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Demoralization profiles and their association with depression and quality of life in Chinese patients with cancer: a latent class analysis.
Lin, Fumei; Hong, Yuting; Lin, Xiujing; Chen, Qingqin; Lin, Yu-An; Chen, Qiuhong; Huang, Feifei.
Affiliation
  • Lin F; Emergency Department, Fuqing City Hospital Affiliated to Fujian Medical University, Fuqing, China.
  • Hong Y; School of Nursing, Fujian Medical University, No 1. Xuefu North Road, Minhou County, Fujian, 350108, Fuzhou, China.
  • Lin X; School of Nursing, Fujian Medical University, No 1. Xuefu North Road, Minhou County, Fujian, 350108, Fuzhou, China.
  • Chen Q; School of Nursing, Quanzhou Medical College, Quanzhou, China.
  • Lin YA; School of Nursing, Fujian Medical University, No 1. Xuefu North Road, Minhou County, Fujian, 350108, Fuzhou, China.
  • Chen Q; School of Nursing, Fujian Medical University, No 1. Xuefu North Road, Minhou County, Fujian, 350108, Fuzhou, China.
  • Huang F; School of Nursing, Fujian Medical University, No 1. Xuefu North Road, Minhou County, Fujian, 350108, Fuzhou, China. pt860315@163.com.
Support Care Cancer ; 30(12): 10019-10030, 2022 Dec.
Article in En | MEDLINE | ID: mdl-36308557
PURPOSE: The study aimed to identify latent classes of demoralization and examine their associations with depression and quality of life (QOL) among patients with cancer. METHODS: Cross-sectional data from 874 patients with cancer from three tertiary hospitals in Fujian province were collected using a convenience sampling method. Demoralization, depression, and QOL were assessed using the Chinese version of the Demoralization Scale-II, Patient Health Questionnaire-9, and McGill Quality of Life Questionnaire. Latent class analysis was performed on demoralization profiles. Binary logistic regression and multiple stepwise linear regression were used to examine the identified classes' associations with depression and QOL. RESULTS: Three latent classes of demoralization were identified: the "low demoralization and emotional disturbance" class (Class 1; 49.6%); "moderate demoralization and meaninglessness" class (Class 2; 29.1%); and "high demoralization and existential despair" class (Class 3; 21.3%). The severity of depression increased and the levels of QOL decreased with the three classes of demoralization. Patients with cancer being depressed in Classes 1 and 2 were 0.128 and 0.018 times that of Class 3, respectively, whereas the magnitudes of decrease in QOL scores for Classes 2 and 3 were 0.378 and 0.629, respectively. CONCLUSION: This study revealed three heterogeneous classes of demoralization in Chinese patients with cancer and indicated that increased classes were associated with more severe depression and decreased QOL. Targeted, step-by-step psychological interventions should be developed and implemented according to the characteristics of each class of demoralization to effectively promote psychological well-being among patients with cancer.
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Full text: 1 Database: MEDLINE Main subject: Demoralization / Neoplasms Type of study: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limits: Humans Country/Region as subject: Asia Language: En Journal: Support Care Cancer Journal subject: NEOPLASIAS / SERVICOS DE SAUDE Year: 2022 Type: Article Affiliation country: China

Full text: 1 Database: MEDLINE Main subject: Demoralization / Neoplasms Type of study: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limits: Humans Country/Region as subject: Asia Language: En Journal: Support Care Cancer Journal subject: NEOPLASIAS / SERVICOS DE SAUDE Year: 2022 Type: Article Affiliation country: China