Prevalence and associated factors of psychological distress among young adult cancer patients in Japan
Prevalence and associated factors of psychological distress among young adult cancer patients in Japan
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DOI：
10.1017/s1478951521002054
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发表时间：
2022-02
影响因子：
2.2
通讯作者：
M. Okamura;M. Fujimori;Shinichi Goto;K. Obama;M. Kadowaki;Ayako Sato;T. Hirayama;Y. Uchitomi
中科院分区：
文献类型：
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作者：
M. Okamura;M. Fujimori;Shinichi Goto;K. Obama;M. Kadowaki;Ayako Sato;T. Hirayama;Y. Uchitomi
摘要目的青少年和青年（AYA）癌症患者可能处于经历心理困扰的高风险，因为他们的诊断是在巩固身份和社会成长的关键时期。本研究的目的是（1）检查AYA癌症患者在诊断后一年内的长期生存者中心理困扰的患病率，（2）描述与心理困扰相关的社会人口统计学和癌症相关特征。方法在一项基于网络的横断面调查中，对Kessler心理困扰量表评分为5分或以上的患者进行显著心理困扰评估。Logistic回归分析了人口统计学、临床变量和社会支持是否与心理困扰相关。结果共206例青年癌症患者参与研究。调查时的中位年龄为34.5岁（范围：22-39岁），87.4%为女性。心理困扰发生率为55.3%。确诊后1年内和长期生存者（确诊后≥10年）的心理困扰明显高于确诊后1-4年的患者。疼痛、癌症诊断后收入减少、癌症诊断后工作/学校的负面变化以及社会支持不足与心理困扰显著相关。结果的意义在日本，超过一半的年轻成年患者有明显的心理困扰。我们的研究结果可能有助于AYA癌症幸存者的痛苦管理干预成分。
Abstract Objectives Adolescent and young adult (AYA) cancer patients may be at high risk of experiencing psychological distress because their diagnosis came during a key time of consolidation of identity and social growth. This study aimed (1) to examine the prevalence of psychological distress among AYA cancer patients within a year of diagnosis to long-term survivors and (2) to describe socio-demographic and cancer-related characteristics associated with psychological distress. Methods In a cross-sectional web-based survey, patients who scored 5 or more on the Kessler Psychological Distress Scale were assessed for significant psychological distress. Logistic regression examined whether demographics, clinical variables, and social support were associated with psychological distress. Results A total of 206 young adult cancer patients participated. The median age at the survey was 34.5 years (range: 22–39 years), and 87.4% were female. The prevalence of psychological distress was 55.3%. Psychological distress among patients diagnosed within a year and long-term survivors (≥10 years since diagnosis) was significantly higher than patients 1–4 years since diagnosis. Pain, decrease in income after a cancer diagnosis, experience of negative change in work/school after a cancer diagnosis and poor social support were significantly associated with psychological distress. Significance of results Over half of young adult patients had significant psychological distress in Japan. Our findings potentially contribute to the intervention components for distress management among AYA cancer survivors.