Lung Cancer Stigma, Anxiety, Depression and Symptom Severity
Lung Cancer Stigma, Anxiety, Depression and Symptom Severity
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DOI：
10.1159/000350834
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发表时间：
2013-01-01
期刊：
影响因子：
3.5
通讯作者：
Brodsky, Jennifer L.
中科院分区：
文献类型：
--
作者：
Cataldo, Janine K.;Brodsky, Jennifer L.
目的：与其他癌症相比，肺癌患者报告的心理困扰和耻辱程度最高。很少有研究探讨肺癌病耻感（LCS）与症状负担的关系。本研究旨在探讨LCS、焦虑、抑郁与躯体症状严重程度的关系。方法：本研究采用横断面、相关设计，从肺癌网站在线招募患者。LCS、焦虑、抑郁和躯体症状采用网络自述量表进行测量。采用分层多元回归分析LCS、焦虑和抑郁对症状严重程度的个体贡献。结果：患者平均年龄57岁；其中93%为白种人，79%为当前或曾经吸烟者，74%为女性。LCS与焦虑（r = 0.413, p < 0.001）、抑郁（r = 0.559, p < 0.001）、肺癌总症状严重程度（r = 0.483, p < 0.001）呈正相关。虽然其贡献很小，但LCS对症状严重程度的差异提供了独特而重要的解释，比年龄、焦虑和抑郁的差异高1.3% （p < 0.05）。结论：由于LCS与心理社会和身体健康结果相关，因此需要研究开发干预措施，以帮助患者管理LCS并提高他们与临床医生有效沟通的能力。巴塞尔S. Karger股份有限公司版权所有
Objectives: Compared to other cancers, lung cancer patients report the highest levels of psychological distress and stigma. Few studies have examined the relationship between lung cancer stigma (LCS) and symptom burden. This study was designed to investigate the relationship between LCS, anxiety, depression and physical symptom severity. Methods: This study employed a cross-sectional, correlational design to recruit patients online from lung cancer websites. LCS, anxiety, depression and physical symptoms were measured by patient self-report using validated scales via the Internet. Hierarchical multiple regression was performed to investigate the individual contributions of LCS, anxiety and depression to symptom severity. Results: Patients had a mean age of 57 years; 93% were Caucasian, 79% were current or former smokers, and 74% were female. There were strong positive relationships between LCS and anxiety (r = 0.413, p < 0.001), depression (r = 0.559, p < 0.001) and total lung cancer symptom severity (r = 0.483, p < 0.001). Although its contribution was small, LCS provided a unique and significant explanation of the variance in symptom severity beyond that of age, anxiety and depression, by 1.3% (p < 0.05). Conclusions: Because LCS is associated with psychosocial and physical health outcomes, research is needed to develop interventions to assist patients to manage LCS and to enhance their ability to communicate effectively with clinicians. Copyright (C) 2013 S. Karger AG, Basel