eCampus CancerPEN In the Division of General Medical Disciplines

Psychosocial Issues, PEN 203: Survivorship in Breast Cancer

[quote] Evidence supports the effectiveness of services aimed at relieving the emotional distress that accompanies many chronic illnesses, including cancer, even in the case of debilitating depression and anxiety.

The video talk and the PowerPoint® presentation are the intellectual property of Dr. David Spiegel. All the material is based on Dr. Spiegel's research and clinical work. For further information, please visit the Center on Stress and Health

[image] Dr. David Spiegel

David Spiegel, M.D.

Willson Professor and Associate Chair, Psychiatry and Behavioral Sciences, Stanford University, California. Bio

Increasingly successful treatments for cancer have led to greater long-term cancer survivorship for patients, making it necessary for healthcare providers to address the unique and complex set of psychosocial risks and challenges encountered by this patient demographic.

In this video talk, Dr. Spiegel discusses the psychosocial principles of cancer survivorship in breast cancer and other types of cancer.

His discussion includes:

  1. Insight into the important topics of how physicians can integrate psychosocial intervention into their patient care
  2. Evidence of how these interventions may benefit patient outcomes
  3. Techniques for empowering patients with emotional and psychological resources after cancer diagnosis

A free pdf download of the video talk slide show presentation is included. References and abstracts on Cancer Survivorship are also available.

After his talk, Dr. Spiegel presents two interviews with cancer survivorship experts:

  1. Dr. Ernest Rosenbaum, Adjunct Clinical Professor of Medicine, Stanford University School of Medicine, Clinical Professor of Medicine, University of California, San Francisco—Dr. Spiegel and Dr. Rosenbaum discuss survivorship programs.
  2. Pat Fobair, Program Administrative Director, Cancer Supportive Care—Dr. Spiegel and Ms. Fobair discuss cancer support groups.

click to enter the video talk click to view the interviews

Dr. Spiegel's research interests involve stress and health: cognitive control over somatic functions, including cancer progression, the response to traumatic stress, and the perception of pain and anxiety. He is currently conducting a large scale study of the relationships among sleep disturbance, diurnal stress hormone patterns, and breast cancer survival, sponsored by the National Cancer Institute. This work is based upon earlier evidence from his laboratory that loss of circadian variation in cortisol, indicative of HPA dysfunction, predicts early mortality with breast cancer.

Source: Stanford Medicine CAP Profiles

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