Role of Patient Coping Strategies in Understanding the Effects of Early Palliative Care on Quality of Life and Mood

作者: Joseph A. Greer , Jamie M. Jacobs , Areej El-Jawahri , Ryan D. Nipp , Emily R. Gallagher

DOI: 10.1200/JCO.2017.73.7221

关键词: MEDLINEAdvanced cancerPatient participationMedicineHealth careCoping (psychology)MoodRandomized controlled trialPalliative carePsychiatry

摘要: PurposeThe early integration of oncology and palliative care (EIPC) improves quality life (QOL) mood for patients with advanced cancer. However, the mechanisms by which EIPC benefits these outcomes remain unclear. We therefore examined whether improved patients’ coping strategies if changes in accounted intervention effects on QOL depressive symptoms.Patients MethodsFor this secondary analysis an trial, we data from 350 newly diagnosed incurable lung or GI Participants completed assessments (Functional Assessment Cancer Therapy–General), symptoms (Patient Health Questionnaire–9), (Brief COPE) at baseline 24 weeks. used linear regression to test use mediation models bias-corrected bootstrapping examine improvements mediated patient-reported outcomes.ResultsCompared u...

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