Prevalence, risk factors, and the desire for help of distressed newly diagnosed cancer patients: A large-sample study

Wang, Ging‐Long; Cheng, Chih‐Tao; Feng, An‐Chen; Hsu, Sheng-Hui; Hou, Yi-Chen; Chiu, Chiu-Yuan

doi:10.1017/s1478951516000717

Cited by 28 publications

(21 citation statements)

References 50 publications

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“…The prevalence in our sample of Chinese lung cancer patients was 38.6% using the CDT as the screening tool, indicating that a high percentage of patients reported distress that warranted additional evaluation. The prevalence in our sample was consistent with a previous study in Taiwan with lung cancer patients (Wang et al, ).…”

Section: Discussionsupporting

confidence: 92%

“…A study in 2015 showed that 38% of 126 Chinese lung cancer patients had a diagnosis of depression associated with progression of disease, nausea and fatigue (Chen et al, ). In 2017, in Taiwan, researchers studied 5,335 cancer patients and found that 33% of 436 lung cancer patients reported significant distress associated with being female, younger age (<53 years), pain scores (≥4/10) and Stage IV disease (Wang et al, ).…”

Section: Introductionmentioning

confidence: 99%

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The prevalence and related factors associated with psychosocial distress among 420 hospitalised lung cancer patients in China: A case study

et al. 2019

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Previous studies have reported high prevalence of psychosocial distress among lung cancer patients in Western countries, but the prevalence of distress in Chinese patients is not established. The study objectives were to report the prevalence of and factors associated with psychosocial distress in a sample of hospitalised patients in China and to implement distress screening in one thoracic specialty department. In this cross‐sectional study, adult patients completed a self‐reported demographic and clinical questionnaire and the distress thermometer with the problem list. Distress was dichotomised (high vs. low) and compared. Regression analyses were used to determine which variables were associated with psychosocial distress. One hundred eighty‐six of 420 patients (38.6%) reported distress ≥4/10. They were unemployed, had New Rural Cooperative Medical System (NRCMS) insurance and Stage IV cancer. NRCMS insurance contributed to the likelihood of high distress and worry. Patients reported significant psychosocial distress during hospitalisation related to practical, emotional and physical problems. In this case study, staff reported they screened consecutive patients but there were no available referrals after discharge. We concluded it may be premature to screen patients for distress prior to instituting resources to establish services. To do otherwise is premature in ensuring patients' relief.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

The prevalence and related factors associated with psychosocial distress among 420 hospitalised lung cancer patients in China: A case study

et al. 2019

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“…This could underline that the intensity of fear is not linearly associated with the “objective danger” the individual is in. Results from other studies are mixed, but none have reported a higher risk for being in distress in stage I compared with stage II or III …”

Section: Discussionmentioning

confidence: 87%

“…Results from other studies are mixed, but none have reported a higher risk for being in distress in stage I compared with stage II or III. [37][38][39][40] To our knowledge, this is one of only a few studies about distress in LC survivors and LC patients in treatment who have survived for at least 1 year post-diagnosis. The sample size is relatively large, and we were able to collect data on many of the known potentially influential distress factors.…”

Section: Discussionmentioning

confidence: 99%

Psychological distress in lung cancer survivors at least 1 year after diagnosis—Results of a German multicenter cross‐sectional study

et al. 2018

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Objective Despite the high incidence of lung cancer, little is known about distress in lung cancer survivors and patients who have survived diagnose for at least 1 year. We investigated distress prevalence and associated factors. Methods We performed a multicenter (n = 6 hospitals) cross‐sectional study. Data were collected using medical records, questionnaires, and a telephone interview. Distress was measured with the Patient Health Questionnaire (PHQ‐4). Odds ratios (OR) for factors potentially associated with distress were calculated using multivariable logistic regression. Results We included 561 complete case participants with a mean time since diagnosis of 4.4 years. Nineteen percent of them reported depression and 19% anxiety; 26% had 1 or both. Woman had nearly 2‐times the odds of being distressed than men (OR 1.92). Participants with UICC stage II or III at diagnosis had lower odds of being distress compared with stage I (ORs 0.41, 0.44). Participants in current treatment were less likely to be anxious or depressed than those off treatment (OR 0.32). Those with self‐reported progressing disease had 3‐times the odds of distress than people in complete remission (OR 3.00). Time since diagnosis, pain, dyspnea, lung cancer stigma as well as decreased physical functioning were related to increased distress (ORs per unit increase 0.90, 1.02, 1.03, 1.05, and 0.9, respectively). Conclusions With a quarter of patients affected, psychological distress is a common problem in this population. Being off treatment does not imply less distress. People with poor physical functioning and pain are especially affected. Treating these symptoms is therefore very important.

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“…It may interfere with patients' abilities to cope with a diagnosis of, and treatment for, cancer (NCCN, 2019). In large-sample studies, the prevalence of psychosocial distress has ranged between 33% (Wang et al, 2017) and 46% (Carlson et al, 2018). However, when distressed patients are identified through routine screening and referred to appropriate healthcare resources, they report lower psychosocial distress levels over time (Carlson, Groff, Maciejewski, & Bultz, 2010).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Using the RE‐AIM framework for dissemination and implementation of psychosocial distress screening

et al. 2019

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Objective To evaluate the RE‐AIM framework's effect on retention of participants and implementation outcomes of a 5‐year cancer research education programme on psychosocial distress screening in cancer centres across the United States. Methods A one‐group pre‐/post‐test design was used to evaluate the programme on participant retention and implementation outcomes at 6, 12 and 24 months after enrolling in the programme (baseline) and analysed using descriptive statistics. Results Seventy‐two cancer centres participated in four cohorts. Participant retention was 100%. At baseline and 24 months, respectively, 52 (72%) and 64 (88%) of the cancer centres had formulated a psychosocial distress screening policy; 51 (71%) and 70 (98%) had started screening in more than one clinic/population; 15 (21%) and 45 (63%) had started auditing health records for documentation of screening. Each outcome rate improved at the cancer‐centre level over the 24 months. Conclusion RE‐AIM can be used as a framework for cancer research education programmes. Future research is needed on the use of a randomised adaptive design to test the optimal support for implementation of quality care standards according to cancer centres' needs.

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Prevalence, risk factors, and the desire for help of distressed newly diagnosed cancer patients: A large-sample study

Cited by 28 publications

References 50 publications

The prevalence and related factors associated with psychosocial distress among 420 hospitalised lung cancer patients in China: A case study

The prevalence and related factors associated with psychosocial distress among 420 hospitalised lung cancer patients in China: A case study

Psychological distress in lung cancer survivors at least 1 year after diagnosis—Results of a German multicenter cross‐sectional study

Using the RE‐AIM framework for dissemination and implementation of psychosocial distress screening

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