Psychological Adaptive Mechanism Maturity, Age, and Depression Symptoms in Advanced-Stage Cancer Patients

Background: Previously, we reported that the maturity of Psychological Adaptive Mechanism (PAM; alternatively, ego defense mechanism) endorsement, but not depression symptom severity, predicted 5-year survival rates in adult cancer patients and that study controlled for age as a significant variable. In this investigation, we hypothesized that greater PAM maturity would correlate significantly with age and with fewer depression symptoms in a larger sample.Methods: In this cross-section study, adult cancer outpatients (N=293) completed the Defense Style Questionnaire (DSQ), the Beck Depression Inventory (BDI), and provided additional clinical data. Spearman’s correlation and multiple regression modeling provided statistical tests of the study hypotheses.Results: Contrary to our hypothesis, DSQ PAM maturity endorsement did not correlate significantly with increasing age. Greater PAM maturity ratio on the DSQ (p<0.0001) and current antidepressant use (p<0.05), however, both provided inverse associations with total BDI symptom frequency (p<0.01). Age was inversely associated with BDI mood (p<0.0001) and somatic scores (p<0.04). Items that worsened BDI symptom frequency included self-reported mood-altering anti-cancer medications and any psychiatric history. Cancer stage, time since diagnosis, and chemotherapy treatment did not correlate with DSQ or BDI scores. Multiple regression analysis found that the correlated items accounted for 17.2% of the variance in mood symptoms and 4.9% in somatic symptoms. Specifically, adaptive maturity and age associated with fewer depression symptoms, while cancer medications affecting mood, and a previous psychiatric history each predicted higher frequency of depression scores.Conclusion: The results suggest that PAM maturity likely predicts fewer depression symptoms while younger age associates with more depression symptoms in this clinical sample. Centrally, acting cancer medications, such as glucocorticoids, and any history of psychiatric disorder correlated with increased depression symptom frequencies. In this cross-section study, antidepressant medications indicated higher frequencies of depressive symptoms, likely reflecting their use in persons previously diagnosed with depression. Further research should target factors that improve PAM maturity as a potential treatment target, especially in younger age groups.

Download Full-text

Exploring the relationship between spiritual well-being and death anxiety in patients with gynecological cancer: a cross-section study

BMC Palliative Care ◽

10.1186/s12904-021-00778-3 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Yue Feng ◽

Xingcan Liu ◽

Tangwei Lin ◽

Biru Luo ◽

Qianqian Mou ◽

...

Keyword(s):

Cancer Patients ◽

Cross Section ◽

Death Anxiety ◽

Religious Beliefs ◽

Gynecological Cancer ◽

Well Being ◽

Life Questionnaire ◽

Section Study ◽

Spiritual Well Being ◽

The Relationship

Abstract Background In recent years, spiritual well-being has gradually gained the attention of health care providers in China, especially those in oncology departments, who have recognized the importance of improving spiritual well-being in cancer patients. Since most of the current research on spiritual well-being has been carried out in areas with religious beliefs, this study was conducted in the context of no development of formal religion. The purpose of this study was to explore the relationship between death anxiety and spiritual well-being and the related factors of spiritual well-being among gynecological cancer patients. Methods This cross-section study was conducted among 586 gynecological cancer patients. The European Organization for Research and Treatment for Cancer Quality of Life Questionnaire-spiritual well-being32 (EORTC QLQ-SWB32) and Templer's Death Anxiety Scale (T-DAS) were used to measure spiritual well-being and death anxiety. The Multiple Linear Regression Model was used to determine the relationship between spiritual well-being and death anxiety. Results For all participants, the highest QLQ-SWB32 centesimal score was 75.13 on the Relationship with Other scale, and the lowest was 60.33 on the Relationship with Someone or Something Greater Scale. The mean Death Anxiety score was 5.31 (SD 3.18). We found that Relationship with Someone or Something Greater was the only scale not associated with death anxiety. Overall, patients with lower death anxiety have a higher level of spiritual well-being. Besides, a high Relationship with Other score was associated with living with a partner (B = 2.471, P < 0.001) and married (B = -6.475, P = 0.001). Patients with higher Global-SWB were retired (B = 0.387, P = 0.019). Conclusions Our study found that the spiritual well-being of patients with gynecological cancer in China was no worse than in other countries with religious beliefs and patients with lower death anxiety have a higher level of spiritual well-being. Clinical staff should pay attention to the spiritual health of cancer patients, and spiritual care should be regarded as an essential element in cancer care.

Download Full-text

Incidence, characteristics and treatment of fatigue in oncological cancer patients (pts) in italy: a cross-section study

Annals of Oncology ◽

10.1093/annonc/mdw345.10 ◽

2016 ◽

Vol 27 ◽

pp. iv110 ◽

Cited By ~ 1

Author(s):

F. Roila ◽

F. Spina ◽

C. Ripamonti ◽

G. Fumi ◽

A. Antonuzzo ◽

...

Keyword(s):

Cancer Patients ◽

Cross Section ◽

Section Study

Download Full-text

A cross-section study of main determinants of arterial stiffness in Hefei area, China

International Angiology ◽

10.23736/s0392-9590.19.04078-1 ◽

2019 ◽

Vol 38 (2) ◽

Author(s):

Qingyuan Wu ◽

Xiaoyu Zhang ◽

Yang Xu ◽

Mu Wang ◽

Yu Wang ◽

...

Keyword(s):

Arterial Stiffness ◽

Cross Section ◽

Section Study ◽

Main Determinants

Download Full-text

Bereavement or Breakup: A Network Approach to Modeling Differential Pathways into Depression

10.31234/osf.io/38r4j ◽

2019 ◽

Author(s):

Julian Burger ◽

Margaret S. Stroebe ◽

Pasqualina Perrig-Chiello ◽

Henk A.W. Schut ◽

Stefanie Spahni ◽

...

Keyword(s):

Depressive Symptoms ◽

Graphical Models ◽

Contextual Factors ◽

Marital Disruption ◽

Depression Symptoms ◽

Depression Symptom ◽

Multiple Time ◽

Cross Sectional ◽

Network Analyses ◽

Within Subjects

Background: Prior network analyses demonstrated that the death of a loved one potentially precedes specific depression symptoms, primarily loneliness, which in turn links to other depressive symptoms. In this study, we extend prior research by comparing depression symptom network structures following two types of marital disruption: bereavement versus separation. Methods: We fitted two Gaussian Graphical Models to cross-sectional data from a Swiss survey of older persons (145 bereaved, 217 separated, and 362 married controls), and compared symptom levels across bereaved and separated individuals. Results: Separated compared to widowed individuals were more likely to perceive an unfriendly environment and oneself as a failure. Both types of marital disruption were linked primarily to loneliness, from where different relations emerged to other depressive symptoms. Amongst others, loneliness had a stronger connection to perceiving oneself as a failure in separated compared to widowed individuals. Conversely, loneliness had a stronger connection to getting going in widowed individuals. Limitations: Analyses are based on cross-sectional between-subjects data, and conclusions regarding dynamic processes on the within-subjects level remain putative. Further, some of the estimated parameters in the network exhibited overlapping confidence intervals and their order needs to be interpreted with care. Replications should thus aim for studies with multiple time points and larger samples. Conclusions: The findings of this study add to a growing body of literature indicating that depressive symptom patterns depend on contextual factors. If replicated on the within-subjects level, such findings have implications for setting up patient-tailored treatment approaches in dependence of contextual factors.

Download Full-text

A Cross Section Study of Vitamin D levels in Thai Office Workers

The Bangkok Medical Journal ◽

10.31524/bkkmedj.2015.02.002 ◽

2015 ◽

Vol 09 (01) ◽

pp. 8-11

Author(s):

Sant Chaiyodsilp ◽

Tanavee Pureekul ◽

Yuphin Srisuk ◽

Cholpatsorn Euathanikkanon

Keyword(s):

Vitamin D ◽

Cross Section ◽

Office Workers ◽

Section Study ◽

Vitamin D Levels

Download Full-text

Hubungan Paritas dan Umur Ibu Terhadap Kejadian Kehamilan Ektopik Terganggu (KET) di RSUD Syekh Yusuf Gowa Tahun 2018

JURNAL KESEHATAN DELIMA PELAMONIA ◽

10.37337/jkdp.v2i2.70 ◽

2018 ◽

Vol 2 (2) ◽

pp. 87-92

Author(s):

Asyima Arifuddin

Keyword(s):

Cross Section ◽

Random Sampling ◽

Chi Square ◽

Section Study

Berdasarkan data yang diperoleh dari Rekam Medik RSUD Syekh Yusuf Gowa, pada tahun 2016 terdapat 356 ibu hamil, pada tahun 2017 terdapat 413 ibu hamil dan pada tahun 2018 periode Januari-April terdapat 204 ibu hamil. Tujuan dilakukannya penelitian ini adalah untuk mengetahui hubungan paritas dan umur ibu terhadap kejadian Kehamilan Ektopik Terganggu (KET) di RSUD Syekh Yusuf Gowa 2018.Penelitian ini menggunakan metode penelitian analitik dengan menggunakan pendekatan Cross Section Study untuk mengetahui hubungan paritas dan umur terhadap kejadian Kehamilan Ektopik Terganggu di RSUD Syekh Yusuf Gowa dengan jumlah populasi 204 orang dan jumlah sampel 135 orang dengan menggunakan teknik Random Sampling. Responden yang memiliki paritas tinggi terhadap kejadian Kehamilan Ektopik Terganggu (KET) terdiagnosa sebanyak 87 orang (64,4%) dan yang memiliki paritas rendah terhadap kejadian Kehamilan Ektopik Terganggu (KET) sebanyak 48 orang (35,6%). Dari hasil uji statistik dengan menggunakan uji Chi-Square diperoleh nilai P (0,020) ≤ α (0,05), maka Ho diolak Ha diterima.Responden yang memiliki umur risiko tinggi terhadap kejadian kehamilan ektopik terganggu terdiagnosis sebanyak 76 orang (56,3%) dan responden yang memiliki umur risiko rendah terhadap kejadian kehamilan ektopik terganggu terdiagnosis sebanyak 59 orang (43,7%). Dari hasil uji statistik dengan menggunakan uji Chi-Square diperoleh nilai P (0,038) ≤ α (0,05), maka Ho ditolak dan Ha diterima. Kesimpulan dari kedua variabel yaitu paritas dan umur, kedua variabel berhubungan terhadap kejadian Kehamilan Ektopik Terganggu (KET) di RSUD Syekh Yusuf Gowa 2018

Download Full-text

The most frequently extracted teeth type: a retrospective cross-section study at Ndola teaching hospital, low cost dental clinic, Zambia

Asian Pacific Journal of Health Sciences ◽

10.21276/apjhs.2017.4.3.16 ◽

2017 ◽

Vol 4 (3) ◽

pp. 98-101

Author(s):

Mulenga Katoma ◽

◽

Seter Siziya ◽

Alfred Sichilima ◽

◽

...

Keyword(s):

Cross Section ◽

Teaching Hospital ◽

Low Cost ◽

Type A ◽

Dental Clinic ◽

Section Study

Download Full-text

Cross-Section Study on Return of Stocks to Future-Expectation Theorem

SSRN Electronic Journal ◽

10.2139/ssrn.2734510 ◽

2015 ◽

Author(s):

Yiqiao Yin

Keyword(s):

Cross Section ◽

Section Study ◽

Future Expectation

Download Full-text

Physical Comorbidities and Depression in Recent and Long-Term Adult Cancer Survivors: NHANES 2007–2018

Cancers ◽

10.3390/cancers13133368 ◽

2021 ◽

Vol 13 (13) ◽

pp. 3368

Author(s):

Dafina Petrova ◽

Andrés Catena ◽

Miguel Rodríguez-Barranco ◽

Daniel Redondo-Sánchez ◽

Eloísa Bayo-Lozano ◽

...

Keyword(s):

Cancer Survivors ◽

Cancer Patients ◽

Cancer Diagnosis ◽

Depression Symptoms ◽

Depression Risk ◽

Adult Cancer Survivors ◽

Before And After ◽

Nationally Representative ◽

Risk Of Cancer

Many adult cancer patients present one or more physical comorbidities. Besides interfering with treatment and prognosis, physical comorbidities could also increase the already heightened psychological risk of cancer patients. To test this possibility, we investigated the relationship between physical comorbidities with depression symptoms in a sample of 2073 adult cancer survivors drawn from the nationally representative National Health and Nutrition Examination Survey (NHANES) (2007–2018) in the U.S. Based on information regarding 16 chronic conditions, the number of comorbidities diagnosed before and after the cancer diagnosis was calculated. The number of comorbidities present at the moment of cancer diagnosis was significantly related to depression risk in recent but not in long-term survivors. Recent survivors who suffered multimorbidity had 3.48 (95% CI 1.26–9.55) times the odds of reporting significant depressive symptoms up to 5 years after the cancer diagnosis. The effect of comorbidities was strongest among survivors of breast cancer. The comorbidities with strongest influence on depression risk were stroke, kidney disease, hypertension, obesity, asthma, and arthritis. Information about comorbidities is usually readily available and could be useful in streamlining depression screening or targeting prevention efforts in cancer patients and survivors. A multidimensional model of the interaction between cancer and other physical comorbidities on mental health is proposed.

Download Full-text