Prevalence and prediction of chemotherapy-related anxiety, nausea and vomiting in cancer patients

Anxiety, nausea and vomiting before, during and after chemotherapy administration were studied in 50 cancer patients. In addition, patient responses to the Autonomic Perception Questionnaire (APQ) and their relation to the anxiety, nausea and vomiting scores was studied. Anticipatory anxiety occurred in 66% and anticipatory nausea in 40% of the patients; 14% showed anticipatory vomiting. The number of patients reporting anxiety decreased to 38% after chemotherapy, whereas nausea and vomiting increased to 47 and 49%, respectively. APQ scores correlated significantly with anxiety and nausea reports during all time periods, but not with the frequency of vomiting.     

Adult age differences in the ability to cope with situations of high arousal in a precision sport

Three field experiments are reported in which skilled miniature golf players varying in age were studied in three types of activities: training, minor competitions, and large competitions. Performance (i.e., number of shots) and arousal (heart rate and subjective ratings of anxiety) measures were registered in all types of activities. The major finding was that the level of performance of older adult players deteriorated in the large competitions, whereas groups of younger adult players, junior players, and youth players performed at the same level in all three events, although all of the groups exhibited a similar increase in arousal from training and minor competitions to large competitions. We suggest that older players may have a deficit in the ability to compensate for the negative effects of nonoptimal levels of arousal because of impairments in a variety of cognitive abilities critical to successful performance.     

Thermographic studies with fluid crystals in peripheral nerve damage

Common peripheral neurogenic lesion in various locations and of different origins were examined thermographically and the results were compared with those obtained by clinical and electromyographic methods. Lesions in the regions of the N. ulnaris and N. medianus can, except in the case of carpal tunnel syndrome, be identified without difficulty by thermography. The results obtained in the case of paresis of the radialis are non-specific, and thermographic examination of radicular lesions are also sometimes ambiguous. Damage in the plexus-brachialis and root region yield impressive results which, however, are not particularly useful.     

Readiness for professional psychotherapy

Statistics dealing with transfers to, and attendance at psychotherapy sessions and with patients' reasons for prematurely terminating such treatment are first analyzed. Causes of unwillingness to accept such treatment despite suffering are then presented. The author concludes that standards of everyday psychology require improvement, that psychotherapy should be accepted as an integral part of basic medical care, and that measures should be taken to make the symptoms indicating the need for such treatment more widely known and to give more realistic expectations of what it can achieve.