Psychosocial issues in lung cancer patients.

Abstract

Lung cancer is a major cause of death in industrialized countries. In contrast to other cancers (e.g., breast), there have been few studies of quality of life, coping, behavioral interventions, and other psychosocial issues in patients with lung cancer. There are several possible explanations to consider. Metastatic disease is frequently present at the time of lung cancer diagnosis, and the limited survival time of these patients diminishes the opportunity for psychosocial investigations. Similarly, psychosocial interventions for patients with cancer are more likely to be applied in patients with longer survival times. In addition, the poor performance status and rapid disease progression in many lung cancer patients inhibits studies that require patient attentiveness and cognitive effort. Lastly, until recently, lung cancer has primarily affected men, and male patients may be more reluctant to participate in psychosocial research in which their emotional concerns are discussed.