Depression, Anxiety, and Quality of Life in Patients with Epithelial Ovarian Cancer

Bodurka, Diane C.; Basen-Engquist, Karen; Carmack, Cindy L.; Fitzgerald, M. A.; Wolf, Judith K.; Moor, Carl de; Gershenson, David M.

doi:10.1006/gyno.2000.5908

Cited by 262 publications

(229 citation statements)

References 19 publications

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“…Worse performance status was associated with increased levels of psychological distress in one good study [15] and one poor study [5], although one average study [21] found no relationship between Karnofsky performance status and levels of depression/anxiety. This suggests inconclusive evidence for a relationship between Karnofsky performance status and levels of psychological distress.…”

Section: Resultsmentioning

confidence: 91%

“…One factor constantly associated with increased levels of distress in ovarian cancer patients included younger age, where evidence was found in five good studies [3,4,15,16,26] and one average study [21]. In contrast, one average study [28] found no relationship between age and depressive symptoms in ovarian cancer survivors, and one good study [25] found lower levels of distress in women under 45 years old.…”

Section: Resultsmentioning

confidence: 99%

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Psychological distress and its correlates in ovarian cancer: a systematic review

2008

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Objective: Ovarian cancer is often diagnosed at an advanced stage, and consequently high levels of distress are often experienced. It is necessary to understand the factors associated with psychological distress in order to guide interventions to target those factors. The purpose of this systematic review was therefore to identify correlates of psychological distress in ovarian cancer.Methods: Included studies had to be quantitative and empirical, with standardized measures of psychological distress (anxiety or depression), and to present results for ovarian cancer patients specifically. Standard systematic search methods were used. Information about design, ovarian cancer sample size, disease stage, time since diagnosis, measures of distress used and findings was extracted from each study. The studies were quality assessed using experimenterdefined criteria as good, average and poor quality. Strength of the evidence (strong, some, inconclusive) was based on the quality and consistency of findings.Results: Eighteen studies meeting the inclusion criteria were identified. There was strong evidence for a relationship between younger age, being diagnosed with more advanced disease, more physical symptoms and shorter time since diagnosis with increased levels of anxiety and/ or depression. Additional factors (e.g. immune) tested in a few studies also emerged as correlates of distress.Conclusions: Demographic, disease and quality of life factors correlated with distress. However, too few studies assessed possible psychological and immunological correlates, which could be potentially modified and should be assessed in future studies.

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Section: Resultsmentioning

confidence: 91%

Section: Resultsmentioning

confidence: 99%

Psychological distress and its correlates in ovarian cancer: a systematic review

2008

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“…a decline of anxiety levels when undergoing chemotherapy, could be due to the high overall performance status of the current patient sample (71% ECOG Performance Status Grad 0). This clinical characteristic has been shown to be associated with low anxiety (Bodurka-Bevers et al, 2000), possibly because such patients do not develop as many side-effects as patients with lower performance status. Another explanation for the observed developments might be adaption: after the initial fear of unfamiliar treatment procedures, patients became more acquainted with chemotherapy, reducing anxieties.…”

Section: Discussionmentioning

confidence: 99%

Trajectories and predictors of state and trait anxiety in patients receiving chemotherapy for breast and colorectal cancer: Results from a longitudinal study

Schneider

Kotronoulas

Papadopoulou

et al. 2016

European Journal of Oncology Nursing

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“…Younger patients' overall quality of life and particularly, psychological and spiritual wellbeing scores were found to be lower and this finding is consistent with prior findings. Although younger age at diagnosis is associated with better physical functioning (Champion et al, 2007), young ovarian cancer patients have lower quality of life scores when compared with older patients (Bodurka-Bevers et al, 2000;von Gruenigen et al, 2010). Consistent with our findings, previous studies have also reported that number of chemotherapy cycles and duration of cancer significantly positively associated with cancer patients' quality of life.…”

Section: Discussionmentioning

confidence: 99%

Coping and Quality of Life in Turkish Women Living with Ovarian Cancer

Tuncay¹

2014

Asian Pacific Journal of Cancer Prevention

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Background: This study investigated the utilization of both problem and emotion focused coping strategies and their association with aspects of quality of life among Turkish women with ovarian cancer undergoing chemotherapy. Materials and Methods: The convenience sample consisted of 228 patients in all disease stages. The data were collected using the brief COPE, QOL-Cancer patient tool, sociodemographic sheet, and medical variables were gathered from patients' medical charts. Results: Findings reveal that quality of life is moderately high for this group of cancer patients, despite some specific negative facets of the illness and treatment experience. Acceptance, emotional support and religion were the most frequently used problem-focused coping strategies and self-distraction, venting and behavioral disengagement were the most frequently used emotion-focused coping strategies reported by patients. Overall quality of life and, particularly, psychological and spiritual wellbeing scores of younger patients were lower. Patients reported using significantly more problem-focused coping than emotion-focused coping, and more problem-focused and less emotion-focused coping predicted greater quality of life. Problem-focused coping was related to patients' physical and spiritual well-being and emotionfocused coping was related inversely with psychological and social well-being. Conclusions: Coping strategies are influential in patient quality of life and their psychosocial adaptation to ovarian cancer. Psycho-oncology support programs are needed to help patients to frequent use of problem-focused coping and reduce emotionfocused coping strategies to improve overall quality of life.

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Depression, Anxiety, and Quality of Life in Patients with Epithelial Ovarian Cancer

Cited by 262 publications

References 19 publications

Psychological distress and its correlates in ovarian cancer: a systematic review

Psychological distress and its correlates in ovarian cancer: a systematic review

Trajectories and predictors of state and trait anxiety in patients receiving chemotherapy for breast and colorectal cancer: Results from a longitudinal study

Coping and Quality of Life in Turkish Women Living with Ovarian Cancer

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