Psychological distress and associated factors among Palestinian advanced cancer patients: A cross-sectional study

Abu‐Odah, Hammoda; Molassiotis, Alex; Zhao, Ivy Yan; Su, Jing; Allsop, Matthew J.

doi:10.3389/fpsyg.2022.1061327

Cited by 11 publications

(3 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Lung cancer is the second most commonly diagnosed cancer in Palestine, comprising 11.4% of the total cancers ( 58 ). The fragile Palestinian HCS, shortage of healthcare professionals ( 59 ), and limited resources impede achieving optimal cancer services and meeting the needs of cancer patients, including lung cancer ( 60 , 61 ). Furthermore, Palestinian patients with lung cancer are unfortunately diagnosed at a late stage, and they experience shortness of breath, coughing up blood, and severe chest pain ( 62 ).…”

Section: Discussionmentioning

confidence: 99%

A distress thermometer with a cutoff score of ≥ 6 is the optimal point to identify highly distressed patients with advanced cancer stages in resource-limited countries without palliative care services

Abu‐Odah

Molassiotis²,

Liu³

2023

Front. Oncol.

Self Cite

View full text Add to dashboard Cite

PurposeAlthough the distress thermometer (DT) scale has been widely validated and used in different cancer types and settings, an optimal cutoff score of DT is not defined to screen advanced cancer patients. The study aimed to define the optimal DT’s cutoff score among advanced cancer patients in resource-limited countries without palliative care services and to assess the prevalence and factors associated with psychological distress among this population.MethodsA secondary analysis was performed. Three hundred seventy-nine patients were recruited from Palestine. Participants completed the DT and the Hospital Anxiety and Depression Scale (HADS). Receiver operating characteristic analysis (ROC) was used to define the optimal cutoff score for the DT against HADS-Total ≥15. Multiple logistic regression was utilized for identifying the factors associated with psychological distress of the DT.ResultsA DT cutoff score ≥ 6 correctly identified 74% of HADS distress cases and 77% of HADS non-distress cases, with a positive predictive value (PPV) and negative predictive value (NPV) of 97% and 18%, respectively. The prevalence of distress was found to be 70.7%, and the major sources of distress were related to physical (n = 373; 98.4%) and emotional problems (n = 359; 94.7%). Patients with colon (OR = 0.44, 95% CI: 0.31 – 0.62) and lymphoid cancers (OR = 0.41, 95% CI: 0.26 – 0.64) were less likely to have psychological distress than patients with other types of cancer, whereas patients with lung (OR = 1.80, 95% CI: 1.20 – 2.70) and bone cancers (OR = 1.75, 95% CI: 1.14 – 2.68) were more likely to experience it.ConclusionA cutoff DT score of 6 appeared acceptable and effective for screening distress in patients with advanced cancer stages. Palestinian patients exhibited a high level of distress, and the high prevalence supports the argument of using a DT within the standard delivery of cancer care to identify highly distressed patients. These highly distressed patients should then be involved in a psychological intervention programme.

show abstract

Section: Discussionmentioning

confidence: 99%

A distress thermometer with a cutoff score of ≥ 6 is the optimal point to identify highly distressed patients with advanced cancer stages in resource-limited countries without palliative care services

Abu‐Odah

Molassiotis²,

Liu³

2023

Front. Oncol.

Self Cite

View full text Add to dashboard Cite

show abstract

“…Hammoda Abu-Odah and colleagues (2022) studied in 366 cancer patients and found that the main causes of distress include: physical concerns (n = 355, accounting for 98.3%), emotional concerns (n = 341, accounting for 94.5%) and practical concerns (n = 308, accounting for 85.3%) [8]. In Jennifer Smith's study: out of 290 screenings with DT score ≥ 4, 109 were related to practical concerns (treatment decisions: 23%; insurance -finance: 23%; transportation: 22%; workplace -school: 19%; housing: 19%); 75 turns related to family issues; 206 visits were related to emotional problems (including 39% anxiety, 35% depression, 28% fear and 2% sadness) [4].…”

Section: Score Of Distress and Source Of Distressmentioning

confidence: 99%

Evaluation of Emotional Distress in a Cohort of Newly Diagnosed Cancer Patients: A Study of 67 Individuas

Dang Thi Huong,

Vu Do Thao,

Nguyen Trong Hoa

et al. 2024

TC YHQS

View full text Add to dashboard Cite

Purpose: To evaluate distress in newly diagnosed cancer patients. Subjects and Methods: Cross-sectional prospective study of 67 newly diagnosed patients at the Department of Pain management and Palliative Care, 108 Military Central Hospital, from August to October 2023. The patient's level of distress was assessed by the Distress Thermometer - DT and the Problem List (PL) of NCCN February 2022, Vietnamese version. Results: The average distress score among newly diagnosed cancer patients was 4.42 ± 2.237, with 3% reporting no distress, 44.8% experiencing mild distress, and 52.2% reporting moderate to severe distress (≥ 4 points). Common sources of distress among the participants included physical discomfort (94.0%), with 73.1% reporting sleep problems and 71.6% experiencing fatigue. Emotional challenges were prevalent as well (91.0%), with 49.3% reporting feelings of sadness and 47.8% experiencing anxiety. Additionally, concerns regarding self-care (53.7%) and financial worries (43.3%) were notable contributors to distress, accounting for 76.1% of the participants' concerns overall. The rate of moderate and severe distress in newly diagnosed cancer patients were statistically significantly related to age (more prevalent in patients under 60), gender (higher in females) education level (more in those with secondary school education or less), income (higher in those with below-average incomes), health insurance benefits (higher in patients with less comprehensive coverage).

show abstract

“…Cancer survivorship, defined as living with the challenges of cancer diagnosis and treatment, has significant emotional and social implications ( Cohen, 2014 ; Goldblatt et al, 2016 ; Granek et al, 2019 ; Abu-Odah et al, 2022 ). Furthermore, BC, a disease predominantly affecting women, presents distinctive challenges in terms of their psychological well-being.…”

Section: Introductionmentioning

confidence: 99%

Values and their relationship with emotion processing and physical and psychological symptoms among Jewish and Arab breast cancer survivors

Hebi,

Czamanski-Cohen,

Azaiza

et al. 2024

Front. Psychol.

View full text Add to dashboard Cite

IntroductionIndividuals from different cultures differ in their values, which encompass belief systems that individuals develop based on their culture, and play a pivotal role in shaping their perspectives. These values may affect emotion processing (EP): the recognition, interpretation, expression and response to bodily sensations, translated as emotions. These varying values may contribute to distinct emotional experiences, impacting physical and psychological symptoms in breast cancer (BC) survivors.MethodsThis cross-sectional study investigated how EP including acceptance, expression (avoidance and approach coping), and awareness, may mediate the relationship between conservation values and symptoms of pain, fatigue, and depression among Arab (n = 62) and Jewish (n = 179) women BC survivors in Israel. Conservation values include tradition, conformity, and security.ResultsDepression and fatigue were negatively correlated with acceptance of emotions, and positively correlated with avoidance and conservation levels. Emotion processing mediated the relationship between conservation and fatigue and depression. Arab women reported higher levels of various values, emotional acceptance, pain, fatigue, and depression symptoms compared to Jewish women. Conservation was higher in Arab women and correlated with both approach and avoidance coping which was not the case in Jewish women. Avoidance coping had a positive relationship with fatigue in the Jewish, but not the Arab women. Similarly, approach coping was negatively related to depression in Jewish, but not in Arab women.DiscussionCultural differences are important for understanding the experience of cancer in individuals from different cultures. Future interventions for more conservative BC survivors should take culture into account.

show abstract

Psychological distress and associated factors among Palestinian advanced cancer patients: A cross-sectional study

Cited by 11 publications

References 54 publications

A distress thermometer with a cutoff score of ≥ 6 is the optimal point to identify highly distressed patients with advanced cancer stages in resource-limited countries without palliative care services

A distress thermometer with a cutoff score of ≥ 6 is the optimal point to identify highly distressed patients with advanced cancer stages in resource-limited countries without palliative care services

Evaluation of Emotional Distress in a Cohort of Newly Diagnosed Cancer Patients: A Study of 67 Individuas

Values and their relationship with emotion processing and physical and psychological symptoms among Jewish and Arab breast cancer survivors

Contact Info

Product

Resources

About