CoRPS - Center of Research on Psychology in Somatic diseases, Department of Medical and Clinical Psychology, Tilburg University, PO Box 90153, 5000, Tilburg, LE, The Netherlands.
Department of Medical Psychology, Elisabeth Tweesteden Hospital, Tilburg, The Netherlands.
Support Care Cancer. 2018 Dec;26(12):4177-4185. doi: 10.1007/s00520-018-4291-1. Epub 2018 Jun 9.
Patients with lung cancer (LC) have high rates of psychosocial symptoms and international guidelines recommend regular psychosocial screening during treatment. This study evaluates psychosocial consequences of diagnosis and treatment of LC in a qualitative way and evaluates the need for a LC specific screening instrument.
Focus group meetings with LC patients were divided by treatment type. Patients discussed psychological and social consequences of diagnosis and treatment. Major themes were identified using content analysis. Themes were re-evaluated in a subsequent focus group, in accordance with the European Organization for Research and Treatment of Cancer (EORTC) guidelines.
Patients reported a range of psychosocial consequences, such as frustration due to physical limitations, fear of recurrence, sadness of leaving behind partner and children, and disappointing social support. Patients treated with palliative intent specifically indicated insecurities about the future. Patients from all treatment modalities indicated a need for family support during treatment. No themes specific to LC arose.
Patients with LC are coping with a range of psychosocial consequences, independent of the type of treatment they receive. Fear of recurrence/metastasis and insecurity about the future were more prominent in patients receiving palliative chemotherapy. Themes were not specific to LC; therefore, a screening instrument specific for the LC population does not seem required. However, the current standard for screening is considered insufficiently sensitive and a stepped screening approach with specific screening tools and a clinical interview is suggested as usual care.
肺癌（LC）患者存在较高比例的心理社会症状，国际指南建议在治疗期间定期进行心理社会筛查。本研究采用定性方法评估 LC 诊断和治疗的心理社会后果，并评估是否需要特定于 LC 的筛查工具。
根据治疗类型将肺癌患者的焦点小组会议进行分组。患者讨论了诊断和治疗的心理和社会后果。使用内容分析法确定主要主题。根据欧洲癌症研究与治疗组织（EORTC）指南，在随后的焦点小组中重新评估主题。
患者报告了一系列心理社会后果，例如身体受限导致的沮丧、对复发的恐惧、离开伴侣和孩子的悲伤以及令人失望的社会支持。接受姑息治疗的患者特别表示对未来的不安。来自所有治疗方式的患者都表示在治疗期间需要家庭支持。没有出现特定于 LC 的主题。
LC 患者正在应对一系列心理社会后果，与他们接受的治疗类型无关。接受姑息化疗的患者更担心复发/转移和对未来的不安全感。主题不特定于 LC；因此，似乎不需要针对 LC 人群的特定筛查工具。然而，目前的筛查标准被认为不够敏感，建议采用特定的筛查工具和临床访谈的阶梯式筛查方法作为常规护理。
