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Relationship of Demoralization With Anxiety, Depression, and Quality of Life: a Southern European Study of Italian and Portuguese Cancer Patients

2018Journal article Open access
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dc.contributor.authorNanni, MG
dc.contributor.authorCaruso, R
dc.contributor.authorTravado, L
dc.contributor.authorVentura, C
dc.contributor.authorPalma, A
dc.contributor.authorBerardi, A
dc.contributor.authorMeggiolaro, E
dc.contributor.authorRuffilli, F
dc.contributor.authorMartins, C
dc.contributor.authorKissane, D
dc.contributor.authorGrassi, L
dc.date.accessioned2021-03-19T17:41:51Z
dc.date.available2021-03-19T17:41:51Z
dc.date.issued2018
dc.description.abstractBackground: Demoralization syndrome is a significant condition that has not been greatly studied in Southern European countries. Aims: To extend the knowledge of demoralization in Southern Europe by examining its prevalence according to different methods of assessment, its relationship with anxiety and depression, and its impact on quality of life (QoL) among cancer patients. Methods: A convenience sample of 195 cancer outpatients from two oncology centers (102 from Lisbon, Portugal, and 93 from Ferrara, Italy) participated in an observational, cross-sectional study using the Diagnostic Criteria of Psychosomatic Research-Demoralization interview (DCPR/D) and psychometric tools (Demoralization scale-DS; Patient Health Questionnaire-9/PHQ-9; Hospital Anxiety Depression Scale-HADS; and European Quality of Life-5-EQ-5D). Results: A 25.1% prevalence (CI 95%, 0.19-0.31) of clinically relevant demoralization was reported on the DCPR/D interview. A total demoralization score cutoff score ≥ 25 maximized sensitivity (81.6%), and specificity (72.6%) in identifying DCPR/D demoralized patients. The DCPR/D and DS were associated with poorer levels of QoL. About half of the patients who were demoralized were not clinically depressed (PHQ-9). Self-reported suicidal ideation (PHQ-9 item 9) was found in a minority of patients (8.2%), most of whom (77%) were cases of depression (PHQ-9), but one-quarter (23%) were not depressed, yet moderately/severely demoralized (DCPR/D and DS). Conclusions: This Southern European study confirms the importance of demoralization in cancer patients as a different condition with respect to depression and its relationship with poor QoL and suicidal ideation.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPsychooncology. 2018 Nov;27(11):2616-2622.pt_PT
dc.identifier.doi10.1002/pon.4824pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3622
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.subjectAdultpt_PT
dc.subjectAgedpt_PT
dc.subjectAnxietypt_PT
dc.subjectCross-Sectional Studiespt_PT
dc.subjectDepressionpt_PT
dc.subjectFemalept_PT
dc.subjectHumanspt_PT
dc.subjectItalypt_PT
dc.subjectMalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectNeoplasmspt_PT
dc.subjectPortugalpt_PT
dc.subjectPrevalencept_PT
dc.subjectPsychometricspt_PT
dc.subjectQuality of Lifept_PT
dc.subjectSensitivity and Specificitypt_PT
dc.subjectStress, Psychologicalpt_PT
dc.subjectSuicidal Ideationpt_PT
dc.subjectSurveys and Questionnairespt_PT
dc.subjectMoralept_PT
dc.subjectHSJ PSICpt_PT
dc.titleRelationship of Demoralization With Anxiety, Depression, and Quality of Life: a Southern European Study of Italian and Portuguese Cancer Patientspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage2622pt_PT
oaire.citation.issue11pt_PT
oaire.citation.startPage2616pt_PT
oaire.citation.titlePsycho-Oncologypt_PT
oaire.citation.volume27pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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