Unmet needs and distress in people with inoperable lung cancer at the commencement of treatment

Purpose : People with lung cancer report a higher burden of unmet needs, specifically psychological and daily living unmet needs. They experience more psychological distress and more physical hardship than other tumour sites. This study examined the levels of unmet need and psychological distress in inoperable lung cancer patients at the start of treatment.

Methods : A cross-section survey methodology was employed using baseline data from a randomised controlled trial designed to evaluate a supportive care intervention. Eligible lung cancer patients were approached to participate at the start of treatment. Consenting patients completed questionnaires prior to or just after the commencement of treatment. Reliable and valid measures included Needs Assessment for Advanced Lung Cancer Patients, Hospital Anxiety and Depression Scale and Brief Distress Thermometer.

Results : Of the 108 patients participating, the top unmet need was ‘Dealing with concerns about your family’s fears and worries’ (62%); with the next four also coming from the psychological/emotional domain, but, on average, most needs related to medical communication. Thirty two percent of patients reported clinical or subclinical anxiety and 19% reported HADS scores suggestive of clinical or subclinical depression. Moreover, 39.8% of the sample reported distress above the cut-off on the distress thermometer and this was associated with higher needs for each need subscale (p < 0.05).

Conclusions : People with lung cancer have high levels of unmet needs especially regarding psychological/emotional or medical communication. People with lung cancer who are classified as distressed have more unmet needs.

Kenneth Schweiger Congratulates at a Student at a New York Trade School Commencement Ceremony

A student is shown on stage shaking hands with Kenneth Schweiger, a New York Trade School administrator and receiving an award at a commencement ceremony for the New York Trade School. Photograph is black and white.

George E. McLaughlin Speaking at a New York Trade School Commencement Ceremony

New York Trade School superintendent George E. McLaughlin speaks at the school's 1953 commencement ceremony. Black and white photograph.

Student Receiving Award at New York Trade School Commencement Ceremony

A student (right) is shown shaking the hand of an administrator and accepting an award at a New York Trade School commencement ceremony. Photograph is black and white.

Group photo at New York Trade School Commencement Ceremony, 1959

A group of administrators from the New York Trade School pose at the 1959 commencement ceremony held May 19, 1959. Original caption: "Front: (left to right) Wm. F. Vanderbeek - Kenneth Schweiger - Bernard Rosenstadt - Ralph D. Cole - George E. McLaughlin - Herbert Brod - Edward Hansen. Back: (left to right) James Wright - Lawrence Levenstein - Ronald B. Smith - Roy Wall."

Student being congratulated at a New York Trade School Commencement Ceremony

A student is being congratulated at a New York Trade School commencement ceremony. Administrators and other important persons can be sitting on the stage behind him. Photograph is black and white.

George E. McLaughlin Speaking at a New York Trade School Commencement Ceremony

A George E. McLaughlin, a New York Trade School administrator, is pictured speaking along with others on dais at the May 1958 commencement ceremony of the New York Trade School. Photograph is black and white.

Group photo at a New York Trade School Commencement Ceremony

A group, possibly administrators, pictured at a New York Trade School commencement ceremony. Photograph is black and white and contains some writing in red ink on it.

Student receiving diploma at New York Trade School Commencement Ceremony

A student is shown on stage shaking hands with an administrator at a New York Trade School commencement ceremony. A diploma can be seen in his left hand. Black and white photograph with some damage from folding in upper right hand corner.

Group Photo at a New York Trade School Commencement Ceremony

This is a group photo mainly comprised of the school's administrators taken at the 1958 commencement ceremony of the New York Trade School. Original caption reads, "Back Row - Left to Right: William F. Vanderbeek, Robert H. Scholl, Gurdon Simmon, Miss Marie Kaye, and Peter H. Vermilye. Front Row - Left to Right: Gilbert G. Weaver, George E. McLaughlin, John Clarke, Enders M. Voorhees, Ralph Cole, Frank Casino and Charles Leidig." Black and white photograph.

Speaker at a New York Trade School Commencement Ceremony

A speaker at the 1957 commencement ceremony at the New York Trade School is shown. George E. McLaughlin, superintendent of the school, can be seen amongst other administrators on the stage behind the speaker. Black and white photograph.

Speaker at a New York Trade School Commencement Ceremony

A speaker at a commencement at the New York Trade School. Other administrators can be seen on the dais behind the speaker. Photograph is black and white.

Student Receiving Award at a New York Trade School Commencement Ceremony

Bernard Rosenstadt, an administrator at the New York Trade School, hands an award to a student at the school's 1957 commencement ceremony. Black and white photograph.

Charles W. Merideth at Commencement Ceremony

Charles W. Merideth, sixth president of City Tech, is shown at one of the College's commencement ceremonies. The date of the ceremony is unkown. Charles W. Merideth was the sixth president of the City Tech. He was formerly installed on October 19, 1990. Before coming to City Tech, Merideth had a long career in science and higher education. Under Merideth, the College expanded the number of baccalaureate programs offered by the College.