Psychosocial adaptation and quality of life among Brazilian patients with different hematological malignancies

Psychosocial adaptation and quality of life among Brazilian patients with different hematological malignancies

Author Santos, Fábio Roberto Munhoz dos Autor UNIFESP Google Scholar
Kozasa, Elisa Harumi Autor UNIFESP Google Scholar
Chauffaille, Maria de Lourdes Lopes Ferrari Autor UNIFESP Google Scholar
Colleoni, Gisele Wally Braga Autor UNIFESP Google Scholar
Leite, Jose Roberto Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract This study anus to investigate the prevalence of posttraumatic stress disorder (PTSD) symptoms, anxiety, and depression in patients with hematological malignancies, and to investigate the possible relationship between these symptoms and variables such as demographic data, social support, and quality of life (QOL). We studied 107 patients: 54 with non-Hodgkin's lymphoma (NHL), 18 acute myelogenous leukaemia (AML), 10 acute lymphoblastic leukaemia (ALL). and 25 multiple myeloma (MM). Demographic data were collected, and three standardized instruments were applied to this group of patients: Hospital Anxiety and Depression Scale (HADS), Impact of Event Scale (IES), European Organization for Research and Treatment of Cancer (EORTC) QLQC30 questionnaire of QOL. the results showed a significant percentage of patients presenting with symptoms: 13% had high levels of intrusive thoughts, 20.5% had high levels of anxiety, and 16.8% had high levels of depression. Patients with MM had the lowest QOL scores in the EORTC physical functioning subscale. Patients under intravenous chemotherapy treatment had a higher level of anxiety than the monitoring patients. Patients with recent diagnosis had a level of intrusion symptoms (IES) relevantly higher than the others. the unemployed patients and those with lower social support had levels of stress, anxiety, and depression significantly higher than the others. Our results confirm the high incidence of intrusion, avoidance, anxiety, and depression in patients with hematological malignancies and highlight the importance of a multidisciplinary staff to complement the treatment of these patients, including psychosocial assistance. (c) 2006 Elsevier Inc. All rights reserved.
Keywords hematological malignancies
intrusion
anxiety
posttrauinatic stress disorder
social support
cancer
Language English
Date 2006-05-01
Published in Journal of Psychosomatic Research. Oxford: Pergamon-Elsevier B.V., v. 60, n. 5, p. 505-511, 2006.
ISSN 0022-3999 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 505-511
Origin http://dx.doi.org/10.1016/j.jpsychores.2005.08.017
Access rights Closed access
Type Article
Web of Science ID WOS:000237646000009
URI http://repositorio.unifesp.br/handle/11600/28886

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