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Conference Paper: When social support rises above all: determinants of end-of-life-treatment and long-term anxiety and depression for Chinese female cancer survivors

TitleWhen social support rises above all: determinants of end-of-life-treatment and long-term anxiety and depression for Chinese female cancer survivors
Authors
Issue Date2012
PublisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1743-7563/issues
Citation
The Joint Meeting of 14th World Congress of the International Psycho- Oncology Society (IPOS) and 39th Annual Scientific Meeting of the Clinical Oncological Society of Australia (COSA), Brisbane, Australia, 13-15 November 2012. In Asian-Pacific Journal of Clinical Oncology, 2012, v. 8 suppl. S3, p. 131, abstract no. 54 How to Cite?
AbstractAIMS: Anxiety and depression afflicts 21–36% of female cancer patients in Hong Kong. The two studies being presented aim to first explore the predictors of prolonged high anxiety and depression among post-treatment female survivors, and subsequently to examine the specific needs of patients upon treatment completion – a crossroad where patients rely less on medical care and more on personal and social resources. Findings inform targeted post-treatment psychosocial care to prevent the development of prolonged distress. METHODS: In Study 1, Chinese female survivors (n = 144) completed instruments on psychological well-being (anxiety, depression, stress), coping and resilience (posttraumatic growth, cancer adjustment, emotional control), physical well-being and social support 4 times across one year. Predictors of prolonged high anxiety and depression (being consistently above the median on the Hospital Anxiety and Depression Scale, HADS), were identified with multivariate logistic regression. Study 2 subsequently recruited female patients (n = 110) upon treatment completion. Based on Study 1 findings, Study 2 participants completed the HADS and instruments to examine specific physical symptoms (fatigue, sleep, pain) and items on their family and friends’ support. Multilevel regression identified the interplay between support and physical discomforts on anxiety and depression at treatment completion. RESULTS: Findings showed that prolonged anxiety among survivors was predicted by negative support network (p = 0.02; C.I. = 1.06–1.96) with poor physical well-being (p = 0.05; C.I. = 0.87–1.00). Lower interpersonal growth predicted sustained high depression (p = 0.00; C.I. = 0.71–0.94). At treatment completion, anxiety was associated with the daily interferences of fatigue (p = 0.00; C.I. = 0.05–0.18) and pain (p = 0.02; C.I. = 0.01–0.13) whereas depression was related to distancing from friends (p = 0.00; C.I. = 0.65–2.01). CONCLUSION: While anxiety at post-treatment is associated with physical discomfort, the benefits of social support eventually fall into place to prevent it from developing into prolonged anxiety. Depression, post-treatment and prolonged, bears little connection with physical discomfort and is solely related to support. Culturally-informed meaning of social support and implications for mind-body interventions are discussed.
DescriptionConference Theme: Impact Through Translation: Cancer Research
This journal suppl. entitled: Special Issue: Abstracts of the Joint Meeting of the COSA 39th Annual Scientific Meeting and IPOS 14th World Congress of Psycho–Oncology ... 2012
Oral abstracts
Persistent Identifierhttp://hdl.handle.net/10722/177382
ISSN
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLo, PHYen_US
dc.contributor.authorHo, RTHen_US
dc.contributor.authorChan, JSMen_US
dc.contributor.authorCheung, IKMen_US
dc.contributor.authorChan, CLWen_US
dc.date.accessioned2012-12-18T05:06:25Z-
dc.date.available2012-12-18T05:06:25Z-
dc.date.issued2012en_US
dc.identifier.citationThe Joint Meeting of 14th World Congress of the International Psycho- Oncology Society (IPOS) and 39th Annual Scientific Meeting of the Clinical Oncological Society of Australia (COSA), Brisbane, Australia, 13-15 November 2012. In Asian-Pacific Journal of Clinical Oncology, 2012, v. 8 suppl. S3, p. 131, abstract no. 54en_US
dc.identifier.issn1743-7563 (Online)-
dc.identifier.urihttp://hdl.handle.net/10722/177382-
dc.descriptionConference Theme: Impact Through Translation: Cancer Research-
dc.descriptionThis journal suppl. entitled: Special Issue: Abstracts of the Joint Meeting of the COSA 39th Annual Scientific Meeting and IPOS 14th World Congress of Psycho–Oncology ... 2012-
dc.descriptionOral abstracts-
dc.description.abstractAIMS: Anxiety and depression afflicts 21–36% of female cancer patients in Hong Kong. The two studies being presented aim to first explore the predictors of prolonged high anxiety and depression among post-treatment female survivors, and subsequently to examine the specific needs of patients upon treatment completion – a crossroad where patients rely less on medical care and more on personal and social resources. Findings inform targeted post-treatment psychosocial care to prevent the development of prolonged distress. METHODS: In Study 1, Chinese female survivors (n = 144) completed instruments on psychological well-being (anxiety, depression, stress), coping and resilience (posttraumatic growth, cancer adjustment, emotional control), physical well-being and social support 4 times across one year. Predictors of prolonged high anxiety and depression (being consistently above the median on the Hospital Anxiety and Depression Scale, HADS), were identified with multivariate logistic regression. Study 2 subsequently recruited female patients (n = 110) upon treatment completion. Based on Study 1 findings, Study 2 participants completed the HADS and instruments to examine specific physical symptoms (fatigue, sleep, pain) and items on their family and friends’ support. Multilevel regression identified the interplay between support and physical discomforts on anxiety and depression at treatment completion. RESULTS: Findings showed that prolonged anxiety among survivors was predicted by negative support network (p = 0.02; C.I. = 1.06–1.96) with poor physical well-being (p = 0.05; C.I. = 0.87–1.00). Lower interpersonal growth predicted sustained high depression (p = 0.00; C.I. = 0.71–0.94). At treatment completion, anxiety was associated with the daily interferences of fatigue (p = 0.00; C.I. = 0.05–0.18) and pain (p = 0.02; C.I. = 0.01–0.13) whereas depression was related to distancing from friends (p = 0.00; C.I. = 0.65–2.01). CONCLUSION: While anxiety at post-treatment is associated with physical discomfort, the benefits of social support eventually fall into place to prevent it from developing into prolonged anxiety. Depression, post-treatment and prolonged, bears little connection with physical discomfort and is solely related to support. Culturally-informed meaning of social support and implications for mind-body interventions are discussed.-
dc.languageengen_US
dc.publisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1743-7563/issues-
dc.relation.ispartofAsian-Pacific Journal of Clinical Oncologyen_US
dc.rightsAsian-Pacific Journal of Clinical Oncology. Copyright © John Wiley & Sons, Inc..-
dc.titleWhen social support rises above all: determinants of end-of-life-treatment and long-term anxiety and depression for Chinese female cancer survivorsen_US
dc.typeConference_Paperen_US
dc.identifier.emailLo, PHY: phyllisl@hkucc.hku.hken_US
dc.identifier.emailHo, RTH: tinho@hku.hken_US
dc.identifier.emailChan, JSM: chansm5@hkucc.hku.hken_US
dc.identifier.emailCheung, IKM: irenech@hkucc.hku.hken_US
dc.identifier.emailChan, CLW: cecichan@hku.hk-
dc.identifier.authorityHo, RTH=rp00497en_US
dc.identifier.authorityChan, CLW=rp00579en_US
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1111/ajco.12029-
dc.identifier.hkuros212570en_US
dc.identifier.hkuros213231-
dc.identifier.hkuros251386-
dc.identifier.volume8en_US
dc.identifier.issuesuppl. S3en_US
dc.identifier.spage131en_US
dc.identifier.epage131en_US
dc.identifier.isiWOS:000310544400021-

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