Prevalence and prognostic implications of psychological distress in patients with gastric cancer

Kim, Gun Min; Kim, Seung Jun; Song, Seung Hwan; Kim, Hye Ryun; Kang, Bada; Noh, Sung Hoon; Chung, Hyun Cheol; Kim, Kyung Ran; Rha, Sun Young

doi:10.1186/s12885-017-3260-2

Cited by 112 publications

(129 citation statements)

References 24 publications

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“…This could underline that the intensity of fear is not linearly associated with the “objective danger” the individual is in. Results from other studies are mixed, but none have reported a higher risk for being in distress in stage I compared with stage II or III …”

Section: Discussionmentioning

confidence: 87%

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: Discussionmentioning

confidence: 87%

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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“…It appears important to target EC in psychosocial interventions in the early cancer pathway to decrease the anxiety and depression symptoms of patients. This seems particularly essential for gastric and esophageal cancer patients who report a high preoperative and postoperative prevalence of emotional distress and poor survival rates . Moreover, emotional distress is associated with a poorer survival in gastric cancer patients related to treatment noncompliance .…”

Section: Discussion‐conclusionmentioning

confidence: 99%

“…This seems particularly essential for gastric and esophageal cancer patients who report a high preoperative and postoperative prevalence of emotional distress and poor survival rates . Moreover, emotional distress is associated with a poorer survival in gastric cancer patients related to treatment noncompliance . Interventions based on EC can improve EC and its beneficial effects .…”

Section: Discussion‐conclusionmentioning

confidence: 99%

The role of trait emotional intelligence in quality of life, anxiety and depression symptoms after surgery for esophageal or gastric cancer: A French national database FREGAT

et al. 2019

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Objective The main objective was to test the indirect effects of emotional competence (EC) after diagnosis (T1) on the health‐related quality of life (HRQoL) after surgery (T2) of esogastric cancer patients via fewer anxiety and depression symptoms (T2). Methods Data were collected from 30 French centers via the clinicobiological database French EsoGastric Tumors (FREGAT). Two hundred and twenty‐eight participants completed a self‐reported questionnaire at T1 and T2, assessing their EC (Profile of Emotional Competence (PEC)), HRQoL (EORTC Quality of Life Questionnaire‐Core (QLQ‐C30)), and anxiety and depression symptoms (Hospital Anxiety and Depression Scale (HADS)). Regression analyses were used to test the direct effects of intrapersonal and interpersonal EC on their anxiety/depression symptoms and HRQoL at T1 and T2. The PROCESS Macro in SPPS v.22 with bootstrap methods was used to test the indirect effects of intrapersonal and interpersonal EC at T1 on HRQoL at T2 via anxiety and depression symptoms. Results EC predicted fewer anxiety and depression symptoms of patients at T1 and T2 and better HRQoL at T1. EC at T1 also predicted a better HRQoL at T2 via fewer anxiety and depression symptoms at T2. Conclusions Patients who tended to use their EC in daily life could be more effective in regulating the emotional impact of the cancer diagnosis and surgery. This explains why they reported fewer anxiety and depression symptoms, which in turn enabled a better perceived HRQoL after surgery. Therefore, reinforcing the use of patients' EC in daily life following their diagnosis could decrease their emotional distress and, in this way, improve their HRQoL in the preoperative and postoperative stages.

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“…Sephton et al (2009) found that the more depressive symptoms in women with BC, the higher immunosuppression was. Similarly, Kim et al (2017) found that the presence of psychological problems correlated with lower survival than the absence of said issues in patients with stages I-III gastric cancer (60% vs. 76%, respectively). Additionally, emotional distress in patients with cancer may confer a worse prognosis (Rieke et al, 2017) since, as distress increases, coping deteriorates, therapeutic compliance worsens (Conley, Bishop, & Andersen, 2016;Greer, Pirl, Park, Lynch, & Temel, 2008), and the risk of disease progression or recurrence grows (Pinquart & Duberstein, 2010;Satin, Linden, & Phillips, 2009).…”

Section: Discussionmentioning

confidence: 86%

Emotional functioning to screen for psychological distress in breast and colorectal cancer patients prior to adjuvant treatment initiation

et al. 2019

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Introduction The objective was to analyze the usefulness of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC‐QLQ‐C30) EF subscale to detect emotional problems in patients with breast (BC) and colorectal cancer (CRC). Methods A prospective, observational, cross‐sectional study was conducted. Participants completed the Brief Symptom Inventory (BSI) and EORTC‐QLQ‐C30. The following psychometric properties were calculated: accuracy, sensitivity, positive predictive value, specificity and negative predictive value. Results The sample analyzed included 445 patients: 202 with BC and 243 with CRC. In total, 129 BC patients (64%) and 104 CRC patients (43%) suffered psychological distress according to the BSI. The accuracy of EORTC‐QLQ‐C30 EF in detecting psychological distress was 77% and 82% in BC and CRC respectively. Specificity rates for BC and CRC were 81% and 82%, and sensitivity was 75% and 82% respectively. Positive predictive value was 87% and 77%, and negative predictive value was 65% and 86% in BC and CRC respectively. The mean AUC for BC was 0.83 and 0.88 for CRC. Conclusions The EORTC‐QLQ‐C30 EF is useful for rapid screening. The systematic application of this scale would allow patients with cancer and emotional problems to be easily identified in clinical practice.

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Prevalence and prognostic implications of psychological distress in patients with gastric cancer

Cited by 112 publications

References 24 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

The role of trait emotional intelligence in quality of life, anxiety and depression symptoms after surgery for esophageal or gastric cancer: A French national database FREGAT

Emotional functioning to screen for psychological distress in breast and colorectal cancer patients prior to adjuvant treatment initiation

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