First Anxiety, Afterwards Depression: Psychological Distress in Cancer Patients at Diagnosis and after Medical Treatment

Gil, Francisco; Costa, Gema; Hilker, Inés; Benito, Llúcia

doi:10.1002/smi.2445

Cited by 98 publications

(65 citation statements)

References 29 publications

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“…Furthermore, RTs only see patients during their course of radiation therapy. A study examining psychological changes pre and post treatment found that cancer patients had increased anxiety before and during treatment, whereas depression increased posttreatment [17].…”

Section: Rts' Comfort Levelsmentioning

confidence: 99%

Understanding and Addressing the Informational Needs of Radiation Therapists Concerning the Management of Anxiety and Depression in Patients Receiving Radiation Therapy Treatment

Lavergne

Taylor

Gillies³

et al. 2015

Journal of Medical Imaging and Radiation Sciences

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Background: Cancer Care Ontario has mandated that all health care professionals working within oncology centres in Ontario should routinely screen and address symptoms of anxiety and depression in cancer patients. This study aims to assess the informational needs of Radiation Therapists (RTs) concerning the discussion and management of anxiety and depression symptoms in patients receiving radiation therapy treatment. It will also attempt to determine whether RTs believe that reviewing patients' self-reported symptoms should be included as part of their routine patient assessment. Methodology:A questionnaire was initially piloted at the host institution to six randomly chosen RTs and then sent via email to all Radiation Therapists practicing in Ontario, Canada (n= 921). The online questionnaire consisted of multiple choice questions and was divided into four themes: 1) RT comfort levels surrounding the topics of anxiety and depression, 2) management of anxiety and depression in cancer patients, 3) further education needed/requested in anxiety and depression symptom management and 4) the Edmonton Symptom Assessment System (ESAS). Data analyses included the calculation of means and two sample two-sided t-tests to examine the relationships between various demographics and responses.Results: RTs feel more comfortable in the discussion of issues surrounding anxiety when compared to depression. The most common positive factor affecting RTs' comfort levels addressing emotional distress is previous experience with patients who have expressed these symptoms; whereas the most common adverse factor affecting comfort levels is the lack of education regarding emotional distress. Eighty-seven percent (87%) of RTs would

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Section: Rts' Comfort Levelsmentioning

confidence: 99%

Understanding and Addressing the Informational Needs of Radiation Therapists Concerning the Management of Anxiety and Depression in Patients Receiving Radiation Therapy Treatment

Lavergne

Taylor

Gillies³

et al. 2015

Journal of Medical Imaging and Radiation Sciences

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“…It was estimated that approximately 35% of patients with cancer experienced significant distress (Zabora et al, 2001). Prospective study showed that anxiety and depression were prevalent at diagnosis of cancer (Gil et al, 2012;Iwatani et al, 2013). Over 1/3 of patients newly diagnosed with esophageal cancer suffered from significant psychological symptoms, particularly anxiety (Bergguist et al, 2007;Dempster et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Perioperative Comprehensive Supportive Care Interventions for Chinese Patients with Esophageal Carcinoma: a Prospective Study

Zhang

Zhao²,

Fang³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Objective: To assess the effects of perioperative comprehensive supportive care interventions on outcome of Chinese esophageal cancer patients in a prospective study. Methods: 60 patients with primary esophageal carcinoma were randomized into an intervention group (IG, n=31) and a control group (CG, n=29). The Chinese version of symptom checklist-90 (SCL-90) was adopted to assess their psychological status. The interventions, including health education, psychological support, stress management, coping strategies and behavior training, were carried out in 3 phases (preoperative, postoperative Ⅰ and postoperative Ⅱ), and psychological effects were thereafter evaluated accordingly before surgery, and 1 week, 4 weeks and 24 weeks post-surgery. Medical costs were estimated at discharge. Survival of patients was estimated each year post-surgery. General health status and satisfaction-with-hospital were surveyed by a follow-up questionnaire 4 years post-surgery. Results: All the subjects demonstrated higher scores in the preoperative phase than the normal range of Chinese population concerning 7 psychological domains including somatization, obsessive-compulsive, depression, anxiety, hostility, phobic anxiety and paranoid ideation. Although no significant difference was observed between the two groups at admission, the scores of IG, which tended to decrease at a faster rate, were generally lower than those of CG at weeks 1, 4 and 24 post-surgery. The length of hospital stay and medical costs of IG were significantly less than those of CG and satisfaction-with-hospital was better. However, there was no significant difference in 4-year survival or health status between two groups. Conclusions: Appropriate perioperative comprehensive supportive care interventions help to improve the psychological state of Chinese patients with esophageal carcinoma, to reduce health care costs and to promote satisfaction of patients and their families with hospital.

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“…Cada sesión aborda un tema específico: introducción al concepto del sentido (1), cáncer y sentido (2), historia del concepto de sentido (3)(4), fuentes del sentido (5-7), y cierre (8) (Cuadro 1).…”

Section: Descripción De La Intervenciónunclassified

“…Los pacientes diagnosticados de cáncer avanzado (Estadios III y IV) presentan un mayor grado de complejidad, en relación al manejo de síntomas físicos y psicológi-cos (1,2,3) . Por ello, requieren de un modelo de intervención ajustado a sus necesidades.…”

Section: Introductionunclassified

Psicoterapia centrada en el sentido: “vivir con sentido”. Estudio piloto

Moncayo

Breitbart

2014

Psicooncología

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ResumenIntroducción: Los pacientes con cáncer avanzado expresan sentimientos de desesperanza, deseo de adelantar la muerte, y niveles elevados de ansiedad y sintomatología depresiva asociada a la pérdida de sentido de vida.Objetivos: El principal objetivo de la Psicoterapia de Grupo Centrada en el Sentido (PGCS) es ayudar a los pacientes con cáncer a vivir con sentido, de una manera plena, manteniendo y ampliando el sentido de su vida, viviendo en paz y con un objetivo en la vida.Participantes y Método: Actualmente, estamos realizando el estudio piloto, como primer paso del proyecto de validación del Modelo de Psicoterapia Centrada en el Sentido. Hemos realizado dos de los tres grupos de pacientes con cáncer avanzado que corresponde al presente estudio piloto, y estamos realizando las trascripción de cada una de la sesiones de los grupos, para su posterior análisis cualitativo.Resultados: Los grupos de psicoterapia centrada en el sentido muestran una reducción de la sintomatología ansiosa y depresiva, desesperanza y deseo de adelantar la muerte en pacientes con cáncer avanzado, a la vez de aumentar el bienestar espiritual y la sensación de sentido.Palabras claves: Terapia centrada en el sentido, terapia de grupo, cáncer, psicoterapia. Results: The Meaning-Centered Group Psychotherapy show a reduction of anxiety and depression, hopelessness and wish to advance the death in patients with advanced cancer, at the same time to increase the spiritual welfare and the feeling of sense.

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First Anxiety, Afterwards Depression: Psychological Distress in Cancer Patients at Diagnosis and after Medical Treatment

Abstract: Cancer patients require special consideration before and after treatment. Anxiety is the symptom that characterizes diagnosis, whereas depression is more common after medical treatment. The head and neck cancer patients were the group with the highest complexity.

Cited by 98 publications

References 29 publications

Understanding and Addressing the Informational Needs of Radiation Therapists Concerning the Management of Anxiety and Depression in Patients Receiving Radiation Therapy Treatment

Understanding and Addressing the Informational Needs of Radiation Therapists Concerning the Management of Anxiety and Depression in Patients Receiving Radiation Therapy Treatment

Perioperative Comprehensive Supportive Care Interventions for Chinese Patients with Esophageal Carcinoma: a Prospective Study

Psicoterapia centrada en el sentido: “vivir con sentido”. Estudio piloto

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