Quality of partner support moderates positive affect in patients with cancer

Kaliampos, Apostolos; Roussi, Pagona

doi:10.1002/pon.4672

Cited by 10 publications

(7 citation statements)

References 30 publications

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“…Besides professional care, family communication and social support also play an important role in preventing suicides and suicide attempts. 1,51,52 There were some limitations in our study. Besides pathological factors, suicide was affected by psychological and social factors which could not be provided by the SEER database.…”

Section: Discussionmentioning

confidence: 92%

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Risk factors associated with suicide among kidney cancer patients: A Surveillance, Epidemiology, and End Results analysis

et al. 2019

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Background The suicide risk was higher in kidney cancer patients than in the general population. The purpose of this study was to characterize the suicide rates among kidney cancer patients and to identify the potential risk factors associated with suicide from the Surveillance, Epidemiology, and End Results (SEER) database. Methods Kidney cancer patients were identified from the SEER database during 1973‐2015. Suicide rates and standardized mortality ratios (SMRs) of this population were calculated, and the US general population during 1981‐2015 was chosen as a reference. Univariable and multivariable Cox regression were performed to find out potential risk factors of suicide. Results There were 207 suicides identified among 171 819 individuals with kidney cancer observed for 948 272 person‐years. The suicide rate was 21.83 per 100 000 person‐years, and SMR was 1.83 (95% CI: 1.59‐2.10). On Cox regression, diagnosis in early years (1973‐1982 vs 2003‐2015, HR: 2.03, 95% CI: 1.01‐4.11, P = 0.048; 1983‐1992 vs 2003‐2015, HR: 1.99, 95% CI: 1.18‐3.35, P = 0.010), male sex (vs female sex, HR: 4.43, 95% CI: 2.95‐6.65, P < 0.001), unmarried status (vs married status, HR: 2.54, 95% CI: 1.91‐3.38, P < 0.001), non‐black race (white race vs black race, HR: 4.47, 95% CI: 2.09‐9.58, P < 0.001; other races vs black race, HR: 3.01, 95% CI: 1.08‐8.37, P = 0.035), higher histologic grade (grade IV vs grade I, HR: 3.27, 95% CI: 1.50‐7.13, P = 0.003; grade III vs grade I, HR: 2.13, 95% CI: 1.19‐3.81, P = 0.011) and cancer‐directed surgery not performed (vs performed, HR: 2.78, 95% CI: 1.52‐5.11, P < 0.001) were independent risk factors of suicide among kidney cancer patients. Conclusions Diagnosis in early years, male sex, unmarried status, non‐black race, higher histologic grade, and cancer‐directed surgery not performed were significantly associated with suicide among kidney cancer patients. In order to prevent suicidal death, clinicians should pay more attention to patients with high‐risk factors of suicide.

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Section: Discussionmentioning

confidence: 92%

“…Additionally, the efforts for decreasing suicide need coordination and collaboration, including medical workers, family members even the whole society. Besides professional care, family communication and social support also play an important role in preventing suicides and suicide attempts …”

Section: Discussionmentioning

confidence: 99%

Risk factors associated with suicide among kidney cancer patients: A Surveillance, Epidemiology, and End Results analysis

et al. 2019

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“…Previous studies have shown that low levels of partner support are associated with higher levels of antenatal anxiety and depression during pregnancy (Cheng et al, ) and that low levels of shared communication, relationship satisfaction and emotional and instrumental support increase the risk of developing depression (Pilkington, Milne, Cairns, Lewis, & Whelan, ). Women with cancer who were in an unsupportive relationship with their partners had higher risk of developing anxiety symptoms, manifested lower levels of positive affect and had lower levels of reported quality of life (Borstelmann et al, ; Gustavsson‐Lilius, Julkunen, & Hietanen, ; Kaliampos & Roussi, ).…”

Section: Discussionmentioning

confidence: 99%

Motherhood during or after breast cancer diagnosis: A qualitative study

et al. 2020

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Objective Little is known about the process of becoming a mother in women who experienced a breast cancer diagnosis (BC). In this qualitative study, we investigated maternal representations in pregnant women with experience of BC and those with no oncological history. Methods A total of 38 women were recruited, 19 women who experienced a BC diagnosis and 19 who had not. To explore maternal representations, semi‐structured interviews were conducted and analysed through thematic analysis. Results Four main themes were identified: fears and worries, meaning of motherhood, mother–foetus relationship and partner support. Across themes, differences between primiparous and multiparous are reported. Women with gestational breast cancer (GBC) described fear for their own and their child's survival. Women with previous BC recall contrasting emotions. All women with experience of BC perceived breastfeeding as fundamental and inability to do so provoked worry. Relationship with the partner was considered central, while healthy women were projected towards the future triadic relationship. Conclusions Finding a mental space during pregnancy for the representation of the future child could be hard for women with GBC. Dissimilarities in the experience of motherhood in cancer patients provide insight into psychological aspects that should be taken into account in clinical practice.

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“…This attention may be effective in prevention if a high-risk group can be identified, as it was reported in an Australian series [ 32 ]. In addition to the importance of patients’ understanding of the cancer diagnosis and all treatment modalities, promotion of family communication combined with encouragement of self-determination and participation in treatment can mitigate the suicide risk [ 32 – 34 ].…”

Section: Discussionmentioning

confidence: 99%

Lung cancer patients have the highest malignancy-associated suicide rate in USA: a population-based analysis

Rahouma¹,

Kamel²,

Abouarab³

et al. 2018

ecancer

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PurposePrevious studies have reported that psychological and social distresses associated with a cancer diagnosis have led to an increase in suicides compared to the general population. We sought to explore lung cancer-associated suicide rates in a large national database compared to the general population, and to the three most prevalent non-skin cancers [breast, prostate and colorectal cancer (CRC)].MethodsThe Surveillance, Epidemiology and End Results (SEER) database (1973–2013) was retrospectively reviewed to identify cancer-associated suicide deaths in all cancers combined, as well as for each of lung, prostate, breast or CRCs. Suicide incidence and standardised mortality ratio (SMR) were estimated using SEER*Stat-8.3.2 program. Suicidal trends over time and timing from cancer diagnosis to suicide were estimated for each cancer type.ResultsAmong 3,640,229 cancer patients, 6,661 committed suicide. The cancer-associated suicide rate was 27.5/100,000 person years (SMR = 1.57). The highest suicide risk was observed in patients with lung cancer (SMR = 4.17) followed by CRC (SMR = 1.41), breast cancer (SMR = 1.40) and prostate cancer (SMR = 1.18).Median time to suicide was 7 months in lung cancer, 56 months in prostate cancer, 52 months in breast cancer and 37 months in CRC (p < 0.001).We noticed a decreasing trend in suicide SMR over time, which is most notable for lung cancer compared to the other three cancers. In lung cancer, suicide SMR was higher in elderly patients (70–75 years; SMR = 12), males (SMR = 8.8), Asians (SMR = 13.7), widowed patients (SMR = 11.6), undifferentiated tumours (SMR = 8.6), small-cell lung cancer (SMR = 11.2) or metastatic disease (SMR = 13.9) and in patients who refused surgery (SMR = 13).ConclusionThe cancer-associated suicide rate is nearly twice that of the general population of the United States of America. The suicide risk is highest among the patients with lung cancer, particularly elderly, widowed, male patients and patients with unfavourable tumour characteristics. The identification of high-risk patients is of extreme importance to provide proper psychological assessment, support and counselling to reduce these rates.

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Quality of partner support moderates positive affect in patients with cancer

Abstract: The findings suggest that only when the quality of support is high does social support have a positive impact on patients' positive affect.

Cited by 10 publications

References 30 publications

Risk factors associated with suicide among kidney cancer patients: A Surveillance, Epidemiology, and End Results analysis

Risk factors associated with suicide among kidney cancer patients: A Surveillance, Epidemiology, and End Results analysis

Motherhood during or after breast cancer diagnosis: A qualitative study

Lung cancer patients have the highest malignancy-associated suicide rate in USA: a population-based analysis

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