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Title: Fatigue, emotional distress, and illness uncertainty in patients with metastatic cancer: results from the prospective NEOETIC_SEOM study
Author: Rodríguez-González, Adán
Velasco-Durántez, Verónica
Martín-Abreu, Carla
Cruz-Castellanos, Patricia
Hernández, Raquel
Gil-Raga, Mireia
García-Torralba, Esmeralda
García-García, Teresa
Jiménez Fonseca, Paula
Calderón Garrido, Caterina
Keywords: Malalts de càncer
Qualitat de vida
Cancer patients
Quality of life
Issue Date: 8-Dec-2022
Publisher: MDPI
Abstract: A cancer diagnosis can have a substantial impact on a patient's mental health and quality of life. The aim of this study was to investigate the prevalence of fatigue, emotional distress, and uncertainty and examine the predictive value they have on the quality of life of advanced cancer patients. A prospective, multicenter study was conducted between February 2020 and May 2021 of individuals diagnosed with an advanced, unresectable neoplasm prior to initiating systemic antineoplastic treatment. Participants completed questionnaires to quantify fatigue, emotional distress, disease uncertainty, and quality of life. A linear regression analysis was performed to study the predictive QoL variables. The study population comprised 508 patients, 53.7% of whom were male and had a mean age of 54.9 years. The most common cancers were digestive (40.6%), bronchopulmonary (29.1%), and breast (8.5%); the most frequent histology was adenocarcinoma (63%); and most were stage IV (79.7%). More than half (55.7%) suffered fatigue, and 47.7% exhibited emotional distress; both were more prevalent among women. Fatigue, emotional distress, and disease uncertainty all correlate with diminished quality of life. Similarly, ECOG performance status and the demographic variables of age, sex, and comorbidities impacted quality of life. This patient sample displayed a high prevalence of fatigue and emotional distress, together with illness uncertainty, which are clearly linked to waning quality of life. To decrease the experience of fatigue and improve mental health treatment in cancer patients, interventions based on a biopsychosocial model must be intensified.
Note: Reproducció del document publicat a:
It is part of: Current Oncology, 2022, vol. 29, num. 12, p. 9722-9732
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ISSN: 1198-0052
Appears in Collections:Articles publicats en revistes (Psicologia Clínica i Psicobiologia)

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