E. Goodey - Academia.edu (original) (raw)

Papers by E. Goodey

Research paper thumbnail of High levels of untreated distress and fatigue in cancer patients

British journal of cancer, Jan 14, 2004

The purpose of the study was to assess a large representative sample of cancer patients on distre... more The purpose of the study was to assess a large representative sample of cancer patients on distress levels, common psychosocial problems, and awareness and use of psychosocial support services. A total of 3095 patients were assessed over a 4-week period with the Brief Symptom Inventory-18 (BSI-18), a common problems checklist, and on awareness and use of psychosocial resources. Full data was available on 2776 patients. On average, patients were 60 years old, Caucasian (78.3%), and middle class. Approximately, half were attending for follow-up care. Types of cancer varied, with the largest groups being breast (23.5%), prostate (16.9%), colorectal (7.5%), and lung (5.8%) cancer patients. Overall, 37.8% of all patients met criteria for general distress in the clinical range. A higher proportion of men met case criteria for somatisation, and more women for depression. There were no gender differences in anxiety or overall distress severity. Minority patients were more likely to be distr...

Research paper thumbnail of Patients evaluate a quality of life scale: whose life is it anyway?

Cancer practice

Patients with cervical cancer were interviewed in a focus group format to obtain their retrospect... more Patients with cervical cancer were interviewed in a focus group format to obtain their retrospective views of quality of life (QL) in the context of cancer treatment. In addition, they were asked to evaluate the European Organization for Research and Treatment of Cancer's QL questionnaire (EORTC QLQ-C30) as an indicator of their QL. Ethnographic analysis of group transcripts revealed a number of dimensions of QL that these women did not believe were adequately addressed by the EORTC QLQ-C30. They were: (1) perceived control over one's body, (2) a sense of normalcy in one's life, (3) invasiveness experienced as a result of medical interventions, and (4) the degree of predictability of disease and treatment. Patients also indicated that QL was determined more by the meaning and value they placed on their experience than by the occurrence of specific functional changes, symptoms, or side effects. The results have implications for how QL is conceptualized. An alternative mod...

Research paper thumbnail of The effects of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients: 6-month follow-up

Supportive Care in Cancer, 2001

Research paper thumbnail of A Randomized, Wait-List Controlled Clinical Trial: The Effect of a Mindfulness Meditation-Based Stress Reduction Program on Mood and Symptoms of Stress in Cancer Outpatients

Psychosomatic Medicine, 2000

Objective: The objective of this study was to assess the effects of participation in a mindfulnes... more Objective: The objective of this study was to assess the effects of participation in a mindfulness meditation-based stress reduction program on mood disturbance and symptoms of stress in cancer outpatients. Methods: A randomized, wait-list controlled design was used. A convenience sample of eligible cancer patients enrolled after giving informed consent and were randomly assigned to either an immediate treatment condition or a wait-list control condition. Patients completed the Profile of Mood States and the Symptoms of Stress Inventory both before and after the intervention. The intervention consisted of a weekly meditation group lasting 1.5 hours for 7 weeks plus home meditation practice. Results: Ninety patients (mean age, 51 years) completed the study. The group was heterogeneous in type and stage of cancer. Patients' mean preintervention scores on dependent measures were equivalent between groups. After the intervention, patients in the treatment group had significantly lower scores on Total Mood Disturbance and subscales of Depression, Anxiety, Anger, and Confusion and more Vigor than control subjects. The treatment group also had fewer overall Symptoms of Stress; fewer Cardiopulmonary and Gastrointestinal symptoms; less Emotional Irritability, Depression, and Cognitive Disorganization; and fewer Habitual Patterns of stress. Overall reduction in Total Mood Disturbance was 65%, with a 31% reduction in Symptoms of Stress. Conclusions: This program was effective in decreasing mood disturbance and stress symptoms in both male and female patients with a wide variety of cancer diagnoses, stages of illness, and ages.

Research paper thumbnail of Evaluation of a large-group behavioral smoking cessation intervention: 1986-2002

Research paper thumbnail of High levels of untreated distress and fatigue in cancer patients

British journal of cancer, Jan 14, 2004

The purpose of the study was to assess a large representative sample of cancer patients on distre... more The purpose of the study was to assess a large representative sample of cancer patients on distress levels, common psychosocial problems, and awareness and use of psychosocial support services. A total of 3095 patients were assessed over a 4-week period with the Brief Symptom Inventory-18 (BSI-18), a common problems checklist, and on awareness and use of psychosocial resources. Full data was available on 2776 patients. On average, patients were 60 years old, Caucasian (78.3%), and middle class. Approximately, half were attending for follow-up care. Types of cancer varied, with the largest groups being breast (23.5%), prostate (16.9%), colorectal (7.5%), and lung (5.8%) cancer patients. Overall, 37.8% of all patients met criteria for general distress in the clinical range. A higher proportion of men met case criteria for somatisation, and more women for depression. There were no gender differences in anxiety or overall distress severity. Minority patients were more likely to be distr...

Research paper thumbnail of Patients evaluate a quality of life scale: whose life is it anyway?

Cancer practice

Patients with cervical cancer were interviewed in a focus group format to obtain their retrospect... more Patients with cervical cancer were interviewed in a focus group format to obtain their retrospective views of quality of life (QL) in the context of cancer treatment. In addition, they were asked to evaluate the European Organization for Research and Treatment of Cancer's QL questionnaire (EORTC QLQ-C30) as an indicator of their QL. Ethnographic analysis of group transcripts revealed a number of dimensions of QL that these women did not believe were adequately addressed by the EORTC QLQ-C30. They were: (1) perceived control over one's body, (2) a sense of normalcy in one's life, (3) invasiveness experienced as a result of medical interventions, and (4) the degree of predictability of disease and treatment. Patients also indicated that QL was determined more by the meaning and value they placed on their experience than by the occurrence of specific functional changes, symptoms, or side effects. The results have implications for how QL is conceptualized. An alternative mod...

Research paper thumbnail of The effects of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients: 6-month follow-up

Supportive Care in Cancer, 2001

Research paper thumbnail of A Randomized, Wait-List Controlled Clinical Trial: The Effect of a Mindfulness Meditation-Based Stress Reduction Program on Mood and Symptoms of Stress in Cancer Outpatients

Psychosomatic Medicine, 2000

Objective: The objective of this study was to assess the effects of participation in a mindfulnes... more Objective: The objective of this study was to assess the effects of participation in a mindfulness meditation-based stress reduction program on mood disturbance and symptoms of stress in cancer outpatients. Methods: A randomized, wait-list controlled design was used. A convenience sample of eligible cancer patients enrolled after giving informed consent and were randomly assigned to either an immediate treatment condition or a wait-list control condition. Patients completed the Profile of Mood States and the Symptoms of Stress Inventory both before and after the intervention. The intervention consisted of a weekly meditation group lasting 1.5 hours for 7 weeks plus home meditation practice. Results: Ninety patients (mean age, 51 years) completed the study. The group was heterogeneous in type and stage of cancer. Patients' mean preintervention scores on dependent measures were equivalent between groups. After the intervention, patients in the treatment group had significantly lower scores on Total Mood Disturbance and subscales of Depression, Anxiety, Anger, and Confusion and more Vigor than control subjects. The treatment group also had fewer overall Symptoms of Stress; fewer Cardiopulmonary and Gastrointestinal symptoms; less Emotional Irritability, Depression, and Cognitive Disorganization; and fewer Habitual Patterns of stress. Overall reduction in Total Mood Disturbance was 65%, with a 31% reduction in Symptoms of Stress. Conclusions: This program was effective in decreasing mood disturbance and stress symptoms in both male and female patients with a wide variety of cancer diagnoses, stages of illness, and ages.

Research paper thumbnail of Evaluation of a large-group behavioral smoking cessation intervention: 1986-2002