title: Psychological aspects of the cancer patients' education: thoughts, feelings, behavior and body reactions of patients faced with diagnosis of cancer.
abstract: OBJECTIVE
  In order to assess the impact of cancer diagnosis on several psychological dimensions, this study was undertaken with the aim to understand, identify and document the psychological responses of cancer patients - their common thoughts, feelings, body sensations and behavior when they faced the cancer diagnosis.
  
  
  METHODS
  The sample consisted of 80 patients who attended psychological lectures during the implementation of the European Educational Programme (EEP) "Learning to live with cancer". At the beginning of the lectures, the patients were asked to fulfill the self-describing questionnaire with 4 open questions: "Describe your common thoughts, feelings, behavior, and body reactions in the first 6 weeks when you learned that you were affected by cancer".
  
  
  RESULTS
  A significant proportion of patients reported disease denial (65%) and reexamination in relation to past life experiences, stressful events and bad habits (60%). Depressive feelings and disappointment were reported by 90% of the patients, while 85% of them reported fear, hopelessness and emptiness. They also reported sadness (70%), anger and anxiety (65%), nervousness and irritability (90%). Positive thoughts and attitude in the sense of optimism concerning a successful treatment outcome were reported by 20% and 15% of patients, respectively.
  
  
  CONCLUSIONS
  The diagnosis of cancer and cancer treatment can cause distress, emotional turmoil and different psychosocial disorders. Taking into consideration different psychological reactions of cancer patients can be helpful for organizing adequate psycho-educational and psychosocial support, and psychotherapy for cancer patients and their families.
authors.affiliation: Paediatric Oncology Ward, Institute for Oncology and Radiology of Serbia, Belgrade, Serbia. klikovact@ncrc.ac.yu
authors.forename: T
authors.initials: T
authors.lastname: Klikovac
authors.forename: A
authors.initials: A
authors.lastname: Djurdjevic
mesh_terms: D000223:Adaptation, Psychological; D001007:Anxiety / Q000209:etiology; D017281:Cost of Illness; D003717:Denial, Psychological; D003863:Depression / Q000209:etiology; D004644:Emotions; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007508:Irritable Mood; D008016:Life Change Events; D008605:Mental Health Services; D009369:Neoplasms / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D010353:Patient Education as Topic; D012944:Social Support; D013315:Stress, Psychological / Q000209:etiology*; D011795:Surveys and Questionnaires