Psychological distress and need for psychological care in patients with cancer

2010 ◽  
Author(s):  
J. Ronse ◽  
M. Grypdonck ◽  
E. Decoene ◽  
M. Daem
2018 ◽  
Vol 17 (04) ◽  
pp. 448-452
Author(s):  
Tomohiro Uchida ◽  
Noriaki Satake ◽  
Toshimichi Nakaho ◽  
Akira Inoue ◽  
Hidemitsu Saito

AbstractObjectivesThe Bereavement Risk Assessment Tool (BRAT) seems to be useful in identifying those who are likely to suffer from the more severe consequences of bereavement. To date, however, only a few studies have examined bereavement risk using the BRAT. This study investigated bereavement risk in family caregivers of patients with cancer using the Japanese version of the Bereavement Risk Assessment Tool (BRAT-J). We also investigated the relationship of bereavement risk with psychological distress and resilience among caregivers to determine the validity of the BRAT-J.MethodsWe conducted family psychoeducation in the palliative care unit of Tohoku University Hospital with participants who were recruited in this study. Among the participants, 50 family caregivers provided their written informed consent and were included in this study. Participants were assessed using the BRAT-J and completed the Japanese version of the Kessler Psychological Distress Scale (K6) and the Tachikawa Resilience Scale (TRS).ResultsAccording to the BRAT-J, five individuals (10%) were in the high category of bereavement risk (level 4 or 5). We also found that family caregivers of patients experienced many different pressures, such as facing the unknown; their own work; and insufficient financial, practical, or physical resources. These issues are associated with various mental problems. Additionally, the level of bereavement risk was significantly correlated with K6 scores (ρ = 0.30, p = 0.032), and the TRS score (ρ = –0.44, p = 0.001). These correlations confirmed previous findings and that the BRAT-J can be an efficient screening tool for the bereavement risk of family caregivers of patients with cancer.Significance of resultsIt appears that the BRAT-J is useful in predicting the likelihood of difficulties or complications in bereavement for family caregivers and could help to provide support with these issues when needed.


2004 ◽  
Vol 13 (5) ◽  
pp. 321-334 ◽  
Author(s):  
Roeline G. Kuijer ◽  
Bram P. Buunk ◽  
G. Majella de Jong ◽  
Jan F. Ybema ◽  
Robbert Sanderman

2013 ◽  
Vol 108 (12) ◽  
pp. 2628-2630 ◽  
Author(s):  
J Dekker ◽  
A T F Beekman ◽  
A D Boenink ◽  
H Bomhof-Roordink ◽  
A M Braamse ◽  
...  

2016 ◽  
Vol 26 (6) ◽  
pp. 856-861 ◽  
Author(s):  
Jessie S.M. Chan ◽  
Nancy Xiaonan Yu ◽  
Amy Y.M. Chow ◽  
Cecilia L.W. Chan ◽  
Ka-Fai Chung ◽  
...  

2013 ◽  
Vol 31 (17) ◽  
pp. 2160-2166 ◽  
Author(s):  
Minyoung Kwak ◽  
Brad J. Zebrack ◽  
Kathleen A. Meeske ◽  
Leanne Embry ◽  
Christine Aguilar ◽  
...  

Purpose To examine prevalence and changes in symptoms of psychological distress over 1 year after initial cancer diagnosis in adolescent and young adult (AYA) patients with cancer. Sociodemographic and clinical predictors of changes in distress were examined. Patients and Methods In this multisite, longitudinal, prospective study of an ethnically diverse sample, 215 patients age 14 to 39 years were assessed for psychological distress within the first 4 months of diagnosis and again 6 and 12 months later. Linear mixed models with random intercept and slope estimated changes in distress, as measured by the Brief Symptom Inventory-18 (BSI-18). Results Within the first 4 months of diagnosis, 60 respondents (28%) had BSI-18 scores suggesting caseness for distress. On average, distress symptoms exceeded population norms at the time of diagnosis, dipped at the 6-month follow-up, but increased to a level exceeding population norms at the 12-month follow-up. A statistically significant decline in distress over 1 year was observed; however, the gradient of change was not clinically significant. Multivariate analyses revealed that the reduction in distress over time was primarily a function of being off treatment and involved in school or work. Notably, cancer type or severity was not associated with distress. Conclusion Findings emphasize the importance of early psychosocial intervention for distress in AYAs as well as the need to manage treatment-related symptoms and facilitate AYAs' involvement in work or school to the extent possible. Continued research is needed to understand how distress relates to quality of life, functional outcomes, treatment, and symptom burden throughout the continuum of care.


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