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Cited by 245Cancer survivorship and carePalliative and Oncologic CarePalliative Care and End-of-Life Issues

The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.

Assessing the independent contribution to quality of life from anxiety and depression in patients with advanced cancer

Smith, EM, Gomm, SA, Dickens, CM·2003·Palliative Medicine
DOI 10.1191/0269216303pm781oa
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Abstract

BACKGROUND: The aim of palliative care services is to ensure the best quality of life for patients and their carers. Depression is common amongst palliative care patients and has been shown to adversely affect quality of life. This study aimed to examine the independent contribution of depression to quality of life. OBJECTIVE: To investigate the hypothesis that a) illness severity, pain, anxiety and depression are all associated with impaired health-related quality of life and b) once the effects of illness severity have been adjusted for, there is further independent contribution to quality of life from anxiety and depression. METHOD: Consecutive patients with advanced cancer under the care of palliative care services were screened. Sixty-eight patients were evaluated for levels of anxiety and depression, severity of illness, pain severity and health-related quality of life. RESULTS: Thirty-three males and 35 females were recruited and had an age range of 41-93 years (median 71). Seventeen (25%) of patients were anxious [anxiety score > or = 11 on the Hospital Anxiety and Depression Scale (HADS)], 15 (22%) were depressed (HADS depression score > or = 11). After controlling for the effects of pain and illness severity, anxiety and depression were independently associated with global health status, emotional and cognitive functioning, and fatigue. Anxiety further contributed significantly towards social functioning, nausea and vomiting. CONCLUSIONS: This study has confirmed that pain, anxiety and depression were associated with impaired quality of life. Anxiety and depression contributed independently towards various dimensions of quality of life. Longitudinal studies are required to examine the direction of the causal association between pain and depression in patients receiving palliative care.

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Crossref · 10.1191/0269216303pm781oa

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Research works printed but not linked: 2

  1. Lloyd-Williams M, 1999, Eur J Palliat Care, 6, 150
  2. Casey P, 1998, Eur J Palliat Care, 5, 152

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Metadata

Authors
Smith, E., Gomm, S., & Dickens, C.
Affiliations
  • St Ann's Hospice, Manchester
  • University of Manchester, Manchester Royal Infirmary, Manchester
Venue
Palliative Medicine
Publisher
SAGE Publications
Published
2003-09
Volume
17
Issue
6
Pages
509-513
ISSN
  • 0269-2163 (ISSN-L)
  • 1477-030X
DOI
10.1191/0269216303pm781oa
OpenAlex
W2126362960
Cited by
244
References
22
Citations by year
2026: 4 · 2025: 2 · 2024: 16 · 2023: 10 · 2022: 13 · 2021: 18 · 2020: 16 · 2019: 14 · 2018: 5 · 2017: 12 · 2016: 10 · 2015: 10 · 2014: 11 · 2013: 13 · 2012: 9
FWCI
3.00
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Palliative Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion)
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
anxiety, depression, health-related quality of life, advanced cancer, palliative care, pain intensity, disease severity, fatigue, nausea and vomiting, social functioning, cognitive function, emotional functioning
MeSH terms
Adult, Aged, Aged, 80 and over, Anxiety Disorders, Depressive Disorder, Female, Humans, Male, Middle Aged, Neoplasms, Palliative Care, Psychiatric Status Rating Scales, Quality of Life, Severity of Illness Index

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