Psychological Distress in Bladder Cancer Patients: A Systematic Review

IF 2.9 2区医学 Q2 ONCOLOGY

Cancer Medicine Pub Date : 2024-11-13 DOI:10.1002/cam4.70345

Kezia Reji Thomas, Catherine Joshua, Christine Ibilibor

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引用次数: 0

Abstract

Objective

Bladder cancer patients experience high levels of disease and treatment-related distress, however, factors that can mitigate patient-reported psychological distress are poorly characterized. Thus, this study serves to summarize the burden of psychological distress among bladder cancer patients and identify clinical, psychological, and socioeconomic factors that are associated with varying levels of psychological distress.

Methods

We performed a systematic review of studies examining psychological distress in bladder cancer patients. We searched PubMed/MEDLINE, Embase, and PsycINFO from October 2000 to February 2024 according to the PRISMA guidelines. Associations between clinical, psychological, socioeconomic factors, and psychological distress were identified in each study and extracted. The protocol for this review is registered in PROSPERO (CRD42024495568).

Results

Using our search strategy, 759 articles were retrieved and 17 met inclusion criteria, representing 2572 bladder cancer patients. Tumor stage (n = 3), younger age (n = 2), female sex (n = 2) the preoperative setting (n = 2), depression/anxiety (n = 2), and negative psychological response to illness (n = 2) were common factors associated with increased psychological distress. Transitioning from the preoperative to the postoperative period (n = 2), postoperative inpatient rehabilitation (n = 2), feeling well informed (n = 2), and social support (n = 2) were associated with decreased psychological distress.

Conclusion

While clinical factors associated with increased psychological distress are nonmodifiable, clinical, psychological, and socioeconomic factors associated with decreased psychological distress can be improved upon by healthcare providers to mitigate the distress that bladder cancer patients experience.

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膀胱癌患者的心理压力：系统回顾

目的：膀胱癌患者承受着疾病和治疗相关的高度痛苦，然而，能够减轻患者报告的心理痛苦的因素却鲜为人知。因此，本研究旨在总结膀胱癌患者的心理压力负担，并找出与不同程度的心理压力相关的临床、心理和社会经济因素：我们对有关膀胱癌患者心理困扰的研究进行了系统性回顾。我们根据 PRISMA 指南检索了 2000 年 10 月至 2024 年 2 月期间的 PubMed/MEDLINE、Embase 和 PsycINFO。在每项研究中确定并提取了临床、心理、社会经济因素与心理困扰之间的关联。本综述的方案已在 PROSPERO（CRD42024495568）上注册：采用我们的检索策略，共检索到 759 篇文章，其中 17 篇符合纳入标准，代表了 2572 名膀胱癌患者。肿瘤分期（3 例）、年龄较小（2 例）、女性（2 例）、术前环境（2 例）、抑郁/焦虑（2 例）和对疾病的消极心理反应（2 例）是与心理困扰增加相关的常见因素。从术前过渡到术后（2 人）、术后住院康复（2 人）、知情感（2 人）和社会支持（2 人）与心理困扰的减少有关：结论：虽然与心理压力增加相关的临床因素是不可改变的，但医疗服务提供者可以改善与心理压力减少相关的临床、心理和社会经济因素，以减轻膀胱癌患者的心理压力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cancer Medicine ONCOLOGY-

CiteScore

5.50

自引率

2.50%

发文量

907

审稿时长

19 weeks

期刊介绍： Cancer Medicine is a peer-reviewed, open access, interdisciplinary journal providing rapid publication of research from global biomedical researchers across the cancer sciences. The journal will consider submissions from all oncologic specialties, including, but not limited to, the following areas: Clinical Cancer Research Translational research ∙ clinical trials ∙ chemotherapy ∙ radiation therapy ∙ surgical therapy ∙ clinical observations ∙ clinical guidelines ∙ genetic consultation ∙ ethical considerations Cancer Biology: Molecular biology ∙ cellular biology ∙ molecular genetics ∙ genomics ∙ immunology ∙ epigenetics ∙ metabolic studies ∙ proteomics ∙ cytopathology ∙ carcinogenesis ∙ drug discovery and delivery. Cancer Prevention: Behavioral science ∙ psychosocial studies ∙ screening ∙ nutrition ∙ epidemiology and prevention ∙ community outreach. Bioinformatics: Gene expressions profiles ∙ gene regulation networks ∙ genome bioinformatics ∙ pathwayanalysis ∙ prognostic biomarkers. Cancer Medicine publishes original research articles, systematic reviews, meta-analyses, and research methods papers, along with invited editorials and commentaries. Original research papers must report well-conducted research with conclusions supported by the data presented in the paper.