title: Reducing distress in cancer patients with an orientation program.
abstract: The purpose of this study was to test a brief orientation program for reducing anxiety, depressive symptoms, and overall distress in cancer patients at their initial clinic visit. One hundred and fifty consecutively referred patients seen in an oncology outpatient clinic were randomly assigned to an intervention or usual care control group. The intervention group received a clinic tour, general information about clinic operations, and a question and answer session with an oncology counselor. Outcome measures included the State-Trait Anxiety Inventory (STAI), the Brief Profile of Mood States (POMS), the Center for Epidemiologic Studies-Depression (CES-D) Scale, and an oncology clinic questionnaire which were administered at the initial clinic visit and follow-up. There were no statistically significant clinical or demographic differences between groups at initial assessment. At follow-up, the intervention group had lower state anxiety, lower overall distress, and fewer patients reporting depressive symptoms. Patients in the intervention group demonstrated significantly more knowledge about clinic operations and greater satisfaction with care. These data provide evidence that anxiety, distress and depressive symptoms can be reduced with an orientation program. This finding has particular relevance in the early stages of diagnosis where patients may suffer symptoms of anxiety and depression.
authors.affiliation: Wake Forest University, School of Medicine, Winston-Salem, NC 27157-1082, USA.
authors.forename: R P
authors.initials: RP
authors.lastname: McQuellon
authors.forename: M
authors.initials: M
authors.lastname: Wells
authors.forename: S
authors.initials: S
authors.lastname: Hoffman
authors.forename: B
authors.initials: B
authors.lastname: Craven
authors.forename: G
authors.initials: G
authors.lastname: Russell
authors.forename: J
authors.initials: J
authors.lastname: Cruz
authors.forename: G
authors.initials: G
authors.lastname: Hurt
authors.forename: P
authors.initials: P
authors.lastname: DeChatelet
authors.forename: M A
authors.initials: MA
authors.lastname: Andrykowski
authors.forename: P
authors.initials: P
authors.lastname: Savage
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001007:Anxiety / Q000517:prevention & control; D016009:Chi-Square Distribution; D003863:Depression / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications / Q000523:psychology*; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic / Q000379:methods / Q000592:standards*; D015397:Program Evaluation; D013315:Stress, Psychological / Q000209:etiology / Q000517:prevention & control*; D016896:Treatment Outcome