A Prevalence Study of Psychosocial Distress in Adolescents and Young Adults With Cancer

Xie, Jianfei; Ding, Siqing; He, Siqi; Duan, Yinglong; Yi, Kaigui; Zhou, Jianda

doi:10.1097/ncc.0000000000000396

Cited by 44 publications

(37 citation statements)

References 26 publications

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“…The reported prevalence of distress in cancer patients around the globe ranges from 22.1% to 89.1% [ 3 , 13 , 29 – 31 ]. In our study, the incidence of PD was 46.5%.…”

Section: Discussionmentioning

confidence: 99%

Performance of Distress Thermometer and Associated Factors of Psychological Distress among Chinese Cancer Patients

Thapa

Sun

Pokhrel

et al. 2020

Journal of Oncology

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Objective. We aimed to examine the performance of the distress thermometer (DT) and identify the prevalence and risk factors associated with psychological distress (PD) in heterogeneous cancer patients. Methods. This cross-sectional study enrolled 1496 heterogeneous cancer patients from the inpatient and outpatient departments. Receiver operating characteristic analysis (ROC) of DT was evaluated against the Hospital Anxiety and Depression Scale-Total (HADS-T ≥15). An area under the curve (AUC), sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and clinical utility index were calculated. Multiple binary logistic regression was used to identify the factors associated with PD. Results. Referring to ROC analysis, DT showed good discriminating accuracy (AUC = 0.88). A cutoff score of 4 was established, and it yielded sensitivity (0.81), specificity (0.88), PPV (0.87), NPV (0.82), and clinical utility indexes (screening utility = 0.71 and case-finding utility = 0.73). 46.5% of our participants was distressed. Lower education levels (odd ratio (OR) = 1.39), advanced stage (OR = 1.85), active disease status (OR = 1.82), lack of exercise (OR = 3.03), diagnosis known (OR = 0.64), emotional problems (OR = 3.54), and physical problems (OR = 8.62) were the predictive factors for PD. Conclusion. DT with a cutoff score (≥4) is a comprehensive, appropriate, and practical initial screener for PD in cancer patients. Predicting factors should be considered together for effective management of PD in such population.

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“…The reported prevalence of distress in cancer patients around the globe ranges from 22.1% to 89.1% [ 3 , 13 , 29 – 31 ]. In our study, the incidence of PD was 46.5%.…”

Section: Discussionmentioning

confidence: 99%

Performance of Distress Thermometer and Associated Factors of Psychological Distress among Chinese Cancer Patients

Thapa

Sun

Pokhrel

et al. 2020

Journal of Oncology

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“…The intersection between AYAs’ dynamic developmental stage and the disruption associated with cancer creates unique psychosocial challenges [ 63 , 64 ], contributing to higher levels of psychological symptomatology [ 65 , 66 ] and supportive care needs [ 67 , 68 ], and poorer quality of life, coping and health outcomes [ 69 , 70 , 71 , 72 ]. Routine, regular and repeated screening and assessment of psychosocial issues and needs across the cancer trajectory allows for the timely identification of these concerns and the adjustment of care in response to changing needs, and it guides the provision of responsive and efficient services [ 63 , 64 , 73 ], but this depends on the availability of developmentally appropriate instruments [ 63 , 64 , 74 ].…”

Section: Psychosocial Carementioning

confidence: 99%

The Australian Youth Cancer Service: Developing and Monitoring the Activity of Nationally Coordinated Adolescent and Young Adult Cancer Care

Patterson

Allison

Bibby

et al. 2021

Cancers

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Adolescents and young adults (aged 15–25 years) diagnosed with cancer have unique medical and psychosocial experiences and care needs, distinct from those of paediatric and older adult patients. Since 2011, the Australian Youth Cancer Services have provided developmentally appropriate, multidisciplinary and comprehensive care to these young patients, facilitated by national service coordination and activity data collection and monitoring. This paper reports on how the Youth Cancer Services have conceptualised and delivered quality youth cancer care in four priority areas: clinical trial participation, oncofertility, psychosocial care and survivorship. National activity data collected by the Youth Cancer Services between 2016–17 and 2019–20 are used to illustrate how service monitoring processes have facilitated improvements in coordination and accountability across multiple indicators of quality youth cancer care, including clinical trial participation, access to fertility information and preservation, psychosocial screening and care and the transition from active treatment to survivorship. Accounts of both service delivery and monitoring and evaluation processes within the Australian Youth Cancer Services provide an exemplar of how coordinated initiatives may be employed to deliver, monitor and improve quality cancer care for adolescents and young adults.

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“…In the literature, the prevalence of distress among patients with cancer varies by country, cancer type, sex, age, and other sample characteristics. [21][22][23][24][25] Prior studies identi ed worry on the DT&PL as the most distressing, possibly as a surrogate for the intensity of distress. [26] McFarland et al reported that 40% of patients with breast cancer had fatigue, the most common physical problem associated with distress.…”

Section: Discussionmentioning

confidence: 99%

Surgery and Financial Toxicity are Risk Factors for Distress in Cancer Survivors: A Cross-sectional Study

Yu¹,

Zuo²,

Xue³

et al. 2020

Preprint

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Background: Patients with cancer often face some level of distress, regardless of disease stage. Distress in cancer survivors has a negative impact on their quality of life. The goal of this study was to identify risk factors for distress, understand how treatment associated with distress and reveal the relationship between the psychological and financial distress. Methods: This was a multi-center cross-sectional study of patients with cancer requiring surgery or chemotherapy. Patients completed questionnaires regarding their demographics, disease characteristics, psychological distress, and financial toxicity. A multivariable logistic regression model was used to examine factors associated with distress in surgical versus chemotherapy treatment groups.Results: A total of 409 patients participated in the study. Patients treated with surgery (n = 172) were more likely to be female, unemployed, early stage compared with patients undergoing chemotherapy (n = 237). Multivariable analysis revealed that surgical patients tended to have a higher risk of distress compared with patients receiving chemotherapy (OR, 95% CI: 3.086, 1.854–5.137) due to higher rates of nervousness, pain, and difficulty with bathing/dressing, and patients with high financial toxicity had a higher risk of distress compared with those with low financial toxicity (OR, 95% CI: 2.000, 1.278–3.130). The relationship between financial toxicity and psychological distress was stronger in the chemotherapy group, with the correction coefficient -0.294 and slope -1.196. Conclusion: Patients who underwent surgery and reported higher financial toxicity were more likely to experience distress. Multidimensional distress screening and psychosocial interventions should be provided pre- and post-operatively for patients.

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A Prevalence Study of Psychosocial Distress in Adolescents and Young Adults With Cancer

Abstract: Findings suggest the need for evidence-based intervention strategies to enhance medical coping and social support in AYA cancer patients. Nurses are crucial to implementing psychological interventions in AYA cancer patients.

Cited by 44 publications

References 26 publications

Performance of Distress Thermometer and Associated Factors of Psychological Distress among Chinese Cancer Patients

Performance of Distress Thermometer and Associated Factors of Psychological Distress among Chinese Cancer Patients

The Australian Youth Cancer Service: Developing and Monitoring the Activity of Nationally Coordinated Adolescent and Young Adult Cancer Care

Surgery and Financial Toxicity are Risk Factors for Distress in Cancer Survivors: A Cross-sectional Study

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