Emotional Problems, Quality of Life, and Symptom Burden in Patients With Lung Cancer

Morrison, Eleshia J. P.; Novotny, Paul J.; Sloan, Jeff A.; Yang, Ping; Patten, Christi A.; Ruddy, Kathryn J.; Clark, Matthew M.

doi:10.1016/j.cllc.2017.02.008

Cited by 178 publications

(155 citation statements)

References 56 publications

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“…The association of female gender with distress is in accordance with a range of other studies . We found no evidence for an association of education or employment status with distress, the latter with the caveat that there were only a few unemployed participants in the study sample.…”

Section: Discussionsupporting

confidence: 91%

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Psychological distress in lung cancer survivors at least 1 year after diagnosis—Results of a German multicenter cross‐sectional study

et al. 2018

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Objective Despite the high incidence of lung cancer, little is known about distress in lung cancer survivors and patients who have survived diagnose for at least 1 year. We investigated distress prevalence and associated factors. Methods We performed a multicenter (n = 6 hospitals) cross‐sectional study. Data were collected using medical records, questionnaires, and a telephone interview. Distress was measured with the Patient Health Questionnaire (PHQ‐4). Odds ratios (OR) for factors potentially associated with distress were calculated using multivariable logistic regression. Results We included 561 complete case participants with a mean time since diagnosis of 4.4 years. Nineteen percent of them reported depression and 19% anxiety; 26% had 1 or both. Woman had nearly 2‐times the odds of being distressed than men (OR 1.92). Participants with UICC stage II or III at diagnosis had lower odds of being distress compared with stage I (ORs 0.41, 0.44). Participants in current treatment were less likely to be anxious or depressed than those off treatment (OR 0.32). Those with self‐reported progressing disease had 3‐times the odds of distress than people in complete remission (OR 3.00). Time since diagnosis, pain, dyspnea, lung cancer stigma as well as decreased physical functioning were related to increased distress (ORs per unit increase 0.90, 1.02, 1.03, 1.05, and 0.9, respectively). Conclusions With a quarter of patients affected, psychological distress is a common problem in this population. Being off treatment does not imply less distress. People with poor physical functioning and pain are especially affected. Treating these symptoms is therefore very important.

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Section: Discussionsupporting

confidence: 91%

“…The 3 scales showed strong associations with distress. This corresponds with the literature and highlights once again the importance of symptom treatment. Time since diagnosis was also associated with distress as well as the self‐reported disease status.…”

Section: Discussionsupporting

confidence: 89%

Psychological distress in lung cancer survivors at least 1 year after diagnosis—Results of a German multicenter cross‐sectional study

et al. 2018

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“…In our study, older and male patients were more likely to experience high death acceptance than younger and female patients . This is consistent with the common finding of higher psychological distress among younger women . Other studies showed that male cancer patients were more likely to use avoidant coping strategies, even though they were as distressed as women .…”

Section: Discussionsupporting

confidence: 91%

Characterizing death acceptance among patients with cancer

Philipp

Mehnert

et al. 2019

Psycho-Oncology

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Objective Death acceptance may indicate positive adaptation in cancer patients. Little is known about what characterizes patients with different levels of death acceptance or its impact on psychological distress. We aimed to broaden the understanding of death acceptance by exploring associated demographic, medical, and psychological characteristics. Methods At baseline, we studied 307 mixed cancer patients attending the University Cancer Center Hamburg and a specialized lung cancer center (age M = 59.6, 69% female, 69% advanced cancer). At 1‐year follow‐up, 153 patients participated. We assessed death acceptance using the validated Life Attitude Profile–Revised. Patients further completed the Memorial Symptom Assessment Scale, the Demoralization Scale, the Patient Health Questionnaire, and the Generalized Anxiety Disorder Questionnaire. Statistical analyses included multinomial and hierarchical regression analyses. Results At baseline, mean death acceptance was 4.33 (standard deviation [SD] = 1.3, range 1‐7). There was no change to follow‐up (P = 0.26). When all variables were entered simultaneously, patients who experienced high death acceptance were more likely to be older (odds ratio [OR] = 1.04; 95% confidence interval [CI], 1.01‐1.07), male (OR = 3.59; 95% CI, 1.35‐9.56), widowed (OR = 3.24; 95% CI, 1.01‐10.41), and diagnosed with stage IV (OR = 2.44; 95% CI, 1.27‐4.71). They were less likely to be diagnosed with lung cancer (OR = 0.20; 95% CI, 0.07‐0.58), and their death acceptance was lower with every month since diagnosis (OR = 0.99; 95% CI, 0.98‐0.99). High death acceptance predicted lower demoralization and anxiety at follow‐up but not depression. Conclusions High death acceptance was adaptive. It predicted lower existential distress and anxiety after 1 year. Advanced cancer did not preclude death acceptance, supporting the exploration of death‐related concerns in psychosocial interventions.

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“…Both groups found that problems with sleep, tingling in hands/feet, pain, and pruritus were all reported in more than 20% of women. Correlates of physical symptom burden are also comparable to studies of other breast cancer cohorts and other cancer types . Our findings are also consistent with data that suggest that Latino women express greater symptom burden relative to black/women .…”

Section: Discussionsupporting

confidence: 89%

Prevalence of physical problems detected by the distress thermometer and problem list in patients with breast cancer

et al. 2018

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Emotional Problems, Quality of Life, and Symptom Burden in Patients With Lung Cancer

Cited by 178 publications

References 56 publications

Psychological distress in lung cancer survivors at least 1 year after diagnosis—Results of a German multicenter cross‐sectional study

Psychological distress in lung cancer survivors at least 1 year after diagnosis—Results of a German multicenter cross‐sectional study

Characterizing death acceptance among patients with cancer

Prevalence of physical problems detected by the distress thermometer and problem list in patients with breast cancer

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