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Title: The psychosocial impact of lung cancer and its treatment on the patient and their primary carer
Author: North, Nigel Trevor
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 1991
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This study has described the psychosocial impact of lung cancer and its treatment of patients and their 'primary carers'. The subjects have been identified and assessed at three different stages of their illness using a battery of scales and questionnaires. The first group of patients were interviewed at the mid point of their first line chemotherapy and have been on follow up observation for at least one month. The third group of patients have received a full course of chemotherapy, a period of follow up observation and were interviewed at the mid point of palliative radiotherapy. There were 40 patients in each group and their 'primary carers'. (In this study the 'primary carer' has been defined as the person who undertakes to provide the majority of the physical and emotional care of the patient). There was no statistically significant difference in mean anxiety and depression scores (HAD scale) between the three groups of patients, but a significant number of patients in each group scored in the 'case-level' range. Similarly, there were no statistically significant differences in mean anxiety and depression scores (HAD scale) between the three groups of 'primary carers'. The mean anxiety scores of carers were significantly higher than the patients in each of the three groups and a significantly greater number scored in the 'case level' range. The psychological state of the patient and the carer are significantly correlated during certain stages of the illness. Lung cancer is viewed as being composed of multiple stresses for patients and their carers and a number of multiple stepwise regression analyses and factor analyses support this view. These analyses suggest that one of the principle contributory factors to distress in the carer is distress in the patients and vice versa. In addition, the psychological state of the significant other combines with a range of other factors such as the amount and severity of symptomatology, personality variables, age and psychological adjustment to illness.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available