Lung cancer distress: screening thermometer meta-analysis

Zhang, Lemeng; Liu, Xiaohong; Tong, Fei; Zou, Rong; Peng, Wanglian; Yang, Hui; Huang, Xufen; Yi, Lili; Wen, Minni; Jiang, Ling; Liu, Feng

doi:10.1136/bmjspcare-2021-003290

Cited by 3 publications

(1 citation statement)

References 38 publications

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“…It is prevalent at different time points in fighting the illness among cancer patients. Measured by the distress thermometer, psychological distress is suffered by 25.3% to 71.7% of breast cancer patients [ 6 ], 49.04% of lung cancer [ 7 ], and 35% to 91% of patients with different cancer types [ 8 – 10 ]. An increasing emphasis is placed on the psychological distress experienced by cancer populations.…”

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confidence: 99%

The psychological distress of gastrointestinal cancer patients and its association with quality of life among different genders

Cheng,

Xie,

Duan

et al. 2024

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Background Psychological distress is a prevalent unpleasant experience faced by many cancer patients. However, the psychological distress among gastrointestinal (GI) cancer patients is scarcely explored. Moreover, the association between psychological distress and quality of life in different genders has yet to be explored. Aims To explore the psychological distress among GI cancer patients and examine its association with quality of life among different genders. Methods This study was a cross-sectional study. A total of 237 gastrointestinal cancer patients completed the distress thermometer and the Functional Assessment of Chronic Illness Therapy-General. Results The mean score of psychological distress of the participants was 3.04 (SD = 2.90). A greater proportion of female gastrointestinal cancer patients (52.8%) had clinically relevant psychological distress compared to males (35.9%). The quality of life was negatively associated with their psychological distress (B = − 1.502, 95%CI: − 2.759 to − 0.245, p = 0.019) among gastrointestinal cancer patients. Such association was stronger among males compared to females in gastrointestinal cancer patients (Interaction term, B = − 1.713, 95%CI: − 3.123 to − 0.303, p = 0.017). Conclusions These findings suggest that healthcare providers should attach their attention to gastrointestinal cancer patients’ psychological distress, especially females. Longitudinal studies could adopted to track the changes in psychological distress and its association with quality of life over time among different genders. In future intervention studies, the focus of psychological interventions needs to be gender-specific.

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Section: Introductionmentioning

confidence: 99%

The psychological distress of gastrointestinal cancer patients and its association with quality of life among different genders

Cheng,

Xie,

Duan

et al. 2024

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Prevalence and Risk Factors of Psychological Distress in Patients With Early‐Stage Lung Cancer During Preoperative Period: A Cross‐Sectional Study

Lu,

Zhang,

et al. 2024

Journal of Clinical Nursing

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AimThis study aims to investigate the prevalence of significant psychological distress and identify risk factors associated with it among early‐stage lung cancer patients in the preoperative period.BackgroundLung cancer is a major cause of cancer deaths worldwide, with low survival rates and significant psychological distress. While much research has focused on distress in advanced‐stage patients, less is known about the prevalence and risk factors of psychological distress in early‐stage lung cancer patients before surgery.DesignA cross‐sectional study.MethodsThe study included 427 early‐stage lung cancer patients preparing for surgery. Researchers used a study‐specific questionnaire to gather general information and employed the Distress Management Screening Measurement, Patient Health Questionnaire‐9 and Generalised Anxiety Disorder‐7 to assess personal situations and psychological distress levels. Statistical analyses investigated distress across various patient characteristics and examined correlations with anxiety and depression. Binary logistic regression identified significant predictors of psychological distress.ResultsThe study found that 41.9% of early‐stage lung cancer patients experienced significant psychological distress preoperatively, with an average score of 3.31 ± 2.18. Psychological distress was significantly positively correlated with depression (r = 0.474, p < 0.001) and anxiety (r = 0.591, p < 0.001). Significant risk factors for psychological distress included pulmonary nodules (OR = 2.884, 95% CI: 1.496–5.559), smoking history (OR = 2.092, 95% CI: 1.016–4.306) and chronic diseases (OR = 2.013, 95% CI: 1.073–3.776).ConclusionEarly‐stage lung cancer patients often experience a high incidence of clinically significant psychological distress during the preoperative period, strongly associated with depression and anxiety. Adverse factors contributing to psychological distress include multiple indeterminate pulmonary nodules, smoking history and concurrent chronic diseases. Routine screening for psychological distress in these patients is recommended, along with personalised interventions and self‐management strategies to help alleviate their distress during the perioperative period.

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Effectiveness of structured psycho-oncological counseling for relatives of lung cancer patients based on the CALM approach—study protocol of a randomized controlled trial

Dusel,

Meng,

Arnold

et al. 2024

Trials

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Background The high incidence combined with the high lethality and bad prognosis of lung cancer highlight the need for psycho-oncological care for both patients and their relatives. While psychological interventions for relatives might be helpful, further research on the impact of specific interventions is necessary. Therefore, this trial aims to evaluate structured psycho-oncological counseling for relatives of lung cancer patients based on the Managing Cancer And Living Meaningfully (CALM) approach compared to usual care. In addition, we explore the impact of psycho-oncological support of relatives on the patients’ mental health outcomes. Methods The study is a single-center, prospective, randomized controlled trial with two measurement time points. Relatives of lung cancer patients and, thus, the patients themselves (i.e., dyads) are randomly allocated to the intervention group (IG) or the control group (CG) regardless of their disease or treatment stage. Relatives in the IG receive structured counseling based on the CALM approach (three to six sessions with psycho-oncologists). The CG receives usual psycho-oncological care. In addition, cancer patients in both study arms can request psycho-oncological support (usual care) as needed, but they will not get a specific intervention. Relatives and patients complete assessments at baseline (T0) and after the intervention/6 weeks (T1). The primary outcome for relatives is anxiety. Relatives’ secondary outcomes include depressive symptoms, distress, supportive care needs, and quality of life. Patients’ outcomes include anxiety, depression, and distress. All outcomes are assessed using self-report validated questionnaires. Intervention effects will be evaluated using analysis of covariance (ANCOVA) adjusting for baseline values. Power calculations reveal the need to enroll 200 subjects to detect an effect of d = 0.4. Discussion The study will provide evidence for the effectiveness of the CALM intervention in relatives of lung cancer patients. Furthermore, study results will contribute to a better understanding of the effectiveness of a psycho-oncological intervention for highly impaired cancer patients and their relatives. If the CALM intervention positively affects the relatives’ psychosocial outcome, it may be implemented in routine care. Trial registration German Clinical Trials Register DRKS00030077. Retrospectively registered on 26 October 2022.

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Lung cancer distress: screening thermometer meta-analysis

Cited by 3 publications

References 38 publications

The psychological distress of gastrointestinal cancer patients and its association with quality of life among different genders

The psychological distress of gastrointestinal cancer patients and its association with quality of life among different genders

Prevalence and Risk Factors of Psychological Distress in Patients With Early‐Stage Lung Cancer During Preoperative Period: A Cross‐Sectional Study

Effectiveness of structured psycho-oncological counseling for relatives of lung cancer patients based on the CALM approach—study protocol of a randomized controlled trial

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