What are the best terms in Portuguese to explain the concepts of “fatigue” and “depression” in cancer patients?

2014 ◽  
Vol 13 (4) ◽  
pp. 991-996
Author(s):  
Carlos Eduardo Paiva ◽  
Luciana Lopes Manfredini ◽  
Bianca Sakamoto Ribeiro Paiva ◽  
Estela Cristina Carneseca ◽  
Sriram Yennurajalingam ◽  
...  

AbstractObjective:Although “fatigue” and “depression” are well-accepted clinical terms in the English language, they are ill defined in many other languages, including Portuguese. We aimed to investigate the most appropriate words to describe cancer-related fatigue (CRF) and depression in Brazilian cancer patients.Method:The interviewers read to patients two clinical vignettes describing fatigued patients and two others describing depressed patients. Participants were asked to choose from among “fatigue,” “tiredness,” “weakness,” “depression,” and “sadness” the best and worst terms to explain the vignettes. In addition, they were administered an instrument containing numeric rating scales (NRSs), addressing common symptoms, including the aforementioned terms. Pearson correlation analysis and accuracy diagnostic tests were conducted using the Hospital Anxiety and Depression Scale (HADS) and the Functional Assessment of Cancer Treatment–Fatigue (FACIT–F) as references.Results:Among the 80 participants, 40% reported that the best term to explain the concept of CRF was “tiredness,” and 59% chose “sadness” as the best descriptor of depression. Regarding diagnostic accuracy, the areas under the curve (AUCs) for “fatigue,” “weakness,” and “tiredness” were 0.71, 0.81, and 0.76, respectively; the AUCs for “depression” and “sadness” ranged from 0.81 to 0.91 and 0.73 to 0.83, respectively. Negative correlations were found among FACIT–F fatigue subscale scores and NRS scores for “fatigue” (r = –0.58), “tiredness” (r = –0.67), and “weakness” (r = –0.62). Regarding depression, there were positive correlations between HADS–D scores and both NRS for “depression” (r = 0.61) and “sadness” (r = 0.54).Significance of results:“Tiredness” was considered the best descriptor of CRF. Taking into consideration the clinical correlation with depression scores, the term “depression” was accepted as the best term to explain the concept of depression.

Author(s):  
Amalia Madihie 1 ◽  
Azlan Bin Andika ◽  
Fiona Anak Kunang ◽  
Diyana Syazana Binti Omar ◽  
Debra Bte Simar ◽  
...  

This study was conducted to identify the depression level of university student in Sarawak based on four types of attachment style. Therefore, undergraduate (UG) students from a university as sample for this study. Three hundred and sixty UG students were randomly chosen to be the respondents for this study since the population was 2200 UG students in a faculty. Questionnaire was employed in the study to collect required information or data. Questionnaire consists of three parts which are Section A: Demographic of respondents, Section B: Experience in Close Relationship Test (ECR), and Section C: Centre for Epidemiologic Studies Depression Scale (CES-D). ECR applied to determine the attachment style of students and CES-D used to identify the level of depression of students. As for the data analysis, Pearson Correlation Analysis was carried out.  Finding showed there was significant relationship between attachment style and depression level among the UG students where the p-value (0.000) is smaller than alpha value (0.005).  Expertise could utilize the findings of study to develop some suitable module of intervention to help client suffer from depression due to relationship problem.


2020 ◽  
Vol 19 (3) ◽  
pp. 236-242
Author(s):  
Daniele Cristina de Lima ◽  
Tais Silvino Bastos ◽  
Camilla Mariane Menezes Souza ◽  
Juarez Ribeiro da Silva ◽  
Simone Gisele de Oliveira ◽  
...  

Controlling the factors that influence the conservation of extruded dog foods can increase shelf life and/or guarantee the quality of shelf life of diets for these animals. Therefore, the objective was to evaluate the relationship among water activity (Aw), moisture (M), acidity, lipid peroxidation, crude protein (CP), ether extract (EE), and kibble size of extruded dog foods stored in sealed and open packages for 60 days (Experiment I). We also evaluated the stability of the Aw for up to 6.5 hours after coating with palatant (Experiment II). We manufactured four extruded dry dog foods: high CP and EE (HPE); low CP and EE (LPE); small kibble (SK); and large kibble (LK). In experiment I, the foods were stored in sealed 1 kg packages and 10 kg open packages, for a period of 60 days. We measured Aw, M, acidity, peroxide, CP, and EE of foods and the relative humidity (RH). Data were subjected to Pearson correlation analysis. For experiment II, samples were collected immediately after coating with palatant. Sub samples were collected every half hour to measure Aw. In experiment I, positive correlations were observed (P0.05) among kibble size, M, and Aw; acidity, CP, EE, and M; and between Aw and RH, for open and sealed packages. There was also a positive correlation (P0.05) for open packages among time, Aw, and peroxide. In experiment II, LK and LPE food presented Aw stabilized in less time. Diets with higher kibble size and high CP and EE levels are more unstable if kept in open packages. Extruded dry food with higher protein and lipid and smaller kibble size needs more time to stabilize its Aw.


1998 ◽  
Vol 16 (4) ◽  
pp. 1594-1600 ◽  
Author(s):  
S D Passik ◽  
W Dugan ◽  
M V McDonald ◽  
B Rosenfeld ◽  
D E Theobald ◽  
...  

PURPOSE This study was performed as part of a large depression screening project in cancer patients to determine the degree of physician recognition of levels of depressive symptoms in cancer patients and to describe patient characteristics that influence the accuracy of physician perception of depressive symptoms. METHODS Twenty-five ambulatory oncology clinics affiliated with Community Cancer Care, Inc of Indiana enrolled and surveyed 1,109 subjects treated by 12 oncologists. Subjects completed the Zung Self-Rating Depression Scale (ZSDS) and physicians were asked to rate their patients' level of depressive symptoms, anxiety, and pain using numerical rating scales. Subjects' sex, age, primary tumor type, medications, primary caregiver, and disease stage at diagnosis were also recorded. RESULTS Physician ratings of depression were significantly associated with their patients' levels of endorsement of depressive symptoms on the ZSDS. However, agreement between physicians and patients is most frequently clustered when patients report little or no depressive symptoms. While physician ratings are concordant with patient endorsement of no significant depressive symptomatology 79% of the time, they are only concordant 33% and 13% of the time in the mild-to-moderate/severe ranges, respectively. Physician ratings were most influenced by patient endorsement of frequent and obvious mood symptoms, ie, sadness, crying, and irritability. Physician ratings also appeared to be influenced by medical correlates of patients' level of depressive symptoms (functional status, stage of disease, and site of tumor). Additionally, patients whose depression was inaccurately classified reported significantly higher levels of pain and had higher levels of disability. Physicians' ratings of depression were most highly correlated with physicians' ratings of patients' anxiety and pain. CONCLUSION Physicians' perceptions of depressive symptoms in their patients are correlated with patient's ratings, but there is a marked tendency to underestimate the level of depressive symptoms in patients who are more depressed. They are most influenced by symptoms such as crying and depressed mood, and medical factors that are useful, but not the most reliable, indicators of depression in this population. Physicians' ratings of their patients' distress symptoms seem to be global in nature--they are highly correlated with anxiety, pain, and global dysfunction. Physician assessment might be improved if they were instructed to assess and probe for the more reliable cognitive symptoms such as anhedonia, guilt, suicidal thinking, and hopelessness. Screening instruments and the use of brief follow-up interviews would help to identify patients who are depressed.


Author(s):  
Youjin Kim ◽  
Boyoung Hwang

Purpose: The purpose of this study was to examine the correlations among meaning in life, social support, and posttraumatic growth and to identify the factors related to posttraumatic growth in pancreatic cancer patients.Methods: A total of 118 pancreatic cancer patients who received care in an outpatient clinic and inpatient units in an oncology center in Seoul were enrolled from February 2021 to March 2021. We collected data using self-report survey tools. Data were analyzed using descriptive statistics, Pearson correlation coefficients, and hierarchical multiple linear regression with SPSS/WIN 26.0Results: Meaning in life, social support, and posttraumatic growth had significant positive correlations with each other, and the correlation between posttraumatic growth and meaning in life was the highest (r=.63, p<.01). In the hierarchical multiple regression model of posttraumatic growth (adjusted R2=.48, p<.001), marital status (β=-.14, p=.04), meaning in life (β=.44, p<.001), and social support (β=.27, p=.001) were statistically significant.Conclusion: There is a need for nursing interventions that provide social support and promote the meaning in life to facilitate posttraumatic growth in pancreatic cancer patients.


2021 ◽  
Author(s):  
Mohammad Ali Hossein Tehrani ◽  
Mohammad Hadi Yadollahpour ◽  
Mohsen Vakili Sadeghi ◽  
Angela Hamidia

Abstract Purpose: Spiritual health is one of the dimensions of health associated with physical, social, and mental health. It can play an essential role in coping with stressful disease-related conditions. The purpose of this study was to evaluate the association between spiritual health and the level of anxiety and depression among cancer patients. Methods: In this cross-sectional study, 200 cancer patients were referred to a tertiary hospital in Iran. Hospital Anxiety and Depression Scale (HADS) and Spiritual Well Being Scale questionnaires were provided to the patients. Results: The mean score of spiritual health was 76.61±20.007 in cancer patients, which was considered moderate. The relationship between spiritual health and anxiety and between spiritual health and depression was significant. According to the Pearson correlation coefficient, the relationship between spiritual health and anxiety (r=-0.838) and depression (r=-0.834) was inverse. Furthermore, the relationship between spiritual health and anxiety (P<0.001) (r=-0.832) and depression (P<0.001) (r=-0.842) and the relationship between existential health and anxiety (P<0.001) (r=-0.830) and depression (P<0.001) (r=-0.813) were significant and inverse. Conclusion: The present study showed that spiritual health positively reduces anxiety and depression in cancer patients, promotes mental health, and accelerates and improves the disease.


2015 ◽  
Vol 04 (01) ◽  
pp. 021-023 ◽  
Author(s):  
Akhil Kapoor ◽  
Mukesh Kumar Singhal ◽  
Puneet Kumar Bagri ◽  
Satya Naraya ◽  
Surender Beniwal ◽  
...  

Abstract Background: Cancer related fatigue (CRF) is a problem that is highly under reported, under recognized and thus, under treated. About 80% of patients receiving chemotherapy/radiotherapy experience CRF, making it the most common side effect of cancer treatment. Functional assessment of chronic illness therapy fatigue (FACIT-F) version-4 is a 13 item questionnaire that has been used to measure the level of fatigue of cancer patients during their daily activities over the past 7 days. Materials and Methods: 92 patients of age 18 years and above attending the oncology Out Patient Department (OPD) of a regional cancer center were recruited in this study and were given FACIT-F questionnaire. The relevant sociodemographic parameters were obtained from the medical records of the patients. The internal consistency of the 13 items was measured using the Cronbach′s alpha. Results: The Cronbach alpha coefficient for FACIT-F scale in our study was found to be 0.74. Kendall′s coefficient of concordance was estimated to be 0.080. The correlation between Eastern Cooperative Oncology Group (ECOG) performance status and mean score of FACIT-F was studied, Pearson correlation coefficient was estimated to be 0.271 (P = 0.009). Conclusions: FACIT-F is a brief, simple, easy to administer and patient friendly tool to measure the fatigue in last 7 days. CRF should be given adequate attention from the beginning of the treatment to improve the quality of life of cancer patients.


2019 ◽  
Vol 14 (1) ◽  
pp. 66-71 ◽  
Author(s):  
Tiziana Prochilo ◽  
Alessandra Huscher ◽  
Federica Andreis ◽  
Mara Mirandola ◽  
Elisabetta Zaina ◽  
...  

Background: The most effective agents in the treatment of breast cancer have a common side effect, the hair loss. Some studies reported a reduction of hair loss with the use of the scalp cooling device. Indeed, it decreases the drug accumulation in the hair follicles. We report our preliminary experience with a scalp cooling device in reducing chemotherapy-induced alopecia and related distress in breast cancer patients undergoing adjuvant chemotherapy. </P><P> Methods: Hair loss grading and treatment tolerability were evaluated during chemotherapy every 21 days and 3 weeks after the last cycle of chemotherapy via Dean’s scale by patients and operators and a comfort analogic scale by patients. We administered the Hospital Anxiety and Depression Scale questionnaire at the baseline and at the end of treatment to assess the distress related to chemotherapy- induced alopecia. Results: Among the 46 patients identified, 27 accepted the device. The eligible chemotherapy regimens included docetaxel+cyclophosphamide (TC), doxorubicin+cyclophosphamide (AC) and paclitaxel (P) weekly+trastuzumab (T). 24 pts (89%) completed the treatment; 3 pts (11%) treated with AC prematurely interrupted use of the scalp-cooling device due to inefficacy. After the last cycle of chemotherapy, the number of patient who perceived a HL < grade 2 was 16 (59%). The hair retention reported by operators has been higher (78%). 81.5% of patients well tolerated the treatment. Conclusion: In our study, the scalp-cooling device reduced chemotherapy-induced alopecia in taxane- based chemotherapy. Furthermore, it suggests a discordance in hair loss perception between patients and operators.


2021 ◽  
pp. 001698622098594
Author(s):  
Nielsen Pereira

The purpose of this study was to investigate the validity of the HOPE Scale for identifying gifted English language learners (ELs) and how classroom and English as a second language (ESL) teacher HOPE Scale scores differ. Seventy teachers completed the HOPE Scale on 1,467 students in grades K-5 and four ESL teachers completed the scale on 131 ELs. Measurement invariance tests indicated that the HOPE Scale yields noninvariant latent means across EL and English proficient (EP) samples. However, confirmatory factor analysis results support the use of the scale with ELs or EP students separately. Results also indicate that the rating patterns of classroom and ESL teachers were different and that the HOPE Scale does not yield valid data when used by ESL teachers. Caution is recommended when using the HOPE Scale and other teacher rating scales to compare ELs to EP students. The importance of invariance testing before using an instrument with a population that is different from the one(s) for which the instrument was developed is discussed.


Author(s):  
Ertan Kucuksayan ◽  
Serkan Ozben ◽  
Selma Topaloglu Tuac ◽  
Mesrure Koseoglu ◽  
Ozcan Erel ◽  
...  

Abstract Objectives Restless legs syndrome (RLS) is a common neurological condition. Oxidative stress plays an important role in its pathogenesis. Thiol-disulphide homeostasis (TDH) is a new biomarker of oxidative stress. We studied plasma TDH to determine whether TDH could be used as a new biomarker for RLS and evaluated correlations between TDH and various disease severity rating scales. Methods A total of 25 RLS patients and 25 healthy controls were included into the study. TDH status was determined using an automated spectrophotometric analysis method and correlations were analyzed between the TDH status and various disease rating scales in the RLS patients. Results Plasma total (401 ± 27 μmol/L) and native thiol (354 ± 30 μmol/L) levels were significantly lower, but disulphide level (24 ± 6 μmol/L) was significantly (<0.0001) higher in the RLS patients compared to the controls (455 ± 36, 424 ± 37, 15 ± 5 μmol/L, respectively). The disulphide/native thiol and disulphide/total thiol ratios increased, in contrast, native thiol/total thiol ratio decreased significantly in the RLS patients compared to the healthy controls (<0.0001). The disulphide levels correlated positively with age and various rating scores of the RLS patients. International Restless Legs Syndrome Study Group (IRLSSG) rating score and age correlated negatively with the total and native thiol levels. Conclusions Our findings indicate increased oxidative stress in the RLS patients reflected by decreased native and total thiol, and increased disulphide levels and positive correlations between the disulphide levels and various rating scores. We suggest dynamic TDH status to be used as a novel biomarker for the diagnosis and follow-up of the RLS patients.


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