scholarly journals Relationship Between Perceptions of Treatment Goals and Psychological Distress in Patients With Advanced Cancer

2020 ◽  
Vol 18 (7) ◽  
pp. 849-855 ◽  
Author(s):  
Areej El-Jawahri ◽  
Deborah Forst ◽  
Alyssa Fenech ◽  
Keri O. Brenner ◽  
Amanda L. Jankowski ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Psychological Symptoms ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Treatment Goal ◽  
Treatment Goals ◽  
Incurable Cancer ◽  
Cross Sectional ◽  
Patients With Cancer

Background: Studies have shown gaps in prognostic understanding among patients with cancer. However, few studies have explored patients’ perceptions of their treatment goals versus how they perceive their oncologist’s goals, and the association of these views with their psychological distress. Methods: We conducted a cross-sectional study of 559 patients with incurable lung, gastrointestinal, breast, and brain cancers. The Prognosis and Treatment Perception Questionnaire was used to assess patients’ reports of their treatment goal and their oncologist’s treatment goal, and the Hospital Anxiety and Depression Scale was used to assess patients’ psychological symptoms. Results: We found that 61.7% of patients reported that both their treatment goal and their oncologist’s treatment goal were noncurative, whereas 19.3% reported that both their goal and their oncologist’s goal were to cure their cancer, 13.9% reported that their goal was to cure their cancer whereas their oncologist’s goal was noncurative, and 5% reported that their goal was noncurative whereas their oncologist’s goal was curative. Patients who reported both their goal and their oncologist’s goal as noncurative had higher levels of depression (B=0.99; P=.021) and anxiety symptoms (B=1.01; P=.015) compared with those who reported that both their goal and their oncologist’s goal was curative. Patients with discordant perceptions of their goal and their oncologist’s goal reported higher anxiety symptoms (B=1.47; P=.004) compared with those who reported that both their goal and their oncologist’s goal were curative. Conclusions: One-fifth of patients with incurable cancer reported that both their treatment goal and their oncologist’s goal were to cure their cancer. Patients who acknowledged the noncurative intent of their treatment and those who perceived that their treatment goal was discordant from that of their oncologist reported greater psychological distress.

Relationship between perceptions of treatment goals and psychological distress in patients with advanced cancer.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 11621-11621
Author(s):  
Amanda L. Jankowski ◽  
Deborah Anne Forst ◽  
Joseph Greer ◽  
Ryan David Nipp ◽  
Lauren Waldman ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Cognitive Dissonance ◽  
Advanced Cancer ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Treatment Goal ◽  
Depression Symptoms ◽  
Cross Sectional ◽  
Patients At Risk ◽  
The Relationship

11621 Background: Several studies have demonstrated discordance between how patients perceive their goal of treatment versus how they perceive their oncologist’s goal. Studies evaluating the extent and risk factors of this discordance are lacking. Methods: We conducted a cross-sectional study of 559 patients with incurable lung, gastrointestinal, breast, and brain cancers. We used the Perception of Treatment and Prognosis Questionnaire to assess patients’ perceptions of both their treatment goal and their oncologist’s goal and categorized responses: 1) patients who reported that both their goal and their oncologist’s goal was concordant (either to cure or not to cure); and 2) patients who reported discordant perceptions of their goal versus their oncologist’s goal. We assessed patients’ psychological distress using the Hospital-Anxiety-and-Depression-Scale and used linear regression to assess the relationship between patients’ perceptions of their treatment goal and psychological outcomes. Results: 61.7% of patients reported that both their goal and their oncologist’s goal was non-curative; 19.3% reported that both their goal and their oncologist’s goal was to cure their cancer; and 19.0% reported discordance between their goal and their perception of the oncologist’s goal. Older age (OR = 0.98, P = 0.01), non-Hispanic ethnicity (OR = 0.31, P = 0.049), and higher education (OR = 0.62, P = 0.042) were associated with lower likelihood of reporting discordant goals. Patients with discordant perceptions of their goal and their oncologist’s goal reported higher anxiety (B = 1.56, P = 0.003) compared to those who reported that both their goal and their oncologist’s goal was curative. Patients who reported both their goal and the oncologist’s goal was non-curative had higher depression symptoms (B = 1.06, P = 0.013) compared to those who reported that both their goal and the oncologists’ goal was curative. Conclusions: One-fifth of patients with advanced cancer report discrepancies between their perceptions of their own and their oncologists’ treatment goal which is associated with psychological distress. Tools are needed to identify patients at risk of cognitive dissonance about their prognosis.

Relationship between perceptions of treatment goals and psychological distress in patients with advanced cancer.

2018 ◽  
Vol 36 (34_suppl) ◽  
pp. 44-44
Author(s):  
Areej El-Jawahri ◽  
Joseph Greer ◽  
Deborah Anne Forst ◽  
Ryan David Nipp ◽  
Lauren Waldman ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Cognitive Dissonance ◽  
Advanced Cancer ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Treatment Goal ◽  
Depression Symptoms ◽  
Cross Sectional ◽  
Patients At Risk ◽  
The Relationship

44 Background: Several studies have demonstrated discordance between how patients perceive their goal of treatment versus how they perceive their oncologist’s goal. Studies evaluating the extent and risk factors of this discordance are lacking. Methods: We conducted a cross-sectional study of 559 patients with incurable lung, gastrointestinal, breast, and brain cancers. We used the Perception of Treatment and Prognosis Questionnaire to assess patients’ perceptions of both their treatment goal and their oncologist’s goal and categorized responses: 1) patients who reported that both their goal and their oncologist’s goal was concordant (either to cure or not to cure); and 2) patients who reported discordant perceptions of their goal versus their oncologist’s goal. We assessed patients’ psychological distress using the Hospital-Anxiety-and-Depression-Scale and used linear regression to assess the relationship between patients’ perceptions of their treatment goal and psychological outcomes. Results: 61.7% of patients reported that both their goal and their oncologist’s goal was non-curative; 19.3% reported that both their goal and their oncologist’s goal was to cure their cancer; and 19.0% reported discordance between their goal and their perception of the oncologist’s goal. Older age (OR = 0.98, P = 0.01), non-Hispanic ethnicity (OR = 0.31, P = 0.049), and higher education (OR = 0.62, P = 0.042) were associated with lower likelihood of reporting discordant goals. Patients with discordant perceptions of their goal and their oncologist’s goal reported higher anxiety (B = 1.56, P = 0.003) compared to those who reported that both their goal and their oncologist’s goal was curative. Patients who reported both their goal and the oncologist’s goal was non-curative had higher depression symptoms (B = 1.06, P = 0.013) compared to those who reported that both their goal and the oncologists’ goal was curative. Conclusions: One-fifth of patients with advanced cancer report discrepancies between their perceptions of their own and their oncologists’ treatment goal which is associated with psychological distress. Tools are needed to identify patients at risk of cognitive dissonance about their prognosis.

scholarly journals Psychological Distress in Out-Patients Assessed for Chronic Pain Compared to Those with Rheumatoid Arthritis

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
D. Rice ◽  
S. Mehta ◽  
A. Shapiro ◽  
J. Pope ◽  
M. Harth ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Chronic Pain ◽  
Psychological Distress ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Analysis Of Covariance ◽  
Pain Clinic ◽  
Cross Sectional ◽  
Rheumatology Clinic ◽  
Two Samples

Background. Patients diagnosed with chronic pain (CP) and rheumatoid arthritis (RA) represent two samples with overlapping symptoms, such as experiencing significant pain.Objectives. To compare the level of psychological distress among patients diagnosed CP attending a specialist pain clinic with those attending a specialist RA clinic.Measures. A cross-sectional study was conducted at an academic specialist chronic pain and rheumatology clinic.Participants. 330 participants included a CP group (n=167) and a RA group (n=163) completed a booklet of questionnaires regarding demographic characteristics, duration, and severity of their pain. Psychological and personality variables were compared between the CP and RA participants using a Multivariate Analysis of Covariance (MANCOVA).Results. Level of psychological distress based on the subscales of the DASS (depression, anxiety, and stress), PASS (escape avoidance, cognitive anxiety, fear of pain, and physiological anxiety), and PCS (rumination, magnification, and helplessness) was significantly higher in the CP group compared to the RA group. Categorization of individuals based on DASS severity resulted in significant differences in rates of depression and anxiety symptoms between groups, with a greater number of CP participants displaying more severe depressive and anxiety symptoms.Discussion and Conclusions. This study found greater levels of psychological distress among CP individuals referred to an academic pain clinic when compared to RA patients referred to an academic rheumatology clinic.

scholarly journals Relationship between malnutrition and the presence of symptoms of anxiety and depression in hospitalized cancer patients

2021 ◽  
Author(s):  
Francisco José Sánchez-Torralvo ◽  
Victoria Contreras-Bolívar ◽  
María Ruiz-Vico ◽  
José Abuín-Fernández ◽  
Inmaculada González-Almendros ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Nutritional Assessment ◽  
Depressive Symptomatology ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Average Score ◽  
Cross Sectional ◽  
Patients With Cancer ◽  
Depression Symptomatology

Abstract Background Anxiety and depression are a common issue in patients with cancer, yet understudied among hospitalized patients. The aim of this study was to estimate the prevalence of anxiety and depression symptomatology in cancer inpatients and its relationship with malnutrition. Methods Cross-sectional study in hospitalized cancer patients. A nutritional assessment was done using the Global Leadership Initiative on Malnutrition (GLIM) criteria to diagnose malnutrition. Data regarding anxiety and depression symptomatology was obtained with the Hospital Anxiety and Depression Scale (HADS). Results A total of 282 inpatients were assessed. GLIM criteria found 20% (66) of well-nourished and 80% (216) with malnutrition. HADS presented an average score of 8.3 ± 4.4 with respect to anxiety and an average score of 7.7 ± 4.6 with respect to depression. Up to 54% of the patients showed a possible presence of anxiety, and 45.3% of them showed a possible presence of depression. In malnourished patients, HADS score was non-significantly higher with respect to anxiety (8.5 ± 4.3 in malnourished vs 7.1 ± 4.6 in well-nourished; p = 0.06) and was significantly higher with respect to depression (8.2 ± 4.6 in malnourished vs 5.3 ± 4.0 in well-nourished; p < 0.001). After controlling for potential confounders, malnourished patients were 1.98 times more likely to present anxious symptomatology (95% CI 1.01–3.98; p = 0.049) and 6.29 times more likely to present depressive symptomatology (95% CI 1.73–20.47; p = 0.005). Conclusions The presence of anxiety and depression symptomatology in oncological inpatients is high. There is an association between malnutrition and presenting anxious and depressive symptomatology in hospitalized cancer patients.

scholarly journals Association of Synthetic House-Tree-Person Drawing Test and Depression in Cancer Patients

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Guifang Yang ◽  
Liping Zhao ◽  
Lijuan Sheng
Keyword(s):  
Cancer Patients ◽  
Depression Scale ◽  
Population Based ◽  
Cross Sectional Study ◽  
General Information ◽  
Regression Equation ◽  
Cross Sectional ◽  
Patients With Cancer ◽  
Drawing Test ◽  
Test Retest Reliability

Background. Evidence regarding the relationship between synthetic house-tree-person (S-HTP) drawing test and depression in cancer patients is limited. The aim of this study was to explore the applicability and validity of S-HTP drawing test in cancer patients suffering from depression. Methods. As a population based cross-sectional study, 167 patients with cancer were enrolled in a hospital in China from December 2015 to December 2017. Self-edited general information questionnaire, self-rating depression scale (SDS), and the S-HTP drawing test were completed by all participants. Results. The average age of 167 selected participants was 52.92 ± 10.43 years old, and about 58.7% (98/167) of them were male. On SDS, depression rate was found in 34.1% (27/167) cancer patients. The logistic regression equation was established by using the depression drawing characteristics as the independent variables and the evaluation results from SDS as the dependent variable and 9 drawing characteristics employed in the regression equation (χ2 = 68.657, P < 0.001. Nagelkerke R2 = 0.466). Correlation analysis revealed a positive correlation between S-HTP drawing test and SDS for depression state of cancer patients (p < 0.01). Conclusions. There are interrater reliability and test-retest reliability between S-HTP drawing test and SDS. The S-HTP drawing test could help in screening depression in cancer patients.

Dietary methyl donor micronutrients intake in relation to psychological disorders in adults

2021 ◽  
pp. 1-33
Author(s):  
Keyhan Lotfi ◽  
Ammar Hassanzadeh Keshteli ◽  
Parvane Saneei ◽  
Hamid Afshar ◽  
Ahmad Esmaillzadeh ◽  
...  
Keyword(s):  
Psychological Distress ◽  
General Health Questionnaire ◽  
Depression Scale ◽  
Psychological Disorders ◽  
Cross Sectional Study ◽  
Dietary Intakes ◽  
Cross Sectional ◽  
Lower Odds ◽  
Methyl Donor ◽  
Stratified Analysis

Abstract Previous investigations have mostly studied an individual methyl donor nutrient in relation to psychological disorders and the findings were inconsistent. We investigated the association of methyl donor micronutrients (folate, B6, B12, choline, betaine, and methionine) with psychological disorders (depression, anxiety, psychological distress) in Iranian adults. In this cross-sectional study, dietary intakes of 3299 adults were collected using a validated food frequency questionnaire. Methyl donor micronutrient score (MDMS) was calculated based on energy-adjusted deciles of each nutrient. Hospital Anxiety and Depression Scale (HADS) and General Health Questionnaire (GHQ), validated for Iranians, have been applied to assess depression, anxiety, and psychological distress. Participants had a mean age of 36.3±7.9 years, of whom 58.5% were women. After considering potential confounders, adults in the top quartile of MDMS, compared to the bottom one, had decreased odds of anxiety (OR: 0.53, 95%CI: 0.37–0.75), depression (OR: 0.75, 95%CI: 0.58–0.97) and psychological distress (OR: 0.61, 95%CI: 0.46–0.80). Stratified analysis revealed that the highest category of MDMS among men was related to a 68% lower odds of anxiety (95%CI: 0.15–0.68). Among women, the top quartile of MDMS was protectively associated with anxiety (OR: 0.60, 95%CI: 0.40–0.90), depression (OR: 0.68, 95%CI: 0.50–0.93) and psychological distress (OR: 0.53, 95%CI: 0.38–0.74). Overweight and obese subjects in the highest quartile of MDMS had a 67%, 35%, and 53% lower odds of anxiety (95%CI: 0.20–0.56), depression (95%CI: 0.44–0.94), and psychological distress (95%CI: 0.31–0.70), respectively. We found that high consumption of methyl donor micronutrients was related to a reduced odds of psychological disorders, especially in women and overweight or obese individuals. Further prospective studies are needed to affirm these findings.

scholarly journals Psychological Distress Related to COVID-19 Among Nepalese Professionals: An Online Cross-sectional Study

Med Phoenix ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 10-18
Author(s):  
Hussain Asraf ◽  
Sawant Sandesh ◽  
Jeetendra Mishra ◽  
Ramji Ram ◽  
Mahendra Pandey ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Law Enforcement ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Female Ratio ◽  
Care Workers ◽  
Male Female Ratio

Background: COVID-19 is a highly infectious disease caused by SARS-CoV2 virus. It's psychological distress would be a major obstacle towards social normalcy to pre-COVID era. There were lacks of studies to assess these distresses. The aim of this study was to study psychological distress related to COVID-19 among Nepalese professionals. Methods: This online cross-sectional survey was conducted from 12th-20th, June-2020. Questionnaires were based on Corona-virus Anxiety Scale (CAS) and Obsession with COVID-19 scale (OCS). Results: Among 244 participants, majority were in the age group of 20-45 years with male female ratio of 2.1:1. About one third were health workers, 46% were teachers and service holders and remaining were from other professions. Majority of participants had subclinical obsessive (83.2%) and sub-clinical anxiety symptoms (69.3%). Law enforcement professionals (30.0%) and journalists 18.2% had highest prevalence of problematic obsessive symptoms. Law enforcement professionals (40%) had highest prevalence of problematic anxiety symptoms followed by health care workers (28.4%). About 35% of participants opted for multiple positive methods to cope with their obsessive and anxiety symptoms. Participants with higher obsession score had higher anxiety symptoms (r=0.592, p=<0.001). Conclusion: Majority of participants only had sub-clinical obsession and anxiety related to COVID. But, health workers, law enforcement and journalism professionals were having problematic symptoms. Thus, efforts need to be concentrated towards formulation of policies for safe and productive environment for these professionals.

scholarly journals Assessment of psychological distress in university students: A Quantitative study

2019 ◽  
Vol 2 (1) ◽  
pp. 14
Author(s):  
Evangelos C. Fradelos ◽  
Eirini Kapsiocha ◽  
Anna Neroliatsiou ◽  
Sofia Kastanidou ◽  
Konstantinos Tsaras ◽  
...  
Keyword(s):  
Psychological Distress ◽  
University Students ◽  
Psychological Health ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Student Life ◽  
Monthly Income ◽  
Hospital Anxiety ◽  
Cross Sectional ◽  
University Services

Introduction: Psychological health is the expression of harmonic expression ofhuman’s personality and is often disrupted by multiple factors. Especially duringacademic years human has to confront various stressful situations that endanger hisPsychological health.Purpose: This study aims to assess psychological distress in university students and toexamine possible factors that are associated with it.Material and Methods: A cross sectional study was conducted in which 206 universitystudents were participated. Data were collected by the Hospital Anxiety and DepressionScale, HADS and a sheet contain information regarding demographic, social andacademic background special design for the purpose of the study. Spss v. 21 was usedfor analyzing data and the signicant level was set in p≤0,05.Results: From the total of 206 students 76,2% were women (n=157) and 23,8% weremen with a mean age 30.1 ±7.15. Anxiety symptoms were negative associated withcohabitation and marital status (p=.019 and p=.001 respectively). While place ofresidence was also negative associated (p=.000).While monthly income and duration ofwere associated with the experience of anxiety symptoms. One the other handdepression was associated with sex (p=.004) place of residence and origins of students(p=.038 and p=.058 respectively). Finally the number of uncompleted courses andsexual preferences were associated with depression to (p=.009).Conclusions: Within the context of student life that is characterized by anxiety, crises ofinterpersonal relationships and uncertainty maintaining student’s mental health andwellbeing must be a top propriety among university services.

scholarly journals Psychological distress among Ethiopian migrant returnees who were in quarantine in the context of COVID-19: institution-based cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kassahun Habtamu ◽  
Yekoyealem Desie ◽  
Mulat Asnake ◽  
Endirias Gina Lera ◽  
Temesgen Mequanint
Keyword(s):  
Psychological Distress ◽  
Depressive Symptoms ◽  
Negative Binomial ◽  
Addis Ababa ◽  
Negative Binomial Regression ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Sectional Study ◽  
Cross Sectional ◽  
Stress Symptoms

Abstract Background In association with the novel coronavirus (SARS-CoV-2) disease 2019 (COVID-19) pandemic, many numbers of Ethiopian migrants are returning to their home country, and they are required to stay in mandatory quarantine centers. This results in severe disruptions of life routines, social isolation, and loss of freedom. Studies on psychological distress among Ethiopian migrant returnees in the context of COVID-19 are scarce. This study aimed to investigate the prevalence of psychological distress and associated factors among migrant returnees who were in quarantine during the time of COVID-19. Methods A cross-sectional study was conducted with 405 migrant returnees recruited from quarantine centers in Addis Ababa. We developed a structured questionnaire to collect data on sociodemographic, migration related, quarantine related and COVID-19 related characteristics of participants. We used the 21 item Depression, Anxiety and Stress Scale to assess psychological distress. Univariate and multivariable negative binomial regression models were fitted to assess the association between exposure variables with depression, anxiety and stress separately. Results A little more than half of the participants (55%) had depressive symptoms; around half had anxiety symptoms (48.9%) and more than a third (35.6%) experienced symptoms of stress. We found significantly higher prevalence of anxiety (ARR = 0.59; 95% CI = 0.39, 0.91) and depressive symptoms (ARR = 0.56; 95% CI = 0.39, 0.81) among women than men. Fear of discrimination after the quarantine was significantly associated with depressive (ARR = 0.76; 95% CI = 0.63, 0.92) and anxiety symptoms (ARR = 0.77; 95% CI = 0.62, 0.97). Experiencing COVID-19 like symptoms is associated with depressive (ARR = 0.40; 95% CI = 0.25, 0.65), anxiety (ARR = 0.35; 95% CI = 0.20, 0.62) and stress symptoms (ARR = 0.43; 95% CI = 0.28, 0.66). Have no a plan of what to do after the quarantine (ARR = 1.30; 95% CI = 1.09, 1.54) was significantly associated with increasing stress scores. Conclusions We found a very high prevalence of depressive, anxiety and stress symptoms among Ethiopian migrant returnees who were in quarantine due to the COVID-19 pandemic. Screening, integration of mental health services with other socioeconomic and psychosocial services, and effective and efficient referral may be useful to address the burden of psychological distress in this group.

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