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Calming panic states in the Mould Room and beyond: A pilot complementary therapy head and neck cancer service

Published online by Cambridge University Press:  05 August 2011

Peter Mackereth ,
Lynne Tomlinson ,
Paula Maycock ,
Graeme Donald ,
Ann Carter ,
Anita Mehrez ,
Patricia Lawrence  and
Tony Stanton
Peter Mackereth*
Affiliation:
CALM Team, Complementary Therapy & Smoking Cessation Services, Rehabilitation Unit, The Christie NHS Foundation Trust, Manchester, UK
Lynne Tomlinson
Affiliation:
CALM Team, Complementary Therapy & Smoking Cessation Services, Rehabilitation Unit, The Christie NHS Foundation Trust, Manchester, UK
Paula Maycock
Affiliation:
CALM Team, Complementary Therapy & Smoking Cessation Services, Rehabilitation Unit, The Christie NHS Foundation Trust, Manchester, UK
Graeme Donald
Affiliation:
CALM Team, Complementary Therapy & Smoking Cessation Services, Rehabilitation Unit, The Christie NHS Foundation Trust, Manchester, UK
Ann Carter
Affiliation:
CALM Team, Complementary Therapy & Smoking Cessation Services, Rehabilitation Unit, The Christie NHS Foundation Trust, Manchester, UK
Anita Mehrez
Affiliation:
CALM Team, Complementary Therapy & Smoking Cessation Services, Rehabilitation Unit, The Christie NHS Foundation Trust, Manchester, UK
Patricia Lawrence
Affiliation:
Superintendent Radiographer, The Christie NHS Foundation Trust, Manchester, UK
Tony Stanton
Affiliation:
Mould Room Manager, The Christie NHS Foundation Trust, Manchester, UK
*
Correspondence to: Peter Mackereth, CALM Team, Complementary Therapy & Smoking Cessation Services, Rehabilitation Unit, The Christie NHS Foundation Trust, Manchester, UK. E-mail: [email protected]
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Abstract

Purpose: The service was piloted in response to requests for assistance with patients experiencing severe anxiety undergoing head and neck radiotherapy. This paper describes the aims of the service, interventions provided and the recorded responses of patients to the support given.

Data: Information about who referred, patient demographics, the interventions provided and patient feedback (n = 112) was extracted from treatment records over a 15-month period.

Findings: All referred patients successfully completed procedures and treatment. About 43 patients voluntarily disclosed past trauma, for example, sexual abuse, assault, childhood trauma, which they judged to have been linked to their claustrophobic responses. Advice and support was given to 40 patients also referred for smoking cessation; an additional three patients requested support when cravings returned.

Conclusion: There is a paucity of information about the extent of the distress triggered by radiotherapy procedures and what interventions could be offered in practice. Further work is required to include an economic assessment and longer term effects on patient compliance with treatment and smoking cessation. Training needs for complementary therapists and radiotherapy staff at this centre were also identified; these are being addressed.

Keywords

Head and neck cancersmasksmouldsradiotherapy immobilizationanxietypanichypnotherapy
Type
Original Article
Information
Journal of Radiotherapy in Practice , Volume 11 , Issue 2 , June 2012 , pp. 83 - 91
Copyright
Copyright © Cambridge University Press 2012

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References

Sanderson, RJ, Ironside, JA. Squamous cell carcinomas of the head and neck. BMJ 2002; 325:822–827.Google Scholar
Tromp, DM, Brouha, XD, De Leeuw, JR, Hordijk, GJ, Winnubst, JA. Psychological factors and patient delay in patients with head and neck cancer. Eur J Cancer 2004; 40:1509–1516.Google Scholar
Conway, DI, McMahon, AD, Smith, K, Black, R, Robertson, G, Devine, J, McKinney, PA. Components of socioeconomic risk associated with head and neck cancer: a population-based case-control study in Scotland. Br J Oral Maxillofac Surg 2010; 48:11–17.CrossRefGoogle ScholarPubMed
Sharp, L, Lewin, F, Johansson, H, Payne, D, Gerhardsson, A, Rutqvist, LE. Randomized trial on two types of thermoplastic masks for patient immobilization during radiation therapy for head-and-neck cancer. Int J Radiat Oncol Biol Phys 2005; 61:250–256.Google Scholar
Penner, JL. Psychosocial care of patients with head and neck cancer. Semin Oncol Nurs 2009; 25:231–241.Google Scholar
Rabin, BS, Cohen, S, Ganguli, R, Lysle, DT, Cunnick, JE. Bidirectional interaction between the central nervous system and the immune system. Crit Rev Immunol 1989; 9:279–312.Google Scholar
Coe, CL (1999). Concepts and models of immunological change during prolonged stress. In: Schedlowski, M, Tewes, U (eds), Psychoneuroimmunology: an interdisciplinary introduction. New York: Kluwer Academic/Plenum Publishers.Google Scholar
Henry, JP (1986). Neuroendocrine patterns of emotional response. In: Emotions: theory, research and experiences. Academic Press, San Diego.Google Scholar
Fritzsche, K, Liptai, C, Henke, M. Psychosocial distress and need for psychotherapeutic treatment in cancer patients undergoing radiotherapy. Radiother Oncol 2004; 72:183–189.CrossRefGoogle ScholarPubMed
Choy, Y, Fyer, AJ, Lipsitz, JD. Treatment of specific phobia in adults. Clin Psychol Rev 2007; 27:266–286.CrossRefGoogle ScholarPubMed
Deacon, B, Abramowitz, J. Fear of needles and vasovagal reactions among phlebotomy patients. J Anxiety Disord 2006; 20:946–960.Google Scholar
Wolitzky-Taylor, KB, Horowitz, JD, Powers, MB, Telch, MJ. Psychological approaches in the treatment of specific phobias: a meta-analysis. Clin Psychol Rev 2008; 28:1021–1037.CrossRefGoogle ScholarPubMed
Mackereth, P, Maycock, P (2010). Anxiety and panic states: the CALM model. In: Cawthorn, AMackereth, P A (eds.) Integrative Hypnotherapy: complementary approaches in clinical care. Churchill Livingstone. London.Google Scholar
Erickson, M (1980). Innovative Psychotherapy –The Collected Papers of Milton. H Erickson on Hypnosis. Vol 1V. Rossi, E.L (Ed.). NY: Irvington.Google Scholar
Ernst, E (2001). Towards a scientific understanding of placebo effects. In: Peters, D (ed) Understanding the placebo in complementary medicine: theory, practice and research. Churchill Livingstone. London.Google Scholar
Loftus, EF, Fries, JF. The potential perils of informed consent. Mcgill J Med 2008; 11:217–218.Google ScholarPubMed
Kienle, GS, Kiene, H. The powerful placebo effect: fact or fiction? J Clin Epidemiol 1997; 50:1311–1318.Google Scholar
Crow, R, Gage, H, Hampson, S, Hart, J, Kimber, A, Thomas, H. The role of expectancies in the placebo effect and their use in the delivery of health care: a systematic review. Health Technol Assess 1999; 3:1–96.Google Scholar
Mackereth, P, Tomlinson, L (2010). Progressive Muscle Relaxation: A Remarkable Tool for Therapists and Patients. In: Cawthorn, AMackereth, P A (Eds.) Integrative Hypnotherapy: complementary approaches in clinical care. Churchill Livingstone. London.Google Scholar
Stringer, J, Donald, G. Aromasticks in cancer care: An innovation not to be Sniffed at. Complement Ther Clin Pract 2011; 17:116–121.CrossRefGoogle ScholarPubMed
Maycock, P, Mackereth, P (2009). Helping smokers to stop. The International Therapist. 86: 18–19.Google Scholar
Thorpe, S, Salkovskis, PM, Dittner, A. Claustrophobia in MRI: the role of cognitions. Magn Reson Imaging 2008; 26:1081–1088.CrossRefGoogle ScholarPubMed
Clover, K, Oulram, S, Adams, C, Cross, L, Findlay, N, Ponman, L (2010) Disruption to radiation therapy sessions due to anxiety among patients receiving radiation therapy to the head and neck area can be predicted using self-report measures. Psycho-Oncology. Published online DO1: 10.1002/pon.1854.Google Scholar
Luckett, T, Britton, B, Clover, K, Rankin, NM (2011) Evidence for interventions to improve psychological outcomes in people with head and neck cancers: a systematic review of the literature. Support Care Cancer. Published on line DO1 10.11007/s00520-011-1119-7.Google Scholar
Kendall-Tackett, K. The health effects of childhood abuse: four pathways by which abuse can influence health. Child Abuse Negl 2002; 26:715–729.CrossRefGoogle ScholarPubMed
Mowbray, J, Mowbray, H (2010). A consideration of the needs of the adult patient with dementia attending for radiotherapy and its impact on the practical consent process. J Radiother Pract 9:107–116.CrossRefGoogle Scholar
Scott, L, Langton, F, O’Donoghue, J. Minimising the use of sedation/anaesthesia in young children receiving radiotherapy through an effective play preparation programme. Eur J Oncol Nurs 2002; 6:15–22.Google Scholar
Lang, EV, Hatsiopoulou, O, Koch, T, Berbaum, K, Lutgendorf, S, Kettenmann, E, Logan, H, Kaptchuk, TJ. Can words hurt? Patient-provider interactions during invasive procedures. Pain 2005; 114:303–309.Google Scholar
Stalpers, LJ, da Costa, HC, Merbis, MA, Fortuin, AA, Muller, MJ, van Dam, FS. Hypnotherapy in radiotherapy patients: a randomized trial. Int J Radiat Oncol Biol Phys 2005; 61:499–506.Google Scholar
King, G, Guilbert, P, Ward, DG, Arwidson, P, Noubary, F. Correlates of sexual abuse and smoking among French adults. Child Abuse Negl 2006; 30:709–723.CrossRefGoogle ScholarPubMed
Duffy, SA, Ronis, DL, Valenstein, M, Lambert, MT, Fowler, KE, Gregory, L, Bishop, C, Myers, LL, Blow, FC, Terrell, JE. A tailored smoking, alcohol, and depression intervention for head and neck cancer patients. Cancer Epidemiol Biomarkers Prev 2006; 15:2203–2208.Google Scholar
Sharp, L, Johansson, H, Fagerström, K, Rutqvist, LE. Smoking cessation among patients with head and neck cancer: cancer as a ‘teachable moment’. Eur J Cancer Care (Engl) 2008; 17:114–119.Google Scholar
Isikhan, V, Comez, T, Danis, MZ. Job stress and coping strategies in health care professionals working with cancer patients. Eur J Oncol Nurs 2004; 8:234–244.Google Scholar
Iacovides, A, Fountoulakis, KN, Kaprinis, S, Kaprinis, G. The relationship between job stress, burnout and clinical depression. J Affect Disord 2003; 75:209–221.CrossRefGoogle ScholarPubMed