ASSESMENT OF DISTRESS AMONG ONCOLOGY PATIENTS AFTER THE COMPLETION OF THE TREATMENT

Тамара Д Кликовац

DOI Number
https://doi.org/10.22190/TEME180515022K
First page
327
Last page
351

Abstract


The main aim of this study is to assess the level of distress among oncology patients a year and a half after the diagnosis of malignancy and completion of the combined oncology treatment (surgery, chemotherapy and/or radiotherapy). The second goal was to apply, for the first time in our country, the following world standards in the field of psycho-oncology set up by the National Comprehensive Cancer Network (NCCN) and the International Psycho-Oncology Society (IPOS) using a distress scale/distress thermometer on a sample of oncology patients who applied for psychological help and support in a private counseling center after completion of the oncological treatment. The examined sample consisted of 40 patients (30 women and 10 men) who, upon their first arrival at the counseling center and at the end of the initial psychological interview, were asked to fill the distress thermometer with the adequate explanations, provided that the self-assessment of the distress was significant to the further counseling psychological and/or psychotherapeutical treatment. The results of the whole sample showed that the highest percentage of patients examined (52.5%) evaluated various investigated problems as moderately stressful, 20% of patients assessed the problems as very stressful, 12.5% as slightly stressful and only 5% as not stressful. Related to practical problems, the largest percentage of patients assessed money and account payment issues (30%) and work - related issues (27.5%) as the most stressful. 22.5% of patients quote parenting and child care as the most stressful family problems. Concerning emotional problems, a significant percentage of patients (45%), quote concern and anxiety, 32.5% the existence of different fears, 22.5% sadness, and 20% irritability and tension as the most stressful emotional problems. 85% of patients stated that the fear of relapse of the disease is a problem that worries them the most. Patients in this study experience emotional problems considerably more stressful compared to other problems in the post-treatment period.


Keywords

oncology patients, psycho-oncology, distress, emotional problems.

Full Text:

PDF (Cрпски)

References


Bultz, B., & Carlson, E. (2005). Emotional distress: the sixth vital sign in cancer care. Journal of Clinical Oncology, 23(26), 6440-6441. doi: 10.1200/JCO.2005.02.3259

Bulli, F., Miccinesi, G., Maruelli, A., Katz, M., Paci, E. (2009) Themeasure of psychological distress in cancer patients: the use of Distress Thermometer in the Oncological Rehabilitation Center of Florence. Supportive Care in Cancer, 17,771-779. doi: 10.1007/s00520-008-0543-9

Carlson, E., Angen, M., Cullum, J., Goodey, E., Koopmans, J., & Lamon, L. (2004). High levels of untreated distress and fatigue in cancer patients. British Journal of Cancer, 90(12), 2297-2304.

doi: 10.1038/sj.bjc.6601887

Forsythe, P., Kent, E., Weaver, E., Buchann, N., Hawkins, M., Rodriguez, J., Ryerson, A., Rowland,, J. (2013). Receipt of psychosocial care among cancer survivors in the United States. Journal of Clinical Oncology, 31(16), 1961-1969. doi: 10.1200/JCO.2012.46.2101

Fallowfield, L., Ratcliffe, D., Jenkins, V. (2010). Psychiatric morbidity and its recognition by doctors in patients with cancer. British Journal of Cancer, 84(8), 1011-1015.

doi: 10.1054/bjoc.2001.1724

Gessler, S., Low, J., Daniells, E., Williams, R., Brough, V., Tookman, A., & Jones, L. (2008). Screening for distress in cancer patients: is the distress thermometer a valid measure in the UK and does it measure change over time? A prospective validation study. Psycho-oncology, 17,538-547. doi: 10.1002/pon.1273

Grassi, L., & Riba, M. (Eds.). (2012). Clinical Psycho-oncology: An International Perspective. Chichester: John Wiley & Sons.

Grassi, L., Travado, L. (2008). The role of psychosocial oncology in cancer care. In: M. Coleman, D. Alexe, T. Albreht, M. McKee (Eds.). Responding to the challenge of cancer in Europe (209–29). Ljubljana: Institute of Public Health.

Grassi, L., Nanni, M., Caruso, R. (2010). Emotional distress in cancer: screening policy, clinical limitations and educational needs. Journal of Medicine and the Person, 8, 51-59. doi: 10.1007/s12682-010-0047-5

Grassi, L., Travado, L., Gil, F., Sabato, S., Rossi, E. (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.2004.07.00

Gregurek, R., Braš, M. (2008). Psihoonkologija. Osijek:Grafika.

Helgeson, S., Snyder, P., Seltman, H. (2004). Psychological and physical adjustment to breast cancer over 4 years: identifying distinct trajectories of change. Health Psychology, 23,3-15.

doi: 10.1037/0278-6133.23.1.3

Holland, J. (2002). History of psycho-oncology: overcoming attitudinal and conceptual barriers. Psychosomatic Medicine, 64,206-221.

Holland, J., Breitbart, W., Jacobsen, P., Lederberg, M., Loscalzo, M., McCorkle, R. (Eds.). (2010). Handbook of psycho-oncology. Psychological care of the patients with cancer. Oxford: Oxford University Press.

Holland, J., & Bultz, B. (2007). The NCCN guideline for distress management: a case for making distress the sixth vital sign. Journal of the National Comprehensive Cancer Network, 5(1), 3-7.

Holland, J., Breitbart, W., Dudley, M., Fulcher, C., Greiner, C., Hoofring. L. (2010). Distress management. Clinical practice guidelines in oncology. Journal of the National Comprehensive Cancer Network, 8, 448-485.

Holland, J., Watson, M., Jeff, D. (2011). The IPOS New International Standard of Quality Cancer Care: integrating the psychosocial domain into routine care. Psycho-oncology, 20, 677-680. doi: 10.1002/pon.1978

Hollingworth, W., Medina, L., Lenkinski, R., Shibata, D., Bernal, B., Zurakowski, D., Comstock, B., Jarvik, G. (2006). Interrater reliability in assessing quality of diagnostic accuracy studies using the QUADAS tool. A preliminary assessment. Academic Radiology, 13, 803-810.

doi: 10.1016/j.acra.2006.03.008

Klikovac, T. (2017). Psihološka podrška onkološkim pacijentima [Psychological support to oncological patients]. Institut za onkologiju i radiologiju Srbije, Niš: Galeb.

Klikovac, T., Andrijić, M. (2014). Psiho-onkologija.U R. Džodić, Z. Nešković-Konstantinović i B. Gudurić (Prir.). Rak dojke [Breast cancer] (str. 279-281). Beograd: Zavod za udžbenike.

Klikovac, T. (2014). Psiho-socijalne dimenzije karcinoma dojke [Psycho-social dimensions of breast cancer]. Anali kancerološke sekcije Srpskog lekarskog društva, 1(1), 19-39.

Klikovac, T., Đurdjević, A. (2010). Psychological aspects of the cancer patients` education: Thoughts, feelings, behaviour and body reactions of patients faced with diagnosis of cancer. Journal of Balkan Union of Oncologists, 15(1), 153-156.

Klikovac, T., (2010). The Distress Thermometer transleted into Serbian. In: Journal of the Psychological, Social and Behavioral Dimensions of Cancer: XII World Congress of Psycho-oncology (251-252). Quebec City: Canada.

Klikovac, T. (2007). Psychooncology in Serbia – Present status and future directions. In: Journal of Psychological, Social and Behavioral Dimensions of Cancer: IX World Congress of Psycho-oncology (89). London:UK.

Ma, X., Zhang, J., Zhong, W., Shu, C., Wang, F., Wen, J., Zhou, M., Sang, Y., Jiang, Y., Liu L. (2014). The diagnostic role of a short screening tool - the distress thermometer: a meta-analysis. Supportive Care in Cancer, 22, 1741-1755. doi: 10.1007/s00520-014-2143-1

Mitchell, A., Ferguson, D., Gill, J., Paul, J., Symonds, P. (2013). Depression and anxiety in longterm cancer survivors compared with spouses and healthy controls: a systematic review and meta-analysis. Lancet Oncology, 14 (8),721-732. doi: 10.1016/S1470-2045(13)70244-4

Nalić, D., Vukotić, D. (2010). Priručnik za psihosocijalnu podršku obolelima i porodici [Manual for the Psychosocial Support to Ill people and Family], Novi Sad: Simbol.

National Comprehensive Cancer Network (NCCN). Distress Management - Clinical Practice Guidelines in Oncology. Version 1 (2010).

Pascoe, S., Edelman, S., Kidman, A. (2000). Prevalence of psychological distress and use of support services by cancer patients at Sydney hospitals. Australia New Zeland Journal of Psychiatry, 34(5), 785-791. doi: 10.1080/j.1440-1614.2000.00817.x

Patel, D., Sharpe, L., Thewes, B, Bell, M., Clarke, S. (2011). Using the Distress Thermometer and Hospital Anxiety and Depression Scale to screen for psychosocial morbidity in patients diagnosed with colorectal cancer. Journal of Affective Disorders, 131, 412-416.

doi: 10.1016/j.jad.2010.11.014

Sollner, W., DeVries, A., Steixner, E., Lukas, P., Spinzi, G., Rumpold, G., Maislinger, S. (2001). How successful are oncologists in identifying patient distress, perceived social support, and need for psychosocial counseling? British Journal of Cancer, 84(2), 179-185. doi: 10.1054/bjoc.2000.1545

Travado, L., Dalmas, M. (2015). Psychosocial Oncology Care. In T. Albreht, J. Martin-Moreno, M.Jelenc, L.Gorgojo, M.Harris (Eds.). European Guide for Quality National Cancer Control Programmes. Slovenia: National Institute of Public Health.

Taenzer, P., Bultz, D., Carlson, L., Speca, M. (2000). Impact of computerized quality of life and screening on physician behavior and patient satisfaction in lung cancer outpatients. Psycho-oncology, 9(3), 203-213.

Vlajković, J. (2009). Životne krize - prevencija i prevazilaženje. Beograd: Žarko Albulj.

Whiting, P., Rutjes, A., Reitsma, J., Bossuyt, M., Kleijnen, J. (2003). The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews. BMC Medical Research Methodology, 3-25. doi: org/10.1186/1471-2288-3-25

Zabora, J., Brintzenhofeszoc, K., Curbow, B., Hooker, C., Piantadosi, S. (2001). The prevalence of psychological distress by cancer site. Psycho-oncology, 10, 19-28.




DOI: https://doi.org/10.22190/TEME180515022K

Refbacks

  • There are currently no refbacks.


Print ISSN: 0353-7919
Online ISSN: 1820-7804