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Conference Paper: Understanding mediation effect of cancer-related rumination between physical symptom distress and psychological distress in Chinese Colorectal Cancer Patients
Title | Understanding mediation effect of cancer-related rumination between physical symptom distress and psychological distress in Chinese Colorectal Cancer Patients |
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Authors | |
Issue Date | 2013 |
Publisher | John Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807 |
Citation | The 15th World Congress of Psycho-Oncology and Psychosocial Academy, Rotterdam, The Netherlands, 4-8 November 2013. In Psycho-Oncology, 2013, v. 22 suppl. 3, p. 313-314, abstract no. P3-58 How to Cite? |
Abstract | BACKGROUND: The age-adjusted incidence of
colorectal cancer has increased over the past decade
both globally and locally. Physical symptoms distress
is known to be an important contributor to
psychological distress among cancer patients. In
addition, intrusive thoughts are associated with the
onset of depression and anxiety. This study aims to
examine the possible mediation role of cancerrelated
rumination between physical symptom distress
and depression and anxiety among Chinese
Colorectal cancer patients across the cancer journey.
METHOD: Newly diagnosed colorectal cancer
(CRC) patients recruited from a Hong Kong
teaching hospital were interviewed three times:
1 day before surgery (T1), 1 month (T2) and
4 months post-surgery (T3) respectively. Patient’s
anxiety and depression (psychological distress),
physical symptom distress, cancer-related rumina-tion and demographic information were recorded
at each of three interviews. Linear Mixed Modelling
was adopted to investigate if there was any mediation
effect from rumination. RESULTS: Overall,
205/219 (93.6%) patients participated in this study.
Anxiety (b = 0.41, SE = 0.12, p = 0.001), but not
depression (b = 0.11, SE = 0.13, p = 0.395) levels
declined significantly from pre-surgery to 4 months
post-surgery. Physical symptom distress was positively
related to both anxiety level (b = 2.35,
SE = 0.37, p < 0.001) and depression level
(b = 2.80, SE = 0.47, p < 0.001) respectively. In
addition, higher physical symptom distress was
associated with stronger rumination (b = 0.408,
SE = 0.46, p < 0.001). Sobel test suggested a significant
mediation effect from rumination between
physical symptom distress and anxiety (z = 7.19,
p < 0.001) and depression (z = 5.84, p < 0.001).
CONCLUSIONS: CRC patients had decreasing
anxiety level but maintained fairly stable levels of
depression over the time from pre-surgery to
4 months post-surgery. Cancer-related rumination
seems to carry some of the impact associated with
physical symptom distress on cancer patients’ anxiety
and depression level. There was a partially
mediation effect of cancer-related rumination on
the relationship between physical symptom distress
and psychological morbidity. This points to the
meanings and/or disruption attributed to physical
symptoms as potential therapeutic targets.
RESEARCH IMPLICATIONS: This study
revealed the pattern change on psychological distress
(depression and anxiety) across the period
from pre-surgery to 4 months post-surgery among
CRC patients as well as rumination partially
affected the relationship between physical symptom
distress and depression and anxiety. Further investigation
may be needed to reveal if the relationship
between physical symptom distress and prolonged
psychological distress (e.g. 1 year post-surgery)
would also be mediated by rumination. CLINICAL
IMPLICATIONS: Health care providers need to
pay more attention to patients’ physical symptoms.
Distress arising from physical symptoms appears to
be in response to either the potential meanings
attributed to those symptoms, or to the disruptive
effect of these symptoms on daily life, preventing
‘forgetting about’ cancer that is necessary for
return to near normal life. Interventions should
address either physical symptoms themselves or
ruminative thinking about cancer prompted by
these to minimize psychological morbidities.
ACKNOWLEDGEMENT OF FUNDING: This
project was funded by The Health and Health Service
Research Fund of the Hong Kong Government,
grant number 0708651. |
Description | Conference Theme: Innovation in Psycho-Oncology: Clinical Care, Research and Advocacy Poster Presentation: no. P3-58 This free journal suppl. entitled: Special Issue: Abstracts of the IPOS 15th World Congress of Psycho-Oncology |
Persistent Identifier | http://hdl.handle.net/10722/199823 |
ISSN | 2023 Impact Factor: 3.3 2023 SCImago Journal Rankings: 1.136 |
ISI Accession Number ID |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Li, WY | en_US |
dc.contributor.author | Lam, WWT | en_US |
dc.contributor.author | Law, WL | en_US |
dc.contributor.author | Poon, TCJ | en_US |
dc.contributor.author | Fielding, R | en_US |
dc.date.accessioned | 2014-07-22T01:39:57Z | - |
dc.date.available | 2014-07-22T01:39:57Z | - |
dc.date.issued | 2013 | en_US |
dc.identifier.citation | The 15th World Congress of Psycho-Oncology and Psychosocial Academy, Rotterdam, The Netherlands, 4-8 November 2013. In Psycho-Oncology, 2013, v. 22 suppl. 3, p. 313-314, abstract no. P3-58 | en_US |
dc.identifier.issn | 1057-9249 | - |
dc.identifier.uri | http://hdl.handle.net/10722/199823 | - |
dc.description | Conference Theme: Innovation in Psycho-Oncology: Clinical Care, Research and Advocacy | - |
dc.description | Poster Presentation: no. P3-58 | - |
dc.description | This free journal suppl. entitled: Special Issue: Abstracts of the IPOS 15th World Congress of Psycho-Oncology | - |
dc.description.abstract | BACKGROUND: The age-adjusted incidence of colorectal cancer has increased over the past decade both globally and locally. Physical symptoms distress is known to be an important contributor to psychological distress among cancer patients. In addition, intrusive thoughts are associated with the onset of depression and anxiety. This study aims to examine the possible mediation role of cancerrelated rumination between physical symptom distress and depression and anxiety among Chinese Colorectal cancer patients across the cancer journey. METHOD: Newly diagnosed colorectal cancer (CRC) patients recruited from a Hong Kong teaching hospital were interviewed three times: 1 day before surgery (T1), 1 month (T2) and 4 months post-surgery (T3) respectively. Patient’s anxiety and depression (psychological distress), physical symptom distress, cancer-related rumina-tion and demographic information were recorded at each of three interviews. Linear Mixed Modelling was adopted to investigate if there was any mediation effect from rumination. RESULTS: Overall, 205/219 (93.6%) patients participated in this study. Anxiety (b = 0.41, SE = 0.12, p = 0.001), but not depression (b = 0.11, SE = 0.13, p = 0.395) levels declined significantly from pre-surgery to 4 months post-surgery. Physical symptom distress was positively related to both anxiety level (b = 2.35, SE = 0.37, p < 0.001) and depression level (b = 2.80, SE = 0.47, p < 0.001) respectively. In addition, higher physical symptom distress was associated with stronger rumination (b = 0.408, SE = 0.46, p < 0.001). Sobel test suggested a significant mediation effect from rumination between physical symptom distress and anxiety (z = 7.19, p < 0.001) and depression (z = 5.84, p < 0.001). CONCLUSIONS: CRC patients had decreasing anxiety level but maintained fairly stable levels of depression over the time from pre-surgery to 4 months post-surgery. Cancer-related rumination seems to carry some of the impact associated with physical symptom distress on cancer patients’ anxiety and depression level. There was a partially mediation effect of cancer-related rumination on the relationship between physical symptom distress and psychological morbidity. This points to the meanings and/or disruption attributed to physical symptoms as potential therapeutic targets. RESEARCH IMPLICATIONS: This study revealed the pattern change on psychological distress (depression and anxiety) across the period from pre-surgery to 4 months post-surgery among CRC patients as well as rumination partially affected the relationship between physical symptom distress and depression and anxiety. Further investigation may be needed to reveal if the relationship between physical symptom distress and prolonged psychological distress (e.g. 1 year post-surgery) would also be mediated by rumination. CLINICAL IMPLICATIONS: Health care providers need to pay more attention to patients’ physical symptoms. Distress arising from physical symptoms appears to be in response to either the potential meanings attributed to those symptoms, or to the disruptive effect of these symptoms on daily life, preventing ‘forgetting about’ cancer that is necessary for return to near normal life. Interventions should address either physical symptoms themselves or ruminative thinking about cancer prompted by these to minimize psychological morbidities. ACKNOWLEDGEMENT OF FUNDING: This project was funded by The Health and Health Service Research Fund of the Hong Kong Government, grant number 0708651. | - |
dc.language | eng | en_US |
dc.publisher | John Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807 | - |
dc.relation.ispartof | Psycho-Oncology | en_US |
dc.rights | Psycho-Oncology. Copyright © John Wiley & Sons Ltd. | - |
dc.title | Understanding mediation effect of cancer-related rumination between physical symptom distress and psychological distress in Chinese Colorectal Cancer Patients | en_US |
dc.type | Conference_Paper | en_US |
dc.identifier.email | Lam, WWT: wwtlam@hku.hk | en_US |
dc.identifier.email | Law, WL: lawwl@hkucc.hku.hk | en_US |
dc.identifier.email | Poon, TCJ: tcjensen@hku.hk | en_US |
dc.identifier.email | Fielding, R: fielding@hku.hk | en_US |
dc.identifier.authority | Lam, WWT=rp00443 | en_US |
dc.identifier.authority | Law, WL=rp00436 | en_US |
dc.identifier.authority | Poon, TCJ=rp01603 | en_US |
dc.identifier.authority | Fielding, R=rp00339 | en_US |
dc.description.nature | link_to_OA_fulltext | - |
dc.identifier.doi | 10.1111/j.1099-1611.2013.3394 | - |
dc.identifier.hkuros | 231850 | en_US |
dc.identifier.volume | 22 | - |
dc.identifier.issue | suppl. 3 | - |
dc.identifier.spage | 313, abstract no. P3-58 | - |
dc.identifier.epage | 314, abstract no. P3-58 | - |
dc.identifier.isi | WOS:000325687200002 | - |
dc.publisher.place | United Kingdom | - |
dc.identifier.issnl | 1057-9249 | - |