Cancer and serious mental illness: A qualitative exploration–findings

Research output: Contribution to conferenceAbstract

Abstract

Introduction Serious mental illness (SMI) is associated with poorer cancer outcomes. Reasons for such inequalities are unclear; those with this comorbidity receive fewer specialist interventions and die earlier than the general population. Further exploratory work is required.
Objectives Exploring the experience of SMI and cancer from the perspective of those affected by this comorbidity and those caring for them professionally or informally.
Methods Semi-structured interviews were conducted with ‘key patients’ living with SMI who had received a cancer diagnosis (n=7), significant others who had supported key patients (n=4) and healthcare professionals who had worked with at least one KP (n = 17). A panel of patients and professionals ratified interview guides. Interviews were analysed thematically.
Results Mental health professionals were more confident in their knowledge of the needs of this population than oncology profes- sionals, but were challenged by working with patients with major physical health needs. Key patients’ mental health appeared to remain stable after cancer diagnosis, and they expressed altruism towards others with comorbid cancer and SMI. Significant others and healthcare professionals were more likely to critique systemic aspects of care than were key patients.
Conclusions Professionals feel challenged when working out- side of their usual job role. Training needs include mental illness awareness in an oncology setting. Improved coordination and com- munication is required, encompassing significant others as well as professional groups. SMI may protect against the psychologi- cal impact of cancer. Key patients were keen to provide advice and support to others in similar situations. Further research is needed into these areas.
Original languageEnglish
PagesS479
Number of pages1
DOIs
Publication statusPublished - 01 Apr 2017
Event25th European Congress of Psychiatry: Together for Mental Health - Florence, Florence, Italy
Duration: 01 Apr 201704 Apr 2017
http://epa-congress.org/2017#.WXCQWNPyufU

Conference

Conference25th European Congress of Psychiatry
Abbreviated titleEPA 2017
CountryItaly
CityFlorence
Period01/04/201704/04/2017
Internet address

Fingerprint

Neoplasms
Interviews
Comorbidity
Mental Health
Altruism
Delivery of Health Care
Population
Communication
Psychology
Health
Research

Keywords

  • Mental Health
  • Cancer
  • Health Services

Cite this

Millman, James ; Galway, Karen ; Santin, Olinda ; Reid, Joanne. / Cancer and serious mental illness: A qualitative exploration–findings. Abstract from 25th European Congress of Psychiatry, Florence, Italy.1 p.
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abstract = "Introduction Serious mental illness (SMI) is associated with poorer cancer outcomes. Reasons for such inequalities are unclear; those with this comorbidity receive fewer specialist interventions and die earlier than the general population. Further exploratory work is required.Objectives Exploring the experience of SMI and cancer from the perspective of those affected by this comorbidity and those caring for them professionally or informally.Methods Semi-structured interviews were conducted with ‘key patients’ living with SMI who had received a cancer diagnosis (n=7), significant others who had supported key patients (n=4) and healthcare professionals who had worked with at least one KP (n = 17). A panel of patients and professionals ratified interview guides. Interviews were analysed thematically.Results Mental health professionals were more confident in their knowledge of the needs of this population than oncology profes- sionals, but were challenged by working with patients with major physical health needs. Key patients’ mental health appeared to remain stable after cancer diagnosis, and they expressed altruism towards others with comorbid cancer and SMI. Significant others and healthcare professionals were more likely to critique systemic aspects of care than were key patients.Conclusions Professionals feel challenged when working out- side of their usual job role. Training needs include mental illness awareness in an oncology setting. Improved coordination and com- munication is required, encompassing significant others as well as professional groups. SMI may protect against the psychologi- cal impact of cancer. Key patients were keen to provide advice and support to others in similar situations. Further research is needed into these areas.",
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Millman, J, Galway, K, Santin, O & Reid, J 2017, 'Cancer and serious mental illness: A qualitative exploration–findings', 25th European Congress of Psychiatry, Florence, Italy, 01/04/2017 - 04/04/2017 pp. S479. https://doi.org/10.1016/j.eurpsy.2017.01.561

Cancer and serious mental illness: A qualitative exploration–findings. / Millman, James; Galway, Karen; Santin, Olinda; Reid, Joanne.

2017. S479 Abstract from 25th European Congress of Psychiatry, Florence, Italy.

Research output: Contribution to conferenceAbstract

TY - CONF

T1 - Cancer and serious mental illness: A qualitative exploration–findings

AU - Millman, James

AU - Galway, Karen

AU - Santin, Olinda

AU - Reid, Joanne

PY - 2017/4/1

Y1 - 2017/4/1

N2 - Introduction Serious mental illness (SMI) is associated with poorer cancer outcomes. Reasons for such inequalities are unclear; those with this comorbidity receive fewer specialist interventions and die earlier than the general population. Further exploratory work is required.Objectives Exploring the experience of SMI and cancer from the perspective of those affected by this comorbidity and those caring for them professionally or informally.Methods Semi-structured interviews were conducted with ‘key patients’ living with SMI who had received a cancer diagnosis (n=7), significant others who had supported key patients (n=4) and healthcare professionals who had worked with at least one KP (n = 17). A panel of patients and professionals ratified interview guides. Interviews were analysed thematically.Results Mental health professionals were more confident in their knowledge of the needs of this population than oncology profes- sionals, but were challenged by working with patients with major physical health needs. Key patients’ mental health appeared to remain stable after cancer diagnosis, and they expressed altruism towards others with comorbid cancer and SMI. Significant others and healthcare professionals were more likely to critique systemic aspects of care than were key patients.Conclusions Professionals feel challenged when working out- side of their usual job role. Training needs include mental illness awareness in an oncology setting. Improved coordination and com- munication is required, encompassing significant others as well as professional groups. SMI may protect against the psychologi- cal impact of cancer. Key patients were keen to provide advice and support to others in similar situations. Further research is needed into these areas.

AB - Introduction Serious mental illness (SMI) is associated with poorer cancer outcomes. Reasons for such inequalities are unclear; those with this comorbidity receive fewer specialist interventions and die earlier than the general population. Further exploratory work is required.Objectives Exploring the experience of SMI and cancer from the perspective of those affected by this comorbidity and those caring for them professionally or informally.Methods Semi-structured interviews were conducted with ‘key patients’ living with SMI who had received a cancer diagnosis (n=7), significant others who had supported key patients (n=4) and healthcare professionals who had worked with at least one KP (n = 17). A panel of patients and professionals ratified interview guides. Interviews were analysed thematically.Results Mental health professionals were more confident in their knowledge of the needs of this population than oncology profes- sionals, but were challenged by working with patients with major physical health needs. Key patients’ mental health appeared to remain stable after cancer diagnosis, and they expressed altruism towards others with comorbid cancer and SMI. Significant others and healthcare professionals were more likely to critique systemic aspects of care than were key patients.Conclusions Professionals feel challenged when working out- side of their usual job role. Training needs include mental illness awareness in an oncology setting. Improved coordination and com- munication is required, encompassing significant others as well as professional groups. SMI may protect against the psychologi- cal impact of cancer. Key patients were keen to provide advice and support to others in similar situations. Further research is needed into these areas.

KW - Mental Health

KW - Cancer

KW - Health Services

U2 - 10.1016/j.eurpsy.2017.01.561

DO - 10.1016/j.eurpsy.2017.01.561

M3 - Abstract

SP - S479

ER -