Is advanced cancer associated with demoralization and lower global meaning? The role of tumor stage and physical problems in explaining existential distress in cancer patients

Objective: This longitudinal study examines the extent to which global meaning, existential distress in terms of demoralization, and depression are predicted by tumor stage (UICC stages 0–II vs III/IV), palliative treatment, and physical problems in cancer patients.  Methods: N = 270 cancer patients...

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Bibliographic Details
Published in:Psycho-oncology (Chichester, England) England), 2012-01, Vol.21 (1), p.54-63
Main Authors: Vehling, Sigrun, Lehmann, Claudia, Oechsle, Karin, Bokemeyer, Carsten, Krüll, Andreas, Koch, Uwe, Mehnert, Anja
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adolescent
Adult
advanced cancer
Aged
Aged, 80 and over
Anxiety - etiology
Anxiety - psychology
Anxiety-Depression
Attitude to Death
Attitude to Health
Cancer
demoralization
Depression - etiology
Depression - psychology
Emotional disorders
existential distress
Factor Analysis, Statistical
Female
global meaning
Health problems
Humans
Longitudinal Studies
Male
Meaning
Mental depression
Middle Aged
Morale
Neoplasm Staging
Neoplasms - pathology
Neoplasms - psychology
Neoplasms - therapy
Oncology
Palliative care
Palliative Care - psychology
physical functioning
Psychiatric Status Rating Scales
Psychological distress
Regression Analysis
Socioeconomic Factors
Stress, Psychological - complications
Stress, Psychological - psychology
Surveys and Questionnaires
Tumors
Tumours
Young Adult
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Summary:Objective: This longitudinal study examines the extent to which global meaning, existential distress in terms of demoralization, and depression are predicted by tumor stage (UICC stages 0–II vs III/IV), palliative treatment, and physical problems in cancer patients.  Methods: N = 270 cancer patients were studied at baseline (T1, response rate: 41%) and after 3 months (T2) (N = 178, 72%). The following standardized self‐report measures were used: Demoralization Scale, Life Attitude Profile—Revised, Hospital Anxiety and Depression Scale, NCCN DT (physical problems list).  Results: Multivariate regression analyses controlling for sociodemographic variables showed the number of physical problems significantly predicting higher demoralization (β = 0.42, p
ISSN:1057-9249
1099-1611
DOI:10.1002/pon.1866