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Problem solving therapy improved quality of life and reduced pyschological distress in adults with cancer

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 Q In patients 18–65 years of age with cancer and psychological distress, is problem solving therapy (PST) effective for improving quality of life and reducing measures of pyschological stress.

Clinical impact ratings Mental health ★★★★☆☆☆ Oncology ★★★★★☆☆


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:

Unclear allocation concealment.*

Embedded ImageBlinding:

blinded (outcome assessors).*

Embedded ImageFollow up period:

1 year.

Embedded ImageSetting:

2 hospitals in Pennsylvania, USA.

Embedded ImagePatients:

150 patients 18–65 years of age with cancer and psychological distress who were able to identify a significant other (SO) person willing to participate in the study. Exclusion criteria included a known psychiatric disturbance before a diagnosis of cancer and mental retardation.

Embedded ImageIntervention:

50 patients each were allocated to PST for the patient alone (PSTA), PST for the patient and a SO person (PSTSO), or waiting list control (WLC). …

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  • * See glossary.

  • For correspondence: Dr A M Nezu, Drexel University, Philadelphia, PA, USA.

  • Source of funding: National Cancer Institute.