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By Martina S. Vos

Denial in melanoma sufferers is a well known idea. The definition of denial, even though, isn't unequivocal and covers other ways of evading painful occasions or emotions. This thesis reviews denial and its relation to the standard of existence in lung melanoma sufferers. to evaluate the extent of denial the 'Denial of melanoma Interview' (DCI) used to be built. Denial was once measured at various time issues through the illness. The key-finding from this research is that sufferers fare higher after they convey a reasonable point of denial or raise their point of denial from the instant of analysis over the years. This research exhibits convincingly that denial in lung melanoma sufferers merits awareness in medical perform. during this period of self-disclosure it's strong to gain that a few sufferers desire defense opposed to insufferable evidence and emotions. Denial can serve this want and may be revered.

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Extra resources for Denial and Quality of Life in Lung Cancer Patients (Pallas Proefschriften)

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Black patients, however, were more likely to rely on denial of affect, whereas whites displayed more behavioural escape. S. 05). 24 found the British Asians were more likely deny diagnosis. A higher proportion of British Caucasians, on the other hand, coped by denial of impact. 21 is also of interest. Whereas Chakravorty et al. , found prevalence rates of only 4% and 33% for these items using the same measurement instrument. The most evident differ- Denial and Quality of Life in Lung Cancer Patients 35 ence between these two studies was the location of the studies (Bombay and London), and hence the cultures (Indian versus English).

Complete dataset available on request Denial and Quality of Life in Lung Cancer Patients 53 Design and procedures Consecutive lung cancer patients were recruited from two pulmonary disease out-patient clinics in The Hague, the Netherlands. Inclusion criteria were: 1) newly-diagnosed primary lung cancer, irrespective of histological type, stage or treatment, 2) age > 18 years, 3) knowledge of the Dutch language and 4) written informed consent. The exclusion criterion was the presence of a serious cognitive disorder.

31 suggested that lung cancer patients might deny because of the self-induced nature of the disease. 25,27 In the first no difference of denial (DI, DA, BE) was shown between breast cancer and other cancer sites. 27 found 30% deniers (DI) in the lymphoma and 15% in a breast cancer group. Denial and gender The relationship between gender and denial in cancer patients was investigated in eight studies (see table 2). 32 In three studies in which denial of diagnosis was assessed23,33,34 men denied more than women.

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