DOI QR코드

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Factors Associated with Psychological Characteristics in Patients with Hepatic Malignancy before Interventional Procedures

  • 발행 : 2012.01.31

초록

Objective: To investigate the psychological characteristics of hepatic malignancy patients before interventional procedures and assess associations with related factors. Methods: Two hundred and thirteen patients requiring interventional procedure for hepatic malignancy were asked to complete a survey of health knowledge and psychological symptom on health knowledge questionnaire and SCL-90 before interventional procedure. Logistic regression analysis was employed to determine the association of various demographic, clinical and health knowledge factors with the presence of psychological symptoms in patients. Results: Eight psychological symptom scores, i.e. somatization, obsessive-compulsive tendencies, depression, anxiety, hostility, phobia, paranoid ideations and psychotic states, were significantly higher than the normal range (P< 0.001). Of 213 cases in the study, 49 families (23.00%) concealed the diagnoses of hepatic carcinoma from patients; 135 patients (63.38%) described the prognosis of the disease correctly. It was demonstrated that the correlations between psychological symptoms and related factors, i.e. age, gender, education, interventional procedure times and health knowledge, were statistically significant (P<0.05). Conclusion: Psychological distress is severe in hepatic malignancy patients before interventional procedures. Age, gender, education, interventional procedure times and health knowledge are associated with psychological symptoms which are significant different from the normal range in Chinese.

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참고문헌

  1. Afifi M (2007). Gender differences in mental health. Singapore Med J, 48, 385-91.
  2. Aqarwal M, Hamilton JB, Moore CE, et al (2010). Predictors of depression among older African American cancer patients. Cancer Nurs, 33, 156-63. https://doi.org/10.1097/NCC.0b013e3181bdef76
  3. Atesci FC, Baltalarli B, Oguzhanoglu NK, et al (2004). Psychiatric morbidity among cancer patients and awareness of illness. Support Care Cancer, 12, 161-7. https://doi.org/10.1007/s00520-003-0585-y
  4. Blank TO, Bellizzi KM (2008). A gerontologic perspective on cancer and aging. Cancer, 112, 2569-76. https://doi.org/10.1002/cncr.23444
  5. Carstensen LL (2006). The influence of a sense of time on human development. Science, 312, 1913-5. https://doi.org/10.1126/science.1127488
  6. Carter S, Martin Ii RC (2009). Drug-eluting bead therapy in primary and metastatic disease of the liver. HPB (Oxford), 11, 541-50. https://doi.org/10.1111/j.1477-2574.2009.00071.x
  7. Dempster M, McCorry NK, Brennan E, et al (2011). Psychological distress among survivors of esophageal cancer: the role of illness cognitions and coping. Dis Esophagus, doi: 10.1111/j.1442-2050.2011.01233.x.
  8. El-Serag HB, Siegel AB, Davila JA, et al (2006). Treatment and outcomes of treating of hepatocellular carcinoma among Medicare recipients in the United States: a population-based study. J Hepatol, 44, 158-66. https://doi.org/10.1016/j.jhep.2005.10.002
  9. Forstmeier S, Maercker A (2008). Motivational reserve: Lifetime motivational abilities contribute to cognitive and emotional health in old age. Psychol Aging, 23, 886-99. https://doi.org/10.1037/a0013602
  10. Hagman BT, Delnevo CD, Hrywna M, et al (2008). Tobacco use among those with serious psychological distress: results from the national survey of drug use and health, 2002. Addict Behav, 33, 582-92. https://doi.org/10.1016/j.addbeh.2007.11.007
  11. Hulbert-Williams N, Neal R, Morrison V, et al (2011). Anxiety, depression and quality of life after cancer diagnosis: what psychosocial variables best predict how patients adjust? Psychooncology, doi: 10.1002/pon.1980.
  12. Jadoon NA, Munir W, Shahzad MA, et al (2010). Assessment of depression and anxiety in adult cancer outpatients: a crosssectional study. BMC Cancer, 10, 594. https://doi.org/10.1186/1471-2407-10-594
  13. Kuriyama S, Nakaya N, Ohmori-Matsuda K, et al (2009). Factors associated with psychological distress in a communitydwelling Japanese population: the Ohsaki Cohort 2006 Study. J Epidemiol, 19, 294-302. https://doi.org/10.2188/jea.JE20080076
  14. Kuvshinoff B, Fong Y (2007). Surgical therapy of liver metastases. Semin Oncol, 34, 177-85. https://doi.org/10.1053/j.seminoncol.2007.03.003
  15. Llovet JM, Burroughs A, Bruix J (2003). Hepatocellular carcinoma. Lancet, 362, 1907-17. https://doi.org/10.1016/S0140-6736(03)14964-1
  16. Martin ML, Lennox PH, Buckley BT (2005). Pain and anxiety: two problems, two solutions. J Vasc Interv Radiol, 16, 1581-4. https://doi.org/10.1097/01.RVI.0000167588.84460.FD
  17. Massie MJ (2004). Prevalence of depression in patients with cancer. J Natl Cancer Inst Monogr, 32, 57-71.
  18. Minagawa H, Uchitomi Y, Yamawaki S, et al (1996). Psychiatric morbidity in terminally ill cancer patients. A prospective study. Cancer, 78, 1131-7. https://doi.org/10.1002/(SICI)1097-0142(19960901)78:5<1131::AID-CNCR26>3.0.CO;2-2
  19. Miraglia R, Pietrosi G, Maruzzelli L, et al (2007). Efficacy of transcatheter embolization/ chemo-embolization (TAE/TACE) for the treatment of single hepatocellular carcinoma. World J Gastroenterol, 13, 2952-5. https://doi.org/10.3748/wjg.v13.i21.2952
  20. Mistry A, Wilson S, Priestman T, et al (2010). How do the information needs of cancer patients differ at different stages of the cancer journey? A cross-sectional survey. JRSM Short Rep, 1, 30. https://doi.org/10.1258/shorts.2010.010032
  21. Nelson CJ, Weinberger MI, Balk E, et al (2009). The chronology of distress, anxiety, and depression on older prostate cancer patients. Oncologist, 14, 891-9. https://doi.org/10.1634/theoncologist.2009-0059
  22. Piccinelli M, Wilkinson G (2000). Gender differences in depression. Critical review. Br J Psychiatry, 177, 486-92. https://doi.org/10.1192/bjp.177.6.486
  23. Pirl WF (2004). Evidence report on the occurrence, assessment, and treatment of depression in cancer patients. J Natl Cancer Inst Monogr, 32, 32-9.
  24. Pratt LA, Dey AN, Cohen AJ (2007). Characteristics of adults with serious psychological distress as measured by the K6 scale: United States, 2001-04. Adv Data, 382, 1-18.
  25. Sainio C, Eriksson E (2003). Keeping cancer patients informed: a challenge for nursing. Eur J Oncol Nurs, 7, 39-49. https://doi.org/10.1054/ejon.2002.0218
  26. Schupp CJ, Berbaum K, Berbaum M, et al (2005). Pain and anxiety during interventional radiologic procedures: effect of patients' state anxiety at baseline and modulation by nonpharmacologic analgesia adjuncts. J Vasc Interv Radiol, 16, 1585-92. https://doi.org/10.1097/01.RVI.0000185418.82287.72
  27. Sims MJ, Rilling WS (2006). Psychosocial management of distress in interventional radiology patients with cancer. Tech Vasc Interv Radiol, 9, 101-5. https://doi.org/10.1053/j.tvir.2007.02.001
  28. Sofocleous CT, Nascimento RG, Gonen M, et al (2007). Radiofrequency ablation in the management of liver metastases from breast cancer. AJR Am J Roentgenol, 189, 883-9. https://doi.org/10.2214/AJR.07.2198
  29. Sonnenday CJ, Dimick JB, Schulick RD, et al (2007). Racial and geographic disparities in the utilization of surgical therapy for hepatocellular carcinoma. J Gastrointest Surg, 11, 1636-46. https://doi.org/10.1007/s11605-007-0315-8
  30. Tavoli A, Mohagheghi MA, Montazeri A, et al (2007). Anxiety and depression in patients with gastrointestinal cancer: does knowledge of cancer diagnosis matter? BMC Gastroenterol, 7, 28. https://doi.org/10.1186/1471-230X-7-28
  31. Wang ZX, Liu SL, Sun CH, et al (2008). Psychological intervention reduces postembolization pain during hepatic arterial chemoembolization therapy: a complementary approach to drug analgesia. World J Gastroenterol, 14, 931-5. https://doi.org/10.3748/wjg.14.931