Depression, Hopelessness, and Desire for Hastened Death in Terminally Ill Patients With Cancer

Breitbart, William; Rosenfeld, Barry; Pessin, Hayley; Kaim, Monique; Funesti-Esch, Julie; Galietta, Michele; Nelson, Christian J.; Brescia, Robert

doi:10.1001/jama.284.22.2907

Cited by 908 publications

(764 citation statements)

References 28 publications

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“…24 Prostate cancer pain appears to be associated strongly with depressive symptoms, whereas fatigue induced by radiation therapy or hormonal therapy has not been associated consistently with increasing depression. 25 QOL studies have found few prostate treatment variables associated with depression. 26 Rather, major findings from these studies indicate that being older, being married, having high social support, being optimistic and having less impairment in physical functioning are associated with decreased risk of depression.…”

Section: Depression and Prostate Cancermentioning

confidence: 99%

Psychological aspects of prostate cancer: a clinical review

Sousa

Sonavane

Mehta

2012

Prostate Cancer Prostatic Dis

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Prostate cancer is the most common non-skin cancer in men. It is fraught with both physical and psychological symptomatology. Depression, anxiety, stress, fatigue, pain and psychosocial factors all affect the patient with prostate cancer. Impotence, erectile dysfunction, sexual issues and incontinence in these patients complicate matters further. Anxiety may exist both before testing and while awaiting test results. Confusion over choosing from various interventions often adds to anxiety and depression in these patients. Various demographic factors and the developmental stage of the couple affect these psychological symptoms. The caregiver may undergo significant psychological turmoil while caring for a patient diagnosed with prostate cancer, which is addressed. The role of nurses in the management of prostate cancer is discussed. The present review looks at psychological issues in patients with prostate cancer from a clinical perspective, with the aim of highlighting these issues for the clinical urologist dealing with these patients. It also explores the consultation --liaison relationship between psychiatrists, psychologists and urologists as a team for the multimodal management of prostate cancer.

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Section: Depression and Prostate Cancermentioning

confidence: 99%

Psychological aspects of prostate cancer: a clinical review

Sousa

Sonavane

Mehta

2012

Prostate Cancer Prostatic Dis

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“…Psychological distress has been correlated with lower quality of life [3,4,54,58], a desire to hasten death [5], and caregiver distress [30,50,57], as well as increased health-care utilization [15,22,33] and shorter survival [19,35,52]. Cancer patients with unresolved concerns are more distressed than those whose concerns are resolved [7,18,26,38].…”

Section: Introductionmentioning

confidence: 99%

“What concerns me is…” Expression of emotion by advanced cancer patients during outpatient visits

Anderson

Alexander

Rodriguez

et al. 2007

Support Care Cancer

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Objective-Cancer patients have high levels of distress, yet oncologists often do not recognize patients' concerns. We sought to describe how patients with advanced cancer verbally express negative emotion to their oncologists. Materials and methods-As part of the Studying Communication in Oncologist-PatientEncounters Trial, we audio-recorded 415 visits that 281 patients with advanced cancer made to their oncologists at three US cancer centers. Using qualitative methodology, we coded for verbal expressions of negative emotion, identified words patients used to express emotion, and categorized emotions by type and content.

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“…1,2 In response, various supportive psychosocial intervention strategies have been designed, tailored to the problems that cancer patients face during the course of their disease. [3][4][5][6] The extent to which cancer affects not only patients but also their closest relatives was first addressed in a seminal article published more than 20 years ago, in which House et al illustrated how several diseases can influence people close to the patient. 7 The mechanism of this effect may involve several interacting pathways: the event may cause stress in the partner; it might deprive the partner of emotional, social, and economic support; and it can influence the daily life and behavior of the partner.…”

mentioning

confidence: 99%

Increased risk of severe depression in male partners of women with breast cancer

Nakaya

Saito-Nakaya

Bidstrup

et al. 2010

Cancer

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BACKGROUND: A few small studies published to date have suggested that major psychosocial problems develop in the partners of cancer patients; however, to the authors' knowledge, no studies to date have addressed their risk for severe depression. In a retrospective cohort study, the risk for hospitalization with an affective disorder of the male partners of women with breast cancer was investigated, using unbiased, nationwide, population-based information. METHODS: Followed were 1,162,596 men born between 1925 and 1973 who were aged 30 years at study entry, resided in Denmark between 1994 and 2006, had no history of hospitalization for an affective disorder, and had lived continuously with the same partner for at least 5 years. A Cox regression analysis included detailed clinical information regarding the diagnosis and treatment of breast cancer and on annually updated socioeconomic and healthrelated indicators obtained from national administrative and disease registers. RESULTS: During the 13 years of follow-up, breast cancer was diagnosed in the partners of 20,538 men. On multivariable analysis, men whose partner was diagnosed with breast cancer were found to be at an increased risk of being hospitalized with an affective disorder (hazards ratio, 1.39; 95%confidence interval, 1.20-1.61), with a dose-response pattern for the severity of breast cancer. Furthermore, men whose partner died after breast cancer had a significant, 3.6-fold increase in risk for an affective disorder when compared with men whose partner survived breast cancer. CONCLUSIONS: The results of the current study supported the hypothesis that men whose partner had breast cancer were at an increased risk for hospitalization with an affective disorder. Cancer 2010;116:5527-34.

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Depression, Hopelessness, and Desire for Hastened Death in Terminally Ill Patients With Cancer

Cited by 908 publications

References 28 publications

Psychological aspects of prostate cancer: a clinical review

Psychological aspects of prostate cancer: a clinical review

“What concerns me is…” Expression of emotion by advanced cancer patients during outpatient visits

Increased risk of severe depression in male partners of women with breast cancer

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