Anxiety, depression, traumatic stress and quality of life in colorectal cancer after different treatments: A study with Portuguese patients and their partners

Pereira, M. Graça; Figueiredo, Ana Paula; Fincham, Frank D.

doi:10.1016/j.ejon.2011.06.006

Cited by 88 publications

(86 citation statements)

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“…We found no relationship between cancer treatment types and psychological symptoms. Nonetheless, a recent study reported that patients who received surgery and chemotherapy or surgery plus CCRT showed higher levels of depression and anxiety when compared with patients receiving surgery alone (Graça Pereira et al, 2012). However, there is a shortage of evidence of the effects of disease variables on psychological well-being in this population.…”

Section: Discussionmentioning

confidence: 96%

Patient and Clinical Variables Account for Changes in Health-related Quality of Life and Symptom Burden as Treatment Outcomes in Colorectal Cancer: A Longitudinal Study

Hung¹,

Chien²,

Tsay³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Objective: The aim of the current study was to evaluate changes in treatment outcomes in terms of healthrelated quality of life (HRQoL) and symptom burden at zero, one, three, and six months after an initial diagnosis of colorectal cancer. The demographic and clinical characteristics that account for outcome changes in patients were investigated using a repeated measures framework. Methods and Materials: A cohort study was performed of 134 colorectal cancer patients followed from diagnosis to 6 months post-treatment in Central Taiwan. HRQoL and symptoms were assessed at diagnosis and one, three, and six months thereafter. The Functional Assessment of Cancer Therapy-Colon (FACT-C) questionnaire, VAS pain, and the Memorial Symptom Assessment Scale (MSAS) were used for data collection. A generalized estimating equation (GEE) was applied for statistical analysis. Results: The majority of the patients were male (55%) and married (91.5%). The mean age was 60.4 years (SD = 11.71). Most were diagnosed stage III and IV colorectal cancer (54.5%). All underwent surgery; some also received chemotherapy (CT) or concurrent chemoradiation therapy (CCRT). The results of the GEE showed that overall, the HRQoL, pain, and symptoms of the patients significantly improved over the treatment period. Patients with stage IV disease who had received surgery and CCRT showed the worst HRQoL. Females, patients with comorbidity, and stage IV patients had higher pain scores over time. Female and stage IV patients had more severe physical symptoms, whereas stage II and IV patients had worse psychological symptoms over time. Conclusion: The patients' HRQoL, pain, and symptoms significantly improved over the 6-month treatment period. Certain patient and clinical variables accounted for changes in treatment outcomes regarding HRQoL and symptom burden in colorectal cancer patients.

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Section: Discussionmentioning

confidence: 96%

Patient and Clinical Variables Account for Changes in Health-related Quality of Life and Symptom Burden as Treatment Outcomes in Colorectal Cancer: A Longitudinal Study

Hung¹,

Chien²,

Tsay³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…Assim sendo, aqueles que apresentavam maiores níveis de depressão percebiam a sua qualidade de vida como sendo pior do que os demais embora a variância explicada tenha sido baixa provavelmente porque se tratam de uma amostra com baixa morbilidade psicológica e boa qualidade de vida geral. Contudo, os resultados vão ao encontro de outros estudos (Hyphantis, 2011;Pereira et al, 2011) que revelaram que a depressão foi um preditor da qualidade de vida dos pacientes com câncer colorretal.…”

Section: A S C Botelho and M G Pereira 57unclassified

Qualidade de vida, otimismo, enfrentamento, morbidade psicológica e estresse familiar em pacientes com câncer colorrectal em quimioterapia

Botelho¹,

Pereira²

2015

Estudos De Psicologia

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ResumoEste estudo avaliou as relações entre a qualidade de vida, otimismo, enfrentamento, morbidade psicológica e estresse familiar, os preditores da qualidade de vida e da morbidade psicológica e analisou as diferenças nestas variáveis em função do sexo, do tipo e da duração do tratamento, idade e nível de escolaridade em pacientes com câncer colorretal. Uma amostra de 100 pacientes em tratamento de quimioterapia participou no estudo. Os resultados revelaram que as mulheres, os pacientes diagnosticados nos últimos 12 meses e os que realizaram cirurgia/quimioterapia apresentam maior risco de desenvolver morbidade psicológica. A depressão mostrou ser um preditor da qualidade de vida. A idade e a escolaridade mostraram ser relevantes particularmente ao nível das estratégias de enfrentamento utilizadas e na qualidade de vida. Os resultados enfatizam a necessidade das intervenções focarem a morbidade, otimismo e ter em consideração o gênero, a duração do diagnóstico e o tipo de tratamento, em particular.Palavras-chave: qualidade de vida; otimismo; enfrentamento; estresse, câncer. AbstractQuality of life, optimism, coping, psychological morbidity and family stress in patients with colorectal cancer receiving chemotherapy. This study examined the relationships among quality of life, optimism, coping, psychological morbidity and family stress, the predictors of quality of life as well as differences in these variables according to gender, type and duration of treatment, age and education level in patients with colorectal cancer. A sample of 100 patients undergoing chemotherapy participated in this study. Results showed that women, patients diagnosed in the past twelve months and those who underwent surgery/chemotherapy presented more psychological morbidity. Psychological morbidity was found to be a predictor of quality of life. Age and level of education showed to be relevant particularly regarding the use of coping strategies and quality of life.The results emphasize the need for interventions to focus on morbidity, optimism and take into account gender, duration of diagnosis and type of treatment in particular.Keywords: quality of life; optimism; coping; stress; cancer. ResumenCalidad de vida, optimismo, afrontamiento, estrés psicológico y morbilidad en pacientes con cáncer colorrectal en quimioterapia, Este estudio evaluó la relación entre la calidad de vida, el optimismo, el afrontamiento, la morbilidad psicológica, estrés familiar, los predictores de la calidad de vida y há analizado las diferencias en estas variables por sexo, el tipo y la duración del tratamiento, la edad y nivel de educación en pacientes con cáncer colorrectal. Una muestra de 100 pacientes a recibir quimioterapia participaron en el estudio. Los resultados revelaron que las mujeres, los pacientes diagnosticados en los últimos 12 meses y los que se sometió a cirugía/quimioterapia están en mayor riesgo de desarrollar morbilidad psicológica. La depresión demostró ser un predictor de la calidad de vida. La edad y la educación demostraron ser especi...

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“…[2][3] Estudos têm abordado a prevalência da ansiedade durante o tratamento oncológico, [4][5][6] e evidenciado que cerca de 10 a 20% dos pacientes, antes da realização da radioterapia, apresentam sintomas relativos à doença, como nervosismo, inquietação, palpitações, tremores, sentimento de morte iminente e medo. 7 Considerando que a ansiedade está presente durante o tratamento radioterápico, tornam-se relevantes estudos direcionados a identificar, orientar e proporcionar o alívio dessa sensação nos pacientes e seus familiares, o que implica desafios no cotidiano assistencial, com vistas a fundamentar ações específicas voltadas a essa população.…”

Section: Introductionunclassified

Ligações telefônicas para manejo da ansiedade de pacientes em tratamento radioterápico e de seus familiares

et al. 2016

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RESUMO: Objetivo: Descrever a avaliação que pacientes oncológicos e seus familiares fazem sobre ligações telefônicas realizadas com vistas a reduzir a ansiedade durante o tratamento radioterápico. Método: Estudo descritivo e exploratório, de abordagem quantiqualitativa, realizado em um ambulatório de radioterapia de um hospital de ensino do Rio Grande do Sul/Brasil. Participaram 20 pacientes que iniciaram o tratamento radioterápico e 20 familiares. Foi realizada uma entrevista para a coleta dos dados. A análise dos dados ocorreu por meio de organização em categorias e análise estatística descritiva. Resultados: A maioria dos pacientes e familiares apresentou ansiedade moderada no início do tratamento radioterápico, e avaliaram como importante o recebimento de ligações telefônicas para amenizar a ansiedade, uma vez que os sentimentos de tranquilidade e de estímulo/encorajamento foram propiciados pelos contatos. Considerações finais: As ligações telefônicas repercutiram positivamente na sensação de alívio da ansiedade dos pacientes em tratamento radioterápico e de seus familiares. Descritores: Telefone; Ansiedade; Neoplasias; Família; Enfermagem.ABSTRACT: Aim: To describe the evaluation that cancer patients and their families make about the telephone calls made in order to reduce their anxiety during radiotherapy treatment. Method: a descriptive and exploratory study of quantitative and qualitative approach, performed in a radiotherapy clinic of a teaching hospital in Rio Grande do Sul/Brazil. Twenty patients who started radiotherapy participated and also 20 families. An interview was conducted for data collection . Data analysis occurred through an organization into categories 1

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Anxiety, depression, traumatic stress and quality of life in colorectal cancer after different treatments: A study with Portuguese patients and their partners

Abstract: This study highlights the importance of providing psychological interventions for cancer patients and their partners. Chemotherapy patients and those diagnosed over a year, as well as their partners, are more at risk.

Cited by 88 publications

References 31 publications

Patient and Clinical Variables Account for Changes in Health-related Quality of Life and Symptom Burden as Treatment Outcomes in Colorectal Cancer: A Longitudinal Study

Patient and Clinical Variables Account for Changes in Health-related Quality of Life and Symptom Burden as Treatment Outcomes in Colorectal Cancer: A Longitudinal Study

Qualidade de vida, otimismo, enfrentamento, morbidade psicológica e estresse familiar em pacientes com câncer colorrectal em quimioterapia

Ligações telefônicas para manejo da ansiedade de pacientes em tratamento radioterápico e de seus familiares

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