Anxiety, depression, traumatic stress and quality of life in colorectal cancer after different treatments: A study with Portuguese patients and their partners
Open accessAbstract
Purpose This study examines the impact of different modes of treatment on depression, anxiety, traumatic stress and quality of life in colorectal cancer patients and their partners.Methods The sample was comprised of 114 oncology patients and 67 partners. All patients were diagnosed with colorectal cancer. Participants were recruited from an Oncology Hospital in the North of Portugal and had been submitted to three modes of treatment: surgery, surgery plus chemotherapy or surgery followed by radiotherapy.Results The results showed that patients who received only surgery, as treatment, had lower levels of depression, anxiety and traumatic stress symptoms when compared with patients who received surgery and chemotherapy or surgery plus radiotherapy. Partners of surgical patients presented lower levels of state anxiety and traumatic stress symptoms when compared with the other two groups. Patients with more depression had partners also more depressed. No relationship was found between anxiety and traumatic stress symptoms in patients and partners. Patients who received a diagnosis longer than 12 months had more traumatic stress, intrusion and hypervigilance. Patients with illness recurrence showed more traumatic symptoms. Anxiety and depression were the main predictors of patient's quality of life. Traumatic stress was a predictor of symptom distress - pain/bowel pattern.Conclusion This study highlights the importance of providing psychological interventions for cancer patients and their partners. Chemotherapy patients and those diagnosed over a year, as well as their partners, are more at risk.
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Un estudio empleó una intervención basada en el modelo ACT y reportó mejoría en el bienestar físico a lo largo de los seguimientos.
“Un estudio empleó una intervención basada en el modelo ACT, perteneciente a las terapias psicológicas conocidas como 'contextuales' o de 'tercera generación' (38) , reportando mejoría en el bienestar físico a lo largo de los seguimientos.”
From Efecto de intervenciones psicológicas sobre variables psicosociales en pacientes con cáncer colorrectal: una revisión narrativa de la literatura. (2022) · cites this paper as [38]
The Procedure section (page unavailable) says patients and partners completed questionnaires during routine hospital follow-up appointments after surgery, chemotherapy, or radiotherapy. The Introduction describes a comparison of those treatment groups, not an ACT intervention; the paper does not report improved physical well-being across repeated follow-ups. (LLM, conf=0.88)
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“However, these treatment modalities are often complicated by chemotherapy interventions and significantly increased somatic stress levels because of metabolic changes (Graca Pereira, Figueiredo, & Fincham, 2012) and may have adverse effects (Tuca, Jimenez-Fonseca, & Gascòn, 2013).”
BackgroundAffective states recognition through touch dynamics
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“Although mental health did not predict HRQoL here, and as suggested by previous research [37], mental health is important in recovery after CRC, and nurses therefore need to be attentive to mental health following CRC treatment.”
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“Other authors have discussed how diagnostic inaccuracy, fear that the disease will progress, and movement among several health units in search of care bring about the perception of unnecessary delay, culminating in feelings of anger, indignation, and legal implications, such as medical malpractice claims and payment o…”
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“Long-term physical problems and psychological morbidity such as anxiety [2], depression [3] and fear of recurrence [4], and [5,6] social factors such as financial problems [7] and activity limitation [6,8] continue to affect patients for many years following treatment.”
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“Likewise, more frequent trips to the hospital and longer periods of treatment can contribute to greater psychological comorbidity (Denlinger & Barsevick, 2009; Pereira et al., 2012).”
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“A large number of studies have reported that tumor patients, including CRC, are susceptible to suffering from depression, which has a negative relationship with prognosis (Alacacioglu et al. 2010; Graca et al. 2012; Tsunoda et al. 2005).”
BackgroundInfluentialThe Psychological Implications of Diagnostic Delay in Colorectal Cancer Patients
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“In addition, the treatment the patient receives also impacts on the psychological wellbeing of family care-givers, for example Graca-Pereira et al (61) found higher anxiety and traumatic stress among partners of patients who had chemotherapy or radiotherapy in addition to survey vs surgery alone.”
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Traumatic stress in caregivers of adult patients with cancer: A scoping review
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“Cancer patients’ fears due to the disease, inability to manage adverse treatment effects, uncertainty, and insufficient follow-ups during treatment increase their anxiety (Beaver et al., 2012; Graça Pereira et al., 2012).”
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Social Network Analysis for Research of Cancer Patients' Health-Related Quality of Life
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“Levels of anxiety, depression, and stress are high before, during, and after the treatment of CRC patients;([7,8]) hopelessness is another negative outcome distinguished for CRC patients.”
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“On the other hand, individuals treated with a combination of radio- or chemotherapy and surgery suffer from higher levels of psychological distress than those receiving a single treatment (Pereira et al., 2012).”
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- Authors
- Graça Pereira, M., Figueiredo, A. P., & Fincham, F. D.
- Affiliations
- IPO Porto (PT)
- Florida State University (US)
- ORCID
- Fincham, Frank D.
- Venue
- European Journal of Oncology Nursing
- Publisher
- Elsevier BV
- Published
- 2012-07
- Volume
- 16
- Issue
- 3
- Pages
- 227-232
- ISSN
- 1462-3889 (ISSN-L)
- OpenAlex
- W2096147354
- Cited by
- 111
- References
- 53
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 8 · 2021: 7 · 2020: 10 · 2019: 12 · 2018: 13 · 2017: 6 · 2016: 13 · 2015: 14 · 2014: 6 · 2013: 6 · 2012: 1
- FWCI
- 2.20
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Oncology Nursing (publishedVersion)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- colorectal cancer, anxiety, depression, traumatic stress, quality of life, chemotherapy, radiotherapy, partners of cancer patients, psychological distress, disease duration, psychological intervention
- MeSH terms
- Analysis of Variance, Anxiety, Depressive Disorder, Female, Humans, Male, Neoplasm Recurrence, Local, Portugal, Quality of Life, Surveys and Questionnaires, Regression Analysis, Risk Factors, Stress Disorders, Post-Traumatic, Colorectal Neoplasms, Spouses
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