Psychological distress and cancer mortality

Hamer, Mark; Chida, Yoichi; Molloy, Gerard J.

doi:10.1016/j.jpsychores.2008.11.002

Cited by 246 publications

(191 citation statements)

References 12 publications

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“…10 The detrimental effect of stress on health has been established, as have the stress implications of poor health. [11][12][13][14][15] Therefore, fatigue is an integral part of the intertwined stress-health relationship. However, the causal role of fatigue in this relationship is unknown.…”

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confidence: 99%

The Causal Role of Fatigue in the Stress-Perceived Health Relationship: A MetroNet Study

Maghout-Juratli¹,

Janisse²,

Schwartz³

et al. 2010

The Journal of the American Board of Family Medicine

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Background: We conducted a cross-sectional survey of 4 primary care MetroNet centers in metropolitan Detroit. Our objective was to describe the causal role of fatigue in the relationship among stress, stress resiliency, and perceived health in primary care. Fatigue is a public health problem that has been linked to stress and poor health. The causal role of fatigue between stress and perceived health is unknown.Methods: Four hundred surveys were distributed to adult patients in 4 primary care centers in metropolitan Detroit between 2006 and 2007. Internal consistency reliabilities and principal factor analyses were calculated for the key psychological scales. Perceived health is the primary outcome. Path models were used to study the relationship among stress, fatigue, and perceived health. We also modeled the impact of select stress resiliency factors including sleep, recovery, and social support.

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confidence: 99%

The Causal Role of Fatigue in the Stress-Perceived Health Relationship: A MetroNet Study

Maghout-Juratli¹,

Janisse²,

Schwartz³

et al. 2010

The Journal of the American Board of Family Medicine

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“…Asimismo, su aplicación clínica es contundente y está fundamentada por numerosos estudios (27)(28)(29)(30) que han puesto de manifiesto los beneficios derivados de los mismos en términos de mejoras en calidad de vida, adhesión a recomendaciones terapéuticas y mayor satisfacción con la atención recibida (31)(32)(33) . A pesar de ello, son muchos los aspectos que permanecen, aún, sin aclarar acerca de los aspectos más prácticos para su adecuada ejecución e implantación.…”

Section: Desafíos Y Perspectivas De Futurounclassified

Primer impacto: programa de detección de distrés y atención psicosocial para paciente recién diagnosticado y sus familiares

2013

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ResumenEn 1997, la Red Oncológica Nacional (National Comprehensive Cancer Network, NCCN) creó una comisión multidisciplinar para examinar cómo integrar los cuidados psicosociales de los enfermos oncológicos en la valoración de rutina y observó que el concepto de distrés, entendido como sufrimiento, era el mejor término genérico para representar la variedad de preocupaciones que experimentan los pacientes y no conllevaba el estigma de otras palabras usadas para los síntomas emocionales. El presente trabajo expone la implantación del Programa Primer Impacto, un proceso de asistencia psicosocial que pretende abordar las necesidades bio-psico-sociales del enfermo recién diagnosticado de cáncer y sus familiares de manera integral e inmediata. La utilización un método sencillo de screnning de distrés (entrevista semiestructurada y termó-metro de distrés) nos permite realizar un triage de necesidades, decidir las prioridades en la asistencia y realizar las primeras medidas de atención psicosocial. Revisamos la bibliografía actual en esta disciplina, en base a una exhaustiva revisión de la literatura y aportamos nuestra propia experiencia en la implantación de un modelo de detección de distrés estructurado, en cuanto a los recursos necesarios para una adecuada implantación, así como AbstractThe National Comprehensive Cancer Network created in 1997 a multidisciplinar comission whit the aim to examine how integrate the psychosocial attention of cancer patient into the routine assessment of this patients. This group noted that distress, treated as emotional suffer was the best construct to show the variety of concerns experimented by the cancer patients free from the stigma of others concepts used to define emotional symptoms. This paper show the develop of a program called First Impact (Primer Impacto), consisting a psychosocial attention program which intends to respond immediately to all bio-psycho-social needs of newly diagnosed patient and their relatives. The assessment by a simple screening tool (semi-structured interview and the Distress Thermometer) lets us to give the first psychosocial cares. An exhaustive review of the available literature, our experience to present the necessary resources to an adequate implantation of a structured detection of distress protocol, and the results obtained from its implementation in different hospitals and the Spanish Association Against Cancer centers are provided.

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“…6,7 Distress, a negative psychological reaction to the cancer experience, is among the most common side effects cited by cancer survivors of any sexuality, [8][9][10] and is linked to increased morbidity 11 and mortality. 12 Psychological distress appears to be more common among lesbian and gay survivors than among heterosexual survivors (with odds ratios > 1.7), 13,14 possibly as a result of exposure to minority stress and discrimination based on sexual orientation. 1,15 Post-cancer, gay male survivors report mental health difficulties and a high level of fear about cancer recurrence.…”

Section: Introductionmentioning

confidence: 99%

A Dyadic Exercise Intervention to Reduce Psychological Distress Among Lesbian, Gay, and Heterosexual Cancer Survivors

et al. 2016

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Purpose: Studies have found disparities in psychological distress between lesbian and gay cancer survivors and their heterosexual counterparts. Exercise and partner support are shown to reduce distress. However, exercise interventions haven't been delivered to lesbian and gay survivors with support by caregivers included. Methods: In this pilot randomized controlled trial (RCT), ten lesbian and gay and twelve heterosexual survivors and their caregivers were randomized as dyads to: Arm 1, a survivor-only, 6-week, home-based, aerobic and resistance training program (EXCAP ªÒ ); or Arm 2, a dyadic version of the same exercise program involving both the survivor and caregiver. Psychological distress, partner support, and exercise adherence, were measured at baseline and post-intervention (6 weeks later). We used t-tests to examine group differences between lesbian/ gay and heterosexual survivors and between those randomized to survivor-only or dyadic exercise. Results: Twenty of the twenty-two recruited survivors were retained post-intervention. At baseline, lesbian and gay survivors reported significantly higher depressive symptoms (P = .03) and fewer average steps walked (P = .01) than heterosexual survivors. Post-intervention, these disparities were reduced and we detected no significant differences between lesbian/gay and heterosexual survivors. Participation in dyadic exercise resulted in a significantly greater reduction in depressive symptoms than participation in survivor-only exercise for all survivors (P = .03). No statistically significant differences emerged when looking across arm (survivor-only vs. dyadic) by subgroup (lesbian/gay vs. heterosexual). Conclusion: Exercise may be efficacious in ameliorating disparities in psychological distress among lesbian and gay cancer survivors, and dyadic exercise may be efficacious for survivors of diverse sexual orientations. Larger trials are needed to replicate these findings.

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Psychological distress and cancer mortality

Cited by 246 publications

References 12 publications

The Causal Role of Fatigue in the Stress-Perceived Health Relationship: A MetroNet Study

The Causal Role of Fatigue in the Stress-Perceived Health Relationship: A MetroNet Study

Primer impacto: programa de detección de distrés y atención psicosocial para paciente recién diagnosticado y sus familiares

A Dyadic Exercise Intervention to Reduce Psychological Distress Among Lesbian, Gay, and Heterosexual Cancer Survivors

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