Relationship between Negative Mental Adjustment to Cancer and Distress in Thyroid Cancer Patients
Yonsei Medical Journal
; : 658-664, 2013.
Article
en En
| WPRIM
| ID: wpr-193937
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: Previous studies have reported that over a third of cancer patients experience significant psychological distress with diagnosis and treatment of cancer. Mental adjustment to cancer as well as other biologic and demographic factors may be associated with their distress. We investigated the relationship between mental adjustment and distress in patients with thyroid cancer prior to thyroidectomy. MATERIALS AND METHODS: One hundred and fifty-two thyroid cancer patients were included in the final analysis. After global distress levels were screened with a distress thermometer, patients were evaluated concerning mental adjustment to cancer, as well as demographic and cancer-related characteristics. A thyroid function test was also performed. Regression analysis was performed to discern significant factors associated with distress in thyroid cancer patients. RESULTS: Our regression model was significant and explained 38.5% of the total variance in distress of this patient group. Anxious-preoccupation and helpless-hopeless factors on the mental adjustment to cancer scale were significantly associated with distress in thyroid cancer patients. CONCLUSION: Negative emotional response to cancer diagnosis may be associated with distress in thyroid cancer patients awaiting thyroidectomy. Screening of mental coping strategies at the beginning of cancer treatment may predict psychological distress in cancer patients. Further studies on the efficacy of psychiatric intervention during cancer treatment may be needed for patients showing maladaptive psychological responses to cancer.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Ansiedad
/
Estrés Psicológico
/
Tiroidectomía
/
Neoplasias de la Tiroides
/
Adaptación Psicológica
/
Análisis de Regresión
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Límite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Yonsei Medical Journal
Año:
2013
Tipo del documento:
Article