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1.
JCO Glob Oncol ; 6: 1494-1509, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33017179

RESUMO

PURPOSE: The coronavirus disease 2019 (COVID-19) pandemic has had a global impact, and Singapore has seen 33,000 confirmed cases. Patients with cancer, their caregivers, and health care workers (HCWs) need to balance the challenges associated with COVID-19 while ensuring that cancer care is not compromised. This study aimed to evaluate the psychological effect of COVID-19 on these groups and the prevalence of burnout among HCWs. METHODS: A cross-sectional survey of patients, caregivers, and HCWs at the National Cancer Centre Singapore was performed over 17 days during the lockdown. The Generalized Anxiety Disorder-7 and Maslach Burnout Inventory were used to assess for anxiety and burnout, respectively. Self-reported fears related to COVID-19 were collected. RESULTS: A total of 624 patients, 408 caregivers, and 421 HCWs participated in the study, with a response rate of 84%, 88%, and 92% respectively. Sixty-six percent of patients, 72.8% of caregivers, and 41.6% of HCWs reported a high level of fear from COVID-19. The top concern of patients was the wide community spread of COVID-19. Caregivers were primarily worried about patients dying alone. HCWs were most worried about the relatively mild symptoms of COVID-19. The prevalence of anxiety was 19.1%, 22.5%, and 14.0% for patients, caregivers, and HCWs, respectively. Patients who were nongraduates and married, and caregivers who were married were more anxious. The prevalence of burnout in HCWs was 43.5%, with more anxious and fearful HCWs reporting higher burnout rates. CONCLUSION: Fears and anxiety related to COVID-19 are high. Burnout among HCWs is similar to rates reported prepandemic. An individualized approach to target the specific fears of each group will be crucial to maintain the well-being of these vulnerable groups and prevent burnout of HCWs.


Assuntos
Ansiedade/epidemiologia , Esgotamento Profissional/epidemiologia , Cuidadores/psicologia , Infecções por Coronavirus/psicologia , Neoplasias/psicologia , Pneumonia Viral/psicologia , Adulto , Idoso , Ansiedade/diagnóstico , Ansiedade/psicologia , Betacoronavirus/patogenicidade , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/psicologia , Institutos de Câncer/organização & administração , Institutos de Câncer/normas , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Estudos Transversais , Medo/psicologia , Feminino , Pessoal de Saúde/psicologia , Acesso aos Serviços de Saúde/organização & administração , Acesso aos Serviços de Saúde/normas , Humanos , Controle de Infecções/normas , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle , Masculino , Oncologia/organização & administração , Oncologia/normas , Pessoa de Meia-Idade , Neoplasias/terapia , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Prevalência , Singapura/epidemiologia , Carga de Trabalho/psicologia
2.
Internist (Berl) ; 61(11): 1140-1150, 2020 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-33025125

RESUMO

BACKGROUND: Malignant diseases lead to a decline in physical performance in a large number of patients. This includes a reduction of the musculoskeletal system, restrictions in cardiovascular fitness and psychogenically influenced syndromes such as fatigue and asthenia. It is not yet clear to what extent physical training can counteract these limitations or undesirable side effects and how this training needs to be designed in the individual situation. AIM OF THIS ARTICLE: The aim of this article is to find out whether physical training can be performed in cancer patients, how this training should be designed and which physical disorders can be influenced favorably. MATERIALS AND METHODS: In this review, the currently available work on this topic was evaluated and classified with regard to its feasibility and effects in cancer patients. RESULTS AND DISCUSSION: Physical training can be performed without complications in most patients even under treatment for the underlying malignant disease. It has a positive effect on physical performance, cardiovascular function, the perception of one's own cancer and overall well-being. Ideally, physical training for cancer patients should include a mixture of strength and endurance training. It should be carried out regularly and its intensity should be slowly increased. The type of physical activity should be adapted to the individual needs of the patient, take into account the particularities of the malignant disease and exclude any risk to the patient. CONCLUSION: In summary, a physical training program to accompany cancer therapy should be offered to virtually all patients with malignant disease.


Assuntos
Antineoplásicos/efeitos adversos , Exercício Físico , Neoplasias/tratamento farmacológico , Aptidão Física , Esportes , Antineoplásicos/uso terapêutico , Sistema Cardiovascular , Humanos , Oncologia , Neoplasias/psicologia , Resistência Física/fisiologia , Qualidade de Vida
3.
Medicine (Baltimore) ; 99(40): e22448, 2020 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-33019431

RESUMO

BACKGROUND: Cancer patients are associated with a series of long lasting and stressful treatments and experiencing, and case management (CM) has been widely used and developed with the aim to increase the quality of treatments and improve the patient care services. The purpose of this review is to identify and synthesize the evidence of randomized controlled trial studies to prove that case management could be one way to address the quality of life of cancer patients. METHODS: We performed a literature search in 4 electronic bibliographic databases and snowball searches were performed to ensure a complete collection. Two review authors independently extracted and analyzed data. A data extraction form was used to collect the characteristics of case management intervention, report outcomes, and quality assessment. RESULTS: Our searches identified 3080 articles, of which 7 randomized controlled trials met the inclusion criteria. The intervention was varied from the target population, measurement tools, duration of intervention, and so on, and 5 studies consistently showed improvement in the intervention group compared with control groups, no significant difference was found between health care costs of case management care services and the routine care services. CONCLUSION: There is some evidence that case management can be effective in cancer patients quality of life. However, due to the heterogeneity in the target population, measurement tools, and results applied, no conclusion can be made from a meta-analysis on the present bias. More rigorously multi-centered randomized controlled studies should be provided with detailed information about intervention in future research.


Assuntos
Administração de Caso , Neoplasias/terapia , Qualidade de Vida , Feminino , Humanos , Masculino , Neoplasias/psicologia , Ensaios Clínicos Controlados Aleatórios como Assunto
4.
Medicine (Baltimore) ; 99(43): e22888, 2020 Oct 23.
Artigo em Inglês | MEDLINE | ID: mdl-33120834

RESUMO

The aim of this study was to explore the relationship between social support, self-efficacy, coping style, and psychological stress in children with malignant tumors during the treatment, and to clarify the mediating effects.From May 2019 to August 2019, selected by convenience sampling method, 141 children with malignant tumors in the treatment period were evaluated using the Social Support Questionnaire, General Self-efficacy Scale, Simplified Coping Style Questionnaire, and Depression-Anxiety-Stress Scale.The results of correlation analysis showed that depression was negatively correlated with coping style, self-efficacy, affirmation and support, satisfaction, company, and intimacy, but positively correlated with conflict and punishment; both anxiety and stress were significantly negatively correlated with coping style, self-efficacy, affirmation and support, company, and intimacy. The results of the model indicated that gender, social support, self-efficacy, and coping style could directly predict the psychological stress of children with malignant tumors in the treatment period, social support and self-efficacy could indirectly predict the psychological stress of children with malignant tumors, and the total effect of self-efficacy on the psychological stress of children was the largest. Through 2000 bootstrap tests of mediating effect, it not only confirmed the mediating effect of self-efficacy and coping style but also had a chain-mediating effect.Appropriate social support can improve the self-efficacy of children with malignant tumors in the treatment period and encourage them to take a positive response to the disease, thereby effectively preventing or reducing the occurrence of psychological stress.


Assuntos
Adaptação Psicológica/fisiologia , Neoplasias/psicologia , Estresse Psicológico/prevenção & controle , Adolescente , Ansiedade/psicologia , Criança , China/epidemiologia , Estudos Transversais , Depressão/psicologia , Feminino , Humanos , Masculino , Neoplasias/complicações , Reconhecimento Psicológico/fisiologia , Autoeficácia , Apoio Social , Estresse Psicológico/psicologia , Inquéritos e Questionários/estatística & dados numéricos
5.
PLoS One ; 15(9): e0239374, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32970713

RESUMO

BACKGROUND: Significant intervals from the identification of suspicious symptoms to a definitive diagnosis of cancer are common. Streamlining pathways to diagnosis may increase survival, quality of life post-treatment, and patient experience. Discussions of pathways to diagnosis from the perspective of patients and family members are crucial to advancing cancer diagnosis. AIM: To examine the perspectives of a group of patients with cancer and family members in Alberta, Canada, on factors associated with timelines to diagnosis and overall experience. METHODS: A qualitative approach was used. In-depth, semi-structured interviews with patients with cancer (n = 18) and patient relatives (n = 5) were conducted and subjected to a thematic analysis. FINDINGS: Participants struggled emotionally in the diagnostic period. Relevant to their experience were: potentially avoidable delays, concerns about health status, and misunderstood investigation process. Participants emphasized the importance of their active involvement in the care process, and had unmet supportive care needs. CONCLUSION: Psychosocial supports available to potential cancer patients and their families are minimal, and may be important for improved experiences before diagnosis. Access to other patients' lived experiences with the diagnostic process and with cancer, and an enhanced supportive role of family doctors might help improve experiences for patients and families in the interval before receiving a diagnosis of cancer, which may have a significant impact on wellbeing.


Assuntos
Família/psicologia , Neoplasias/diagnóstico , Neoplasias/psicologia , Adulto , Idoso , Alberta , Emoções , Feminino , Nível de Saúde , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Apoio Social
7.
J Pain Symptom Manage ; 60(5): e25-e34, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32889039

RESUMO

CONTEXT: No information is available on oncology patients' level of stress and symptom burden during the coronavirus disease 2019 (COVID-19) pandemic. OBJECTIVES: To evaluate for differences in demographic and clinical characteristics, levels of social isolation and loneliness, and the occurrence and severity of common symptoms between oncology patients with low vs. high levels of COVID-19 and cancer-related stress. In addition, to determine which of these characteristics were associated with membership in the high-stressed group. METHODS: Patients were 18 years and older; had a diagnosis of cancer; and were able to complete an online survey. RESULTS: Of the 187 patients in this study, 31.6% were categorized in the stressed group (Impact of Event Scale-Revised [score of ≥24]). Stressed group's Impact of Event Scale-Revised score exceeds previous benchmarks in oncology patients and equates with probable post-traumatic stress disorder. In this stressed group, patients reported occurrence rates for depression (71.2%), anxiety (78.0%), sleep disturbance (78.0%), evening fatigue (55.9%), cognitive impairment (91.5%), and pain (75.9%). Symptom severity scores equate with clinically meaningful levels for each symptom. CONCLUSION: We identified alarmingly high rates of stress and an extraordinarily high symptom burden among patients with cancer, exceeding those previously benchmarked in this population and on par with noncancer patients with post-traumatic stress disorder. Given that the COVID-19 pandemic will likely impact cancer care for an indefinite period, clinicians must exhibit increased vigilance in their assessments of patients' level of stress and symptom burden. Moreover, an increase in referrals to appropriate supportive care resources must be prioritized for high-risk patients.


Assuntos
Infecções por Coronavirus/psicologia , Neoplasias/psicologia , Pneumonia Viral/psicologia , Estresse Psicológico/psicologia , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/diagnóstico , Pandemias , Índice de Gravidade de Doença
8.
Soins ; 65(845): 33-35, 2020 May.
Artigo em Francês | MEDLINE | ID: mdl-32862963

RESUMO

Based on 15 years of sociological research on cancer, this article proposes to discuss cancer experiences and interactions of care in oncology considering gender theories. Its ambition is not to propose a closed summary on stabilised theoretical outcomes, but instead to ask the questions that these different works raise.


Assuntos
Neoplasias/psicologia , Neoplasias/terapia , Feminino , Humanos , Masculino , Fatores Sexuais , Teoria Social
9.
Lancet Oncol ; 21(9): e452-e459, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32888474

RESUMO

Hope is a contextual term that has different connotations depending on the setting. We analyse the concept of hope with respect to its applicability for oncology. We review studies that present hope as a direct or secondary mediator of outcome. We posit that an individual's level of hope is often determined by innate personality characteristics and environmental factors, but can also be physiologically influenced by immune modulators, neurotransmitters, affective states, and even the underlying disease process of cancer. We argue that hope can be a therapeutic target and review evidence showing the effects of hope-enhancing therapies. Given the potential for hope to alter oncological outcomes in patients with cancer and the opportunity for improvement in quality of life, we suggest further research directions in this area.


Assuntos
Emoções , Esperança , Neoplasias/psicologia , Personalidade , Humanos , Neoplasias/epidemiologia , Neoplasias/terapia , Qualidade de Vida/psicologia
11.
Psychiatr Danub ; 32(Suppl 2): 254-261, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32970644

RESUMO

INTRODUCTION: Malignant diseases are one of the leading mortalities in the world, causing a range of psychological symptoms and reducing the quality of life in oncology patients. Examine the correlation of religion with the quality of life and psychological symptoms in oncology patients. SUBJECTS AND METHODS: The cross-sectional study included 100 oncology patients in the test group and 80 internal medicine patients in the control group. A sociodemographic questionnaire was specifically designed for this study, the Duke University Religion Index, the Symptom Check List 90, and the WHOQOL-100 quality of life assessment were used to collect the data. RESULTS: The average score in oncology patients was significantly lower on the subscales for physical health (p<0.000), social connections (p<0.002), and intrinsic religiousness (p<0.046) in comparison to internal medicine patients. On the psychological symptoms scale, the average score was higher in oncology patients with the largest difference observed on the psychoticism subscale (p<0.078). CONCLUSION: Oncology patients are statistically less religious and are not satisfied with the quality of life in comparison to internal medicine patients. Psychological symptoms are more pronounced in oncology patients but the difference is not statistically significant. A lower level of religiousness is statistically negatively correlated with a higher severity of psychological symptoms.


Assuntos
Adaptação Psicológica , Neoplasias/psicologia , Qualidade de Vida , Religião e Psicologia , Adulto , Idoso , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
12.
Anticancer Res ; 40(10): 5583-5592, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32988882

RESUMO

BACKGROUND/AIM: In oncological settings, high-quality decision-making takes place when an adaptive pattern of cognitive and behavioural processes occurs, potentially limiting post-decisional regret and leading to an increment of adherence to the final decision. An example of a choice that requires a patient's involvement in the decision-making during cancer treatment occurs when the insertion of Central Vascular Access Device (CVAD) is proposed for chemotherapy administration. The aim of the current study was to develop and evaluate the psychometric properties of an Italian version of the Decisional Conflict Scale (DCS), including its factorial structure and its accuracy in discriminating the level of uncertainty in a sample of cancer patients during their decision-making process for the insertion of a CVAD for intravenous (IV) chemotherapy administration. MATERIALS AND METHODS: The study included 264 cancer patients with different diagnoses. To test the structural and psychometric properties of the Italian version of the DCS (DCS-ITA), exploratory factorial analysis was conducted followed by traditional classical test theory assessments of internal reliability and criterion validity. RESULTS: The Italian version of the DCS (DCS-ITA) demonstrated good internal consistency, acceptable construct validity, which was tested with exploratory factorial analysis, and good criterion validity, demonstrated by the ability of the scale to differentiate between patients who declared themselves certain about their choice and patients expressing uncertainty about the choice to make. CONCLUSION: Overall, the results of the study showed that the DCS-ITA is a psychometrically sound instrument that easily discriminates between patients who are experiencing a decisional conflict and those who are not. The DCS-ITA can be used as a valid and easy-to-use tool for the screening of the decisional conflict in oncological settings.


Assuntos
Tomada de Decisões , Neoplasias/psicologia , Psicometria , Adulto , Idoso , Idoso de 80 Anos ou mais , Cateteres Venosos Centrais/efeitos adversos , Emoções , Feminino , Humanos , Itália/epidemiologia , Masculino , Pessoa de Meia-Idade , Neoplasias/epidemiologia , Neoplasias/patologia , Neoplasias/terapia , Inquéritos e Questionários , Incerteza
13.
Clin J Oncol Nurs ; 24(5): 472-474, 2020 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-32945803

RESUMO

The COVID-19 pandemic caused many hospitals and treatment centers to temporarily restrict or prohibit visitors to control viral spread. This article presents a case study of a patient receiving a bone marrow transplantation who experienced psychological distress during hospitalization because of social isolation. The National Comprehensive Cancer Network guidelines for distress management are used as a framework to outline a nursing plan of care for managing social isolation-related psychological distress in patients who are hospitalized during a worldwide pandemic.


Assuntos
Infecções por Coronavirus/psicologia , Hospitalização , Pandemias , Pneumonia Viral/psicologia , Isolamento Social , Estresse Psicológico/terapia , Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/terapia , Infecções por Coronavirus/virologia , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/psicologia , Neoplasias/terapia , Pneumonia Viral/terapia , Pneumonia Viral/virologia , Transplante de Células-Tronco , Estados Unidos/epidemiologia
15.
Support Care Cancer ; 28(11): 5055-5057, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32783176

RESUMO

Fueled by increasing recognition that cancer-related cognitive impairment impacts quality of life among cancer survivors, we suggest that researchers and clinicians expand their focus to acknowledge the impact of cognitive changes for those with advanced cancer. We outline five reasons that patients with advanced cancer would benefit from comprehensive assessments that include questions about cognitive complaints. Advanced cancer has all the characteristics that would lead to cognitive changes. Patients with advanced cancer may have a higher risk for cognitive impairment due to aggressive chemotherapies, higher symptom burden, and greater psychosocial distress. This commentary contextualizes how cognitive complaints may relate to multiple factors relevant to the advanced cancer patient. By simply asking the patient about their perceived cognitive changes, we argue this may be a stepping stone to finding non-pharmacological ways to address cognitive impairment.


Assuntos
Disfunção Cognitiva/etiologia , Neoplasias/psicologia , Sobreviventes de Câncer , Disfunção Cognitiva/psicologia , Humanos , Qualidade de Vida
16.
PLoS One ; 15(8): e0237837, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32822434

RESUMO

INTRODUCTION: Cancer, the most stressful event a person may experience often triggers depression. Depression among these groups of people, in turn, affects chemotherapy adherence, length of hospitalization, quality of life and cancer treatment outcome. Even though the problem is enormous studies that address it are limited. Therefore this study was conducted to determine the prevalence of depression and associated factors among cancer patients on chemotherapy in Felege-Hiwot referral hospital and University of Gondar referral hospital, Northwest Ethiopia. METHODS: An institution-based cross-sectional study was conducted from April to May 2019. A total of 302 cancer patients on chemotherapy were included. Depression was assessed using the patient health questionnaire (PHQ-9). Binary logistic regression was used to select variables and determine Crude Odds Ratio (COR). Variables with P value < 0.2 were entered into multivariable logistic regression. Adjusted Odds Ratio (AOR) with 95% confidence intervals for variables with P-value < 0.05 was estimated to show factors affecting depression among cancer patients. The fitness of the model was checked by using the Hosmer-Lemeshow goodness-of-fit test. RESULTS: The prevalence of depression among cancer patients on chemotherapy was 70.86% (95% CI: 65.38, 75.92). Educational status of college and above (AOR = 0.1, 95% CI: 0.02, 0.43), Jobless (AOR = 0.15, 95% CI: 0.04, 0.58), Underweight(AOR = 2.39, 95% CI: 1.10, 5.19)chemotherapy duration ≥ 6 months or more (AOR = 2.36, 95% CI: 1.16, 4.79) were notably associated with depression. CONCLUSION: The burden of depression among cancer patients in this study was high. We recommend concerned bodies working to curve the problem to intervene based on the identified risk factors. Improving educational status, reducing work stress and maintaining normal weight would reduce depression.


Assuntos
Depressão/epidemiologia , Neoplasias/tratamento farmacológico , Neoplasias/psicologia , Adulto , Estudos Transversais , Demografia , Depressão/etiologia , Depressão/fisiopatologia , Progressão da Doença , Tratamento Farmacológico/psicologia , Escolaridade , Etiópia/epidemiologia , Feminino , Hospitais Universitários , Humanos , Modelos Logísticos , Masculino , Neoplasias/fisiopatologia , Razão de Chances , Prevalência , Qualidade de Vida , Fatores de Risco , Inquéritos e Questionários , Magreza/fisiopatologia , Magreza/psicologia , Desemprego/psicologia
17.
Rio de Janeiro; Revista Brasileira de Cancerologia; 3. ed; jul./ago./set. 2020. [1-9] p.
Não convencional em Português | LILACS, Coleciona SUS, CONASS, SES-MA | ID: biblio-1119141

RESUMO

Introdução: Os cuidados paliativos para pacientes oncológicos têm por finalidade promover a qualidade de vida por meio do controle de sinais e sintomas, melhoria do bem-estar físico, emocional, social e espiritual. Objetivo: Avaliar a qualidade de vida de pacientes oncológicos em cuidados paliativos. Método: Trata-se de uma pesquisa descritiva, transversal, de abordagem quantitativa, realizada com 21 pacientes internados em uma unidade de cuidados paliativos. Foram coletados dados sobre aspectos sociodemográficos e clínicos, e utilizada a escala do European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire Core15 PAL (EORTC QLQ C-15 PAL) para avaliação da qualidade de vida. Resultados: A média de saúde global foi de 60,32, sendo a qualidade de vida considerada satisfatória. Na escala de sintomas, os domínios mais afetados foram dor (52,38), constipação (46,03) e fadiga (42,86). A função emocional (37,30) mostrou-se pior do que a avaliação da função física (59,79). Houve relação significativa do tempo de diagnóstico com a qualidade de vida geral e a dispneia do performance status de Karnofsky (KPS) com o funcionamento físico, bem como da presença de metástase com dispneia. Conclusão: A qualidade de vida deve ser avaliada diariamente, visto que os cuidados paliativos consideram, além dos sintomas, o conforto do próprio paciente durante o estado de doença que ameaça à vida e as intervenções efetivas de cuidados, permitindo assim o direcionamento da atuação da equipe multiprofissional. Palavras-chave: Cuidados Paliativos; Qualidade de Vida; Avaliação de Estado de Karnofsky; Neoplasias..


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Cuidados Paliativos , Qualidade de Vida , Neoplasias/psicologia , Neoplasias/terapia , Fatores Socioeconômicos , Estudos Transversais
18.
Transl Psychiatry ; 10(1): 263, 2020 07 31.
Artigo em Inglês | MEDLINE | ID: mdl-32737292

RESUMO

The current study aimed to explore mental health problems in patients diagnosed with cancer during the COVID-19 pandemic. A cluster sampling, cross-sectional survey with 6213 cancer patients was conducted in one of the largest cancer centers in China. The socio-demographic and clinical characteristics, psychosomatic conditions, interpersonal relationships and social support, COVID-19 infection-related psychological stress, and mental health status were measured. Medical conditions were extracted from patients' electronic healthcare records. Among the 6213 cancer patients, 23.4% had depression, 17.7% had anxiety, 9.3% had PTSD, and 13.5% had hostility. Hierarchical liner regression models showed that having a history of mental disorder, excessive alcohol consumption, having a higher frequency of worrying about cancer management due to COVID-19, having a higher frequency feeling of overwhelming psychological pressure from COVID-19, and having a higher level of fatigue and pain were the predominant risk factors for mental health problems in cancer patients. However, there were only 1.6% of them were seeking psychological counseling during COVID-19. We also revealed the protective factors associated with lower risk of mental health problems among cancer patients. The present study revealed a high prevalence of mental health problems and gaps in mental health services for cancer patients, which also indicated high distress from COVID-19-elevated risks. We call for systematic screening of mental health status for all cancer patients, and developing specific psychological interventions for this vulnerable population.


Assuntos
Betacoronavirus , Infecções por Coronavirus/psicologia , Transtornos Mentais/epidemiologia , Transtornos Mentais/psicologia , Neoplasias/epidemiologia , Neoplasias/psicologia , Pneumonia Viral/psicologia , China/epidemiologia , Análise por Conglomerados , Comorbidade , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Prevalência , Fatores de Risco , Apoio Social , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia
19.
Rev Assoc Med Bras (1992) ; 66(7): 960-965, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32844942

RESUMO

OBJECTIVE To relate anxiety and depression levels to the spirituality levels of oncology patients in the ABC region. METHODS Cross-sectional study performed at the ABC University Center oncology outpatient clinics. For the evaluation of spirituality, the Religiosity, Spirituality, and Personal Beliefs instrument of the World Health Organization (SRPB-WHO) was applied. To evaluate the levels of depression and anxiety, the Hospital Anxiety and Depression Scale (HADS) was applied. Qualitative variables were described by frequency and percentage, and quantitative variables by mean and standard deviation or median and range. Relationships were established using either the T-test or Wilcoxon-Mann-Whitney test and correlations with Pearson or Spearman tests, depending on the normality assessed by the Shapiro-Wilk test. RESULTS We included 99 patients, 68% female, with a median age of 60 years (19 to 81). A total of 24% had high or borderline levels of anxiety and 21% of depression. There was a negative correlation between levels of depression and spirituality (rho = -0.44, p <0.001), and anxiety and spirituality (rho=-0.232, p=0.02). We found no significant difference between levels of anxiety, depression, or spirituality when stratified by schooling, income, ethnicity, or marital status. There was a positive correlation between levels of anxiety and depression (cor = 0.477, p <0.001). CONCLUSION Spirituality can be a complementary tool in the treatment of patients with cancer.


Assuntos
Ansiedade , Depressão , Neoplasias , Espiritualidade , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/psicologia
20.
PLoS One ; 15(7): e0236648, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32735627

RESUMO

OBJECTIVE: To explore the influence factors of behavior problems of 8~18 years old children with malignant tumors in the treatment period, as well as the mediating effects of social support self-efficacy and post-traumatic growth. METHODS: From May 2019 to October 2019, 160 children with malignant tumors during the treatment were selected through convenience sampling method, and were investigated via the General Self-Efficacy Scale, Social Support Questionnaire, Post-Traumatic Growth Scale and Conners' Parent Symptom Questionnaire. Structural equation model was established on the basis of survey results. RESULTS: The total detection rate of behavior problems in 8~18 years old children with malignant tumors was 10.6%. The structural equation models indicated that boys had more behavior problems than girls, self-efficacy, social support and post-traumatic growth can directly affect the behavior problems of 8~18 years old children with malignant tumors in the treatment period, and the standardized total effect of self-efficacy in both of the first model and the second model was the largest. Self-efficacy is also able to indirectly and negatively predict the behavior problems based on social support or post-traumatic growth. Social support can directly affect behavior problems or indirectly predict behavior problems through self-efficacy and post-traumatic growth. After 2000 bootstrap tests, the mediating effects of social support self-efficacy and post-traumatic growth were confirmed. CONCLUSION: Reduced total detection rate of behavior problems suggests that targeted interventions in recent years may be effective. Interventions focused on improving self-efficacy, social support and post-traumatic growth may lessen behavior problems of children with malignant tumors in the treatment period.


Assuntos
Neoplasias/psicologia , Comportamento Problema/psicologia , Autoeficácia , Apoio Social , Adaptação Psicológica , Adolescente , Criança , Feminino , Humanos , Masculino , Análise Multivariada , Neoplasias/terapia , Inquéritos e Questionários
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