Toward a cancer-specific model of psychological distress: population data from the 2003–2005 National Health Interview Surveys

Kaiser, Natalie C.; Hartoonian, Narineh; Owen, Jason E.

doi:10.1007/s11764-010-0120-3

Cited by 77 publications

(85 citation statements)

References 72 publications

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“…Spouses of these married patients may encourage them to perform surgery versus expectant management 28, which could partly account for the discrepancies. Studies showed diagnosis of cancer caused more distress than other diseases 29. Married people were easier to benefit from social support from their friends and family and displayed less distress and depression after the cancer diagnosis 30.…”

Section: Discussionmentioning

confidence: 99%

Marital status and survival in patients with gastric cancer

et al. 2016

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The objective of this study is to examine the impact of marital status on incidence of metastasis at diagnosis, receipt of surgery, and cause‐specific survival (CSS) in patients with gastric cancer (GC). Research data is extracted from The Surveillance, Epidemiology, and End Results (SEER) database, and 18,196 patients diagnosed with GC from 2004 to 2010 are involved. Effects of marital status on incidence of metastasis at diagnosis, receipt of surgery, and CSS are determined using multivariable logistic regression and multivariable Cox regression models, as appropriate. Single GC patients have a higher incidence of metastasis at diagnosis than married patients, while the differences between divorced/separated patients or widowed patients and married patients are not significant. Among those without distant metastasis, single patients, divorced/separated patients, and widowed patients are much less likely to accept surgery compared with married patients. Finally, in the whole group of 18,196 GC patients, single patients, divorced/separated patients, and widowed patients have shorter CSS compared with married patients, even in each of the TNM stage. Marriage had a protective effect against undertreatment and cause‐specific mortality (CSM) in GC. Spousal support may contribute to higher rate of surgery receipt and better survival in patients with GC.

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Section: Discussionmentioning

confidence: 99%

Marital status and survival in patients with gastric cancer

et al. 2016

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“…25 Serious, debilitating psychological distress is rare, with an estimated prevalence of 2–3% among well adults 26 , and with higher prevalence among adults with chronic or life-threatening illness. 27 Parental PD is reported as mean K6 scores and as proportion of parents with SPD.…”

Section: Methodsmentioning

confidence: 99%

Psychological Distress in Parents of Children With Advanced Cancer

et al. 2013

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Objectives To describe the prevalence and factors of psychological distress (PD) among parents of children with advanced cancer. Design Cohort study embedded within a randomized clinical trial (Pediatric Quality of Life and Evaluation of Symptoms Technology [PediQUEST] study). Setting Multicenter study conducted at three children’s hospitals (Boston Children’s Hospital, Children’s Hospital of Philadelphia, Seattle Children’s Hospital). Participants Parents of children with advanced (progressive, recurrent, or refractory) cancer Outcome Measure Parental PD, as measured by the Kessler-6 (K6) general psychological distress scale. Results 86 of 104 parents completed the Survey about Caring for Children with Cancer (SCCC, 83% participation); 81 parents had complete K6 data. Over 50% of parents reported high PD and 16% met criteria for serious PD (compared to US prevalence of 2–3%). Parent perceptions of prognosis, goals of therapy, child symptoms/suffering, and financial hardship were associated with PD. In multivariate analyses, average parent K6 scores were higher among parents who believed their child was suffering highly and who reported great economic hardship. Conversely, PD was significantly lower among parents whose prognostic understanding was aligned with concrete goals of care. Conclusions Parenting a child with advanced cancer is strongly associated with high to severe levels of PD. Interventions aimed at aligning prognostic understanding with concrete care goals, and easing child suffering and financial hardship may mitigate parental PD.

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“…The covariates included sociodemographic variables - age at cancer diagnosis in years, gender, 2 education level, ethnicity, and marital status (Kaiser, Hartoonian, & Owen, 2010); cancer-related variables – cancer type, stage of disease at diagnosis, type of treatment received, health status, and progression to more severe disease (Arora, Finney Rutten, Gustafson, Moser, & Hawkins, 2007; Kolva, Rosenfeld, Pessin, Breitbart, & Brescia, 2011); and psychological variables – prior self-reported experience of anxiety or depression and the Lerman Cancer Worry Scale (Lerman et al, 1991). …”

Section: Methodsmentioning

confidence: 99%

Anxiety and Depression Among Cancer Survivors: The Role of Engagement With Sources of Emotional Support Information

Mello

Tan

Armstrong

et al. 2013

Health Communication

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This study explores cancer survivors’ engagement with information about emotional support from doctors, interpersonal sources, and the media and examines to what extent such engagement affects subsequent self-reported anxiety and depression. Patients with colorectal, breast, or prostate cancer (n=1,128) were surveyed over three years following diagnosis. Using lagged logistic regression, we predicted the odds of experiencing anxiety or depression based on earlier engagement with sources of emotional support, adjusting for prior symptoms and confounders. Among those reporting anxiety or depression (n=476), we also asked whether information engagement affected the severity of those symptoms. Participants obtained information about emotional support from multiple sources, but most often from physicians. Discussions with physicians about emotional support increased the odds of cancer survivors subsequently reporting anxiety or depression by 1.58 times (95% CI: 1.06 to 2.35; p=0.025), adjusted for prior symptoms and confounders. Scanning from media sources was also significantly associated with increased odds of reporting emotional symptoms (OR=1.72; 95% CI: 1.03 to 2.87; p=0.039). However, among those who reported symptoms, doctor-patient engagement predicted slightly reduced interference of these symptoms with daily activities (B=−0.198; 95% CI: −0.393 to −0.003; p=0.047). Important implications for health communication research and practice are discussed.

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Toward a cancer-specific model of psychological distress: population data from the 2003–2005 National Health Interview Surveys

Abstract: Identifying and understanding correlates of clinically meaningful distress may improve efforts to prevent, identify, and treat significant distress in cancer survivors.

Cited by 77 publications

References 72 publications

Marital status and survival in patients with gastric cancer

Marital status and survival in patients with gastric cancer

Psychological Distress in Parents of Children With Advanced Cancer

Anxiety and Depression Among Cancer Survivors: The Role of Engagement With Sources of Emotional Support Information

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