Depression and anxiety in palliative care inpatients compared with those receiving palliative care at home

Austin, Patricia; Wiley, Sharon; McEvoy, Peter M.; Archer, Leigh

doi:10.1017/s1478951511000411

Cited by 31 publications

(22 citation statements)

References 53 publications

(68 reference statements)

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“…These findings in Chinese patients with cancer are consistent with the previously reported negative correlation between the length or duration of cancer pain and psychological distress3637. The predictive role of performance status (PS) in anxiety and depression in patients with cancer has been identified333839. PS is often recognized as a functional capacity index that is not only related to patients’ age and disease stage, but also with the concurrence of symptoms.…”

Section: Discussionsupporting

confidence: 86%

Psychological distress and cancer pain: Results from a controlled cross-sectional survey in China

Xiao

Yang

et al. 2017

Sci Rep

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We evaluated the pain associated with cancer and its impact on pain management, anxiety, and depression in Chinese patients using a controlled cross-sectional study. One hundred and twenty-six cancer outpatients were evaluated from January 2012 to June 2014; 64 reported pain and 62 did not. Patients with cancer eligible for this study were older than 18 years and able to effectively communicate with medical personnel. Patients were administered a questionnaire regarding their medical status. The information collected was used along with patient charts to complete a socio-demographic and clinical characteristic summary for each patient. Results showed that patients who reported pain had mean State-Trait Anxiety Inventory (STAI) scores of 46.38 for state anxiety and 44.64 for trait anxiety, as well as a mean BDI (Beck Depression Inventory) score of 19.17. The pain-free patient group had mean STAI scores of 40.73 for state anxiety and 42.87 for trait anxiety, and a mean BDI score of 15.35. In conclusion, patients who reported pain were more prone to anxiety and depression, with pain severity being a strong predictor of anxiety. Adequate pain assessment and adjustment proved necessary for pain management.

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Section: Discussionsupporting

confidence: 86%

Psychological distress and cancer pain: Results from a controlled cross-sectional survey in China

Xiao

Yang

et al. 2017

Sci Rep

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“…However, several studies show increased risk of mental disorders among older people (Buigues et al, ; Drageset, Eide, & Ranhoff, ; Landi et al, ; Mystakidou et al, ). For example, many studies showed that higher age is associated with lower anxiety levels (Austin, Wiley, McEvoy, & Archer, ; Linden et al, ; Wochna Loerzel, ). Other studies showed that higher age is a risk factor for depression (Cardoso et al, ; Fujisawa et al, ).…”

Section: Discussionmentioning

confidence: 99%

Pain, fatigue, anxiety and depression in older home‐dwelling people with cancer

et al. 2019

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AimGlobally, cancer incidence counts for more than 14 million cases and the number increases with age. The aim of this study was to investigate the occurrence of pain, fatigue, anxiety and depression in association with demographic and clinical factors.DesignA cross‐sectional descriptive design was used.MethodsWe performed descriptive statistics to analyse the questionnaires completed from 174 older home‐dwelling people with cancer.ResultsThe people with cancer reported low occurrence of pain, fatigue, anxiety and depression. We found strong correlation between anxiety and depression. Women reported significantly higher scores of anxiety and depression than men. A higher pain score was associated with higher scores of fatigue and anxiety.ConclusionsHome care personnel meeting older home‐dwelling people with cancer should emphasize these people’ mental health problems and be aware that pain, fatigue and anxiety may occur at the same time.

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“…Estima-se que 35% a 45% de idosos internados por problemas somáticos apresentam sintomas depressivos [1][2][3] , enquanto pacientes adultos não idosos apresentam esse quadro em 20% dos casos quando hospitalizados 4,5 . Por outro lado, é de 15% a prevalência de sintomas depressivos em idosos não hospitalizados 6 .…”

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Associação entre sintomatologia depressiva e óbito hospitalar em idosos

Sousa-Muñoz

Fernandes

Nascimento

et al. 2013

J. bras. psiquiatr.

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rESUMo objetivo: Avaliar se a presença de sintomas depressivos associa-se a uma evolução hospitalar desfavorável (aumento da permanência e mortalidade hospitalar), independente da capacidade funcional. Método: Coorte prospectivo em pacientes idosos internados nas enfermarias de Clínica Médica do Hospital Universitário Lauro Wanderley (HULW), avaliados em dois momentos (segundo dia de internação e na alta). Os instrumentos utilizados foram a Escala de Depressão Geriátrica, versão breve (EDG-15) e Índice de Barthel para Incapacidade em Atividades da Vida Diária (IBAIVD). resultados: A idade dos 100 pacientes variou entre 60 e 96 anos (69,47 ± 7,45). A mortalidade hospitalar relacionou-se com os escores da EDG-15 da internação (p = 0,001). Observou-se correlação entre os escores da EDG-15 e IBAIVD no início (p = 0,008) e final da internação (p = 0,01), verificando-se correlações lineares inversas (p = -0,30), porém de magnitudes fracas (p = -0,30 e p = -0,28, respectivamente). Conclusão: Sintomatologia depressiva associou-se à maior mortalidade, independente da capacidade funcional. Ressalta-se a importância da avaliação da sintomatologia depressiva nos idosos internados. Novos estudos e análises prospectivas poderão oferecer mais indicadores sobre esse problema de pesquisa. aBStraCt objective: Evaluate whether the depressive symptoms are associated to an unfavorable hospital course (increased hospital stay and mortality), independent of the functional capacity. Method: Cohort-longitudinal and the inpatients in Medical Clinical on University Hospital Lauro Wanderley were submitted to interview in 2 nd and in the day of hospital discharge. The GDS-15 (Geriatric Depression Scale) was utilizated to assess the depressive symptoms and the Barthel Indice to assess the disability in Activities of Daily Living. results: The age of hundred patients were between 60 to 96 years (69.47 ± 7.45). The hospital mortality was associated at the beginning of hospitalization (p = 0.001). Correlation was observed between the scores of the GDS-15 and IBAIVD early (p = 0.008) and end of hospitalization (p = 0.01), verifying inverse linear correlation (p = -0.30), but the magnitudes weak (p = -0.30 and p = -0.28 respectively). Conclusion: Depressive symptoms were associated with higher mortality, independent of functional capacity. It emphasizes the importance of assessing depressive symptoms in the elderly in hospitals. New studies and prospective analyzes may provide more indicators for the understanding of this research problem.

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Depression and anxiety in palliative care inpatients compared with those receiving palliative care at home

Cited by 31 publications

References 53 publications

Psychological distress and cancer pain: Results from a controlled cross-sectional survey in China

Psychological distress and cancer pain: Results from a controlled cross-sectional survey in China

Pain, fatigue, anxiety and depression in older home‐dwelling people with cancer

Associação entre sintomatologia depressiva e óbito hospitalar em idosos

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