title: Psychosocial study on Hong Kong Chinese with gynecological cancer.
abstract: Psychosocial support and adjustment to cancer in 115 Chinese patients with gynecological malignancies were studied by interviews using semi-structured and structured questionnaires before commencement of treatment. Ninety per cent of patients had emotional support with 72% coming from family members, while 77% of the patients said that they were clearly informed of their diagnosis. The majority of our patients (63%) did not wish to see a counsellor. Psychological outcome of the patients was good, with less than 21% having expression of anxiety or depression. Social adjustment was less favorable; 42% of women had a reduction in leisure activity. The majority of married couples maintained a good marital relationship even though 78% had reduction or cessation of their sexual activity. Good emotional support was associated with fewer neurotic symptoms. Though there was no statistical significance demonstrated, the good psychosocial support and the favorable psychological outcome in this group of patients indicated the likelihood of a positive relationship between the two.
authors.affiliation: Department of Obstetrics and Gynecology, University of Hong Kong, Queen Mary Hospital.
authors.forename: H Y
authors.initials: HY
authors.lastname: Ngan
authors.forename: G W
authors.initials: GW
authors.lastname: Tang
authors.forename: O W
authors.initials: OW
authors.lastname: Lau
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D001294:Attitude to Health / Q000208:ethnology; D002681:China / Q000208:ethnology; D003376:Counseling; D003863:Depression / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D005190:Family / Q000523:psychology; D005260:Female; D005833:Genital Neoplasms, Female / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology*; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D007899:Leisure Activities; D008393:Marriage / Q000523:psychology; D008875:Middle Aged; D012725:Sexual Behavior; D012944:Social Support; D011795:Surveys and Questionnaires