A cross‐sectional study of distress: A cancer response

Ekman, Hanna; Pettersson, Alexandra; Jakobsson, Liselotte; Garmy, Pernilla

doi:10.1002/nop2.460

Cited by 6 publications

(4 citation statements)

References 15 publications

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“…The mean number of problems endorsed also parallels another study that reported 7.62 ± 5.75 mean items endorsed by cancer patients at risk for distress [4]. The rate of types of problems endorsed, sampled from a cancer rehabilitation clinic in Sweden, is similarly high for worry, fatigue, sleep, memory, pain, skin dryness/itch, and tingling [25]. Further, among the common problems reported by cancer survivors, emotional concerns, loss of interest in usual activities, finance, fatigue, work/school, and sleep may be the most distressing, evidencing the need for a holistic approach in cancer rehabilitation to deal with a mixed array of psychosocial and physical problems [26].…”

Section: Discussionsupporting

confidence: 77%

Distress among cancer patients attending rehabilitation in the community

Kuo

2021

Support Care Cancer

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Purpose The aim of this study is to identify sources of distress among cancer patients attending rehabilitation in the community. Methods Participants were 430 patients recruited from a cancer rehabilitation center in Singapore between 2017 and 2018, who had rated their distress using the distress thermometer (DT) and indicated associated problems on the problem list. Chi-square tests were used to detect differences in the reported symptoms among three age groups. Exploratory factor analysis was used to identify symptom clusters. Partial correlational analysis was then performed to examine the relationship between distress, symptom clusters, and age controlling for gender and cancer type. Results About 30% of the participants reported distress ≥ 5 on the DT (mean 3.3 ± 2.5), and the mean number of problems endorsed was 8 ± 6. A higher total number of reported problems (r = .63) and younger age (r = − .21) were associated with increased distress. The younger age group also reported more problems surrounding emotions, finance, work/school, children-related issues, and physical symptoms such as sleep and nausea. Of the 12 factors identified, 9 psychosocial and physical symptom clusters correlated with distress (r ranging from .12 to .41). All results were statistically significant after adjustment (p ≤ 0.05). Conclusion Younger survivors are more at risk of distress and report greater role functioning concerns related to childcare, partner relationship, and work participation. Age-tailored and multimodal interventions may be necessary to adequately address age-related differences and help coordinate management of multiple symptom clusters across physical and psychosocial concerns.

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Section: Discussionsupporting

confidence: 77%

Distress among cancer patients attending rehabilitation in the community

Kuo

2021

Support Care Cancer

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“…Therefore, while the DT is recommended routine screening for distress in all cancer patients since1999 by the National Comprehensive Cancer Network (NCCN) 56 . The DT was developed as a simple tool to effectively screen for symptoms of distress and offers a user-friendly screening tool 57 , its limitations in addressing the multifaceted nature of different problems, such as pain, and distress in newly diagnosed breast cancer patients should be recognized, and supplementary assessments or tools may be necessary for a more in-depth understanding of this complex relationship. We would like to clarify that our study primarily aimed to explore the microbiome's potential links with depressive tendencies as measured by the DT scale, rather than to establish a direct causative relationship.…”

Section: Discussionmentioning

confidence: 99%

Unraveling the connections between gut microbiota, stress, and quality of life for holistic care in newly diagnosed breast cancer patients

Lee,

Yang,

Liu

et al. 2023

Sci Rep

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There is little research about the stress, quality of life (QOL) and gut microbiota in newly diagnosed breast cancer patients. In this study addressing the dearth of research on stress, quality of life (QOL), and gut microbiota in newly diagnosed breast cancer patients, 82 individuals were prospectively observed. Utilizing the Functional Assessment of Chronic Illness Therapy (FACT)-Breast questionnaire to assess health-related quality of life (HRQOL) and the Distress Thermometer (DT) to gauge distress levels, the findings revealed a mean FACT-B score of 104.5, underscoring HRQOL's varied impact. Significantly, 53.7% reported moderate to severe distress, with a mean DT score of 4.43. Further exploration uncovered compelling links between distress levels, FACT-B domains, and microbial composition. Notably, Alcaligenaceae and Sutterella were more abundant in individuals with higher DT scores at the family and genus levels (p = 0.017), while Streptococcaceae at the family level and Streptococcus at the genus level were prevalent in those with lower DT scores (p = 0.028 and p = 0.023, respectively). This study illuminates the intricate interplay of stress, QOL, and gut microbiota in newly diagnosed breast cancer patients, offering valuable insights for potential interventions of biomarker or probiotics aimed at alleviating stress and enhancing QOL in this patient cohort.

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“…Na referida pesquisa, 384 pacientes responderam a um questionário com o objetivo de investigar a experiência de reabilitação de sobreviventes do câncer em idade produtiva. Como resultado, observou-se um alto grau de sofrimento (>3) de acordo com o instrumento Termômetro do Distress em diversas áreas problemáticas elencadas, mais de 50% da amostra afirmou que os problemas financeiros traziam um altíssimo grau de sofrimento durante e após o tratamento 12 .…”

Section: Discussionunclassified

Avaliação do nível de distress em pacientes oncológicos atendidos em um ambulatório de quimioterapia

Marques

Costa

Assad

et al. 2022

GANJ

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ARTIGO ORIGINAL Avaliação do nível de distress em pacientes oncológicos atendidos em um ambulatório de quimioterapiaAssessment of the level of distress in cancer patients treated at a chemotherapy outpatient clinic Evaluación del nivel de angustia en pacientes con cáncer tratados en una consulta externa de quimioterapia ResumoO objetivo deste estudo foi descrever as características socioeconômico-ocupacionais e clínicas dos pacientes oncológicos em tratamento quimioterápico ambulatorial e avaliar o nível de distress no tratamento quimioterápico, utilizando o instrumento Termômetro do Distress. Este estudo foi descritivo, de corte transversal e abordagem quantitativa, desenvolvido no ambulatório de quimioterapia de um Hospital Universitário, com 30 pacientes oncológicos. Utilizou-se o instrumento Termômetro do Distress, sendo os dados analisados através do Software R (4.0.0). Como resultados, identificou-se que a maioria era homem, média de idade de 59,5 anos, casados, empregados e renda mensal entre 1 e 5 salários-mínimos. O resultado do Termômetro do Distress observou alto grau de sofrimento (>4), com média de 6,3 e desvio padrão de 2,54. As associações entre as variáveis explanatórias e desfecho não foram estatisticamente significantes. Concluiu-se que o instrumento avaliou o nível de distress dos pacientes, sendo ferramenta importante nas consultas de enfermagem em quimioterapia, favorecendo a percepção e o acompanhamento dos fatores estressores.

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A cross‐sectional study of distress: A cancer response

Cited by 6 publications

References 15 publications

Distress among cancer patients attending rehabilitation in the community

Distress among cancer patients attending rehabilitation in the community

Unraveling the connections between gut microbiota, stress, and quality of life for holistic care in newly diagnosed breast cancer patients

Avaliação do nível de distress em pacientes oncológicos atendidos em um ambulatório de quimioterapia

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