Evaluation and significance of psychological problems in patients with lung cancer_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

YU Hui , SU Xin ,  SHI Yi ^△

Department of Respiratory and Critical Care Medicine, Jinling Hospital, Nanjing University, School of Medicine, Nanjing, Jiangshu 210002, P. R. China;

Corresponding author：

SHI Yi, Email: shiyi56@126.com

Keywords：

Lung cancer; Psychological disorder; Symptom Check List 90

DOI：

10.7507/1671-6205.201705031

Video：

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Objective To assess the psychological status of patients with lung cancer in ward preliminarily for providing the theoretical support for further clinical treatment. Methods Lung cancer patients were enrolled in this study during the period from January 2016 to January 2017, when they were being treated in the respiratory ward of Nanjing General Hospital. Their psychological status was assessed by using Symptom Check List 90, and the results with their demographic information and somatic symptoms were combined. Data were analyzed by using SPSS 18.0 software. Results This study included 239 inpatients, out of them 161 patients were male (67.4%), and the average age was 60.7±9.9 years. Sixty patients had a positive psychological status. The incidence of depression was 11.3% (27/239), of anxiety 4.2% (10/239), and of the total psychological disorder 25.1%. The patients had more serious psychological problems, when they had a longer course, more autonomic symptoms, or a lower score of Karnofsky performance scale, etc. Conclusion More serious psychological problems exist in patients with lung cancer, so it has the clinical significance for their timely psychological assessment.

Citation： YU Hui, SU Xin, SHI Yi. Evaluation and significance of psychological problems in patients with lung cancer. Chinese Journal of Respiratory and Critical Care Medicine, 2018, 17(6): 582-587. doi: 10.7507/1671-6205.201705031 Copy

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15.	Krebber AM, Buffart LM, Kleijn G, et al. Prevalence of depression in cancer patients: a meta-analysis of diagnostic interviews and self-report instruments. Psychooncology, 2014, 23(2): 121-130.
16.	Mitchell AJ, Chan M, Bhatti H, et al. Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol, 2011, 12(2): 160-174.
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1. American Cancer Society. Cancer facts and figures. 2017, http://www.cancer.org/research/cancerfactsstatistics/cancerfactsfigures2017/index.
2. Yanwei L, Dongying L, Zhuchen Y, et al. A double-edged sword: should stage IV non-small cell lung cancer patients be informed of their cancer diagnosis?. Eur J Cancer Care (Engl), 2017, 26(6): e12665.
3. Erol Y, Çakan A, Ergönül AG, et al. Psychiatric assessments in patients operated on due to lung cancer. Asian Cardiovasc Thorac Ann, 2017, 25(7-8): 518-521.
4. 沈渔邨主编. 精神病学. 第 5 版. 北京: 人民卫生出版社, 2011, 269-273.
5. Haun MW, Sklenarova H, Villalobos M, et al. Depression, anxiety and disease-related distress in couples affected by advanced lung cancer. Lung Cancer, 2014, 86(2): 274-280.
6. Wei D, Tian Y, Gao H, et al. Patient distress and emotional disclosure: a study of Chinese cancer patients. J Cancer Educ, 2013, 28(2): 346-351.
7. Chen J, Li W, Cui L, et al. Chemotherapeutic response and prognosis among lung cancer patients with and without depression. J Cancer, 2015, 6(11): 1121-1129.
8. Molassiotis A, Charalambous A, Taylor P, et al. The effect of resistance inspiratory muscle training in the management of breathlessness in patients with thoracic malignancies: a feasibility randomised trial. Support Care Cancer, 2015, 23(6): 1637-1645.
9. Salsman JM, Garcia SF, Yanez B, et al. Physical, emotional, and social health differences between posttreatment young adults with cancer and matched healthy controls. Cancer, 2014, 120(15): 2247-2254.
10. Aukst Margetic B, Kukulj S, Santic Z, et al. Predicting depression with temperament and character in lung cancer patients. Eur J Cancer Care (Engl), 2013, 22(6): 807-814.
11. Xie H, Li C, He Y, et al. Chronic stress promotes oral cancer growth and angiogenesis with increased circulating catecholamine and glucocorticoid levels in a mouse model. Oral Oncol, 2015, 51(11): 991-997.
12. Cosci F, Fava GA, Sonino N. Mood and anxiety disorders as early manifestations of medical illness: a systematic review. Psychother Psychosom, 2015, 84(1): 22-29.
13. Pirl WF, Greer JA, Traeger L, et al. Depression and survival in metastatic non-small-cell lung cancer: effects of early palliative care. J Clin Oncol, 2012, 30(12): 1310-1315.
14. Akechi T, Okamura H, Nishiwaki Y, et al. Psychiatric disorders and associated and predictive factors in patients with unresectable nonsmall cell lung carcinoma: a longitudinal study. Cancer, 2001, 92(10): 2609-2622.
15. Krebber AM, Buffart LM, Kleijn G, et al. Prevalence of depression in cancer patients: a meta-analysis of diagnostic interviews and self-report instruments. Psychooncology, 2014, 23(2): 121-130.
16. Mitchell AJ, Chan M, Bhatti H, et al. Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol, 2011, 12(2): 160-174.
17. Neron S, Correa JA, Dajczman E, et al. Screening for depressive symptoms in patients with unresectable lung cancer. Support Care Cancer, 2007, 15(10): 1207-1212.
18. Konings IC, Harinck F, Kuenen MA, et al. Factors associated with cancer worries in individuals participating in annual pancreatic cancer surveillance. Fam Cancer, 2017, 16(1): 143-151.
19. Nishiura M, Tamura A, Nagai H, et al. Assessment of sleep disturbance in lung cancer patients: relationship between sleep disturbance and pain, fatigue, quality of life, and psychological distress. Palliat Support Care, 2015, 13(3): 575-581.
20. Fegg M, Kraus S, Graw M, et al. Physical compared to mental diseases as reasons for committing suicide: a retrospective study. BMC Palliat Care, 2016, 15: 14.
21. Maric D, Jovanovic D, Nagorni-Obradovic L, et al. Assessment of health-related quality of life in end-stage chronic obstructive pulmonary disease and non-small-cell lung cancer patients in Serbia. Palliat Support Care, 2016, 14(1): 60-68.

Chinese Journal of Respiratory and Critical Care Medicine

Evaluation and significance of psychological problems in patients with lung cancer

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