The evolution of psychological distress trajectories in women diagnosed with advanced breast cancer: a longitudinal study

Lam, Wendy Wing Tak; Soong, I.; Yau, TK; Wong, Ka Yan; Tsang, Janice; Park, Yeon Hee; Suen, Joyce; Ho, WM; Sze, W.M.; Ng, Aik Seng; Kwong, Ava; Suen, Dacita; Fielding, Richard

doi:10.1002/pon.3361

Cited by 81 publications

(80 citation statements)

References 51 publications

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“…The implication is that Hong Kong's healthcare workers provide inadequate psychosocial support for emotionally vulnerable patients, consistent with previous studies indicating that oncologists often provided little psychosocial support during the consultation . Hence, colorectal surgeons need to recognize that addressing patients' concerns may improve coping with physical symptoms , themselves important predictors of psychological adjustment . Here, pre‐surgical physical symptom distress identified persisting high PDL needs trajectories, further confirming that unresolved symptoms create difficulties for patients , the importance of effective integrated symptom assessment and management in cancer care , and for adequate home stoma care support.…”

Section: Discussionsupporting

confidence: 79%

A longitudinal study of supportive care needs among Chinese patients awaiting colorectal cancer surgery

et al. 2015

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Section: Discussionsupporting

confidence: 79%

A longitudinal study of supportive care needs among Chinese patients awaiting colorectal cancer surgery

et al. 2015

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“…Studies have shown steady reductions in anxiety and depression symptoms [7][8][9][10], whereas others showed worsened depression [11] and stable, low levels of distress during the first year [12,13]. Surprisingly, change patterns in problems in daily living are unknown.…”

Section: Introductionmentioning

confidence: 99%

A prospective study of changes in anxiety, depression, and problems in living during chemotherapy treatments: effects of age and gender

Bergerot

Mitchell

Ashing

et al. 2017

Support Care Cancer

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Purpose Monitoring distress assessment in cancer patients during the treatment phase is a component of good quality care practice. Yet, there is a dearth of prospective studies examining distress. In an attempt to begin filling this gap and inform clinical practice, we conducted a prospective, longitudinal study examining changes in distress (anxiety, depression, and problems in living) by age and gender and the roles of age and gender in predicting distress. Methods Newly diagnosed Brazilian cancer patients (N = 548) were assessed at three time points during chemotherapy. Age and gender were identified on the first day of chemotherapy (T1); anxiety, depression, and problems in living were self-reported at T1, the planned midway point (T2), and the last day of chemotherapy (T3). Results At T1, 37 and 17% of patients reported clinically significant levels of anxiety and depression, respectively. At T3, the prevalence was reduced to 4.6% for anxiety and 5.1% for depression (p < .001). Patients 40-55 years, across all time points, reported greater anxiety and practical problems than patients >70 years (p < .03). Female patients reported greater emotional, physical, and family problems than their male counterparts (p < .04).Conclusions For most patients, elevated levels of distress noted in the beginning of treatment subsided by the time of treatment completion. However, middle-aged and female patients continued to report heightened distress. Evidence-based psychosocial intervention offered to at risk patients during early phases of the treatment may provide distress relief and improve outcomes over the illness trajectory while preventing psychosocial and physical morbidity due to untreated chronic distress.

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“…Given the fact that early diagnosis and advanced multimodal treatments lead to a higher number of cancer survivors and many patients receive long-term treatments, the 12-month prevalence rates are of particular importance for health care planning. Mental disorders could be a long-lasting problem for cancer survivors [21] leading to an increased risk for further somatic and psychological symptom burden.…”

Section: Introductionmentioning

confidence: 99%

Twelve-Month and Lifetime Prevalence of Mental Disorders in Cancer Patients

Kuhnt

Brähler

Faller

et al. 2016

Psychother Psychosom

109

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Background: Psychological problems are common in cancer patients. For the purpose of planning psycho-oncological interventions and services tailored to the specific needs of different cancer patient populations, it is necessary to know to what extent psychological problems meet the criteria of mental disorders. The purpose of this study was to estimate the 12-month and lifetime prevalence rates of mental disorders in cancer patients. Methods: A representative sample of patients with different tumour entities and tumour stages (n = 2,141) in outpatient, inpatient and rehabilitation settings underwent the standardized computer-assisted Composite International Diagnostic Interview for mental disorders adapted for cancer patients (CIDI-O). Results: The overall 12-month prevalence for any mental disorder was 39.4% (95% CI: 37.3-41.5), that for anxiety disorders was 15.8% (95% CI: 14.4-17.4), 12.5% (95% CI: 11.3-14.0) for mood disorders, 9.5% (95% CI: 8.3-10.9) for somatoform disorders, 7.3% (95% CI: 6.2-8.5) for nicotine dependence, 3.7% (95% CI: 3.0-4.6) for disorders due to general medical condition, and 1.1% (95% CI: 0.7-1.6) for alcohol abuse or dependence. Lifetime prevalence for any mental disorder was 56.3% (95% CI 54.1-58.6), that for anxiety disorders was 24.1% (95% CI: 22.3-25.9), 20.5% (95% CI: 18.9-22.3) for mood disorders, 19.9% (95% CI: 18.3-21.7) for somatoform disorders, 18.2% (95% CI: 16.6-20.0) for nicotine dependence, 6.4% (95% CI: 5.4-7.6) for alcohol abuse or dependence, 4.6% (95% CI: 3.8-5.6) for disorders due to general medical condition, and 0.2% (95% CI: 0.1-0.6) for eating disorders. Conclusions: Mental disorders are highly prevalent in cancer patients, indicating the need for provision of continuous psycho-oncological support from inpatient to outpatient care, leading to an appropriate allocation of direct personnel and other resources.

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The evolution of psychological distress trajectories in women diagnosed with advanced breast cancer: a longitudinal study

Abstract: Most women with ABC did not experience psychological distress over 12 months following diagnosis of ABC. Preventive interventions should focus on women at risk of high persistent distress and reducing rumination, providing emotional support, and managing physical symptoms.

Cited by 81 publications

References 51 publications

A longitudinal study of supportive care needs among Chinese patients awaiting colorectal cancer surgery

A longitudinal study of supportive care needs among Chinese patients awaiting colorectal cancer surgery

A prospective study of changes in anxiety, depression, and problems in living during chemotherapy treatments: effects of age and gender

Twelve-Month and Lifetime Prevalence of Mental Disorders in Cancer Patients

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