By Karim Fizazi
Filling a spot within the literature, this consultant presents professional strategies and learn on carcinoma of an unknown fundamental website (CUP). protecting the identity, prognosis, and administration of CUP with illustrative and reader-friendly medical case examples, this reference is helping physicians deal with sufferers whose basic melanoma website is tough to find and examine.
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1992; Moorey et al. 1994 6 sessions APT v. treatment as usual 156 Various cancers Newly diagnosed and recurrence Screened patients high in anxiety or depression CBT > NTC 1 year CBT > NTC Elsesser 1994 6 sessions Anxiety management training and Stress inoculation training 27 Various cancers All stages All patients CBT > NTC; Effect only small None Study Interventions n Linn et al. 1982 Counselling v. no treatment 120 Weissman et al. 1980 4 sessions comparing 2 CBT interventions: Cognitive skills training (CST) v.
Four trials in this category were associated with powerful effects. (Linn et al. 1982, Worden and Weisman 1984, Telch and Telch 1986, Greer et al. 1992). 85 for depression. These large effect sizes indicated that the average patient in the treatment conditions did better than 80% of patients in the untreated control conditions. Although the meta-analysis includes all forms of therapy, these four trials were all cognitive behavioural interventions. This meta-analysis also revealed that group therapy was as effective as individual therapy, particularly in regard to psycho-educational courses, and that short but intensive interventions by highly trained therapists were more effective than protracted ones delivered by less psychologically trained staff.
Problem solving and constructive thinking. ◆ Feelings management. ◆ Pleasant activity planning. Participants rehearsed skills in the session through the use of structured exercises and then practised them as homework assignments. The support group by contrast was unstructured. The group leader acted as a facilitator, encouraging discussion of feelings and identifying underlying themes such as helplessness and loss of control. Patients receiving supportive therapy showed little improvement, whereas the untreated group actually showed a deterioration in psychological adjustment.
Carcinoma of an Unknown Primary Site by Karim Fizazi