Screening for post‐traumatic stress disorders in 1017 cancer patients and correlation with anxiety, depression, and distress

Unseld, Matthias; Krammer, Katharina; Lubowitzki, Simone; Jachs, Mathias; Baumann, Lukas; Vyssoki, Benjamin; Riedel, Jasmin; Puhr, Hannah Christina; Zehentgruber, Stefan; Prager, Gerald W.; Masel, Eva Katharina; Preusser, Matthias; Jaeger, Ulrich; Gaiger, Alexander

doi:10.1002/pon.5239

Cited by 28 publications

(19 citation statements)

References 26 publications

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“…Also considering anxiety and depression, no data on cancer patients during the COVID-19 pandemic are available yet. However, if we compare the present cohort with historical cohorts of patients diagnosed with lymphoproliferative neoplasms, we can state that levels of HADS found in our study are significantly higher on both the depression subscale and on the general scale (24).…”

Section: Discussionmentioning

confidence: 58%

Psychological Distress in Outpatients With Lymphoma During the COVID-19 Pandemic

et al. 2020

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Cancer patients are a population at high risk of contracting COVID-19 and, also of developing severe complications due to the infection, which is especially true when they are undergoing immunosuppressive treatment. Despite this, they had still to go to hospital to receive chemotherapy during lockdown. In this context, we have evaluated the psychological status of onco-hematological outpatients receiving infusion and not deferrable anti-neoplastic treatment for lymphoproliferative neoplasms, with the aim of both measuring the levels of post-traumatic symptoms, depression, and anxiety during the pandemic and also of investigating the perception of risk of potential nosocomial infection. The Impact of Event Scale-Revised (IES-R) and the Hospital Anxiety and Depression Scale (HADS) were administered to all patients. Moreover, patients were investigated about their worries regarding the impact of COVID-19 on their lives as onco-hematologic patients. Since the 2nd to the 29th April 2020 (during the first phase of the lockdown period in Italy), 77 outpatients were prospectively evaluated. They were diagnosed with non-Hodgkin's lymphoma, classical Hodgkin lymphoma, and Chronic lymphocytic leukemia/Small lymphocytic lymphoma. The mean age was 56.6 (range 22-85). We found that 36% of patients had anxiety (HADS-A), 31% depression (HADS-D), and 43% were above the cutoff for the HADS-General Scale; 36% fulfilled the diagnostic criteria for post-traumatic stress disorder (PTSD). Women and younger patients were found to be more vulnerable to anxiety and PTSD. The study firstly analyzes the psychological impact of the COVID-19 pandemic on the frail population of patients affected by lymphoproliferative neoplasms, to underly the importance of screening patients for emotional and distress conditions and then offering them psychological support.

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Section: Discussionmentioning

confidence: 58%

Psychological Distress in Outpatients With Lymphoma During the COVID-19 Pandemic

et al. 2020

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“…Numerous studies documented that female patients suffered more from anxiety and depression during their cancer experience and had a poorer quality of life than men. [46][47][48][49] In addition, Martínez et al 50 reported that 25% of breast cancer patients reported clinical distress.…”

Section: Women Scored Higher On Anxiety and Depressionmentioning

confidence: 99%

Gender Differences in Psychosocial, Religious, and Spiritual Aspects in Coping: A Cross-Sectional Study with Cancer Patients

Rassoulian

Gaiger

Löffler‐Stastka

2021

Women's Health Reports

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Background: There is a growing awareness of religiosity and/or spirituality (R/S) as a possible resource in coping with cancer. Gender differences in religious coping have not yet been thoroughly examined. This study aimed to analyze differences in religious coping between men and women with cancer and compare the impact of R/S on anxiety and depression symptoms. Methods: This cross-sectional study was conducted at the Divisions of Hematology and Oncology of the Medical University of Vienna. In total, 352 patients with a cancer diagnosis, who regarded themselves as religious and/or spiritual, were interviewed at Vienna's university hospital with standardized questionnaires. To answer our research questions, we used the Hospital Anxiety and Depression Scale (HADS), the Benefit Through Spirituality/ Religiosity (Benefit) questionnaire, and collected demographic characteristics. Results: Of 689 cancer patients, 51% (352) regard themselves as religious and/or spiritual. Women with cancer tend toward R/S more significantly (57%) than men (45%). In patients with an R/S belief, women scored higher in almost all items of the Benefit questionnaire and showed higher prevalence of anxiety ( p < 0.001) and depression than men. Regarding the socioeconomic characteristics, more women were widowed, and had significantly lower income than men. Conclusions: The results show a significant gender gap concerning the importance of R/S for cancer patients and the effect on psychological well-being. Women in this study were more religious/spiritual than men and scored higher on anxiety and depression. We support the notion that the gender perspective is essential and can contribute to better patient care in identifying gender-specific concerns.

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“…Depression and anxiety are more frequent in cancer patients than in persons without a chronic health condition, but prevalence rates vary widely between studies. In cancer patients, estimated prevalence rates range between 11% and 57% for depression, and between 6.5% and 23% for anxiety 9–11 . Anxiety disorders often present in association with depression 12 .…”

Section: Introductionmentioning

confidence: 99%

“…Anxiety disorders often present in association with depression 12 . Furthermore, a recent study in a large sample of cancer patients reported significant correlations of PTSD symptoms with both, depression and anxiety 11 …”

Section: Introductionmentioning

confidence: 99%

Prevalence of pain and its association with symptoms of post‐traumatic stress disorder, depression, anxiety and distress in 846 cancer patients: A cross sectional study

et al. 2020

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Objective Pain depicts a severe physical symptom but its relationship to mental health problems is not well studied in cancer patients. The aim of this study was to investigate the prevalence of pain and its correlation with symptoms of post‐traumatic stress disorder (PTSD), depression, anxiety and psychological distress in a large sample of cancer patients. Methods From 2010 to 2019, cancer patients who received outpatient treatment at the Medical University of Vienna were assessed with the Post‐Traumatic Symptom Scale (PTSS‐10) and the Hospital Anxiety and Depression Scales. A visual analogue scale was used to assess pain perception. For statistical analysis, linear regression models were applied to log‐transformed data. Results Of the 846 cancer patients included in the study, 63.5% experienced pain (mild 43.5%, moderate 13.6%, severe 6.4%). About a third (31.2%) of the total sample presented with significant PTSD symptoms. Significant symptoms of depression, anxiety and distress were present in 13.9%, 15.1% and 25.3%, respectively. Women more often reported symptoms of PTSD, anxiety and distress. Pain scores were significantly related to symptoms of PTSD, depression and psychological distress (all with p < .001), but not to anxiety. Conclusions Results show a high prevalence of experienced pain and indicate a clear association of elevated pain levels with psychiatric symptoms in oncological patients in a large Austrian sample. In order to decrease experienced pain and to enable better treatment of mental health problems in cancer patients, diagnostic procedures and interventions based on a biopsychosocial model need to be intensified.

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Screening for post‐traumatic stress disorders in 1017 cancer patients and correlation with anxiety, depression, and distress

Cited by 28 publications

References 26 publications

Psychological Distress in Outpatients With Lymphoma During the COVID-19 Pandemic

Psychological Distress in Outpatients With Lymphoma During the COVID-19 Pandemic

Gender Differences in Psychosocial, Religious, and Spiritual Aspects in Coping: A Cross-Sectional Study with Cancer Patients

Prevalence of pain and its association with symptoms of post‐traumatic stress disorder, depression, anxiety and distress in 846 cancer patients: A cross sectional study

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