A comparison of psychosocial and physical functioning in patients with motor neurone disease and metastatic cancer
Abstract
Although their disease processes and treatments are different, patients with motor neurone disease (MND) and those with late-stage cancer share a common situation--one in which the quality of life, rather than a cure, becomes the focus of care. We report here a comparison of 126 patients with MND and 125 with metastatic cancer on a range of physical and psychosocial measures. Compared to cancer patients, MND patients were younger, had greater social contacts, but were more physically impaired. Cancer patients had more pain and were on more medication (opioids, steroids, and analgesics). Although the Beck depression scores were similar in both groups, MND patients had significantly higher scores for demoralization, hopelessness, and suicidal ideation. Cancer patients, on the other hand, scored significantly higher on anhedonia. We suggest this difference in the quality of depression represents a difference in illness experience of the two groups and has relevance for the ways we treat depression in the medically ill.
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In one study, motor neuron disease patients reported higher demoralization than metastatic cancer patients.
“Motor neuron disease patients reported higher demoralization than metastatic cancer patients in one study.”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [38]
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- Authors
- Clarke, D. M., McLeod, J. E., Smith, G. C., Trauer, T., & Kissane, D. W.
- Affiliations
- Monash Medical Centre (AU)
- Venue
- Journal of Palliative Care
- Publisher
- SAGE Publications
- Published
- 2005-09
- Volume
- 21
- Issue
- 3
- Pages
- 173-179
- ISSN
- 0825-8597 (ISSN-L)
- 2369-5293
- OpenAlex
- W2474962955
- Cited by
- 58
- References
- 40
- Citations by year
- 2025: 1 · 2023: 3 · 2022: 2 · 2021: 3 · 2020: 1 · 2019: 5 · 2018: 3 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 4 · 2013: 17 · 2012: 3
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Palliative Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Bethlehem Griffiths Research Foundation
- Motor Neurone Disease Association
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- motor neuron disease, metastatic cancer, psychosocial functioning, physical function, depression, quality of life, pain, demoralization, hopelessness, suicidal ideation, anhedonia, palliative care
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Adolescent, Aged, Attitude to Health, Depression, Family, Female, Health Status, Humans, Interpersonal Relations, Middle Aged, Morale, Neoplasms, Pain, Palliative Care, Quality of Life, Surveys and Questionnaires, Social Support, Victoria, Logistic Models, Motor Neuron Disease
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