart.nhs.uk
  • 2. • Introduction – Psychological Factors => Physical Outcomes (not QoL) • I - Psychological Outlook (Observational Studies) Coping Styles Studies ? Psychiatric influences • II - Psychological Interventions (RCTs) Individual Sessions Group
  • 3. • Signif Heterogeneity Different measures Different cancers Different follow-up periods Different outcome measures Different control for physical factors * Different stages of disease *
  • 4. Psychological Measures! POMS SCL90 SADS SHS MAACL BOS PAIS JFS HAS VUL LS RSE EO HDRS PSI TSCS PSE SRSS CANTRIL HLC STAI BDI SCQ LC