CANCER-RELATED SYMPTOM PROFILES BETWEEN DEPRESSED AND NON-DEPRESSED PATIENTS WITH CANCER

2.50
Hdl Handle:
http://hdl.handle.net/10755/165507
Category:
Abstract
Type:
Presentation
Title:
CANCER-RELATED SYMPTOM PROFILES BETWEEN DEPRESSED AND NON-DEPRESSED PATIENTS WITH CANCER
Author(s):
Chen, Mei-Ling
Author Details:
Mei-Ling Chen, RN, PhD, Chang Gung University, School of Nursing, Tao-Yuan, Taiwan, Republic of China
Abstract:
Cancer patients often experience multiple symptoms caused by the disease or cancer treatment. Depression is common but easily overlooked problem in cancer patients. Uncontrolled cancer-related symptoms is identified as a high risk factor of depression. (1) To compare the symptom profiles, including number of symptoms, symptom severity and symptom interference on daily function, between depressed and non-depressed cancer patients; (2) to identify symptoms that can be used to discriminate cancer patients¡¦ depression status. Other than pain and fatigue, whether depressed cancer patients have different symptom experience from non-depressed cancer patients has not been systematically investigated. A convenience sample of 117 patients with various cancer diagnoses was selected from a medical center located in northern Taiwan. Depression was measured by Hospital Anxiety and Depression Scale-Depression Subscale (HADS-D). A cutoff of 8 was applied to classify patients into depressed and non-depressed groups. M.D. Anderson Symptom Inventory (MDASI) was used to measure symptom severity (13 items) and interference (6 items). Both HADS-D and MDASI have valid and reliable Taiwan version. Independent t test and discriminant analysis were used to analyze the data. Around 80% patients experienced 5 or more symptoms simultaneously. The mean number of symptoms experienced was 10.22 for depressed patients (n = 73) and 7.76 for non-depressed patients (n = 44) (p = .001). Among 13 symptoms in MDASI, depressed patients reported significantly higher mean severity scores than did non-depressed patients on 12 symptoms (p < .05), including pain, fatigue, nausea, distressed, problem with remembering things, lack of appetite, drowsy, dry mouth, sad, vomiting, and numbness. Among 6 interference items, depressed patients also reported significantly higher symptom interference scores on emotion, work, relations with other people, and enjoyment of life. Stepwise discriminant analysis showed that two symptoms, sad and drowsy, were the significant predictors of patients¡¦ status of depression with a correct prediction rate of 72.6%. Compared to non-depressed cancer patients, depressed patients had an inferior symptom profile in terms of number of symptom, symptom severity and symptom interference. Screening the occurrence and severity of sad and distress may be used to identify potentially depressed cancer patients.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
30th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Orlando, Florida, USA
Sponsors:
Funding Sources: Chang Gung University (Grant Number: CMRP1238)
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleCANCER-RELATED SYMPTOM PROFILES BETWEEN DEPRESSED AND NON-DEPRESSED PATIENTS WITH CANCERen_GB
dc.contributor.authorChen, Mei-Lingen_US
dc.author.detailsMei-Ling Chen, RN, PhD, Chang Gung University, School of Nursing, Tao-Yuan, Taiwan, Republic of Chinaen_US
dc.identifier.urihttp://hdl.handle.net/10755/165507-
dc.description.abstractCancer patients often experience multiple symptoms caused by the disease or cancer treatment. Depression is common but easily overlooked problem in cancer patients. Uncontrolled cancer-related symptoms is identified as a high risk factor of depression. (1) To compare the symptom profiles, including number of symptoms, symptom severity and symptom interference on daily function, between depressed and non-depressed cancer patients; (2) to identify symptoms that can be used to discriminate cancer patients&iexcl;&brvbar; depression status. Other than pain and fatigue, whether depressed cancer patients have different symptom experience from non-depressed cancer patients has not been systematically investigated. A convenience sample of 117 patients with various cancer diagnoses was selected from a medical center located in northern Taiwan. Depression was measured by Hospital Anxiety and Depression Scale-Depression Subscale (HADS-D). A cutoff of 8 was applied to classify patients into depressed and non-depressed groups. M.D. Anderson Symptom Inventory (MDASI) was used to measure symptom severity (13 items) and interference (6 items). Both HADS-D and MDASI have valid and reliable Taiwan version. Independent t test and discriminant analysis were used to analyze the data. Around 80% patients experienced 5 or more symptoms simultaneously. The mean number of symptoms experienced was 10.22 for depressed patients (n = 73) and 7.76 for non-depressed patients (n = 44) (p = .001). Among 13 symptoms in MDASI, depressed patients reported significantly higher mean severity scores than did non-depressed patients on 12 symptoms (p &lt; .05), including pain, fatigue, nausea, distressed, problem with remembering things, lack of appetite, drowsy, dry mouth, sad, vomiting, and numbness. Among 6 interference items, depressed patients also reported significantly higher symptom interference scores on emotion, work, relations with other people, and enjoyment of life. Stepwise discriminant analysis showed that two symptoms, sad and drowsy, were the significant predictors of patients&iexcl;&brvbar; status of depression with a correct prediction rate of 72.6%. Compared to non-depressed cancer patients, depressed patients had an inferior symptom profile in terms of number of symptom, symptom severity and symptom interference. Screening the occurrence and severity of sad and distress may be used to identify potentially depressed cancer patients.en_GB
dc.date.available2011-10-27T12:19:53Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:19:53Z-
dc.conference.date2005en_US
dc.conference.name30th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.description.sponsorshipFunding Sources: Chang Gung University (Grant Number: CMRP1238)-
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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