Distress During Radiation Therapy: Assessment Among Patients With Breast or Prostate Cancer

Stapleton, Stephen J.; Valerio, Teresa D.; Astroth, Kim Schafer; Woodhouse, S.A.

doi:10.1188/17.cjon.93-98

Cited by 10 publications

(6 citation statements)

References 29 publications

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“…The prevalence of emotional distress in the present study was lower than that in a previous study of breast cancer patients, where frequencies ranged between 15% and 46% for the six emotional problems (11). These findings were supported by the study of Stapleton et al, where the average distress of prostate cancer patients was significantly lower compared to breast cancer patients (12).…”

Section: Discussionsupporting

confidence: 78%

Prevalence and Risk Factors of Emotional Distress in Patients With Prostate Cancer Assigned to External-beam Radiotherapy With or Without High-dose Rate Brachytherapy

2023

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Background/Aim: Upcoming radiotherapy for prostate cancer may lead to emotional distress. This study aimed to identify the prevalence and risk factors in a retrospective cohort of 102 patients. Patients and Methods: Thirteen characteristics were evaluated for six emotional problems. To account for multiple comparisons, Bonferroni correction was used; p-values <0.0038 were significant (alpha level <0.05). Results: Prevalence of worry, fears, sadness, depression, nervousness, and loss of interest in usual activities was 25%, 27%, 11%, 11%, 18%, and 5%, respectively. A greater number of physical problems was significantly associated with worry (p=0.0037) and fears (p<0.0001) and showed trends regarding sadness (p=0.011) and depression (p=0.011). Trends were also found for associations between younger age and worry (p=0.021), advanced primary tumor stage and fears (p=0.025), patient's history of another malignancy and nervousness (p=0.035), and between external-beam radiotherapy alone and fears (p=0.042) or nervousness (p=0.037). Conclusion: Although the prevalence of emotional distress was comparably low, patients with risk factors may benefit from early psychological support.

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Section: Discussionsupporting

confidence: 78%

Prevalence and Risk Factors of Emotional Distress in Patients With Prostate Cancer Assigned to External-beam Radiotherapy With or Without High-dose Rate Brachytherapy

2023

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“…These multimodal treatments could negatively impact the women’s well-being, as they are known to cause a lot of negative secondary effects, as described above. These differences in emotional distress observed between men and women were also reported in previous studies on depressive patients [ 74 ], cancer patients [ 68 , 75 – 77 ], gastroenterology patients [ 78 , 79 ] and the general population [ 80 ].…”

Section: Discussionsupporting

confidence: 85%

Efficacy of a hypnosis-based intervention to improve well-being during cancer: a comparison between prostate and breast cancer patients

et al. 2018

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BackgroundProstate and breast cancer can have a lot of negative consequences such as fatigue, sleep difficulties and emotional distress, which decrease quality of life. Group interventions showed benefits to emotional distress and fatigue, but most of these studies focus on breast cancer patients. However, it is important to test if an effective intervention for breast cancer patients could also have benefits for prostate cancer patients.MethodsOur controlled study aimed to compare the efficacy of a self-hypnosis/self-care group intervention to improve emotional distress, sleep difficulties, fatigue and quality of life of breast and prostate cancer patients. 25 men with prostate cancer and 68 women with breast cancer participated and were evaluated before (T0) and after (T1) the intervention.ResultsAfter the intervention, the breast cancer group showed positive effects for anxiety, depression, fatigue, sleep difficulties, and global health status, whereas there was no effect in the prostate cancer group. We showed that women suffered from higher difficulties prior to the intervention and that their oncological treatments were different in comparison to men.ConclusionThe differences in the efficacy of the intervention could be explained by the baseline differences. As men in our sample reported few distress, fatigue or sleep problems, it is likely that they did not improve on these dimensions.Trial registrationClinicalTrials.gov (NCT02569294 and NCT03423927). Retrospectively registered in October 2015 and February 2018 respectively.

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“…Therefore, more reliable and robust results could be generated from the current meta-analysis compared with previous individual studies. Fourth, distress has been regarded as the sixth vital sign in the care of cancer persons (Stapleton et al, 2017;Fitch et al, 2018); however, the current meta-analysis found that limited studies evaluated the effect of the MBSR program on psychological distress of patients with lung cancer, which provides valuable implications for designing the future study. More importantly, this meta-analysis revealed that most studies were dedicated to evaluating the effectiveness of the MBSR program in physical and psychological wellbeing, but few studies tried to elucidate the potential mechanisms of the MBSR program in improving physical and psychological wellbeing.…”

Section: Discussionmentioning

confidence: 89%

The Impact of Mindfulness-Based Stress Reduction (MBSR) on Psychological Outcomes and Quality of Life in Patients With Lung Cancer: A Meta-Analysis

Tian

Liang

et al. 2022

Front. Psychol.

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ObjectiveThe impact of the mindfulness-based stress reduction (MBSR) program on psychological outcomes and quality of life (QoL) in lung cancer patients remains unclear. This meta-analysis aimed to evaluate the effectiveness of the MBSR program on psychological states and QoL in lung cancer patients.MethodsEligible studies published before November 2021 were systematically searched from PubMed, EMBASE, Cochrane Library, PsycINFO, China National Knowledge Infrastructure (CNKI), and Wanfang databases. The risk of bias in eligible studies was assessed using the Cochrane tool. Psychological variables and QoL were evaluated as outcomes. We used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system to grade the levels of evidence. Statistical analysis was conducted using RevMan 5.4 and STATA 14.0.ResultsA total of 17 studies involving 1,680 patients were included for meta-analysis eventually. MBSR program significantly relieved cancer-related fatigue (standard mean difference [SMD], −1.26; 95% confidence interval [CI], −1.69 to −0.82; moderate evidence) and negative psychological states (SMD, −1.35; 95% CI, −1.69 to −1.02; low evidence), enhanced positive psychological states (SMD, 0.91; 95% CI, 0.56–1.27; moderate evidence), and improved quality of sleep (MD, −2.79; 95% CI, −3.03 to −2.56; high evidence). Evidence on MBSR programs' overall treatment effect for QoL revealed a trend toward statistical significance (p = 0.06, low evidence).ConclusionBased on our findings, the MBSR program shows positive effects on psychological states in lung cancer patients. This approach should be recommended as a part of the rehabilitation program for lung cancer patients.Systematic Review Registrationhttps://archive.org/details/osf-registrations-mwvbq-v1, identifier: 10.17605/OSF.IO/MWVBQ.

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Distress During Radiation Therapy: Assessment Among Patients With Breast or Prostate Cancer

Abstract: The average distress of patients with breast cancer was significantly higher than that of patients with prostate cancer, and patients with breast cancer reported more problems than those with prostate cancer.

Cited by 10 publications

References 29 publications

Prevalence and Risk Factors of Emotional Distress in Patients With Prostate Cancer Assigned to External-beam Radiotherapy With or Without High-dose Rate Brachytherapy

Prevalence and Risk Factors of Emotional Distress in Patients With Prostate Cancer Assigned to External-beam Radiotherapy With or Without High-dose Rate Brachytherapy

Efficacy of a hypnosis-based intervention to improve well-being during cancer: a comparison between prostate and breast cancer patients

The Impact of Mindfulness-Based Stress Reduction (MBSR) on Psychological Outcomes and Quality of Life in Patients With Lung Cancer: A Meta-Analysis

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