The prevalence of psychological distress by cancer site

Zabora, James; BrintzenhofeSzoc, Karlynn; Curbow, Barbara; Hooker, Craig M.; Piantadosi, Steven

doi:10.1002/1099-1611(200101/02)10:1<19::aid-pon501>3.0.co;2-6

Cited by 2,165 publications

(1,230 citation statements)

References 13 publications

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“…Similar findings were observed in two excluded studies [38,39]. Ovarian cancer has a worse prognosis as it is more likely to be diagnosed at an advanced stage, and consequently requires more aggressive treatment, both of which are distressing.…”

Section: Discussionsupporting

confidence: 84%

Psychological distress and its correlates in ovarian cancer: a systematic review

2008

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Objective: Ovarian cancer is often diagnosed at an advanced stage, and consequently high levels of distress are often experienced. It is necessary to understand the factors associated with psychological distress in order to guide interventions to target those factors. The purpose of this systematic review was therefore to identify correlates of psychological distress in ovarian cancer.Methods: Included studies had to be quantitative and empirical, with standardized measures of psychological distress (anxiety or depression), and to present results for ovarian cancer patients specifically. Standard systematic search methods were used. Information about design, ovarian cancer sample size, disease stage, time since diagnosis, measures of distress used and findings was extracted from each study. The studies were quality assessed using experimenterdefined criteria as good, average and poor quality. Strength of the evidence (strong, some, inconclusive) was based on the quality and consistency of findings.Results: Eighteen studies meeting the inclusion criteria were identified. There was strong evidence for a relationship between younger age, being diagnosed with more advanced disease, more physical symptoms and shorter time since diagnosis with increased levels of anxiety and/ or depression. Additional factors (e.g. immune) tested in a few studies also emerged as correlates of distress.Conclusions: Demographic, disease and quality of life factors correlated with distress. However, too few studies assessed possible psychological and immunological correlates, which could be potentially modified and should be assessed in future studies.

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Section: Discussionsupporting

confidence: 84%

Psychological distress and its correlates in ovarian cancer: a systematic review

2008

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“…Despite evidence to show that patients with pancreatic cancer have high mean anxiety and depression scores, even compared with other oncology patients, there is almost no information regarding the impact of pancreatic cancer on quality of life. 11 A reliable disease-specific quality-of-life questionnaire has been developed in Europe, which should enable the impact of pancreatic cancer to be assessed, but until then, the so-called intangible costs remain essentially unaccounted. 12 General cost evaluations have been reported in the USA.…”

Section: Financial Burdenmentioning

confidence: 99%

Pancreatic diseases

McNamara

2003

Aliment Pharmacol Ther

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“…Zabora et al [11] found the highest proportion of highly distressed patients in lung and brain cancer patients (43%) and the lowest in prostate and gynaecological cancer patients (30%). In this study the rate of distressed breast cancer patients was 32.8%.…”

Section: Introductionmentioning

confidence: 99%

Development of a screening tool for the identification of psychooncological treatment need in breast cancer patients

et al. 2009

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Objective: In breast cancer patients the diagnosis, treatment and aftercare of the physical disease cause a large amount of psychosocial distress, which can have a variety of negative consequences on patients' physical and mental well-being. Although about one-third of the patients show heightened psychosocial distress that may require psychooncological interventions its detection in daily clinical routine is poor and referral to mental health professionals is insufficient. The aim of the study was to develop a short screening tool for the detection of need for psychooncological treatment (POT) in breast cancer patients.Methods: Over a period of six months, 115 breast cancer outpatients attending the Department of Gynaecology at Innsbruck Medical University were consecutively included in the study. Logistic regression analysis and ROC analyses were used to identify the most predictive item set from a set of questionnaires (EORTC-QLQ-C30, HADS and Hornheide Screening Instrument) and other additional questions.Results: Data from 105 breast cancer patients (mean age 58.8, SD 12.3) were available for analysis. A logistic regression equation containing the EORTC-QLQ-C30 scales Emotional Functioning and Role Functioning as well as the yes-no question after psychiatric/ psychological/psychotherapeutic treatment at any point in lifetime showed highest predictive power with regard to need of POT (AUC 5 0.88; CI 95% 0.82-0.95). A pilot study (n 5 20) investigating applicability of a computerized version of this screening tool in oncological routine showed high acceptance and feasibility.Conclusion: The developed PO-screening tool showed high diagnostic accuracy regarding POT needs. The short assessment time and good usability of its computerized version allowed easy implementation in daily oncological routine.

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The prevalence of psychological distress by cancer site

Cited by 2,165 publications

References 13 publications

Psychological distress and its correlates in ovarian cancer: a systematic review

Psychological distress and its correlates in ovarian cancer: a systematic review

Pancreatic diseases

Development of a screening tool for the identification of psychooncological treatment need in breast cancer patients

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