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Quality of life, anxiety, depression, and distress in patients with advanced and metastatic lung cancer

dc.creatorGonzalez-Ling, Anaes_ES
dc.creatorGalindo Vásquez, Oscares_ES
dc.creatorEspinoza Bello, Marcoses_ES
dc.creatorRobles, Rebecaes_ES
dc.creatorRascón-Gasca, María Luisaes_ES
dc.creatorLara-Mejía, Luises_ES
dc.creatorHeredia, Davides_ES
dc.creatorArrieta, Oscares_ES
dc.date2023
dc.date.accessioned2024-11-11T16:46:01Z
dc.date.available2024-11-11T16:46:01Z
dc.date.issued2023
dc.identifierJC53DIEP22es_ES
dc.identifier.issn1478-9515
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8101
dc.identifier.urihttps://doi.org/10.1017/S147895152200116X
dc.descriptionObjective: Lung cancer (LC) patients have shown a predisposition for developing emotional and physical symptoms, with detrimental effects on the quality of life (QoL). This study evaluates the bidirectional relationship between main psychological disorders and clinical/sociodemographic factors with the QoL. Methods: In this observational cross-sectional study, patients with a confirmed LC diagnosis from February 2015 to March 2018 were eligible for this study. Each participant completed screening instruments of anxiety, depression, distress, and QoL assessment. Other relevant clinical data were extracted from electronic health records. Then comparisons, correlations, and logistic regression analyses were performed. Results: Two hundred and four cases were eligible; of them, the median age was 61 (24-84) years, most had clinical stage IV (95%), and most were under first-line therapy (53%). Concerning psychological status, 46% had symptoms of emotional distress, 35% anxiety, and 31% depression. Patients with psychological disorders experienced a worse global QoL than those without psychological impairment (p < 0.001). Increased financial issues and physical symptoms, combined with lower functioning, were also significantly associated with anxiety, depression, and distress. In the multivariate analysis, female sex and emotional distress were positively associated with an increased risk of depression; likewise, female sex, low social functioning, insomnia, and emotional distress were associated with anxiety. Conclusions: Emotional symptoms and QoL had a significant bidirectional effect on this study; this underscores the necessity to identify and treat anxiety, depression, and distress to improve psychological well-being and the QoL in LC patients.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherCambridge University Presses_ES
dc.relation21(4):608-615
dc.rightsAcceso Cerradoes_ES
dc.titleQuality of life, anxiety, depression, and distress in patients with advanced and metastatic lung canceres_ES
dc.typeArtículoes_ES
dc.contributor.affiliationServicio de Psicooncología, Instituto Nacional de Cancerología, Mexico City, Mexico
dc.contributor.emailogar@unam.mx (Oscar Arrieta)
dc.relation.jnabreviadoPALLIAT SUPPORT CARE
dc.relation.journalPalliative & Supportive Care
dc.identifier.placeInglaterra
dc.date.published2023
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1478-9523
dc.identifier.doi10.1017/S147895152200116X
dc.subject.kwAdvanced lung cancer
dc.subject.kwMood disorders
dc.subject.kwNonsmall cell lung cancer
dc.subject.kwPsychiatric disorders
dc.subject.kwQuality of life


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