Association between supportive care interventions and patient self-reported depression among advanced cancer outpatients

Purpose Advanced cancer patients often experience moderate to severe physical and emotional distress. One of the main components of emotional distress is depression. The objective of this study was to examine the association between supportive care interventions and patient self-reported depression...

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Bibliographic Details
Published in:Supportive care in cancer 2014-04, Vol.22 (4), p.871-879
Main Authors: Rhondali, Wadih, Yennurajalingam, Sriram, Ferrer, Jeanette, Chisholm, Gary, Filbet, Marilene, Bruera, Eduardo
Format: Article
Language:English
Subjects:
Aged
Ambulatory Care
Analysis
Cancer
Cancer patients
Depression - psychology
Depression - therapy
Depression, Mental
Disease Progression
Female
Humans
Intervention
Male
Medicine
Medicine & Public Health
Middle Aged
Neoplasms - pathology
Neoplasms - psychology
Nursing
Nursing Research
Oncology
Original Article
Outpatient care facilities
Outpatients
Pain Medicine
Patients
Referral and Consultation
Rehabilitation Medicine
Self Report
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Summary:Purpose Advanced cancer patients often experience moderate to severe physical and emotional distress. One of the main components of emotional distress is depression. The objective of this study was to examine the association between supportive care interventions and patient self-reported depression (PSRD) among advanced cancer outpatients. Methods We included consecutive patients seen in the outpatient Supportive Care Center between February 2008 and February 2010 with at least one follow-up visit. We used the Edmonton Symptom Assessment Scale (ESAS) to assess their symptom intensity. Clinical improvement of PSRD was defined as an improvement of at least 30 % between the initial visit and the first follow-up. We used logistic regression models to assess possible predictors of improvement in PSRD. Results We included 444 patients with a median age of 59 years (Q1–Q3; 51–65). The most common type of cancer was gastrointestinal (98, 22 %). Out of the 444 patients, 160 (36 %) reported moderate/severe depression at baseline (ESAS item score ≥ 4/10). Higher baseline depression intensity was significantly associated to anxiety ( r  = 0.568, p  = 0.046), total symptom distress score (TSDS; r  = 0.550, p  
ISSN:0941-4355
1433-7339
DOI:10.1007/s00520-013-2042-x