A longitudinal analysis of the course of depressive symptomatology in geriatric patients with cancer of the breast, colon, lung, or prostate.
A longitudinal analysis of the course of depressive symptomatology in geriatric patients with cancer of the breast, colon, lung, or prostate.
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DOI：
10.1037/0278-6133.23.6.564
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发表时间：
2004-11
期刊：
影响因子：
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通讯作者：
M. Stommel;M. Kurtz;J. Kurtz;C. Given;B. Given
中科院分区：
文献类型：
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作者：
M. Stommel;M. Kurtz;J. Kurtz;C. Given;B. Given
这项研究绘制了抑郁症及其组成部分（抑郁情绪，抑郁症的躯体表达和缺乏积极影响）的轨迹，在最初的癌症诊断后1年，揭示了对癌症经历的心理反应的复杂性。该分析基于来自860名患有乳腺癌、结肠癌、肺癌或前列腺癌的老年患者的4波面板数据。抑郁症状的预测因素包括癌症部位、分期、合并症、社会人口学特征以及身体功能、症状严重程度和治疗的指标。患者的总体抑郁症状下降，尤其是抑郁情绪和躯体指标。相比之下，幸福感没有恢复;事实上，如果身体功能和身体症状没有改善，幸福感就会恶化。目前的研究结果表明，在癌症治疗期间心理评估和症状管理的重要性。
This study mapped the trajectory of depression and its components (depressive mood, somatic expression of depression, and lack of positive affect) for 1 year after an initial cancer diagnosis, revealing the complex nature of the psychological response to the cancer experience. The analysis was based on 4 waves of panel data from 860 older patients with incident breast, colon, lung, or prostate cancer. Predictors of depressive symptoms included cancer site; stage; comorbidities; sociodemographic characteristics; and indicators of physical functioning, symptom severity, and treatment. Patients' overall depressive symptoms declined, especially depressive mood and somatic indicators. By contrast, the sense of well-being did not recover; in fact, it would have deteriorated without improvements in physical functioning and physical symptoms. The present findings show the importance of psychological assessments and symptom management during cancer treatment.