Predictors of psychological distress in advanced cancer patients under palliative treatments

Díaz-Frutos, Daniel; Baca‐García, Enrique; Garcı́a-Foncillas, Jesús; López-Castromán, Jorge

doi:10.1111/ecc.12521

Cited by 52 publications

(52 citation statements)

References 69 publications

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“…Many patients with advanced cancer experience negative moods, including anxiety, depression, stress, and fear, in anticipation of potential cancer‐related complications or death . There is a growing recognition that negative emotions can increase pain, weakness, and hopelessness; can even lead to suicide; can increase medical costs; and can disrupt patients' quality of life and therapeutic success . Therefore, health policies in many countries throughout the last decade have prioritized detecting and addressing the psychological needs associated with cancer .…”

Section: Introductionmentioning

confidence: 99%

Survival prediction of anxious emotion in advanced cancer patients receiving palliative care

Zhao

Chen

et al. 2016

Psycho-Oncology

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Section: Introductionmentioning

confidence: 99%

Survival prediction of anxious emotion in advanced cancer patients receiving palliative care

Zhao

Chen

et al. 2016

Psycho-Oncology

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“…The PT patients in this study were generally considered to be persistently depressed preoperatively through postoperative month 6. In particular, patients who received a postoperative histological diagnosis of malignancy were highly depressed; this finding possibly reflected concerns over the diagnosis, in the same way as has been reported for patients with other cancers [ 10 , 29 , 30 ]. PC has a poor prognosis, and survival rates are poor even when operable [ 1 ].…”

Section: Discussionmentioning

confidence: 56%

Association between chronological depressive changes and physical symptoms in postoperative pancreatic cancer patients

Sato

Hasegawa

Saito

et al. 2018

BioPsychoSocial Med

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BackgroundPancreatic cancer (PC) has poorer prognosis and higher surgical invasiveness than many other cancers, with associated psychiatric symptoms including depression and anxiety. Perioperative depression has not been investigated in PC patients regarding surgical stress and relevant interventions.MethodsWe evaluated chronological depressive changes and subjective physical symptoms in surgically treated PC patients preoperatively and at 3 and 6 months postoperatively.Enrolled patients undergoing pancreatic tumor surgery completed questionnaires based on the Self-Rating Depression Scale (SDS) and Functional Assessment of Cancer Therapy for Patients with Hepatobiliary Cancer (FACT-Hep) preoperatively, and at 3 and 6 months postoperatively. Responses were analyzed with JMP® Pro using one-way and two-way ANOVA, Spearman’s rank correlation coefficient, and multiple regression analysis.ResultsMalignancy was diagnosed in 73 of 101 patients postoperatively; SDS score was significantly higher in these patients than in those with benign tumors at all timepoints: malignant/benign, 41.8/37.9 preoperatively (p = 0.004); 43.5/37.8 3 months postoperatively (p = 0.006); and 42.9/37.7 6 months postoperatively (p = 0.020). SDS scores were significantly higher in patients < 65 years old with malignancy at 3 months than at 6 months postoperatively (44.6/42.5, p = 0.046) and in patients with malignancy who underwent pancreaticoduodenectomy at 3 months postoperatively than preoperatively (43.4/41.1; p = 0.028). SDS scores moderately correlated with 8 physical symptom-related FACT-Hep items 3 months postoperatively (p < 0.05), showing low-to-moderate correlation with 16 physical symptom-related FACT-Hep items at 6 months postoperatively (p < 0.05). Multiple regression analysis of FACT-Hep symptoms significantly correlated with SDS scores revealed the following significant variables: “lack of energy” (p < 0.000) and “pain” (p = 0.018) preoperatively (R2 = 0.43); “able to perform usual activities” (p = 0.031) and “lack of energy” (p < 0.000) at 3 months postoperatively (R2 = 0.51); and “stomach swelling or cramps” (p = 0.034) and “bowel control” (p = 0.049) at 6 months postoperatively (R2 = 0.52).ConclusionsPC patients experience persistently high levels of depression preoperatively through 6 months postoperatively, with associated subjective symptoms including pain and gastrointestinal symptoms.Trial registrationUMIN Clinical Trials Registry 000009592, Registered 20 December 2012.

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“…10 High levels of hopelessness, emotional instability and distortion of self-image are associated with high psychological distress in patients with advanced cancer. 11 Psychological symptoms may infl uence physical symptoms. A study of the relationship between depression and the burden of physical symptoms in cancer found that depression was signifi cantly related to the number and severity of physical symptoms.…”

Section: Needs Assessmentmentioning

confidence: 99%

The Potential Role of Psychosocial Rehabilitation in Palliative Care

Almada¹,

Casquinha²,

Cotovio

et al. 2018

Journal of the Royal College of Physicians of Edinburgh

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Palliative care is an integrated approach that promotes the quality of life of patients and families who are confronted with the physical, psychosocial and spiritual problems associated with a life-threatening illness. 1 The palliative patient is not necessarily a terminal patient (estimated prognosis of 3-6 months), or a moribund or agonising patient (estimated prognosis of days or hours). 1 According to the World Health Organization (WHO) and the National Plan of Palliative Care, palliative care: affi rms life and accepts death as a natural process, without trying to delay the process; constitutes a global and holistic approach to the patients suffering from a physical, psychological, social and spiritual point of view; seeks the wellbeing and quality of life of the patient; is centered on the needs of patients and their families, life and death; should not be restricted to terminally ill and agonised patients; and, should be addressed by a multidisciplinary team. 1,2 The person with a life-threatening illness feels in total pain. 1 Patients with an advanced life-limiting illness experience great suffering, a complex negative state of malaise (bodily, affective, cognitive, spiritual) characterised by feeling threatened and destroyed in the integrity or continuity of their existence, a sensation of powerlessness to face this threat and an exhaustion of their personal and psychosocial resources. 1 The main sources of suffering in palliative care patients are poorly controlled symptoms, loss of autonomy and dependence on others, alterations in body image, loss of social roles and status, impairment in interpersonal relationships, feelings of abandonment, changes in expectations and future plans, and loss of dignity and meaning of life. 1 In most cases, palliative patients have severe functional and cognitive limitations requiring support in basic needs, such as hygiene, food, money, medication and mobility, relying on others for daily life activities, with increasing dysfunctionality and psychological repercussions. 2 According to number 7 of the Administrative Rule 66/2018 in Diário da República (Portugal), 3 a palliative care unit must ensure: permanent medical and nursing care; psychological intervention for patients, relatives and professionals; social intervention and support; support and intervention in mourning; spiritual intervention; complementary examinations; prescription and administration of drugs contained in the National Formulary of Medicines; hygiene, comfort and food; conviviality and leisure; training in palliative care; and, assistance in the area of palliative care for health professionals, namely primary, hospital and continuing healthcare. 3 Psychosocial rehabilitation can be understood as, 'a comprehensive and continuous process that provides individuals with disability due to mental illness the opportunity to achieve the greatest possible functioning potential (in the Palliative care is an approach to incurable and/or severe disease with limited prognosis, aiming to relieve the suffering a...

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Predictors of psychological distress in advanced cancer patients under palliative treatments

Cited by 52 publications

References 69 publications

Survival prediction of anxious emotion in advanced cancer patients receiving palliative care

Survival prediction of anxious emotion in advanced cancer patients receiving palliative care

Association between chronological depressive changes and physical symptoms in postoperative pancreatic cancer patients

The Potential Role of Psychosocial Rehabilitation in Palliative Care

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