title: Cancer patients' experiences of the early phase of individual counseling in an outpatient psycho-oncology setting.
abstract: Distress is a common and substantive problem associated with the invasive nature of cancer. Psychosocial interventions can alleviate distress and enhance quality of life, with a wealth of research demonstrating benefits of group interventions. Less is known, however, about the value of individual psychological counseling for cancer patients. The goal of our study was to understand patients' experiences of attending an individual psycho-oncology counseling service in a comprehensive cancer center in Canada. We conducted six focus groups to ask patients about their perceived benefits of the early phase of counseling. The 23 participants were predominantly women living in urban areas who sought counseling for emotional and coping difficulties. Using inductive analysis, we identified four interrelated themes: distress and need for support, challenges to service access, service benefits, and the therapeutic encounter. The therapeutic encounter formed a core component of patients' experiences, highlighting the benefits of specific therapeutic interventions and processes.
authors.affiliation: Department of Oncology, University of Alberta, Edmonton, Alberta, Canada. cheryl.nekolaichuk@covenanthealth.ca
authors.forename: Cheryl L
authors.initials: CL
authors.lastname: Nekolaichuk
authors.forename: Jill
authors.initials: J
authors.lastname: Turner
authors.forename: Kate
authors.initials: K
authors.lastname: Collie
authors.forename: Ceinwen
authors.initials: C
authors.lastname: Cumming
authors.forename: Audrey
authors.initials: A
authors.lastname: Stevenson
mesh_terms: D000223:Adaptation, Psychological; D000553:Ambulatory Care / Q000379:methods; D003376:Counseling / Q000592:standards; D005190:Family / Q000523:psychology; D005260:Female; D017144:Focus Groups; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D017060:Patient Satisfaction; D013315:Stress, Psychological / Q000209:etiology / Q000628:therapy; D035502:Trust