The study results indicate that a brief presurgery hypnosis intervention can be an effective means of controlling presurgical anxiety, and therefore pain, in patients awaiting diagnostic prostate cancer surgery.
In this study, we aimed to examine the effect of post-traumatic growth and depressive symptoms on caregiver burden in caregivers of cancer patients.
MethodsThis was a single-center cross-sectional observational descriptive study conducted at a medical oncology clinic. The study included 214 caregivers of cancer patients. Participants were assessed with a sociodemographic information form, the Turkish versions of the Zarit Caregiver Burden Scale (ZCBS), the Posttraumatic Growth Inventory (PTGI), and the Beck Depression Inventory (BDI).
ResultsThe mean ZCBS, PTGI, and BDI scores were 42.7 ±13.8, 67.8 ±22.3, and 13.5 ±9.8, respectively. There was a negative correlation (r=-0.407, p<0.001) between the ZCBS and the PTGI total scores, a positive correlation (r=0.636, p<0.001) between the ZCBS total and BDI scores, and a negative correlation (r=-0.426, p<0.001) between the PTGI total and BDI scores. Age, gender, income level, and history of psychiatric treatment were not independent predictive factors for the ZCBS total scores. PTGI total score (B=-0.107, 95% CI: -0.178 to -0.037, p=0.003) and BDI score (B=0.776, 95% CI: 0.602-0.950, p<0.001) were independent predictive factors for ZCBS total scores.
ConclusionsOur study revealed a significant negative relationship between caregiver burden and PTGI in caregivers of metastatic cancer patients, and it was found that depression negatively affects burden in caregivers. Posttraumatic growth can be a protective buffer against the burden of care and depression among caregivers.
Aim: To reveal the coping attitudes of mothers of children who had undergone surgery to diagnose congenital heart diseases and the relationship between these attitudes and depression levels.
Material and Methods: This study was a cross-sectional observational descriptive study conducted in a pediatric cardiovascular surgery clinic. The study included 32 mothers of pediatric patients who were surgically treated for congenital heart diseases. Participants were assessed with sociodemographic information form, Turkish versions of the coping orientation to problems experienced inventory (COPE), and the Beck depression inventory (BDI).
Results: The median maternal age was 31.0 (range, 21-47) years. The median BDI score was 11 (range, 1-27), and the number of mothers with a BDI score of 17 and above was 13 (40.6%). Problem-focused coping was the most common problem-coping style used by 29 (90.6%) participants with a median score of 67.0 (range, 41.0-72.0). In addition, 10 (31.3%), 10 (31.3%), and 9 (28.1%) participants showed the highest scores for active coping, suppression of competing activities, and seeking instrumental social support subscales, respectively. There was a negative correlation between BDI score and active coping, restraint, seeking instrumental social support subscales, and problem-focused coping total scores.
Conclusion: Our study revealed that most mothers of children with CHD used problem-focused coping more frequently. There was a negative correlation between the problem-focused coping attitude total score and the Beck Depression total scores. Interventions to target problem-focused coping could potentially protect mothers from depression.
ÖZETBirçok çalışmada, kanser hastalarında depresyon sıklığının belirgin olarak yüksek olduğu belirtilmiştir. Kanser ve major depresyon ilişkisi en belirgin şekliyle pancreas kanserinde karşımıza çıkar ve bu güçlü ilişki uzun yıllardır bilinmektedir Ancak bu ilişki ve ilişkinin altında yatan patofizyolojik mekanizma hakkında yetersiz bilgi birikimi söz konusudur. Farklı kansertürlerinde de artmış major depresyon sıklığı mevcuttur. Bu yazıda tanı öncesinde depresif bulguları ortayaçıkan ve hastalık progresyonu döneminde bu bulguları belirgin şekilde artan pankreatik nöroendokrin karsinom tanılı bir vakasunulmuştur. Depresifbulgularla; malignite tanısı ve prognoz arasındaki olası ilişkinin tartışılmasıve 'depresif semptomlar metastazı öngörebilir mi?' sorusunu ngündemegetirilmesi amaçlanmıştır. AnahtarKelimeler: Pankreas Nöroendokrin Karsinomu; Depresyon; Metastaz.
ABSTRACTVarious studies reported remarkable higher rates of depression in cancer patients. For years, strong relationship between pancreatic cancer and major depression has been reported. Higher incidence of major depression exists in various subtypes of cancer, too. However, there is an inadequate data about this relationship and its underlying pathophysiological mechanism. In this paper, we have reported a pancreatic neuroendocrine pancreatic carcinoma case who had depressive symptoms before the diagnosis and became more prominent with the progression of the disease. We aimed to discuss the relationship between depressive symptoms, early cancer diagnosis and prognosis of the disease while investigating the predictive value of depressive symptoms in the early prediction of the metastases.
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