The Medical journal of Australia
-
Multicenter Study Comparative Study
The psychological aftermath of prostate cancer treatment choices: a comparison of depression, anxiety and quality of life outcomes over the 12 months following diagnosis.
To assess the psychological impact of the different treatments for localised prostate cancer (PCA). ⋯ Compared with the other active treatments for localised PCA, HT appears to be associated with poorer HRQOL and greater psychological distress 12 months after commencing treatment.
-
Randomized Controlled Trial
Is symptom burden a predictor of anxiety and depression in patients with cancer about to commence chemotherapy?
To assess the prevalence, severity and distress from physical symptoms and the prevalence of anxiety and depression in patients about to undergo chemotherapy for potentially curable cancers; and to explore the presence of symptom clusters and investigate their relationships with anxiety and depression. ⋯ Before commencing chemotherapy, patients are already experiencing distressing symptoms and have high scores for anxiety and depression, partially explained by physical symptom distress. Patients should be routinely screened for both emotional and physical needs and appropriate interventions should be developed.
-
Multicenter Study
Interventions to circumvent intensive care access block: a retrospective 2-year study across metropolitan Melbourne.
To measure the prevalence of interventions used to circumvent intensive care access block and to estimate the attributable mortality and additional hospital bed-days associated with them. ⋯ Intensive care access block is frequent, and measures to circumvent it increase mortality and length of stay. Further study of the health and financial implications of access block are warranted.
-
Randomized Controlled Trial
The influence of depression and anxiety on outcomes after an intervention for prediabetes.
To conduct initial analyses and examine ways in which depression and anxiety are associated with outcomes after participation in the Healthy Living Course (HLC), an early-intervention diabetes prevention program for adults with prediabetes. ⋯ Our findings highlight the importance of assessing mood factors in prediabetes, and the need to develop theoretical models of change mechanisms for mood in health outcomes.
-
To assess the prevalence and predictors of anxiety and depression among a heterogeneous sample of long-term adult cancer survivors. ⋯ By 5 years after diagnosis, most survivors had adjusted well to their cancer experience, with levels of anxiety and depression similar to those of the general population. Nevertheless, a small and important group of long-term survivors continue to experience adverse psychological effects and need assistance. Monitoring of psychological wellbeing and referring patients when appropriate need to be integrated into routine care for cancer survivors.