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Erschienen in: Supportive Care in Cancer 10/2018

21.04.2018 | Original Article

Predicting symptoms of anxiety and depression in patients living with advanced cancer: the differential roles of hope and optimism

verfasst von: Ian C. Fischer, Larry D. Cripe, Kevin L. Rand

Erschienen in: Supportive Care in Cancer | Ausgabe 10/2018

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Abstract

Purpose

Psychological distress is related to poorer functioning and reduced quality of life in patients with advanced cancer and may have untoward influences on treatment decisions. Current research on factors associated with this distress is limited, making targeted interventions to reduce it suboptimal. We examined the relationships between two goal-related expectancies and two of the most common symptoms of psychological distress in patients living with advanced cancer: anxiety and depressive symptoms.

Methods

Patients with advanced gastrointestinal cancer, colorectal cancer, lung cancer, or melanoma (N = 84) completed measures of anxiety, depressive symptoms, optimism, hope, and prediction for 12-month survival. Oncologists provided prediction for patient 12-month survival and patient performance status.

Results

Hope, but not optimism, was associated with less severe depressive symptoms (β = − 0.42). Conversely, optimism, but not hope, was associated with less severe anxiety symptoms (β = − 0.36).

Conclusions

Hope and optimism appear to be associated with different aspects of psychological distress in patients living with advanced cancer. This may be explained by different appraisals of the uncertainty and distress that are associated with living with advanced-stage cancer. Hope- or optimism-focused interventions can be tailored to help alleviate specific aspects of psychological distress among these patients.
Fußnoten
1
We believe it is important to point out that, while higher hope is correlated with lower depressive symptoms (Snyder et al. 1991), this is not because hope and hopelessness are two conceptualizations of the same depressive symptom (and thus any observed association results from criterion contamination). In fact, despite the lexical similarities between the names of the hope and hopelessness constructs, research has shown them to be structurally and conceptually distinct [40]. Conceptually, hopelessness is more similar to pessimism, whereas hope is a trait belief about one’s ability to achieve important goals.
 
Literatur
10.
Zurück zum Zitat Berendes D, Keefe FJ, Somers TJ, Kothadia SM, Porter LS, Cheavens JS (2010) Hope in the context of lung cancer: relationships of hope to symptoms and psychological distress. J Pain Symptom Manag 40(2):174–182CrossRef Berendes D, Keefe FJ, Somers TJ, Kothadia SM, Porter LS, Cheavens JS (2010) Hope in the context of lung cancer: relationships of hope to symptoms and psychological distress. J Pain Symptom Manag 40(2):174–182CrossRef
13.
Zurück zum Zitat Shirado A, Morita T, Akazawa T, Miyashita M, Sato K, Tsuneto S, Shima Y (2013) Both maintaining hope and preparing for death: effects of physicians’ and nurses’ behaviors from bereaved family members’ perspectives. J Pain Symptom Manag 45(5):848–858CrossRef Shirado A, Morita T, Akazawa T, Miyashita M, Sato K, Tsuneto S, Shima Y (2013) Both maintaining hope and preparing for death: effects of physicians’ and nurses’ behaviors from bereaved family members’ perspectives. J Pain Symptom Manag 45(5):848–858CrossRef
14.
Zurück zum Zitat Meropol NJ, Weinfurt KP, Burnett CB, Balshem A, Benson AB III, Castel L, Corbett S, Diefenbach M, Gaskin D, Li Y (2003) Perceptions of patients and physicians regarding phase I cancer clinical trials: implications for physician-patient communication. J Clin Oncol 21(13):2589–2596CrossRefPubMed Meropol NJ, Weinfurt KP, Burnett CB, Balshem A, Benson AB III, Castel L, Corbett S, Diefenbach M, Gaskin D, Li Y (2003) Perceptions of patients and physicians regarding phase I cancer clinical trials: implications for physician-patient communication. J Clin Oncol 21(13):2589–2596CrossRefPubMed
15.
Zurück zum Zitat Weeks JC, Catalano PJ, Cronin A, Finkelman MD, Mack JW, Keating NL, Schrag D (2012) Patients’ expectations about effects of chemotherapy for advanced cancer. N Engl J Med 367(17):1616–1625CrossRefPubMedPubMedCentral Weeks JC, Catalano PJ, Cronin A, Finkelman MD, Mack JW, Keating NL, Schrag D (2012) Patients’ expectations about effects of chemotherapy for advanced cancer. N Engl J Med 367(17):1616–1625CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Gouveia SO, Clarke V (2001) Optimistic bias for negative and positive events. Health Educ 101(5):228–234CrossRef Gouveia SO, Clarke V (2001) Optimistic bias for negative and positive events. Health Educ 101(5):228–234CrossRef
17.
Zurück zum Zitat Weeks JC, Cook EF, O'day SJ, Peterson LM, Wenger N, Reding D, Harrell FE, Kussin P, Dawson NV, Connors Jr AF (1998) Relationship between cancer patients’ predictions of prognosis and their treatment preferences. JAMA 279 (21):1709–1714 Weeks JC, Cook EF, O'day SJ, Peterson LM, Wenger N, Reding D, Harrell FE, Kussin P, Dawson NV, Connors Jr AF (1998) Relationship between cancer patients’ predictions of prognosis and their treatment preferences. JAMA 279 (21):1709–1714
19.
Zurück zum Zitat Carver CS, Scheier MF (2002) Optimism. In: Snyder CR, Lopez SJ, Snyder CR, Lopez SJ (eds) Handbook of positive psychology. Oxford University Press, New York, NY, US, pp 231–243 Carver CS, Scheier MF (2002) Optimism. In: Snyder CR, Lopez SJ, Snyder CR, Lopez SJ (eds) Handbook of positive psychology. Oxford University Press, New York, NY, US, pp 231–243
21.
Zurück zum Zitat Lam WWT, Yeo W, Suen J, Ho WM, Tsang J, Soong I, Yau TK, Wong KY, Sze WK, Ng AWY, Kwong A, Suen D, Fong D, Ho S, Fielding R (2016) Goal adjustment influence on psychological well-being following advanced breast cancer diagnosis. Psycho-Oncology 25(1):58–65. https://doi.org/10.1002/pon.3871 CrossRefPubMed Lam WWT, Yeo W, Suen J, Ho WM, Tsang J, Soong I, Yau TK, Wong KY, Sze WK, Ng AWY, Kwong A, Suen D, Fong D, Ho S, Fielding R (2016) Goal adjustment influence on psychological well-being following advanced breast cancer diagnosis. Psycho-Oncology 25(1):58–65. https://​doi.​org/​10.​1002/​pon.​3871 CrossRefPubMed
24.
Zurück zum Zitat Epstein S (1976) Anxiety, arousal, and the self-concept. In: Sarason IG, Spielberger CD, Sarason IG, Spielberger CD (eds) Stress and anxiety. Hemisphere, Oxford Epstein S (1976) Anxiety, arousal, and the self-concept. In: Sarason IG, Spielberger CD, Sarason IG, Spielberger CD (eds) Stress and anxiety. Hemisphere, Oxford
26.
Zurück zum Zitat Wilson KG, Chochinov HM, Skirko MG, Allard P, Chary S, Gagnon PR, Macmillan K, De Luca M, O'Shea F, Kuhl D (2007) Depression and anxiety disorders in palliative cancer care. J Pain Symptom Manag 33(2):118–129CrossRef Wilson KG, Chochinov HM, Skirko MG, Allard P, Chary S, Gagnon PR, Macmillan K, De Luca M, O'Shea F, Kuhl D (2007) Depression and anxiety disorders in palliative cancer care. J Pain Symptom Manag 33(2):118–129CrossRef
28.
Zurück zum Zitat Beck AT (1976) Cognitive therapy and the emotional disorders. International Universities Press, Oxford Beck AT (1976) Cognitive therapy and the emotional disorders. International Universities Press, Oxford
31.
Zurück zum Zitat Beach WA, Dozier DM (2015) Fears, uncertainties, and hopes: patient-initiated actions and doctors’ responses during oncology interviews. J Health Commun 20(11):1243–1254CrossRefPubMedPubMedCentral Beach WA, Dozier DM (2015) Fears, uncertainties, and hopes: patient-initiated actions and doctors’ responses during oncology interviews. J Health Commun 20(11):1243–1254CrossRefPubMedPubMedCentral
33.
Zurück zum Zitat Ray A, Block SD, Friedlander RJ, Zhang B, Maciejewski PK, Prigerson HG (2006) Peaceful awareness in patients with advanced cancer. J Palliat Med 9(6):1359–1368CrossRefPubMed Ray A, Block SD, Friedlander RJ, Zhang B, Maciejewski PK, Prigerson HG (2006) Peaceful awareness in patients with advanced cancer. J Palliat Med 9(6):1359–1368CrossRefPubMed
34.
Zurück zum Zitat Rand KL, Banno DA, Shea AM, Cripe LD (2016) Life and treatment goals of patients with advanced, incurable cancer. Support Care Cancer 24(7):2953–2962PubMed Rand KL, Banno DA, Shea AM, Cripe LD (2016) Life and treatment goals of patients with advanced, incurable cancer. Support Care Cancer 24(7):2953–2962PubMed
38.
Zurück zum Zitat Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, Carbone PP (1982) Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol 5(6):649–656CrossRefPubMed Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, Carbone PP (1982) Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol 5(6):649–656CrossRefPubMed
40.
Zurück zum Zitat Huen JM, Ip BY, Ho SM, Yip PS (2015) Hope and hopelessness: the role of hope in buffering the impact of hopelessness on suicidal ideation. PLoS One 10(6):e0130073CrossRefPubMedPubMedCentral Huen JM, Ip BY, Ho SM, Yip PS (2015) Hope and hopelessness: the role of hope in buffering the impact of hopelessness on suicidal ideation. PLoS One 10(6):e0130073CrossRefPubMedPubMedCentral
41.
Zurück zum Zitat Lazarus RS, Folkman S (1984) Stress, appraisal, and coping, vol 1. Springer Publishing Company, Inc, New York Lazarus RS, Folkman S (1984) Stress, appraisal, and coping, vol 1. Springer Publishing Company, Inc, New York
43.
Zurück zum Zitat Feldman DB, Dreher DE (2012) Can hope be changed in 90 minutes? Testing the efficacy of a single-session goal-pursuit intervention for college students. J Happiness Stud 13(4):745–759CrossRef Feldman DB, Dreher DE (2012) Can hope be changed in 90 minutes? Testing the efficacy of a single-session goal-pursuit intervention for college students. J Happiness Stud 13(4):745–759CrossRef
44.
Zurück zum Zitat Meevissen YM, Peters ML, Alberts HJ (2011) Become more optimistic by imagining a best possible self: effects of a two week intervention. J Behav Ther Exp Psychiatry 42(3):371–378CrossRefPubMed Meevissen YM, Peters ML, Alberts HJ (2011) Become more optimistic by imagining a best possible self: effects of a two week intervention. J Behav Ther Exp Psychiatry 42(3):371–378CrossRefPubMed
Metadaten
Titel
Predicting symptoms of anxiety and depression in patients living with advanced cancer: the differential roles of hope and optimism
verfasst von
Ian C. Fischer
Larry D. Cripe
Kevin L. Rand
Publikationsdatum
21.04.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 10/2018
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-018-4215-0

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