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. 2004 Jul 19;91(2):254-7.
doi: 10.1038/sj.bjc.6601950.

Beliefs and practices of patients with advanced cancer: implications for communication

G F Beadle  1 , P M Yates, J M Najman, A Clavarino, D Thomson, G Williams, L Kenny, S Roberts, B Mason, D Schlect
Affiliations

Beliefs and practices of patients with advanced cancer: implications for communication

G F Beadle et al. Br J Cancer. .

Abstract

The aim of this study was to investigate the beliefs that patients with advanced cancer held about the curability of their cancer, their use of alternatives to conventional medical treatment, and their need to have control over decisions about treatment. Of 149 patients who fulfilled the criteria for participation and completed a self-administered questionnaire, 45 patients (31%) believed their cancer was incurable, 61 (42%) were uncertain and 39 (27%) believed their cancer was curable. The index of need for control over treatment decisions was low in 53 patients (35.6%) and high in only 17 patients (11.4%). Committed users of alternatives to conventional medical treatments were more likely to believe that their cancer was curable (P<0.001) and to have a higher need for control over decisions about treatment (P<0.004). The mean need for control scores were highest in patients who believed that their cancer was curable, or who were uncertain about the curability of their cancer, but who acknowledged that their oncologist had reported that the cancer was incurable. The diverse beliefs, attitudes and actions of these patients were consistent with a range of psychological adaptations to a life-threatening illness, some realistic and others illusory. Illusory responses influence what communication can achieve in daily oncology practice.

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References

    1. Bagenal FS, Easton DF, Harris E, Chilvers C, McElwain TJ (1990) Survival of patients with breast cancer attending bristol cancer help centre. Lancet 336: 606–610 - PubMed
    1. Beadle GF, Yates PM, Najman JM, Clavarino A, Thomson D, Williams G, Kenny L, Roberts S, Mason B, Schlect D (2004) Illusions in advanced cancer the effect of belief symptoms and attitudes on quality of life. Psycho-Oncol 13: 26–36 - PubMed
    1. Boyd NF, Sutherland HJ, Heasman KZ, Tritchler DL, Cummings BJ (1990) Whose utilities for decision analysis? Med Decis Making 10: 58–67 - PubMed
    1. Butow PN, Coates AS, Dunn SM (1999) Psychosocial predictors of survival in metastatic melanoma. J Clin Oncol 17: 2256–2263 - PubMed
    1. Coates AS, Simes RJ (1992) Patient assessment of adjuvant treatment in operable breast cancer. Introducing New Treatments for Cancer: Practical, Ethical and Legal Problems, pp 447–458, New York: Wiley