Predictors of Emotional and Physical Symptoms Reported by Cancer Patients
DOI:
https://doi.org/10.1590/0102.3772e37441%20Keywords:
Oncology, Anxiety, Depression, Physical symptomsAbstract
This study assessed the association between anxiety/depression (AD) and physical symptoms reported by cancer patients in chemotherapy. Patients were assessed for distress (Distress Thermometer), AD (Hospital Anxiety and Depression Scale), quality of life (Functional Assessment of Chronic Illness Therapy-General) and symptoms (Edmonton Symptom Assessment Scale). The linear regression was used to identify factors associated with AD. Seventy-three patients (65.8% female, 58.9% low educational level and 83.6% advanced stage) were included. Sleep, breathing, pain, fatigue, physical and emotional well-being were predictors of AD. The prevalence of anxiety (20.5%) was lower than that described in the literature and of the depression symptoms (17.8%) was equivalent. The results underscore the importance of a therapeutic plan for targeting these risk factors.
Downloads
References
Adler, N. E., & Page, A. E. K. (2008). Cancer care for the whole patient: Meeting psychosocial health needs Institute of Medicine of the National Academies Press.
Arnold, B. J., Eremenco, E., Chang, C. H., Odom, L., Ribaudo, J. M., & Cella, D. F. (2000). Development of a single Portuguese language version of the functional assessment of cancer therapy general (FACIT-G) scale. Quality of Life Research, 9(3), 316. doi: 1023/A:1017291624003
Basch, E., Deal, A. M., Dueck, A., Scher, H. I., Kris, M. G., Hudis, C., & Schrag, D. (2017) Overall survival results of a trial assessing patient-reported outcomes for symptom monitoring during routine cancer treatment. Journal of the American Medical Association, 318(2), 197-198. doi: 10.1001/jama.2017.7156
Bergerot, C. D. (2013) Avaliação de distress para identificação de fatores de risco e proteção na experiência oncológica: Contribuições para estruturação de rotinas e programas em psico-oncologia [Tese de doutorado, Universidade de Brasília]. Repositório UnB. https://repositorio.unb.br/handle/10482/15392
Bergerot, C. D., Philip, E. J., Schuler, T. A., Clark, K. L., Loscalzo, M., Buso, M. M, Neto, J. N. M., Neto, J. V. P., Nonino, A., & Araujo, T. C. C. F. (2016). Development and implementation of a comprehensive psychosocial screening program in a Brazilian cancer center. Psycho-Oncology, 25(11), 1343-1349. doi:10.1002/pon.4275
Bergerot, C. D., Philip, E. J., Zayat, C. G., Azevedo, I. M., Araujo, T. C. C. F., & De Domenico, E. B. L. (2017). Investigating the two-tiered system of psychosocial cancer care in Brazil using a distress screening measure. Journal of Global Oncology, 3(1), 1-6. doi: 10.1200/JGO.2016.004978
Bergerot, C. D., Laros, J. A., & Araujo, T. C. C. F. (2014). Avaliação de ansiedade e depressão em pacientes oncológicos: Comparação psicométrica.Psico-USF,19(2), 187-197. doi: 10.1590/1413-82712014019002004
Botega, N. J., Bio, M. R., Zomignani, M. A., Garcia Jr., C., & Pereira, W. A. B. (1995). Transtorno de humor em enfermaria de clínica médica e validação de escala de medida (HAD) de ansiedade e depressão. Revista de Saúde Pública, 29(5), 355-363. doi: 10.1590/S0034-89101995000500004
Breitbart, W. S., & Alici, Y. (2010). Fatigue. In J. C. Holland, W. S. Breitbart, P. B. Jacobsen, M. S. Lederberg, M. J. Loscalzo, & R. McCorkle (Eds.), Psycho-Oncology (2ª ed., pp. 236-244). Oxford University Press.
Breitbart, W. S., Park, J., & Katz, A. M. (2010). Pain. In J. C. Holland, W. S. Breitbart, P. B. Jacobsen, M. S. Lederberg, M. J. Loscalzo, & R. McCorkle (Eds.), Psycho-Oncology (2ª ed., pp. 215-228). Oxford University Press.
Brucker, P. S., Yost, K., Cashy, J., Webster, K., & Cella, D. (2005). General population and cancer patient norms for the functional assessment of cancer therapy-general (FACT-G). Evaluation & The Health Professions, 28(2), 192-211. doi: 10.1177/0163278705275341
Bultz, B. D., Groff, S. L., Fitch, M., Blais, M. C., Howes, J., Levy, K., & Mayer, C. (2011). Implementing screening for distress, the 6th vital sign: A Canadian strategy for changing practice. Psycho-Oncology, 20(5), 463-469. doi: 10.1002/pon.1932
Decat, C. S., & Araujo, T. C. C. F. (2010). Psico-Oncologia: Apontamentos sobre a evolução histórica de um campo interdisciplinar. Brasília Médica, 47(1), 93-99.
Decat, C. S., Laros, J. A., & Araujo, T. C. C. F. (2009). Termômetro de distress: Validação de um instrumento breve para avaliação diagnóstica de pacientes oncológicos. PsicoUSF, 14(3), 253-260. doi: 10.1590/S1413-82712009000300002
Faller, H., Strahl, A., Richard, M., Niehues, C., & Meng, K. (2017). Symptoms of depression and anxiety as predictors of physical functioning in breast cancer patients. A prospective study using path analysis. Acta Oncologica, Versão Previa. doi: 10.1080/0284186X.2017.1333630
Fitzgerald, P., Lo, C., Li, M., Gagliese, L., Zimmermann, C., & Rodin, G. (2015). The relationship between depression and physical symptom burden in advanced cancer. BMJ Supportive & Palliative Care, 5(4), 381-388. doi: 10.1136/bmjspcare-2012-000380
Folkman, S. (2010). Stress, coping and hope. Psycho-Oncology, 19(9), 901-908. doi: 10.1002/pon.1836
Grassi, L., Travado, L., Gil, F., Sabato, S., Rossi, E., & The SEPOS Group. (2004). Psychosocial morbidity and its correlates in cancer patients of the Mediterranean area: Findings from the Southern European Psycho-Oncology Study (SEPOS). Journal of Affective Disorders, 83, 243-248. doi: 10.1016/j.jad.2004.07.004
Hess, V., Grossert, A., Alder, J., Scherer, S., Handschin, B., Borislavova, B., Degen, S., Faessler, A., Hartung, J. Schibli, S., Werndli, C., Gaab, J., Berger, T., Zumbrunn, T., & Urech C. (2017). Web-based stress management for newly diagnosed cancer patients (STREAM): A randomized, wait-list controlled intervention study. Journal of Clinical Oncology, 35(18_suppl), LBA1002. doi: 10.1200/JCO.2017.35.18_suppl.LBA10002
Holland, J. C., Andersen, B., Breitbart, W. S., Bunchmann, L. O., Compas, B., Deshields, T. L., Dudley, M. M., Fleishman, S., Fulcher, C. D., Greenberg, D. B., Greiner, C. B., Handzo, G. F., Hoofring, L., Hoover, C., Jacobsen, P. B., Kyale, E., Levy, M. H., Loscalzo, M. J., McAllister-Black, R. … Freedman-Cass, D. A. (2013). Distress management. Journal of the National Comprehensive Cancer Network, 11(2), 190-209.
Holland, J. C., Watson, M., & Dunn, J. (2011). The IPOS new international standards of quality cancer care: Integrating the psychosocial domain into routine care. Psycho-Oncology, 20, 677-680. doi:10.1002/pon.1978
Li, M., Fitzgerald, P., & Rodin, G. (2012). Evidence-based treatment of depression in patients with cancer. Journal of Clinical Oncology, 30(11), 1187-1196. doi: 10.1200/JCO.2011.39.7372
Loscalzo, M., Clark, K., Pal, S., & Pirl, W. F. (2013). Role of biopsychosocial screening in cancer care. The Cancer Journal, 19(5), 414-420. doi: 10.1097/PPO.0b013e3182a5bce2
Mitchell, A. J. (2010). Screening procedures for psychosocial distress. In J. C. Holland, W. S. Breitbart, P. B. Jacobsen, M. S. Lederberg, M. J. Loscalzo, & R. McCorkle (Eds.), Psycho-Oncology (2ª ed.) (pp. 389-398). Oxford University Press.
Nipp, R. D., El-Jawahri, A., Fishbein, J. N., Eusebio, J., Stagl, J. M., Gallagher, E. R., … Temel, J. S. (2016). The relationship between coping strategies, quality of life, and mood in patients with incurable cancer. Cancer, 122(13), 2110-2116. doi: 10.1002/cncr.30025
Paiva, C. E., Manfredini, L. L., Paiva, B. S. R., Hui, D., & Bruera, E. (2015). The Brazilian version of the Edmonton Symptom Assessment System (ESAS) is a feasible, valid and reliable instrument for the measurement of symptoms in advanced cancer patients. PLoS ONE, 10(7), 1-13. doi: 10.1371/journal.pone.0132073
Ramchandran, K., & Roenn, J. H. V. (2010). Nausea and vomiting. In J. C. Holland, W. S. Breitbart, P. B. Jacobsen, M. S. Lederberg, M. J. Loscalzo, & R. McCorkle (Eds.), Psycho-Oncology (2ª ed., pp. 229-235). Oxford University Press.
Ramirez, E. L., Sánchez, I. N., Román, S. S., & Gómez, A. C. (2014). Ansiedad y depresión relacionadas con presencia e intensidad de sintomas físicos en pacientes con câncer terminal. Psicología y Salud, 24, 55-63.
Rodin, G., Lo, C., Rydall, A., Nissim, R., Malfitano, C., Shnall, J., Zimmermann, C., & Hales, S. (2017). Managing cancer and living meaningfully (CALM): A randomized controlled trial of a psychological intervention for patients with advanced cancer. Journal of Clinical Oncology, 35(18_suppl), LBA10001. doi:10.1200/JCO.2017.35.18_suppl.LBA10001
Rodríguez, C. F., Sánchez, C. P., Fernández, E. V., Vázquez, I. A., Martinez, R. F., & Fernández, I. P. (2011). Repercusión de la ansiedad y depresión en el estado físico y funcionalidad de enfermos oncológicos durante el tratamiento con quimioterapia.Psicothema, 23(3), 374-381. http://www.psicothema.es/pdf/3897.pdf
Scannavino, C. S. S., Sorato, D. B., Lima, M. P., Franco, A. H. J., Martins, M. P., Morais Jr., J. C., Bueno, P. R. T., Rezende, F. F., & Valério, N. I. (2013). Psico-Oncologia: atuação do psicólogo no Hospital de Câncer de Barretos. Psicologia USP, 24(1), 35-53. doi:10.1590/S0103-65642013000100003
Smith, E. M., Gomm, S. A., & Dickens, C. M. (2003). Assessing the independent contribution to quality of life from anxiety and depression in patients with advanced cancer. Palliative Medicine, 17(6), 509-513. doi: 10.1191/0269216303pm781oa
Traeger, L., Greer, J. A., Fernandez-Robles, C., Temel, J. S., & Pirl, W. F. (2012). Evidence-based treatment of anxiety in patients with cancer. Journal of Clinical Oncology, 30(11), 1197-1205. doi: 10.1200/JCO.2011.39.5632
Zabora, J., BrintzenhofeSzoc, K., Curbow, B., Hooker, C., & Piantadosi, S. (2001). The prevalence of psychological distress by cancer site. Psycho-Oncology, 10(1), 19-28. doi: 10.1002/1099-1611(200101/02)10:1<19::AID-PON501>3.0.CO;2-6
Zhu, L., Ranchor, A. V., van der Lee, M., Garssen, B., Almansa, J., Sanderman, R., & Schroevers, M. J. (2017). Co-morbidity of depression, anxiety, and fatigue in cancer patients receiving psychological care. Psycho-Oncology, 26, 444-451. doi: 10.1002/pon.4153
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Carolina Gaue Zayat, Isadora Miranda Azevedo, Edvane Birelo Lopes De Domenico, Cristiane Decat Bergerot
This work is licensed under a Creative Commons Attribution 4.0 International License.