Determinants of hopelessness and depression among Chinese hospitalized esophageal cancer patients and their family caregivers
Abstract
BACKGROUND: It has been well documented that the diagnosis of cancer is psychologically devastating to both the patients and caregivers. The incidence and mortality of esophageal cancer were 20.85 and 16.24 per 100,000 persons and the sixth most commonly diagnosed cancer and the fourth main cause of cancer death in China. We surveyed patients-caregivers dyad and examined the determinants of their depression and hopelessness. RESULTS: The prevalence of depression among patients and caregivers was 52.8% and 47.2%, and the prevalence for hopelessness was 64.4% and 53.9%, respectively Regression models indicate that the variables measured could explain 58.9% and 51.7% of the variance in depression and 66.8% and 45.7% of the variance in hopelessness among patients and caregivers, respectively. Overall, hopelessness was a determinant of depression and vice versa to both patients and caregivers. CONCLUSION: Esophageal patients' depression and hopelessness could also affect caregivers' depression and hopelessness despite the social support that family caregivers have. Psychosocial interventions should be planned to both Chinese patients and caregivers considering the predictors found in this study.
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Hope is negatively associated with depression, anxiety, and psychological distress among cancer patients.
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Cites
Jemal, A., Bray, F., Ferlay, J., Ward, E., & Forman, D. (2011) · CA A Cancer Journal for Clinicians · doi:10.3322/caac.20107 · Cited by 54,708 · see citing works
The Multidimensional Scale of Perceived Social Support
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988) · Journal of Personality Assessment · doi:10.1207/s15327752jpa5201_2 · Cited by 13,339 · see citing works
The measurement of pessimism: the hopelessness scale
Beck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974) · Journal of Consulting and Clinical Psychology · doi:10.1037/h0037562 · Cited by 5,494 · see citing works
Screening for Depression in Well Older Adults: Evaluation of a Short Form of the CES-D
Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(18)30622-6 · Cited by 5,403 · see citing works
Psychometric Characteristics of the Multidimensional Scale of Perceived Social Support
Zimet, G. D., Powell, S. S., Farley, G. K., Werkman, S., & Berkoff, K. A. (1990) · Journal of Personality Assessment · doi:10.1080/00223891.1990.9674095 · Cited by 4,855 · see citing works
Psychometric Characteristics of the Multidimensional Scale of Perceived Social Support
Zimet, G., Powell, S., Farley, G., Werkman, S., & Berkoff, K. (1990) · Journal of Personality Assessment · doi:10.1207/s15327752jpa5503&4_17 · Cited by 4,854 · see citing works
Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994) · PubMed · Cited by 4,426 · see citing works
Hopelessness depression: A theory-based subtype of depression.
Abramson, L. Y., Metalsky, G. I., & Alloy, L. B. (1989) · Psychological Review · doi:10.1037//0033-295x.96.2.358 · Cited by 3,722 · see citing works
The psychological impact of cancer on patients’ partners and other key relatives
Pitceathly, C., & Maguire, P. (2003) · European Journal of Cancer · doi:10.1016/s0959-8049(03)00309-5 · Cited by 531 · see citing works
Hidden morbidity in cancer: spouse caregivers
Braun, M., Mikulincer, M., Rydall, A., Walsh, A., & Rodin, G. (2007) · Journal of Clinical Oncology · doi:10.1200/jco.2006.10.0909 · Cited by 526 · see citing works
Northouse, L., Mood, D., Schafenacker, A., Kalemkerian, G. P., Zalupski, M. M., LoRusso, P. M., Hayes, D. F., Hussain, M., RUCKDESCHEL, J. C., Fendrick, A. M., et al. (2012) · Psycho-Oncology · doi:10.1002/pon.3036 · Cited by 236 · see citing works
A longitudinal study of psychosocial distress in breast cancer: Prevalence and risk factors
Andreu, Y., Galdón, M. J., Durá, E., Martínez, P., Pérez, S., & Murgui, S. (2012) · Psychology & Health · doi:10.1080/08870446.2010.542814 · Cited by 129 · see citing works
Family Experience Caring for Terminally Ill Patients With Cancer in Hong Kong
Mok, E., Chan, F. M. Y., Chan, V., & Yeung, E. (2003) · Cancer Nursing · doi:10.1097/00002820-200308000-00003 · Cited by 116 · see citing works
Boyes, A., Girgis, A., D’Este, C. A., & Zucca, A. C. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.07.016 · Cited by 109 · see citing works
Pehlivan, S., Ovayolu, Ö., Ovayolu, N., Sevinç, A., & Camcı, C. (2011) · Supportive Care in Cancer · doi:10.1007/s00520-011-1137-5 · Cited by 104 · see citing works
The meaning of hope in nursing research: a meta‐synthesis
Hammer, K., Mogensen, O. E., & Hall, E. O. C. (2009) · Scandinavian Journal of Caring Sciences · doi:10.1111/j.1471-6712.2008.00635.x · Cited by 103 · see citing works
A Family-Based Program of Care for Women With Recurrent Breast Cancer and Their Family Members
Northouse, L., Walker, J. G., Schafenacker, A., Mood, D., Mellon, S., Galvin, E. A., Harden, J., & Freeman‐Gibb, L. (2002) · Oncology nursing forum · doi:10.1188/02.onf.1411-1419 · Cited by 96 · see citing works
Boey (1999) · Pure Amsterdam UMC · doi:10.1002/(sici)1099-1166(199908)14:8 · Cited by 95 · see citing works
Hopelessness as a predictor of depressive symptoms for breast cancer patients coping with recurrence
Brothers, B. M., & Andersen, B. L. (2008) · Psycho-Oncology · doi:10.1002/pon.1394 · Cited by 83 · see citing works
Caregivers of Advanced Cancer Patients
Mystakidou, K., Tsilika, E., Parpa, E., Galanos, A., & Vlahos, L. J. (2007) · Cancer Nursing · doi:10.1097/01.ncc.0000290807.84076.73 · Cited by 75 · see citing works
Normative data on cognitive measures of depression.
Dozois, D. J. A., Covin, R., & Brinker, J. K. (2003) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.71.1.71 · Cited by 67 · see citing works
Adjusting to Life After Esophagectomy: The Experience of Survivors and Carers
Mccorry, N., Dempster, M., Clarke, C., & Doyle, R. (2009) · Qualitative Health Research · doi:10.1177/1049732309348366 · Cited by 65 · see citing works
Wu, M., Veer, P. V., Zhang, Z., Wang, X.-S., Gu, X., Han, R., Yang, J., Zhang, X.-F., Liu, A.-M., Kok, F. J., et al. (2011) · Cancer Letters · doi:10.1016/j.canlet.2011.05.003 · Cited by 50 · see citing works
Self-citationOesophageal cancer: caregiver mental health and strain
Donnelly, M., Anderson, L. A., Johnston, B. T., Watson, R. G. P., Murphy, S., Comber, H., McGuigan, J., Reynolds, J. V., & Murray, L. (2008) · Psycho-Oncology · doi:10.1002/pon.1337 · Cited by 48 · see citing works
Hopelessness Among Cancer Patients
Gil, S., & Gilbar, O. (2001) · Journal of Psychosocial Oncology · doi:10.1300/j077v19n01_02 · Cited by 44 · see citing works
Family-Focused Oncology Nursing Research
Lewis, F. M. (2004) · Oncology nursing forum · doi:10.1188/04.onf.288-292 · Cited by 43 · see citing works
Hope in Adults With Cancer: State of the Science
Butt, C. M. (2011) · Oncology nursing forum · doi:10.1188/11.onf.e341-e350 · Cited by 35 · see citing works
Grassi, L. G., Travado, L., Gil, F., Sabato, S., Rossi, E. G., Tomamichel, M., Marmai, L., Biancosino, B., Nanni, M. G., & t. S. Group (2010) · Psychosomatics · doi:10.1016/s0033-3182(10)70686-1 · Cited by 34 · see citing works
Yıldırım, Y., Sertöz, Ö. Ö., Uyar, M., Fadıloğlu, Ç., & Uslu, R. (2009) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2009.01.001 · Cited by 31 · see citing works
Reliability and Validity of Beck Hopelessness Scale and Its Application among Medical Students
Huang, Y. (2008) · Chinese Journal of School Health · Cited by 5 · see citing works
Effects of awareness on the quality of life and emotion in cancer patients
Jian-jun, Z. (2004) · Tumori · Cited by 2 · see citing works
YuQin, P. (2010) · Nanfang huli xuebao · Cited by 2 · see citing works
Zhang, Z. (2006) · Xiandai yufang yixue · Cited by 1 · see citing works
Social and Psychological Factors Related to Hopelessness of Medical Students
Ai, Z. (2005) · Zhongguo xinli weisheng zazhi · Cited by 1 · see citing works
Yu-xin, Z. (2010) · Nanfang huli xuebao · Cited by 1 · see citing works
Emotional Disorder in Relatives of Tumor Patients with First or Multiple Hospitalization
Jiang, X. (2007) · Journal of Nursing Science · Cited by 1 · see citing works
Concept analysis : hopelessness
VanDaveer, K. L. (1996) · Montana State University ScholarWorks (Montana State University) · Cited by 1 · see citing works
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Uslu-Sahan, F., Terzioglu, F., & Koc, G. (2019) · Cancer Nursing · doi:10.1097/ncc.0000000000000622 · Cited by 68 · see citing works
Systematic review and meta-analysis of prevalence of depression among caregivers of cancer patients
Pan, Y.-C., & Lin, Y.-S. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.817936 · Cited by 52 · see citing works
Zhang, Z., Leong Bin Abdullah, M. F. I., Shari, N. I., & Lu, P. (2022) · PLoS ONE · doi:10.1371/journal.pone.0267887 · Cited by 46 · see citing works
- Authors
- Han, Y., Yuan, J., Luo, Z., Zhao, J., Wu, J., Liu, R., & Lopez, V.
- Affiliations
- Hubei University of Medicine (CN)
- School of Nursing Hubei University of Medicine Shiyan Hubei China
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2013-05-23
- Volume
- 22
- Issue
- 11
- Pages
- 2529-2536
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- OpenAlex
- W1713176083
- Cited by
- 37
- References
- 38
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 3 · 2022: 6 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 7 · 2015: 3 · 2014: 2 · 2013: 1
- FWCI
- 2.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- ANU Open Research (Australian National University) (submittedVersion)
- Funders
- Taihe Hospital, Hubei University of Medicine Affiliated Hospital (2011D29)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- esophageal cancer, hopelessness, depression, family caregivers, hospitalized cancer patients, patient-caregiver dyads, social support, psychosocial interventions, Chinese patients
- MeSH terms
- Adaptation, Psychological, Aged, Aged, 80 and over, Attitude to Death, China, Cross-Sectional Studies, Depression, Esophageal Neoplasms, Female, Hospitalization, Humans, Inpatients, Male, Middle Aged, Surveys and Questionnaires, Regression Analysis, Risk Factors, Social Support, Socioeconomic Factors, Prevalence, Caregivers, Asian People
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