Ken Shimizu1, Naoki Nakaya2, Kumi Saito-Nakaya3, Tatsuo Akechi4, Asao Ogawa5, Daisuke Fujisawa6, Toshimasa Sone7, Kazuhiro Yoshiuchi8, Koichi Goto9, Motoki Iwasaki10, Shoichiro Tsugane11, Yosuke Uchitomi12. 1. Psycho-Oncology Division, National Cancer Center Hospital, Tokyo keshimiz@ncc.go.jp. 2. Division of Personalized Prevention and Epidemiology, Department of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University, Miyagi. 3. Department of Behavioral Medicine, Tohoku University Graduate School of Medicine, Miyagi. 4. Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Aichi. 5. Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, Chiba Psycho-Oncology Division, National Cancer Center Hospital East, Chiba. 6. Psycho-Oncology Division, Research Center for Innovative Oncology, National Cancer Center Hospital East, Chiba Psycho-Oncology Division, National Cancer Center Hospital East, Chiba Department of Neuropsychiatry, Keio University School of Medicine, Tokyo. 7. Department of Rehabilitation, Faculty of Health Science, Tohoku Fukushi University, Miyagi. 8. Department of Stress Sciences and Psychosomatic Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo. 9. Division of Thoracic Oncology, National Cancer Center Hospital East, Chiba. 10. Division of Epidemiology, Research Center for Cancer Prevention and Screening, National Cancer Center Research Institute, Tokyo. 11. Research Center for Cancer Prevention and Screening, Nationa Cancer Center Research Institute, Tokyo. 12. Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Abstract
OBJECTIVE: Although various factors thought to be correlated with anxiety in cancer patients, relative importance of each factors were unknown. We tested our hypothesis that personality traits and coping styles explain anxiety in lung cancer patients to a greater extent than other factors. METHODS: A total of 1334 consecutively recruited lung cancer patients were selected, and data on cancer-related variables, demographic characteristics, health behaviors, physical symptoms and psychological factors consisting of personality traits and coping styles were obtained. The participants were divided into groups with or without a significant anxiety using the Hospital Anxiety and Depression Scale-Anxiety, and a binary logistic regression analysis was used to identify factors correlated with significant anxiety using a multivariate model. RESULTS: Among the recruited patients, 440 (33.0%) had significant anxiety. The binary logistic regression analysis revealed a coefficient of determination (overall R(2)) of 39.0%, and the explanation for psychological factors was much higher (30.7%) than those for cancer-related variables (1.1%), demographic characteristics (2.1%), health behaviors (0.8%) and physical symptoms (4.3%). Four specific factors remained significant in a multivariate model. A neurotic personality trait, a coping style of helplessness/hopelessness, and a female sex were positively correlated with significant anxiety, while a coping style of fatalism was negatively correlated. CONCLUSIONS: Our hypothesis was supported, and anxiety was strongly linked with personality trait and coping style. As a clinical implication, the use of screening instruments to identify these factors and intervention for psychological crisis may be needed.
OBJECTIVE: Although various factors thought to be correlated with anxiety in cancerpatients, relative importance of each factors were unknown. We tested our hypothesis that personality traits and coping styles explain anxiety in lung cancerpatients to a greater extent than other factors. METHODS: A total of 1334 consecutively recruited lung cancerpatients were selected, and data on cancer-related variables, demographic characteristics, health behaviors, physical symptoms and psychological factors consisting of personality traits and coping styles were obtained. The participants were divided into groups with or without a significant anxiety using the Hospital Anxiety and Depression Scale-Anxiety, and a binary logistic regression analysis was used to identify factors correlated with significant anxiety using a multivariate model. RESULTS: Among the recruited patients, 440 (33.0%) had significant anxiety. The binary logistic regression analysis revealed a coefficient of determination (overall R(2)) of 39.0%, and the explanation for psychological factors was much higher (30.7%) than those for cancer-related variables (1.1%), demographic characteristics (2.1%), health behaviors (0.8%) and physical symptoms (4.3%). Four specific factors remained significant in a multivariate model. A neurotic personality trait, a coping style of helplessness/hopelessness, and a female sex were positively correlated with significant anxiety, while a coping style of fatalism was negatively correlated. CONCLUSIONS: Our hypothesis was supported, and anxiety was strongly linked with personality trait and coping style. As a clinical implication, the use of screening instruments to identify these factors and intervention for psychological crisis may be needed.
Authors: Stefana Morgan; Bruce Cooper; Steven Paul; Marilyn J Hammer; Yvette P Conley; Jon D Levine; Christine Miaskowski; Laura B Dunn Journal: Pers Individ Dif Date: 2017-06-04
Authors: Eleshia J Morrison; Paul J Novotny; Jeff A Sloan; Ping Yang; Christi A Patten; Kathryn J Ruddy; Matthew M Clark Journal: Clin Lung Cancer Date: 2017-03-02 Impact factor: 4.840
Authors: Maria Velia Giulietti; Anna Vespa; Marica Ottaviani; Rossana Berardi; Giancarlo Balercia; Giorgio Arnaldi; Pisana Gattafoni; Paolo Fabbietti; Mirko Di Rosa; Roberta Spatuzzi Journal: Cancer Control Date: 2019 Jan-Dec Impact factor: 3.302