scholarly journals The Impact of Religious Practices on Depression and Anxiety Among Moroccan Cancer Patients

Author(s):  
Elkhalloufi Fahd ◽  
Saber boutayeb ◽  
Youssef Lamrani Alaoui ◽  
Mounia Eljaouhari ◽  
Hassan Errihani ◽  
...  

Abstract Background: Many researchers have associated between religiosity with a lower level in depression and anxiety among patients with chronic diseases and especially in cancer patients.The aim of this study is to examine the association between spirituality and depression among Moroccan cancer patients. Another aim resides in to examining the association between spirituality and anxiety among Moroccan cancer patients.Methods: 1054 cases were included. Cancer profile, socio demographic and spiritual characteristics were considered. The data were firstly analyzed using the validated HADS scale arabic version. The statistical significance was tested using Chi-square test. The Odds ratios were also computed for the likelihood of being in depression and/or anxiety.Results: The results obtained revealed that the performance of religious practices such as reading Quran, doing Roquia , and the consideration of cancer as a divine test are factors that significantly decrease the risk of having depression and/or anxiety. However women wearing the “hijab” have three times higher chances of having anxiety compared to other women that do not wear the “hijab”. Patients considering cancer as a divine punishment have significantly higher odds of having anxiety and/or depression. Regarding charity, pilgrimage, visit of “marabouts”, use of medicinal plants and fasting are found to be insignificant predictors of depression and anxiety.Conclusions: The current evidence indicates that religiosity is important to patients facing cancer. Religiosity is not just protective in nature, but it can also be therapeutic. Praying, reading or listening to the Quran, as well as considering cancer as a divine test have been shown to reduce the level of depression and anxiety . In conclusion, the spiritual aspect plays an important role in the quality of life of cancer patients.

2020 ◽  
Author(s):  
Maria Salvina Signorelli ◽  
Teresa Surace ◽  
Marcello Migliore ◽  
Eugenio Aguglia

Cancer is a leading cause of death worldwide. Literature reports depression and anxiety are the most common psychiatric symptoms in cancer patients. Notably, lung cancer is associated with major depressive disorder in 5–13% of cases. The present article aims to give an overview regarding the impact of mood disorders on the outcomes of patients affected by lung cancer. Our review showed that pharmacological treatment and psychotherapy can be useful to improve the quality of life of patients with lung cancer. Moreover, the treatment of depression and anxiety can be associated with a reduced mortality. In conclusion, it is important to consider psychiatric care as important as other adjuvant oncologic therapies in patients with cancer.


2012 ◽  
Vol 37 (1) ◽  
pp. 103-108 ◽  
Author(s):  
PA Martins-Júnior ◽  
LS Marques ◽  
ML Ramos-Jorge ML

Objectives: To determine the association between types of malocclusion and quality of life in children between 8-10 years of age and establish correlations between the severity of the malocclusion and particular bio-psychosocial variables. Study design: The sample was made up of 102 schoolchildren aged 8-10 years. Clinical exams were performed using the criteria of the Dental Aesthetic Index (DAI) to determine the presence and severity of malocclusions. The impact on quality of life was assessed using the Child Perceptions Questionnaire (CPQ8-10). Statistical analysis involved the chi-square test, Fisher's exact test and Spearman's correlation analysis. Results: Malocclusions affected 61% of the children examined. There was a positive correlation between total CPQ8-10 and DAI scores (P = 0.034). The following types of malocclusion had a significant effect on the quality of life of the children: upper anterior irregularity ≥ 2 mm, anterior open bite ≥ 2mm and diastema ≥ 2mm. Children with malocclusion experienced a greater negative impact on quality of life in comparison to those without malocclusion. Conclusions: Malocclusions had a negative influence over the quality of life of children between 8-10 years of age. More severe malocclusions had a greater impact with regard to social, emotional and functional aspects.


2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 11536-11536
Author(s):  
Darya Nesterova ◽  
Junjia Zhu ◽  
Courtney Kramer ◽  
Monali K. Vasekar ◽  
Jolene Collins ◽  
...  

11536 Background: The diagnosis of cancer can adversely affect mental wellbeing. In addition to treating cancer, the emotional wellbeing of patients must simultaneously be addressed. A previous pilot exploring the feasibility of creative writing workshop (CWW) in cancer patients showed apositive effect on patients’ mental health. Methods: To longitudinally evaluate the efficacy of CWW on mood, we conducted a phase II study with cancer patients (any stage, any cancer type); randomized 2:1 to CWW vs. active control (AC). Patients in the CWW arm attended at least 4, 1.5-hour bi-monthly CWW x 8 wks, whereas AC patients completed independent writing at home with the help of a book (bi-monthly x 8wks). We used validated tools, [Emotional Thermometer Scales (ETS), PHQ-9, GAD-7] to assess changes in overall mood, depression, and anxiety. Primary end point: a) ETS scores before and after intervention b) Changes in depression and anxiety based on PHQ-9 and GAD-7 scores. We present results from ETS scores. Descriptive statistics were generated for these quantitative scales measured in each group, pre and post intervention. Comparisons between groups (gp) were made using Wilcoxon Rank-sum tests. All tests were two sided and the statistical significance level used was 0.05. Results: Amongst evaluable patients, N of 50 (demographics in table below), twenty-six patients in the CWW gp attended at least one class and 19 attended at least 4 classes. Patients in CWW showed significant mood improvement vs. AC when comparing the final overall ETS (p=0.0063). Three of the five sub-scale ETS scores were significantly lower for the CWW vs. AC gp: anxiety (p=0.0027), depression (p=0.0009), and anger (p=0.0027). Conclusions: Group led CWW have a positive effect on mood. Our results suggest potential therapeutic benefit of this intervention on the emotional wellbeing of cancer patients. Larger studies are needed to evaluate the effect of CWW in cancer patients. Clinical trial information: NCT03536702. [Table: see text]


2000 ◽  
Vol 55 (2) ◽  
pp. 55-60 ◽  
Author(s):  
Marco Aurélio Monteiro Peluso ◽  
Hermano Tavares ◽  
Gilberto D'Elia

INTRODUCTION: Debates about the quality of medical education have become more evident in the recent past, and as a result several different assessment methods have been refined for that purpose. The use of questionnaires filled out by medical students to assess the quality of lectures is one of the most common methods employed in our milieu. However, the reliability of this investigation method has not yet been systematically tested. The authors present the reliability of a specific form applied to the fourth grade medical students during the clinical psychiatry course. METHOD: Eighty-one fourth grade medical students were instructed to complete a form immediately after each clinical psychiatry lecture. Thirty-four students (42%) failed to turn in the forms after the final lecture. These students were given an identical form to assess the lectures in a retrospective fashion. The grades given by both groups of students for each performed lecture and the number of students who have graded an unperformed lecture were compared. Statistical significance for both groups was determined by means of the chi-square test (p< 0.05). RESULTS: Eighteen out of the 34 students who filled out the forms retrospectively (53%) rated the unperformed lecture, whereas only 5 out of the 47 students who filled out the forms during the course (11%) did so. This is statistically significant (p< 0.05). There was no statistical difference for the grades given to the lectures that were actually performed. DISCUSSION: The authors concluded the low reliability rate of the retrospective evaluation warrant a continuous assessment method during the course.


2016 ◽  
Vol 15 ◽  
pp. 487
Author(s):  
Aline Aparecida Oliveira ◽  
Júlia Trevisan Martins

Aim:  to  analyze  the  quality  of  life  and  factors  associated  with  it among  disabled  retired  public  workers  of  a  public  university.  Method:  this  is  an epidemiological study, featuring an observation-analysis, and a transversal, quantitative approach. The sample is composed of 59 disabled public employees who retired between 2000  and  2014.  The  data  was  collected  through  a  questionnaire  of  socio-demographic characteristics and the SF-36v2 form in order to evaluate the retirees’ quality of life. F or the   quantitative   variables,   the   evaluations   of   absolute   and   relative   frequencies, measurements of central trends, and variability were observed. The Mann-Whitney test, Chi-square test, and Wilcoxon W test were used due to the asymmetrical distribution of the  variables  found.  The  level  of  statistical  significance  was determined  to  be  p<0.05.  Expected Results: this study will provide support to personnel management in order to implement policies for the promotion of health, illnesses prevention, and the reduction of injuries; as a result, a decrease in the rate of early retirement, higher productivity in the labor  market,  an  improvement  in  self-esteem,  and  the  decline  in  retirement  fund expenses are expected.


2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e17578-e17578
Author(s):  
C. G. Lis ◽  
M. Rodeghier ◽  
D. Gupta

e17578 Background: Cancer patients usually undergo extensive and debilitating treatments, which makes patient satisfaction with care in oncology an important health care assessment measure. We conducted a study to examine patients’ experiences with the care they receive and to investigate the clinical, demographic and quality of life (QoL) factors that can predict satisfaction in a large heterogeneous sample of cancer patients. Methods: A case series of 538 cancer patients treated at Cancer Treatment Centers of America (CTCA) at Midwestern and Southwestern Regional Medical Centers between August 2006-December 2007. A patient satisfaction questionnaire developed in-house by CTCA was used. The questionnaire covered the following dimensions of patient satisfaction: hospital operations and services, physicians and staff, and patient endorsements for themselves and others. QoL was assessed using EORTC QLQ-C30. The available clinical, demographic and QoL factors were evaluated for predictive significance using univariate (t-test or chi-square test) and multivariate logistic regression. Results: The response rate for this study was 24.4%. The mean age of our patient population was 54.1 years (SD = 10.5, range 17–86), with a slight preponderance of females (57.2 %). Breast cancer (n = 124, 23.0 %) and lung cancer (n = 101, 18.8%) were the most frequent cancer types. 481 (89.4%) patients were “very satisfied” with their overall experience with CTCA. Age and several QoL function and symptom scales were predictive of satisfaction upon univariate analysis. However, in the multivariate modeling, only those with a score above the median on the fatigue measure (i.e., worse fatigue) had reduced odds of 0.28 of being “very satisfied” with CTCA (p = 0.03). Conclusions: We found that fatigue was an independent significant predictor of patient satisfaction. This finding argues for special attention and programs for cancer patients who report higher levels of fatigue. Such efforts will help lessen the effect of fatigue on their daily functioning, and may increase their satisfaction with treatment. No significant financial relationships to disclose.


SAGE Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. 215824401987628
Author(s):  
Bhaskaran Unnikrishnan ◽  
Priya Rathi ◽  
P. U. Prakash Saxena ◽  
Apoorva Aggarwal ◽  
Shashank Shekhar ◽  
...  

Cancer is the most dreaded and chronic disease with its treatment lasting almost lifelong with an uncertainty of cure. This not only adversely affects the quality of life among patients but also poses a psychosocial burden among family members, especially caregivers of the patient. This study was conducted with the objectives to assess the psychosocial burden on caregivers of cancer patients and to find out the association of various sociodemographic characteristics with the level of burden among caregivers. Caregivers of 205 cancer patients were interviewed. Information on sociodemographic characteristics of caregivers, cancer details of patients, and psychosocial burden among caregivers was collected using Zarit Burden Interview (ZBI) scale. Descriptive statistics were used to analyze the baseline data. Chi-square test was done to find out the association of burden with various sociodemographic and disease variables. A p-value of <0.05 was taken as statistically significant. The median (interquartile range) ZBI was 20 (10, 34). Fifty percent of the caregivers had no or minimal burden and only 2% had severe burden. Age of the caregiver was a significant determinant of their psychosocial burden.


2017 ◽  
Vol 16 (2) ◽  
pp. 13-17
Author(s):  
Ľudmila Majerníková ◽  
Andrea Obročníková

AbstractAim. The goal of the study was focused on examining the impact of meaningfulness of life on the quality of life in cancer patients.Methods. The selection of respondents was deliberate. The study involved together one hundred cancer patients undergoing anticancer therapy (chemotherapy, radiotherapy) in cancer care centers in the Prešov and Košice regions. We used two standardized World Health Organisation questionnaires WHOQOL-BREF 26 and The Life Meaningfulness Scale (LMS).Results. The results show statistical significance (p <.001) between LMS dimensions and total score of LMS, a positive correlation (p <.001) was found between the dimensions of the LMS and factors - religiosity, social support, older age, female gender. A higher sense of life our sample was observable in the population of women with cancer, in patients with a higher level of social support and in religious patients. A positive correlation was recorded in terms of the meaning of life impact on the quality of life in relation to overall score LMS and in relation to Domain 2 Survival as well as Domain 3 Social relationships (p <.05) and Q2 Satisfaction with health (p <.001).Conclusions. The study indicates the presence of relationship between the quality of life and the meaning of life in cancer patients. The results could form the basis for implementing strategies in oncological nursing practice.


Author(s):  
José Manuel Núñez-Olivera ◽  
Rodolfo Cabral-Parra ◽  
Miguel Ángel Noriega-García ◽  
Sonia Navarro-Pérez

This study was conducted with the objective of determining the perception about the Mexican countryside, farmers, entrepreneurs and academics analyze the period 1982 to 2018. 30 producers, 20 businessmen and 10 academics, were selected in each region. Each of the groups were surveyed in their own workplaces, about their personal perception of the current situation of the Mexican countryside, 36 years after its implementation (1982). The collected data were analyzed by Chi-square test (x 2), 95% confidence, using descriptive statistics also by analysis group. The results show significant differences between the groups considered, according to its particular perception on the impact of globalization. Producers mostly considered that it did not serve and led to more poverty and problems in the field, while employers to a greater extent compared with this perception, since for them, globalization improved the productivity and the quality of life. Among academics there were discrepancies equal in terms of the positive or negative impact. It is no doubt that globalization is a complex phenomenon that had contrasting results, characterized by enormous economic inequality caused.


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