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Conference Paper: Chinese colorectal cancer (CRC) patients’ social relationship quality and negative affect

TitleChinese colorectal cancer (CRC) patients’ social relationship quality and negative affect
Authors
Issue Date2008
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807
Citation
International Psycho-Oncology Society (IPOS) 10th World Congress of Psycho-Oncology, Madrid, Spain, 9-13 June 2008. In Psycho-Oncology, 2008, v. 17 n. S2, p. S77-S78 Abstract no. 20S-3 How to Cite?
AbstractPURPOSE: This study examined how social resources in Chinese CRC patients influence early psychological adaptation. METHODS: CRC patients newly referred to a tertiary oncology unit completed measures of relationship quality (ChSRQS), which measures intimacy in family relations (IFR), commitment to family relations (CFR), and quality of friendships (QF); perceived social support (PSS), and optimism (C-LOT-R). Additional medicoclinical and demographic data were gathered. Outcome was measured at Baseline (T1) and three-month follow-up (T2) by levels of negative affect indicated by the Hospital Anxiety and Depression Scales (HADS). RESULTS: 212 CRC patients of mean age 64.5 years, comprised 39% women, 78% married, 75% of at least elementary education and 17% were still employed. Most (85%) had received surgical resection and 31% had a stoma: approximately 20% each had stages I-IIIA, IIIB, IIIC and IV disease respectively. A mean of 36 days had passed since diagnosis. At 3 months follow-up, outcome data were available of 141 respondents. HADS-A scores indicated 25% had anxiety, while HADS-D scores indicated 31% had depression: 15% were comorbid for both. Positive correlations were seen between optimism, PSS and relationship quality. While ChSRQS, optimism and PSS were negatively correlated with HADS-D scores at T1, by T2 only ChSRQS CFR subscale score optimism and PSS were significantly related to HADS-D. Relationship quality was unassociated with HADS-A scores at either T1 or T2, while PSS was associated with HADS-A at T1 but not T2. After multivariate adjustment including PSS, CFR and IFR scores were inversely associated with T2 HADS-D score. CONCLUSION: Commitment and intimacy in family relationships was enduringly associated with lower depression in this cohort of Chinese CRC patients independent of perceived social support. Social relationship quality was unassociated with anxiety. RESEARCH IMPLICATIONS: Research on Chinese cancer patients should adjust for family relationship quality. CLINICAL IMPLICATIONS: Chinese patients with poor family relationships are more likely to be depressed, independent of perceived levels of social support. ACKNOWLEDGEMENT OF FUNDING: None.
Persistent Identifierhttp://hdl.handle.net/10722/64218
ISSN
2015 Impact Factor: 3.256
2015 SCImago Journal Rankings: 1.904

 

DC FieldValueLanguage
dc.contributor.authorHou, WK-
dc.contributor.authorLam, WWT-
dc.contributor.authorFielding, R-
dc.date.accessioned2010-07-13T04:43:13Z-
dc.date.available2010-07-13T04:43:13Z-
dc.date.issued2008-
dc.identifier.citationInternational Psycho-Oncology Society (IPOS) 10th World Congress of Psycho-Oncology, Madrid, Spain, 9-13 June 2008. In Psycho-Oncology, 2008, v. 17 n. S2, p. S77-S78 Abstract no. 20S-3-
dc.identifier.issn1057-9249-
dc.identifier.urihttp://hdl.handle.net/10722/64218-
dc.description.abstractPURPOSE: This study examined how social resources in Chinese CRC patients influence early psychological adaptation. METHODS: CRC patients newly referred to a tertiary oncology unit completed measures of relationship quality (ChSRQS), which measures intimacy in family relations (IFR), commitment to family relations (CFR), and quality of friendships (QF); perceived social support (PSS), and optimism (C-LOT-R). Additional medicoclinical and demographic data were gathered. Outcome was measured at Baseline (T1) and three-month follow-up (T2) by levels of negative affect indicated by the Hospital Anxiety and Depression Scales (HADS). RESULTS: 212 CRC patients of mean age 64.5 years, comprised 39% women, 78% married, 75% of at least elementary education and 17% were still employed. Most (85%) had received surgical resection and 31% had a stoma: approximately 20% each had stages I-IIIA, IIIB, IIIC and IV disease respectively. A mean of 36 days had passed since diagnosis. At 3 months follow-up, outcome data were available of 141 respondents. HADS-A scores indicated 25% had anxiety, while HADS-D scores indicated 31% had depression: 15% were comorbid for both. Positive correlations were seen between optimism, PSS and relationship quality. While ChSRQS, optimism and PSS were negatively correlated with HADS-D scores at T1, by T2 only ChSRQS CFR subscale score optimism and PSS were significantly related to HADS-D. Relationship quality was unassociated with HADS-A scores at either T1 or T2, while PSS was associated with HADS-A at T1 but not T2. After multivariate adjustment including PSS, CFR and IFR scores were inversely associated with T2 HADS-D score. CONCLUSION: Commitment and intimacy in family relationships was enduringly associated with lower depression in this cohort of Chinese CRC patients independent of perceived social support. Social relationship quality was unassociated with anxiety. RESEARCH IMPLICATIONS: Research on Chinese cancer patients should adjust for family relationship quality. CLINICAL IMPLICATIONS: Chinese patients with poor family relationships are more likely to be depressed, independent of perceived levels of social support. ACKNOWLEDGEMENT OF FUNDING: None.-
dc.languageeng-
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807-
dc.relation.ispartofPsycho-Oncology-
dc.rightsPsycho-Oncology. Copyright © John Wiley & Sons Ltd.-
dc.rightsSpecial Statement for Preprint only Before publication: 'This is a preprint of an article accepted for publication in [The Journal of Pathology] Copyright © ([year]) ([Pathological Society of Great Britain and Ireland])'. After publication: the preprint notice should be amended to follows: 'This is a preprint of an article published in [include the complete citation information for the final version of the Contribution as published in the print edition of the Journal]' For Cochrane Library/ Cochrane Database of Systematic Reviews, add statement & acknowledgement : ‘This review is published as a Cochrane Review in the Cochrane Database of Systematic Reviews 20XX, Issue X. Cochrane Reviews are regularly updated as new evidence emerges and in response to comments and criticisms, and the Cochrane Database of Systematic Reviews should be consulted for the most recent version of the Review.’ Please include reference to the Review and hyperlink to the original version using the following format e.g. Authors. Title of Review. Cochrane Database of Systematic Reviews 20XX, Issue #. Art. No.: CD00XXXX. DOI: 10.1002/14651858.CD00XXXX (insert persistent link to the article by using the URL: http://dx.doi.org/10.1002/14651858.CD00XXXX) (This statement should refer to the most recent issue of the Cochrane Database of Systematic Reviews in which the Review published.)-
dc.titleChinese colorectal cancer (CRC) patients’ social relationship quality and negative affect-
dc.typeConference_Paper-
dc.identifier.emailHou, WK: houwk@hku.hk-
dc.identifier.emailLam, WWT: wwtlam@hku.hk-
dc.identifier.emailFielding, R: fielding@hkusua.hku.hk-
dc.identifier.authorityHou, WK=rp01481-
dc.identifier.authorityLam, WWT=rp00443-
dc.identifier.authorityFielding, R=rp00339-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1002/pon.1389-
dc.identifier.hkuros166532-
dc.identifier.volume17-
dc.identifier.issueS2-
dc.identifier.spageS77-
dc.identifier.epageS78-
dc.publisher.placeUnited Kingdom-

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