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ABSTRACT

Abstracts

5

Risk for psychological distress among cancer

patients with a familial history of Indian

Residential School attendance: Results from

the 2008-10 First Nations Regional Health

Survey

Mrs. Maike van Niekerk

1

Dr. Amy Bombay

2 1

Dalhousie University, Halifax, Canada;

2

Dalhousie University, Halifax,

Canada

Aboriginal peoples have been and continue to be subjected to multiple traumas and stressors that contribute to their greater risk for a variety of health and social problems. Among these health issues, cancer has been identified as the third leading cause of death in the First Nations population, and survival rates are lower because many are not diag- nosed until it is too late. Due to the high prevalence and mortality rates of cancer, its diagnosis and treatment commonly evoke extreme psy- chological distress that can have significant implications for treatment and recovery. Having a greater understanding of risk factors that con- tribute to individual differences in psychological responses to cancer will help identify vulnerable populations and facilitate the development of culturally appropriate interventions. The present study assessed how familial Indian Residential School (IRS) attendance is linked with psychological distress among those with and without cancer in a repre- sentative sample of First Nations adults living onreserve. Statistical analyses were carried out using data from the 200810 First Nations Regional Heath Survey (RHS), a representative survey of 4,934 First Nations living onreserve from across Canada (excluding Nunavut). Analyses revealed that having a parent who attended IRS put First Nations adults diagnosed with cancer at greater risk for psychological distress relative to those without this family history. These findings point to the need for culturally safe cancer care for First Nations indi- viduals and communities that have been affected by Residential

Schools and other historical trauma events.

6

Does knowledge of diagnosis really affect

rates of depression in cancer patients?

Dr. Éva Kállay

Dr. Sebastian Pintea

Dr. Csaba László Dégi

BabesBolyai University, ClujNapoca, Romania

Purpose:The major objective of the present study was to investigate potential demographic and intrapersonal moderators of the relation- ship between knowing the cancer diagnosis and the level of depression experienced. Methods:The present research has a transversal comparative repeated crosssectional design (2006...2014), sampling following the proportional quota method. Research was conducted in the four major oncological institutes in Romania, obtaining a national sample of cancer patients, maintaining gender and ethnic rates, and permitting the investigation of the stability of the results from one assessment to the other. Results:Results indicate that in the Romanian context, knowing the diagnosis is associated with a lower level of depression than not know- ing the diagnosis, the results being similar in both assessments (2006...

2014). Furthermore, from the explored demographic factors (gender,

residence, age, and education), only age has a main effect upon depres- sion (depression increasing with age), while education is the only factor from those analysed, which has a moderator effect. Regarding the analysed intraindividual variables, only dysfunctional attitudes, emo- tionfocused coping, and lack of emotional support from the family have main effects upon the level of depression (i.e., higher levels of dysfunctional attitudes, emotionfocused coping, and loneliness are associated with higher levels of depression), while neither of them has a moderator effect on the relationship between knowing the diag- nosis and depression. Conclusions:These results are important in the improvement of the doctor...patient relationship, the management of cancerrelated dis- tress, and implicitly for the course of illness. Romanian National Authority for Scientific Research. Grant Number:

PNIIRUTE201230011.

[Correction added on 19 December 2016, after first online publication on 14 October 2016: The following Abstracts were missed out in the initial publica-

tion and have been added to this current version: Abstract 165, 216, 220, 355, 356, 420, 426 and 503.]

DOI 10.1002/pon.4272

PsychoOncology2016;25(Suppl. 3): 3...195 wileyonlinelibrary.com/journal/pon © 2016 The Authors. Psycho-Oncology © 2016 John Wiley & Sons, Ltd.3

7

Psychological stress in geriatric patients with

urological tumours in acute treatment

Dr. Desiree Louise Draeger*

Dr. Chris Protzel

Prof.

Oliver Hakenberg

Department of Urology, University of Rostock, Rostock, Germany Background:Two-thirds of all cancer cases involve patients who are older than 65 years, yet diagnosis, treatment and care of cancer in this age group are poorly studied. The psychological stress of urological cancer patients resulting from cancer diagnosis correlates with treat- ment side effects such as loss of body integrity, sexual or bladder func- tion. Regarding the specific psycho-oncological problems in elderly patients, data are sparse. The aim of this study was to investigate the stress situation of elderly patients with urological tumours using stan- dardized screening questionnaires and the use of such screening ques- tionnaires in the inpatient psychosocial treatment program. Methods:Prospective analysis of patients (≥65 years) with urological tumours (n=162) who underwent a surgical treatment or chemother- apy. Assessment of stress in patients using standardized screening questionnaires (NCCN Distress Thermometer and Hornheider SI) and integration with inpatient mental health care programs. Results:The average stress level was 4.4. According to the survey,

28% of the patients (45/162) had care needs. The majority of these

(48%) also communicated. 48% being in need of care of in-or outpa- tient psychosocial care. Conclusions:There is a significant number of elderly urological cancer patients with increased psychological stress and a consecutive need of psychosocial care. An interdisciplinary and inter -professional collabo- ration is essential to treat elderly cancer patients well. The integration of the measurement of psychological distress as an evaluation of the treatment of older patients is a step forward for patients with poten- tially life-threatening urological diseases. 8

The psychosocial stress situation in female

patients with superficial bladder carcinoma

Dr. Desiree Louise Draeger*

Dr. Chris Protzel

Prof.

Oliver Hakenberg

Department of Urology, University of Rostock, Rostock, Germany Background:About 7000 women get the diagnosis"bladder cancer" each year in Germany. Malignancy of the urinary bladder is in 14th position in the frequency range of cancer in women. The average age at initial diagnosis is 74 years. Recent studies show that women have a worse prognosis caused by a late diagnosis. The gold standard in the treatment of superficial bladder carcinoma is the complete trans- urethral resection of the tumour. The current study situation with regard to the psychosocial situation of patients with superficial bladder cancer does not include gender-specific assessments. The aim of this study therefore was to evaluate the stress situation of female bladder

cancer patients by screening questionnaires.Methods:A prospective analysis of female bladder cancer patients

with superficial tumours (pTa/pT1, n=42, mean age 72 years) using validated and standardized questionnaires for stress and psychosocial care needs was done (Hornheider SI and Distress Thermometer). Results:51% of female patients have a burden of≥5 which indicated a potential clinically relevant psychological distress. The mean stress level was 4.5 (STD 2.5). There were mostly reports of emotional stress factors: anxiety and nervousness (37%), pain and sleep (32%) and sor- row (29%). Conclusions:Compared to similar studies in men with bladder cancer, women with bladder cancer experience significantly more psychosocial stress than men. They complain mainly of emotional stressors, whereas male patients are more likely to report somatic stressors. This prospec- tive study emphasizes the relevance of psychosocial screening and the need for psychosocial counselling and care. 9

The relevance of psychosocial care in patients

with penile cancer

Dr. Desiree Louise Draeger*

Dr. Chris Protzel

Prof.

Oliver Hakenberg

Department of Urology, University of Rostock, Rostock, Germany Background:The penile cancer is a rare highly aggressive tumour entity. The psychological stress of patients with penis carcinoma arises from the cancer diagnosis per se and the correlating with tumour suf- fering side effects (loss of body integrity and sexual function). In addi- tion, there is cancer-specific distress e.g. fear of metastasis, progress, recurrence or death. Studies on the psychosocial stress of penile carci- noma patents are rare. This study investigated the stress situation of patients with penile malignancies using screening questionnaires and integration with inpatient mental health care programs. Methods:Prospective analysis of patients with penile carcinoma (n=33) who underwent a surgical treatment or chemotherapy in the period between 06/2014 and 12/2015. Assessment of stress in patients with penile cancer using standardized screening question- naires (Distress Thermometer (DT) and Hornheider SI (HSI)) and inte- gration with inpatient mental health care programs. Results:The average stress level was 4.1 (DT; STD 2,2). 42% of the patients showed an elevation care needs. All affected patients received inpatient psychosocial care. The main stressors were sorrow (44%), micturition (40%), fear (36%) and exhaustion (32%). Conclusions:Patients with penile cancer have, due to the often muti- lating surgery, increased psychological stress and consequently increased psychosocial care needs. Therefore, emotional stress should be recognized and support provided. This illustrates the importance of interdisciplinary collaboration in cancer treatment.

4ABSTRACTS

10

A qualitative research study to explore the

patientsexperience of returning home following allogeneic stem cell transplantation for haematological malignancy.

Dr. Liz Dunn

Guys and St Thomas NHS Trust, London, United Kingdom Background/Purpose:Globally, 10 000 people a year are treated with Stem Cell Transplant (SCT) for haematological malignancy following arduous chemotherapy and radiotherapy regimens. The purpose of this research is to explore the lived experience of fifteen men and women treated with allogeneic stem cell transplant (SCT) for haematological malignancy. Method:The study followed an interpretive phenomenological meth- odology using semi≥structured interviews. Fifteen participants aged between 22...68 years were purposively recruited from two specialist treatment centres and were interviewed within three months to one year post SCT between April and September 2013. Data were analysed using interpretive phenomenological methodology to gain insights into their lived experience including their personal and social experience of the world following treatment. Results:Two overarching concepts emerged from the data: The Imme- diacy of Illness and Existential Crisis and The Recovery Journey. The Immediacy of Illness and Existential Crisis illustrates the participants experiences of critical events in relation to illness and the Recovery Journey exemplifies the subsequent challenges and enduring uncer- tainty they face including threats to their own mortality. Participants suffer major disruption to their lives physically, psychosocially and emotionally as a result of illness without a sense of when they may resume the normality of their former life. Conclusions:Ambiguity and uncertainty characterise the illness and recovery journey for those with haematological malignancy. Whilst participants have access to specialist teams, there are opportunities for health and social care professionals to provide more support for individuals returning home after prolonged hospitalisation and in the months that follow. 11

CARDIAC REHABILITATION TO INCREASE

PHYSICAL ACTIVITY AMONG CANCER

PATIENTS: IS IT FEASIBLE AND

ACCEPTABLE?

Dr Gill Hubbard

1

Dr Richard Adams

2

Dr Anna Campbell

3 Dr

Lisa Kidd

4

Prof Stephen Leslie

5

Mrs Julie Munro

1 Prof

Angus Watson

5

Prof Ronan OCarroll

1

Prof Sally Haw

1,6

Prof Shaun Treweek

7 1

University of Stirling, Stirling, United Kingdom;

2

Cardiff University,

Cardiff, United Kingdom;

3

Edinburgh Napier University, Edinburgh, United

Kingdom;

4

RGU, Aberdeen, United Kingdom;

5

NHS Highlands, Inverness,

United Kingdom;

6

Edinburgh University, Edinburgh, United Kingdom;

7

University of Aberdeen, Aberdeen, United Kingdom

Background:There is strong evidence of exercise to aid recovery from cancer and secondary prevention. Yet colorectal cancer survivors are currently not meeting the recommended physical activity levels associ- ated with improving the chances of survival and quality of life. We evaluated whether referral of colorectal cancer patients to cardiac rehabilitation is a feasible and acceptable exercise intervention. Methods:We conducted a pilot randomised controlled trial with embedded qualitative study supplemented with an economic evalua- tion. At baseline 41 post≥surgical colorectal cancer patients, recruited from 3 hospital wards, were randomly assigned into two groups: an intervention group which received cardiac rehabilitation alongside car- diac patients and a no rehabilitation control group. Descriptive statis- tics were used to summarise trial parameters indicative of intervention feasibility and acceptability. 38 patients (colorectal cancer and cardiac) and 8 clinicians (colorectal cancer and cardiac) participated in interviews/focus groups and data were analysed thematically. Results:Barriers to exercise for post≥surgical colorectal cancer patients were protracted recoveries from surgery, on≥going treatments and poor mobility. No adverse events were reported, suggesting that car- diac rehabilitation provides a safe exercise environment for cancer patients. Out of pocket expenses were small (£50). Cardiac rehabilita- tion increased cancer patientsconfidence and motivation to exercise and offered peer support. Cardiac and cancer patients found exercising together acceptable. Conclusions:Cardiac rehabilitation for colorectal cancer patients is feasible and acceptable, thereby challenging disease≥specific rehabili- tation models. We need a better understanding of the effectiveness of cardiac rehabilitation for increasing physical activity to improve sur- vival and quality of life of cancer patients.

ABSTRACTS5

12

RAISING ADOLESCENT CANCER

AWARENESS AND CANCER

COMMUNICATION IN FAMILIES

Dr Gill Hubbard

1

Dr Richard Kyle

2

Mrs Iona Stoddart

3 Prof

Liz Forbat

4

Prof Richard Neal

5

Prof Ronan OCarroll

1 Prof

Sally Haw

1 1 University of Stirling, Inverness, United Kingdom; 2

Edinburgh Napier

University, Edinburgh, United Kingdom;

3

Teenage Cancer Trust, London,

United Kingdom;

4 Australian Catholic University, Canberra, Australia; 5

Bangor University, Bangor, United Kingdom

Introduction:People who have greater awareness of signs and symp- toms that might be suggestive of cancer are more likely to seek medi- cal help quickly. If the cancer is detected early then a person has a much better chance of living a long and healthy life. Little is known about psycho-educational interventions to improve teenage cancer awareness and cancer communication.quotesdbs_dbs6.pdfusesText_12