Gender Differences in Psychological Distress in Patients with Colorectal Cancer and Its Correlates in the Northeast of Iran

Aminisani, Nayyereh; Nikbakht, Hossein-Ali; Shojaie, Layla; Jafari, Esmat; Shamshirgaran, Morteza

doi:10.1007/s12029-020-00558-x

Cited by 11 publications

(9 citation statements)

References 31 publications

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“…Moreover, we found that the proportion of GI patients with significant psychological distress was higher in females than in males. This finding was similar to other studies [ 29 , 30 ]. This may be attributed to the fact that when facing difficult situations, men usually present more positive attitudes and higher psychological flexibility, which were related to less psychological distress [ 31 ].…”

Section: Discussionsupporting

confidence: 94%

The psychological distress of gastrointestinal cancer patients and its association with quality of life among different genders

Cheng,

Xie,

Duan

et al. 2024

Support Care Cancer

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Background Psychological distress is a prevalent unpleasant experience faced by many cancer patients. However, the psychological distress among gastrointestinal (GI) cancer patients is scarcely explored. Moreover, the association between psychological distress and quality of life in different genders has yet to be explored. Aims To explore the psychological distress among GI cancer patients and examine its association with quality of life among different genders. Methods This study was a cross-sectional study. A total of 237 gastrointestinal cancer patients completed the distress thermometer and the Functional Assessment of Chronic Illness Therapy-General. Results The mean score of psychological distress of the participants was 3.04 (SD = 2.90). A greater proportion of female gastrointestinal cancer patients (52.8%) had clinically relevant psychological distress compared to males (35.9%). The quality of life was negatively associated with their psychological distress (B = − 1.502, 95%CI: − 2.759 to − 0.245, p = 0.019) among gastrointestinal cancer patients. Such association was stronger among males compared to females in gastrointestinal cancer patients (Interaction term, B = − 1.713, 95%CI: − 3.123 to − 0.303, p = 0.017). Conclusions These findings suggest that healthcare providers should attach their attention to gastrointestinal cancer patients’ psychological distress, especially females. Longitudinal studies could adopted to track the changes in psychological distress and its association with quality of life over time among different genders. In future intervention studies, the focus of psychological interventions needs to be gender-specific.

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Section: Discussionsupporting

confidence: 94%

The psychological distress of gastrointestinal cancer patients and its association with quality of life among different genders

Cheng,

Xie,

Duan

et al. 2024

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“…Recently, similar proportions of patients with malnutrition as determined by the PG-SGA score was also reported in populations of patients with advanced lung cancer, gastric cancer and esophageal cancer (86.7%, 71.6%, and 83.8%, respectively) [28][29][30]. Furthermore, the prevalence of depression was 58.5%, which is similar to the results of previous studies conducted in advanced lung cancer or colorectal cancer patients [31,32]. This suggests that there is a need to examine nutritional status and mental health to support the selection of interventions aimed at reducing the incidences of malnutrition and depression.…”

Section: Discussionsupporting

confidence: 85%

Nutritional status and depressive symptoms in patients with hepatocellular carcinoma undergoing transcatheter arterial chemoembolization: association with inflammation

Duan

Zhang

Wang

et al. 2022

Preprint

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Purpose: To evaluate whether there are relationships among nutritional status, depressive symptoms and inflammation in patients with hepatocellular carcinoma (HCC) undergoing transcatheter arterial chemoembolization (TACE).Methods: One hundred thirty patients with HCC undergoing TACE were recruited for this study. Nutritional status and depressive symptoms were assessed after TACE by using questionnaires derived from the Patient-Generated Subjective Global Assessment (PG-SGA) and Hospital Anxiety Depression Scale depression subscale (HADS-D), respectively. Systemic inflammation was evaluated using the systemic immune-inflammation index (SII), neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR).Results: A total of 89.2% of the patients were malnourished, and 58.5% of the patients presented with depressive symptoms. Poor nutritional status was significantly correlated with depressive symptoms (r=0.651, p<0.001), whereas no significant correlations were found between nutritional status and NLR (r=0.085, p=0.066), PLR (r=0.162, p=0.066), or SII (r=0.130, p=0.140). Depression was significantly correlated with PLR (r=0.294, p=0.001) and SII (r=0.197, p=0.024), but there was no correlation between depressive symptoms and NLR (p >0.05). A multiple linear regression model showed that the PG-SGA score (β=0.469 (95% CI: 0.351-0.586), p<0.01) was independently associated with depression symptoms, but there was no significant association between PLR and depression (β=0.003 (95% CI: -0.002-0.007)), p=0.230). There was no significant interaction effect of PG-SGA × PLR on depression (β=0.000 (95% CI: -0.001-0.001), p=0.596). A similar multiple linear regression model indicated no independent effect of a SII or PG-SGA × SII interaction on depression (β=0.000 (95% CI: -0.001-0.001), p=0.926, β = 0.000 (95% CI: 0.000-0.000), p=0.513), but PG-SGA was associated with depression (β=0.472 (95% CI: 0.353-0.591), p＜0.001).Conclusion: Depression was significantly correlated with nutrition, PLR and SII, although the potential mechanism underlying the correlation between nutritional status and depression is not clearly related to inflammation.

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“…The most prevalent form of gastrointestinal cancer and the second leading cause of cancer-related death in individuals, CRC is becoming more and more common 22 . The type of treatment received and the actual nature of the disease have an impact on the QOL of CRC patients.…”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life and related factors in patients with colorectal cancer in Iran: a systematic review

Naeimabadi,

Bana Derakhshan,

Rassouli

et al. 2024

Annals of Medicine &Amp; Surgery

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Introduction: This systematic review aims to examine the health-related quality of life (QOL) in Iranian patients with colorectal cancer (CRC) and its related factors. Methods: A thorough, systematic search was conducted in different international electronic databases, including Scopus, PubMed, Web of Science, and Persian electronic databases such as Iranmedex, and Scientific Information Database using keywords such as “Colorectal neoplasm”, “Colorectal tumors”, “Colorectal cancer”, “Quality of life”, and “Life quality” from the earliest to October 17, 2022. The quality of the studies included in this systematic review was evaluated by using the appraisal tool for cross-sectional studies (AXIS tool). Results: There were 820 CRC patients in the five cross-sectional studies that made up this systematic review. The mean score of QOL in patients with CRC was 61.99 (SD=15.87) out of 100 based on EORTC-QLQ-C30, which indicates a moderate to a good level of QOL. Factors such as age, gender, living condition, level of education, occupation, monthly income, living condition, health insurance, physical activity, performance status, and comorbidities had a significant relationship with QOL in patients with CRC. Conclusion: In sum, the findings of the five studies that were a part of this systematic review revealed that Iranian patients with CRC had a moderate to good QOL. Therefore, Managers and health policymakers can create psychological counseling programs with an emphasis on the factors affecting the QOL of patients in light of how crucial it is to raise patients’ understanding of the long-term impacts of CRC and how they affect their QOL.

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Gender Differences in Psychological Distress in Patients with Colorectal Cancer and Its Correlates in the Northeast of Iran

Cited by 11 publications

References 31 publications

The psychological distress of gastrointestinal cancer patients and its association with quality of life among different genders

The psychological distress of gastrointestinal cancer patients and its association with quality of life among different genders

Nutritional status and depressive symptoms in patients with hepatocellular carcinoma undergoing transcatheter arterial chemoembolization: association with inflammation

Health-related quality of life and related factors in patients with colorectal cancer in Iran: a systematic review

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