Anxiety and depression in sarcoma patients: Emotional adjustment and its determinants in the different phases of disease

Paredes, Tiago; Canavarro, Maria Cristina; Simões, Mário R.

doi:10.1016/j.ejon.2010.06.004

Cited by 42 publications

(76 citation statements)

References 30 publications

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“…Prevalence was associated with prognosis of the cancer, the morbidity associated with the cancer (especially physical function and pain), and the effect the cancer or its treatment had on physical appearance and body image. In sarcoma-specific cohorts, the prevalence of depression ranged from 13.7% to 33.3% and the prevalence of anxiety disorders ranged from 11.8% to 47.2% [5, 7, 8, 14, 15], whilst the prevalence of psychological distress has been identified to be as high as 77% in one study [9]. …”

Section: Introductionmentioning

confidence: 99%

“…The experience is a continuum based on various hallmarks, which may include diagnosis and staging of cancer; treatment (surgery and/or radiation and chemotherapy); recovery and rehabilitation; follow-up and surveillance; and recurrence or terminal phase [14]. In general, levels of psychological distress reduce with time, with peak distress experienced in the initial month to one year after diagnosis and treatment, and may persist for a period of time following treatment [20–24].…”

Section: Introductionmentioning

confidence: 99%

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Identifying the Prevalence, Trajectory, and Determinants of Psychological Distress in Extremity Sarcoma

Tang

Castle

Choong

2015

Sarcoma

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Objective. Extremity sarcoma (ES) is a rare cancer that presents with unique challenges. This study was performed to identify the prevalence, trajectory, and determinants of distress and characterise sources of stress in this cohort. Methods. Consecutive patients with ES were prospectively recruited between May 2011 and December 2012. Questionnaires were administered during initial diagnosis and then six months and one year after surgery. Results. Distress was reported by about a third of our cohort and associated with poorer physical function, poorer quality of life, and pain. In addition to fears regarding mortality and life role changes, the most common sources of stress were centered on dissatisfaction with the healthcare system, such as frustrations with a lack of communication with the hospital regarding appointments and lack of education regarding management and outcomes. Conclusions. Psychological distress presents early in the cancer journey and persists up to one year after surgery. Distress is associated with negative outcomes. Active screening and effective interventions are necessary to improve outcomes. Sources of stress have been identified that may be amenable to targeted interventions.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Identifying the Prevalence, Trajectory, and Determinants of Psychological Distress in Extremity Sarcoma

Tang

Castle

Choong

2015

Sarcoma

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“…2011; Ostacoli et al, 2014;Paredes et al, 2011;Paredes et al, 2012;), assim como a importância do suporte prestado pelos pro ssionais de saúde aos doentes com cancro, na promoção da sua autonomia (Milne et al, 2008). De realçar que, no presente estudo, os doentes não apresentaram níveis graves de ansiedade e de depressão, nos três momentos de avaliação, o que vai ao encontro dos resultados de outros estudos, em que a maioria dos doentes com sarcoma não experimentam problemas signi cativos no seu ajustamento emocional, existindo apenas uma pequena percentagem de doentes com níveis clinicamente signi cativos e graves de sintomatologia (Ostacoli et al, 2014;Paredes et al, 2012).…”

Section: Discussionunclassified

“…Em concordância com a análise de outros investigadores, parece-nos que os resultados do presente estudo mostram que, apesar do sofrimento vivenciado, os doentes conseguem lidar com a doença de forma adaptativa. Convém, no entanto, realçar, que os sintomas de ansiedade e de depressão, dentro de níveis ligeiros ou moderados, constituem reações transitórias frequentes e normativas no processo de ajustamento, em parte fruto da exigência física e psicológica das modalidades terapêuticas (Granda-Cameron et al, 2011;Paredes et al, 2011). Apesar do seu número reduzido, estas pessoas que apresentam sintomas ligeiros a moderados devem ser sinalizados e necessitam da atenção e da intervenção por parte dos pro ssionais de saúde.…”

Section: Discussionunclassified

“…As modalidades terapêuticas mais comuns são a cirurgia que pode ser complementada com quimioterapia e/ou radioterapia, as quais também afetam negativamente a funcionalidade e a qualidade de vida (Tang, Pan, Castle & Choong, 2012) deixando os doentes com sarcoma em situações de dependência e fragilidade emocional. Os sintomas de ansiedade e de depressão são frequentes na doença oncológica em geral e também nos sarcomas (Ostacoli et al, 2014;Paredes, Canavarro & Simões, 2011;Paredes, Pereira, Simões & Canavarro, 2012), podendo atingir níveis de perturbação emocional, a qual interfere na recuperação e qualidade de vida do doente, de tal forma, que o distress emocional foi considerado o sexto sinal vital a avaliar nos doentes com cancro (Bultz et al, 2011). Segundo o National Comprehensive Cancer Network (NCCN) dos Estados Unidos da América, aproximadamente um terço dos doentes com cancro experimenta perturbação emocional, e destes, apenas cerca de 5% recebe suporte psicológico (NCCN, 2016).…”

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Ajustamento emocional em doentes com sarcoma e a perceção de suporte autónomo dado pelos enfermeiros

Bastos

Santos

Freitas

et al. 2016

RPESM

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RESUMOOs sarcomas são tumores malignos raros, com consequências negativas para a funcionalidade e autoimagem, e que se associam a um maior risco de perturbação emocional, revelando-se fundamental estudar o papel dos enfermeiros no suporte fornecido a estes doentes. O objetivo do estudo foi analisar a relação entre o ajustamento emocional e a perceção sobre o ambiente terapêutico, em três momentos do processo de tratamento. Realizou-se um estudo longitudinal, numa amostra de 24 pessoas com sarcoma (ósseo ou dos tecidos moles), com uma média de 41 anos de idade e de 10 anos de escolaridade. Os instrumentos utilizados foram: questionário de caracterização sociodemográ ca e clínica, a versão portuguesa da Escala de Ansiedade e Depressão Hospitalar (EADH) e o Questionário de Perceção do Cliente sobre o Ambiente Terapêutico (QPCAT). Globalmente foram identi cados níveis baixos de ansiedade e de depressão ao longo do tratamento. Os doentes demonstraram uma perceção favorável sobre o suporte proporcionado pelos enfermeiros, com repercussões positivas no seu ajustamento emocional, em especial nas fases mais avançadas do tratamento. Os resultados sugerem que os enfermeiros apoiam e encorajam os doentes na gestão do seu tratamento, sendo este suporte promotor de um bom ajustamento psicossocial. São ainda evidenciados alguns indicadores de maior vulnerabilidade que requerem um suporte terapêutico ajustado às suas necessidades ao longo do percurso da doença e do tratamento.

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“I Lost My Image, the Image Others Know Me By”: Findings From a Hermeneutic Phenomenological Study of Patients Living With Treatment-Induced Cutaneous Toxicities

Charalambous

2016

Res Nurs Health

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Cancer patients receiving targeted therapies often develop persistent cutaneous adverse effects, such as papulopustular eruption (rash), xerosis cutis (dry skin), pruritus (itch), and hair and nail changes. These can be dose-limiting or a cause for therapy discontinuation but also can be wearing on patients, negatively influencing their self-image and relationships with others. In a Ricoeurian hermeneutic phenomenological study, we aimed to explore the lived experiences of colorectal, pancreatic, and non-small cell lung cancer patients living with cutaneous toxicities following treatment with targeted agents. Narratives were used to elicit the experiences of 22 cancer patients. Data were analyzed in three steps informed by Ricoeur's interpretation theory: naïve understanding, structural analyses, and comprehensive understanding. Three themes were identified: "Ashamed of what I have become," "Surrender to cancer," and "Mourning for the loss of my body," with nine sub-themes revealing the multidimensional impact of the adverse effects on the patients' lives. The comprehensive understanding produced in analysis revealed a new contextualized interpretation of being in the world while living with cutaneous toxicities. Treatment-induced cutaneous toxicities distorted patients' daily living in ways that led to negative manifestations and effects on their self-image, social engagement, and intimate relationships. Although the dose-limiting and treatment-interrupting effects of these toxicities have been reported, this study sheds light on their existential impact, touching on physical, psychological, and social issues. © 2016 Wiley Periodicals, Inc.

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Anxiety and depression in sarcoma patients: Emotional adjustment and its determinants in the different phases of disease

Cited by 42 publications

References 30 publications

Identifying the Prevalence, Trajectory, and Determinants of Psychological Distress in Extremity Sarcoma

Identifying the Prevalence, Trajectory, and Determinants of Psychological Distress in Extremity Sarcoma

Ajustamento emocional em doentes com sarcoma e a perceção de suporte autónomo dado pelos enfermeiros

“I Lost My Image, the Image Others Know Me By”: Findings From a Hermeneutic Phenomenological Study of Patients Living With Treatment-Induced Cutaneous Toxicities

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