Department of Psychosocial Oncology, Tom Baker Cancer Centre, Calgary, AB, Canada.
Support Care Cancer. 2010 Feb;19(2):239-50. doi: 10.1007/s00520-009-0810-4. Epub 2010 Feb 23.
Distress has been defined as a multidimensional construct that extends along a continuum, ranging from common normal feelings of vulnerability, sadness and fears to problems that can become disabling, such as depression, anxiety, panic, social isolation and existential and spiritual crisis. Several studies have pointed out the need to screen for distress in the cancer. Emotional distress has been found as a core indicator of a patient's health and well-being and has installed it as the sixth vital sign. The aim of the present study was to identify the predictors of distress in cancer patients.
For the present study, a total of 760 patients with cancer in a tertiary cancer centre were assessed using the Distress Inventory for Cancer Version 2 (DIC V2). A multivariate logistic regression was carried out to identify the predictors of distress and six subscales.
Female patients under the age of 44 years scheduled to undergo surgery or those who had undergone surgery predicted significantly higher levels of overall distress. Composite disease stage other than stage IV metastatic disease and being a daily wage employee predicted significantly lower levels of overall distress.
Higher distress among women undergoing surgery could imply distress associated with significant cosmetic disfigurement and feeling of loss of womanhood especially in those with breast or cervix cancer.
The study once again demonstrate gender and age differences in distress and also highlights the importance of knowing that cancer is confined to one organ and has not spread.
困扰被定义为一种多维结构，沿着连续体延伸，范围从常见的脆弱感、悲伤和恐惧到可能导致残疾的问题，如抑郁、焦虑、恐慌、社交孤立以及存在和精神危机。多项研究指出需要在癌症患者中进行困扰筛查。情感困扰已被发现是患者健康和幸福的核心指标，并将其作为第六生命体征。本研究旨在确定癌症患者困扰的预测因素。
在本研究中，共有 760 名在三级癌症中心的癌症患者使用癌症困扰量表 2 版（DIC V2）进行评估。进行了多变量逻辑回归分析，以确定困扰和六个分量表的预测因素。
计划接受手术的 44 岁以下的女性患者或已接受手术的患者，整体困扰程度显著较高。复合疾病分期（非 IV 期转移性疾病）和日薪工人预测整体困扰程度显著较低。
手术女性患者的困扰程度较高可能意味着与显著的美容畸形和失去女性特征的感觉有关，尤其是那些患有乳腺癌或宫颈癌的患者。
该研究再次证明了困扰在性别和年龄上的差异，并强调了了解癌症局限于一个器官且没有扩散的重要性。
