scholarly journals Demoralisation in Cancer Patients: The Association with Distress, Depression and Positive Emotion

2021 ◽  
Vol 16 (1) ◽  
pp. 108-122
Author(s):  
Thong Kai Shin ◽  
Keyword(s):  
Cancer Patients ◽  
Positive Emotion ◽  
Rating Scale ◽  
Cross Sectional Study ◽  
Epidemiologic Studies ◽  
University Hospital ◽  
Cross Sectional ◽  
Distress Level ◽  
High Level ◽  
Patients Experience

Cancer patients experience a high level of distress and depression. The understanding of its psychological correlates such as demoralisation and positive emotion helps in the management of these conditions. The study objectives are to examine the correlation between demoralisation and positive emotion, defined as discrete pleasant emotions, such as joy, pride, contentment or love, with depression and distress in cancer patients. The sociodemographic and clinical associated factors are also studied. This cross-sectional study recruited 178 cancer patients from a local university hospital. They were assessed using the Malay versions of the Demoralization Scales (DS-M), Positive Emotion Rating Scale (PERS), Centre for Epidemiologic Studies Depression (CESD) Scale, and Distress Thermometer. The mean age of the subjects was 53.6 + 16.51 years old, with 24% of them were in the advanced stage of cancer. Almost 38% of the subject were demoralised. Of them, 61.2% were depressed, 52.2% had low positive emotion, and 68.7% were distressed. Demoralisation was positively correlated with depression (r=0.78, p<0.01) and distress level (r=0.64, p<0.01) but negatively correlated with positive emotion (r=-0.69, p<0.01). In conclusion, demoralisation was highly prevalent and strongly associated with depression and distress in cancer patients. Assessment and early detection of demoralisation among cancer patients should receive more attention. Future studies on the management of this condition are needed.

scholarly journals Attitudes Towards Cancer Patients

2021 ◽  
Vol 21 (2) ◽  
pp. e221-230
Author(s):  
Mohammed Al-Azri ◽  
Fahad Al-Hattali ◽  
Humaid Al-Ghafri ◽  
Sathiya M Panchatcharam
Keyword(s):  
Cancer Patients ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Sultan Qaboos University ◽  
Supportive Environment ◽  
Social Difficulties ◽  
History Of ◽  
Keywords Cancer ◽  
Patients Experience

Objectives: Many cancer patients experience social difficulties and feelings of isolation. This study aimed to evaluate patients’ and attendees’ attitudes towards cancer patients. Methods: A cross-sectional study was conducted of patients and attendees attending Sultan Qaboos University Hospital (SQUH), Muscat, Oman, from December 2018 to March 2019. Results: A total of 1,190 people participated (response rate: 91.5%). The majority (90.7%) did not express reluctance to help cancer patients. Most agreed that cancer patients were productive (76.2%) and are respected by the public (75.0%). However, many participants (63.1%) felt that cancer patients might face difficulties getting married. Multivariate analysis showed that participants who had a family history of cancer or had previously been a caregiver for cancer patients were more likely to believe that cancer patients could be productive (odds ratio [OR] = 1.92, 95% confidence interval [CI]: 1.31–2.82; P <0.05). Less-educated participants were more likely to believe that cancer patients feared not being productive (OR = 1.49, 95% CI: 1.01–2.19; P <0.05). Male and single participants were more likely to perceive that cancer patients faced difficulties getting married (OR = 1.56, 95% CI: 1.20–2.02 and OR = 1.68, 95% CI: 1.22–2.32, respectively; P <0.05 each). Conclusion: Patients and attendees attending SQUH in Oman appeared to have positive and supportive attitudes towards cancer patients, although some felt that cancer patients might encounter social obstacles. Healthcare professionals should consider reassuring cancer patients of such positive sentiments. Governmental and non-governmental organisations should act to promote a supportive environment for cancer patients in Oman. Keywords: Cancer; Attitudes; Patients; Surveys and Questionnaires; Oman.

Predictors of Psychiatric Morbidity in Cancer Patients

1994 ◽  
Vol 165 (5) ◽  
pp. 593-598 ◽  
Author(s):  
Judy Harrison ◽  
Peter Maguire
Keyword(s):  
Risk Factors ◽  
Cancer Patients ◽  
Psychiatric Morbidity ◽  
Significant Proportion ◽  
Cross Sectional Study ◽  
Future Research ◽  
Cross Sectional ◽  
Appropriate Treatment ◽  
Study Designs ◽  
Patients Experience

BackgroundA significant proportion of cancer patients experience psychiatric morbidity in association with diagnosis and treatment. If this morbidity is to be reduced, a better understanding is needed of the factors which influence adjustment to cancer.MethodA review of the literature was carried out to explore those factors associated with poor psychological adjustment to cancer. These are described under four headings: characteristics of the patient; disease and treatment variables; the interaction between patient and illness; and environmental factors.ResultsA number of risk factors for psychiatric morbidity can be identified from each of the four areas. Methodological limitations are highlighted, in particular the preponderance of cross-sectional study designs.ConclusionsIncreased awareness of the risk factors for psychiatric morbidity should lead to earlier detection and more appropriate treatment. Future research should focus on those risk factors which are potentially modifiable.

Depression and Anxiety in Patients with Chronic Renal Failure Undergoing Hemodialysis

2021 ◽  
Author(s):  
Elham Shahraki ◽  
Mansoor Shakiba ◽  
Seyedeh Yasaman Ghasemi-Aliabadi
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Rating Scale ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Depression And Anxiety ◽  
Mild Depression ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
High Level

Background: Chronic renal failure is a disabling condition with multiple complication such as depression and anxiety; they are common in hemodialysis patients and have negatively effect on quality of life. In this study we investigate the prevalence of depression and anxiety in Zahedan hemodialysis patients. Methods: A total 200 patients undergoing regular hemodialysis for more than six months included in this descriptive cross-sectional study. After consent The Hamilton Rating Scale for Depression and anxiety (HAM-D7) in a version translated into and adapted to Persian, were used. Results: The patients median age was (43.06 ± 16.11) years and 38.5% was male. Mild depression was observed in (15) 7.5%, moderate in (81) 40.5% and sever depression in (104) 52% of patients. In this study 19.5% (39) of patients has moderate anxiety and 80.5% (161) patients with sever anxiety. A significant correlation was found between duration of dialysis, older age and depression. But there wasn’t any relationship between age and duration of dialysis with anxiety. Anxiety and depression found without any significant differences in both males and females. Conclusion: We found high level of depression an anxiety in Zahedan hemodialysis patients.

scholarly journals The patterns and burden of multimorbidity in geriatric patients with prolonged use of addictive medications

2021 ◽  
Author(s):  
Socheat Cheng ◽  
Tahreem Ghazal Siddiqui ◽  
Michael Gossop ◽  
Torgeir Bruun Wyller ◽  
Espen Saxhaug Kristoffersen ◽  
...  
Keyword(s):  
Older Patients ◽  
Geriatric Patients ◽  
Adverse Drug Events ◽  
Rating Scale ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Multiple Substance ◽  
The Relationship ◽  
Addictive Drug

Abstract Background Multimorbidity and prolonged use of addictive medications are prevalent among older patients, and known to increase the risk of adverse drug events. Yet, the relationship between these two entities has remained understudied. Aims This study explored the association between multimorbidity burden and prolonged use of addictive medications in geriatric patients, adjusted for clinically important covariates. Furthermore, we identified comorbidity patterns in prolonged users. Methods We conducted a cross-sectional study on a consecutive sample of 246 patients, aged 65–90 years, admitted to a large public university hospital in Norway. We defined prolonged use of addictive medications as using benzodiazepines, opioids and/or z-hypnotics beyond the duration recommended by clinical guidelines (≥ 4 weeks). Multimorbidity was assessed with the Cumulative Illness Rating Scale for Geriatrics (CIRS-G), based on diagnoses made by independent physicians. Results Compared to non-prolonged use, prolonged use was significantly more common among patients who had psychiatric (19/27, 70%), liver (19/22, 86%), upper gastrointestinal tract (21/32, 66%), musculoskeletal (52/96, 54%), or nervous system disorders (46/92, 50%). Patients with prolonged use had a higher multimorbidity burden than those without such use (CIRS-G score, mean = 7.7, SD = 2.7 versus mean = 4.6, SD = 2.2, p < 0.001). Multivariable logistic regression indicated a significant association between multimorbidity burden and prolonged addictive medication use (OR = 1.72, 95% CI 1.42–2.08). Predictive margins postestimation showed a systematic increase in the predicted CIRS-G scores when the number of addictive drug used increases. Conclusions Multimorbidity is strongly associated with prolonged use of addictive medications. Multiple substance use may aggravate disease burden of older patients.

scholarly journals Supportive Infusions in Integrative Breast and Gynecological Oncology – Report on Patientsʼ Satisfaction and Self-reported Effects and Side Effects

2018 ◽  
Vol 78 (11) ◽  
pp. 1129-1137 ◽  
Author(s):  
Carolin Hack ◽  
Sophia Antoniadis ◽  
Matthias Beckmann ◽  
Anna Brandl ◽  
Peter Fasching ◽  
...  
Keyword(s):  
Side Effects ◽  
Gynecological Cancer ◽  
Nutritional Therapy ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Infusion Therapy ◽  
Cross Sectional ◽  
Level Of Satisfaction ◽  
High Level

Abstract Background During cancer therapy, many patients suffer from malnutrition or vitamin deficiency. Treatment for nutrition-related deficiencies should therefore include nutritional therapy and possibly oral or intravenous substitution of micronutrients. Little information exists on multinutrient infusion therapies. The aim of this study was to develop standardized infusion protocols for integrative medicine infusions with micronutrients (IMed infusions) and to report on side effects of the treatment and patientsʼ satisfaction with it. Methods For the IMed consultancy service, four special formulas for intravenous use were developed in cooperation with the pharmacy at Erlangen University Hospital. A retrospective cross-sectional study was conducted between October 2015 and January 2018 in which 45 patients with gynecological or breast cancer (BC) and IMed infusion therapy were included. Follow-up data were obtained from 20 patients using a standardized questionnaire on IMed infusions. Results A total of 280 IMed infusions were administered in the study period. The majority of the patients received an IMed regeneration infusion (78%). The majority of the patients had BC and were receiving chemotherapy. Most patients reported a high or very high level of satisfaction with the organization (60%), general treatment (65%) and counseling (85%). Subjective improvement in their disease-related and therapy-induced symptoms, such as fatigue, polyneuropathy and physical efficiency, was reported by 70% of the patients, while 75% reported a subjective increase in quality of life. Side effects were rare and minor. Conclusions Therapy with IMed infusions in women with BC or gynecological cancer requires the same standards set for drug therapy. Although vitamins represent dietary supplements, appropriate assessment of the patientʼs medical history is needed and patients must receive appropriate information. For this purpose, standardized processes, as in the context of an IMed consultancy service, are helpful.

The Relationship Between Authenticity and Death Anxiety in Cancer Patients

2021 ◽  
pp. 003022282199760
Author(s):  
Faezeh Nazari ◽  
Zohreh Khoshnood ◽  
Parvin Mangolian Shahrbabaki
Keyword(s):  
Cancer Patients ◽  
Death Anxiety ◽  
Death And Dying ◽  
Care Program ◽  
Cross Sectional Study ◽  
Patient Death ◽  
Cross Sectional ◽  
The Many ◽  
Patients Experience ◽  
The Relationship

One of the many problems cancer patients experience is death anxiety. This descriptive-analytical cross-sectional study aimed to investigate the relationship between authenticity and death anxiety in cancer patients. The participants were 172 cancer patients who referred to medical centers in southeast Iran. The data were collected using authenticity inventory, and death and dying anxiety scale. There was a negative correlation between authenticity and death anxiety, i.e. patients who indicated higher authenticity scores showed lower levels of death anxiety. It seems that developing a comprehensive care program for increasing awareness of authenticity in patients, may be effective in reducing patient death anxiety.

scholarly journals Relationship between Hand Eczema Severity and Occupational Stress: A Cross-Sectional Study

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Meriam Hafsia ◽  
Imene Kacem ◽  
Olfa El Maalel ◽  
Maher Maoua ◽  
Aicha Brahem ◽  
...  
Keyword(s):  
Perceived Stress ◽  
Protective Factor ◽  
Leisure Activity ◽  
Cross Sectional Study ◽  
Hand Eczema ◽  
University Hospital ◽  
Published Data ◽  
Sectional Study ◽  
Cross Sectional ◽  
High Level

Background. Stress has been recently implicated as a contributing factor of hand eczema (HE) severity. However, published data are both rare and contradictory justifying the need of further research. The purpose of this study was to evaluate the relation between stress and HE severity. Methods. This is a cross-sectional study enrolling all patients who have been attending the Dermato-allergology unit of Farhat Hached University Hospital of Sousse over a period of one year. The HE severity was assessed by the Osnabrück Hand Eczema Severity Index (OHSI). The stress level was assessed by the Perceived Stress Scale-10 (PSS-10) in its validated Arabic version. Results. During the study period, 109 participants meeting the inclusion criteria were identified. The mean age was 40 ± 9.9 years with a sex-ratio of 0.8. Severe eczema was found in 76 participants (69.7%). A high level of perceived stress was found in 18.3% of cases. A statistically significant association was noted between HE severity and the high level of perceived stress (p=0.039, OR = 4.46, 95% CI [0.96–20.59]) and the number of dependent children ≥3 (p=0.0039, OR = 1.92, 95% CI [0.51–7.22]). Leisure activity was found to be a protective factor against HE severity (p=0.031, OR = 0.27, 95% CI [0.09–0.80]). Conclusion. Although the link between the severity of eczema and atopy, wet work, and contact with irritants and allergens is well known, the relation remains questionable for other factors including stress.

scholarly journals Caregivers of schizophrenic patients in Calabar: Extent and predictors of burden

2021 ◽  
Vol 4 ◽  
pp. 48-56
Author(s):  
Chidi John Okafor ◽  
Thomas Emedoh
Keyword(s):  
Employment Status ◽  
Rating Scale ◽  
Suicide Attempts ◽  
Cross Sectional Study ◽  
Subjective Burden ◽  
Cross Sectional ◽  
Patient Health ◽  
Schizophrenic Patients ◽  
Objective Burden ◽  
High Level

Objectives: Caregivers of people with mental disorders usually experience consequences which might generate burden and have an effect on each aspect of their life. This study aimed to assess the extent and associated factors of burden on caregivers of schizophrenic patients seen at the Federal Psychiatric Hospital Calabar, Nigeria. Material and Methods: A hospital-based cross-sectional study design was used to study 100 consecutive caregivers of patients with schizophrenia seen at the outpatient clinic of the hospital between 15 December 2019 and 21 April 2020. Data were collected from the study participants using socio-demographic questionnaire, Patient Health Questionnaire-9, Brief Psychiatric Rating Scale (BPRS), and Family Burden Interview Schedule. Quantitative data were presented as mean (standard deviation) and categorical data as frequency/percentages. Statistical analysis was performed using independent sample t-test. Multivariate analysis was performed to determine the predictors of burden on caregivers. All values of P < 0.05 were considered significant. Results: Ninety percent and 88% of the caregivers, respectively, had some level of objective and subjective burden. The factors associated with objective burden on the caregivers were employment status of the patient, BPRS score, number of suicide attempts, and number of hours per week the caregiver was in contact with the patient. The subjective burden was associated with BPRS score, number of hospitalization, number of relapses, monthly income of the caregiver, and caregiver’s level of education. The employment status of the patient significantly predicted objective burden on the caregiver (P < 0.001). Conclusion: This study showed that caregivers of patients with schizophrenia experience high level of burden. The study also identified factors which might guide clinicians to institute intervention programs aimed toward reducing burden on the caregivers of schizophrenic patients.

scholarly journals Resilience factors in nursing workers in the hospital context

2020 ◽  
Vol 54 ◽  
Author(s):  
Silmar Maria da Silva ◽  
Patricia Campos Pavan Baptista ◽  
Fábio José da Silva ◽  
Mirian Cristina dos Santos Almeida ◽  
Rosimeire Angela de Queiroz Soares
Keyword(s):  
Cross Sectional Study ◽  
Working Time ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Resilience Scale ◽  
Resilience Factors ◽  
High Age ◽  
High Level ◽  
The City

Abstract Objective: To investigate the level and factors related to resilience in nursing workers in the hospital context. Method: A cross-sectional study conducted with nursing workers of a university hospital in the city of São Paulo. Data were collected through a questionnaire containing sociodemographic and labor variables and the Resilience Scale. Results: It was found that 45.3% of the 375 nursing workers investigated had a moderately low/moderate level of resilience, followed by a moderately high/high level (39.5%), and then a low level of resilience (15.2%). Age, working time in the institution, and working time in the profession showed a statistically significant correlation with resilience. The model showed that there is an increase of 0.289 points on the Resilience Scale for each year of age, regardless of the other variables. Conclusion: The resilience level of nursing workers is moderate to high. Age was determinant in resilience, as well as working time in the profession and institution.

scholarly journals Fear of COVID-19 among pregnant women in Pakistan: a cross-sectional study

2020 ◽  
Vol 7 (12) ◽  
pp. 4749
Author(s):  
Sidrah Nausheen ◽  
Shelia Bhamani ◽  
Areeba Makhdoom ◽  
Lumaan Sheikh
Keyword(s):  
Pregnant Women ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Survey Tool ◽  
Low Socioeconomic ◽  
Healthcare Settings ◽  
Survey Form ◽  
High Level

Background: The emergence of COVID-19 and its pandemic nature has exacerbated fears worldwide. Pregnant women are considered a vulnerable group during the COVID-19 pandemic because the physiological changes make them more susceptible to infections. Pregnant women are found expressing much of the fear related to their course of pregnancy, the in-utero transmission of the disease, and questions related to infection control in healthcare settings. Hence, the purpose of this paper was to explore the fears faced by pregnant women related to COVID.Methods: It was a cross-sectional survey among 201 pregnant women attending antenatal clinics of Aga Khan University Hospital. The survey tool contains demographic variables and a 7-item scale of “Fear in COVID” which is pre tested in the Iranian population. The survey form was made on google drive and sent to pregnant females on WhatsApp.Results: 201 pregnant women mostly belonging to middle and low socioeconomic class were enrolled. The majority (80%) of women were less than 30 years of age. Only 26 (12.9%) were primigravids, remaining were multigravidas of a different order of pregnancy. 60% of our study population showed high fear scores (27-35) from coronavirus whereas another 30% had moderate fear. No association of study variables was found with fear scores.Conclusions: We found a high level of fear of COVID-19 among the pregnant population with a higher level of anxiety and stress related symptoms. The amount of fear and stress is independent of the trimester or order of pregnancy.

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