Psychological Distress, Fatigue and Quality of Life in Patients with Gastrointestinal Stromal Tumors.

IF 1.1 Q3 PSYCHOLOGY, MULTIDISCIPLINARY
Edelmira Berenice Carbajal-López, Dehisy Marisol Juárez-García, Teresa de Jesús Sánchez-Jauregui, Absalón Espinoza-Velazco, German Calderillo-Ruiz, Rodrigo Salas-Benavides
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引用次数: 1

Abstract

Background: Gastrointestinal stromal tumors (GIST) represent 1% of all gastrointestinal tumors and are included in the list of rare diseases.

Objective: 1) To evaluate levels of psychological distress, fatigue, and quality of life. 2) To identify the variables that most influence distress among Mexican patients with GIST.

Design: A cross-sectional study was conducted with a consecutive sample of 100 patients with GIST, who completed the following questionnaires online: Hospital Anxiety and Depression Scale (HADS) as a measure of distress, Multidimensional Fatigue Inventory (MFI), and Quality of Life Questionnaire (QLQ C30).

Results: Distress was present in 31% of patients. No association was found between distress and sociodemographic/clinical variables. The patients with distress demonstrated higher scores in all fatigue dimensions and, regarding quality of life, had more symptoms and were lower functioning. Distress was positively associated with all fatigue dimensions and with QLQ C30 symptoms. Negative associations were found between distress and QLQ C30 functioning dimensions. The predictors of psychological distress were general fatigue, reduced motivation, and emotional functioning.

Conclusion: The percentage of patients with distress was akin to the levels found in patients with the most common types of cancer. Fatigue in patients with GIST should be evaluated and managed to improve distress levels.

胃肠道间质瘤患者的心理困扰、疲劳与生活质量。
背景:胃肠道间质瘤(GIST)占所有胃肠道肿瘤的1%,是一种罕见疾病。目的:1)评估患者的心理困扰、疲劳程度和生活质量。2)确定最影响墨西哥GIST患者痛苦的变量。设计:横断面研究对100名GIST患者进行了连续抽样,他们在线完成了以下问卷调查:医院焦虑和抑郁量表(HADS)作为痛苦的测量,多维疲劳量表(MFI)和生活质量问卷(qlqc30)。结果:31%的患者存在窘迫。没有发现痛苦和社会人口学/临床变量之间的联系。苦恼患者在所有疲劳维度上得分较高,在生活质量方面,症状较多,功能较低。焦虑与所有疲劳维度和qlqc30症状呈正相关。抑郁与qqc30功能维度呈负相关。心理困扰的预测因素是一般疲劳、动机降低和情绪功能。结论:苦恼患者的比例与最常见类型的癌症患者的水平相似。胃肠道间质瘤患者的疲劳应进行评估,并设法改善痛苦程度。
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来源期刊
Psychology in Russia-State of the Art
Psychology in Russia-State of the Art PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
2.00
自引率
11.10%
发文量
11
审稿时长
14 weeks
期刊介绍: Established in 2008, the Russian Psychological Society''s Journal «Psychology in Russia: State of the Art» publishes original research on all aspects of general psychology including cognitive, clinical, developmental, social, neuropsychology, psychophysiology, psychology of labor and ergonomics, and methodology of psychological science. Journal''s list of authors comprises prominent scientists, practitioners and experts from leading Russian universities, research institutions, state ministries and private practice. Addressing current challenges of psychology, it also reviews developments in novel areas such as security, sport, and art psychology, as well as psychology of negotiations, cyberspace and virtual reality. The journal builds upon theoretical foundations laid by the works of Vygotsky, Luria and other Russian scientists whose works contributed to shaping the psychological science worldwide, and welcomes international submissions which make major contributions across the range of psychology, especially appreciating the ones conducted in the paradigm of the Russian psychological tradition. It enjoys a wide international readership and features reports of empirical studies, book reviews and theoretical contributions, which aim to further our understanding of psychology.
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