title: The orofacial cancer patient's support from the general practitioner, hospital teams, family, and friends.
abstract: BACKGROUND
  After the diagnosis of cancer, about a third of patients have adjustment disorders. Of recently diagnosed patients, 5 to 15% experience serious psychological disturbances, but their distress is often undetected and untreated. Little attention has been directed to the patients' sources of support and their adequacy.
  
  
  METHODS
  This study assessed a defined group (n = 49) of cancer patients' ratings of the support they received from general practitioners, hospital teams, family, and friends. Additional information was collected on the patients' interest in receiving further hospital services and their psychological morbidity (i.e., anxiety and depression).
  
  
  RESULTS
  The results show wide variation in patients' perceptions of the helpfulness of the primary and secondary care teams, raising concern about the levels of help and support available to some cancer patients.
  
  
  CONCLUSIONS
  Although this sample rated the help received from the hospital very highly, those patients who requested more information from the hospital sector showed little evidence of having had their general anxiety "buffered" by involvement of family members.
authors.affiliation: Department of Clinical Psychology, University of Liverpool, U.K.
authors.forename: D
authors.initials: D
authors.lastname: Broomfield
authors.forename: G M
authors.initials: GM
authors.lastname: Humphris
authors.forename: S E
authors.initials: SE
authors.lastname: Fisher
authors.forename: D
authors.initials: D
authors.lastname: Vaughan
authors.forename: J S
authors.initials: JS
authors.lastname: Brown
authors.forename: S
authors.initials: S
authors.lastname: Lane
mesh_terms: D000275:Adjustment Disorders / Q000209:etiology; D001007:Anxiety / Q000209:etiology; D003152:Community Health Nursing; D003863:Depression / Q000209:etiology; D005153:Facial Neoplasms / Q000523:psychology*; D005194:Family Practice; D005260:Female; D013502:General Surgery; D006757:Hospital Units; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000523:psychology*; D009741:Nursing Staff, Hospital; D010044:Outpatient Clinics, Hospital; D010348:Patient Care Team; D017060:Patient Satisfaction; D010564:Personnel, Hospital; D010817:Physician-Patient Relations; D012944:Social Support; D013315:Stress, Psychological / Q000209:etiology; D011795:Surveys and Questionnaires