Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Psychosocial Response and Symptom Burden for Male Smokers with Lung Cancer

  • Niu, Zhi-Min (Department of Thoracic Oncology, Cancer Center, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University) ;
  • Liang, Chun-Shui (Department of Thoracic Oncology, Cancer Center, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University) ;
  • Yu, Min (Department of Thoracic Oncology, Cancer Center, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University) ;
  • Wang, Yong-Sheng (Department of Thoracic Oncology, Cancer Center, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University) ;
  • Yu, Hai-Xia (Department of Thoracic Oncology, Cancer Center, West China Hospital, Sichuan University) ;
  • Zhang, Qiong-Wen (Department of Thoracic Oncology, Cancer Center, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University) ;
  • Wei, Yu-Quan (Department of Thoracic Oncology, Cancer Center, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University)
  • Published : 2014.01.15
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Abstract

Purpose: Cigarette smoking causes many kinds of cancer, and it is more closely related with lung cancer, rather than other cancers. Smoking is the leading cause of lung cancer and ninety percent of the smokers are male in China, but there is little published data concerning the psychological responses in the male smokers with lung cancer and its influence on the symptom burden. The aim of the study was to verify the hypothesis that male smokers with lung cancer have more positive attitude and less symptom burden, comparing to male non-smokers. Methods: A total of 194 men with cancer in West China Hospital, Sichuan, China, were assessed by self-administered questionnaire. Psychological response was measured by the Chinese version of Mini-Mental Adjustment to Cancer scale (Mini-MAC), and symptom burden was measured by the physical symptom distress scale from the Rotterdam Symptom Checklist (RSCL). Results: We found that smokers with lung cancer got higher scores in positive attitude and a smaller symptom burden than non-smokers. Patients with education lower than high school got higher scores of positive attitude compared to college graduate patients (p=0.038). Smokers with lung cancer who knew the potential carcinogenicity of cigarette showed less negative emotions (p=0.011). The psychological response was not affected by age, clinical stage, cell type, smoking duration and amount. Conclusions: Male smokers with lung cancer have a more positive attitude and fewer symptoms, comparing to male non-smokers. Appropriate psychological intervention for non-smokers with lung cancer deserves more attention.

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References

  1. Biesalski HK, Bueno de Mesquita B, Chesson A, et al (1998). European Consensus Statement on Lung Cancer: risk factors and prevention. Lung Cancer Panel. CA Cancer J Clin, 48, 167-76. https://doi.org/10.3322/canjclin.48.3.167
  2. Brady SS, Helgeson VS (1999). Social support and adjustment to recurrence of breast cancer. J Psycho-Social Oncol, 17, 37-55.
  3. Chen LS, Kaphingst KA (2011). Risk perceptions and family history of lung cancer: differences by smoking status. Public Health Genomics, 14, 26-34. https://doi.org/10.1159/000294151
  4. Cohen M (2000). Coping and emotion distress in primary and recurrent breast cancer paitents. Journal of Clinical Psychology in Medical Settings, 9, 245-51.
  5. Dalal AK (2000). Living with a chronic disease: Healing and psychological adjustment in Indian society. Psychol Dev Soc J, 12, 67-81.
  6. DuBenske LL, Wen KY, Gustafson DH, et al (2008). Caregivers' needs at key experiences of the advanced cancer disease trajectory. Palliat Support Care, 6, 1-8.
  7. DuBenske LL, Gustafson DH, Shaw BR, Cleary JF (2010). Webbased cancer communication and decision making systems: connecting patients, caregivers, and clinicians for improved health outcomes. Med Decis Making, 30, 732-44. https://doi.org/10.1177/0272989X10386382
  8. Haes JCD, Knippenderg FCV, Neijt JP (1990). Measuring psychological and physical distress in cancer patients: Structure and application of the Rotterdam Symptom Checklist. Br J Cancer, 62, 1034-8. https://doi.org/10.1038/bjc.1990.434
  9. Hileman JW, Lackey NR (1990). Self-identified needs of patients with cancer at home and their home caregivers: a descriptive study. Oncol Nurs Forum, 17, 907-13.
  10. Horn L, Pao W, Johnson DH (2012). Harrison's Principles of Internal Medicine. 18th ed. McGraw-Hill.
  11. Hoogerwerf MA, Ninaber MK, Willems LNA, Kaptein AA (2012). "Feelings are facts": illness perceptions in patients with lung cancer. Respir Med, 106, 1170-6. https://doi.org/10.1016/j.rmed.2012.04.006
  12. Hopwood P, Stephens RJ (2000). Depression in patients with lung cancer: prevalence and risk factors derived from quality-of-life data. J Clin Oncol, 18, 893-903.
  13. Ho SMY, Fung WK, Chan CLW, Watson M, Tsui YKY (2003). Psychometric properties of the Chinese version of the Mini- Mental Adjustment to Cancer (Mini-MAC) scale. Psycho-Oncology, 12, 547-56. https://doi.org/10.1002/pon.672
  14. Knobf MT (2011). Clinical Update: Psychosocoal Responses in Breast Cancer Survivors. Seminars in Oncology Nursing, 27, e1-14. https://doi.org/10.1016/S0749-2081(11)00052-0
  15. Loeb LA, Emster VL, Warner KE, Abbotts J, Laszlo J (1984). Smoking and lung cancer: an overview." Cancer Research, 44, 5940-58.
  16. Lynch J, Goodhart F, Saunders Y, O'connor SJ (2010). Screening for psychological distress in patients with lung cancer: results of a clinical audit evaluating the use of the patient Distress Thermometer. Support Care Cancer, 19, 193-202
  17. Messina G, Lissoni P, Martolaceli E, Brivio F, Magotti L (2010). Enhancement of the efficacy of cancer chemotherapy by the pineal hormone melatonin and its relation with the psychospiritual status of cancer patients. J Res Med Sci, 15, 225-8.
  18. Newcomb PA, Carbone PP (1992). The health consequences of smoking. Cancer Med Clin North America, 76; 305-31.
  19. Richards M (1997). Quality of life: The main outcome measure of palliative care. Palliat Med, 11, 89-92. https://doi.org/10.1177/026921639701100201
  20. Sasco AJ, Secretan MB, Straif K (2004). Tobacco smoking and cancer: a brief review of recent epidemiological evidence. Lung Cancer, 45, S3-9.
  21. Sharp L, Carsin AE, Timmons A (2013). Associations between cancer-related financial stress and strain and psychological well-being among individuals living with cancer. Psychooncology, 22, 745-55. https://doi.org/10.1002/pon.3055
  22. Stanton AL, Snider PR (1993). Coping with a breast cancer diagnosis: A prospective study. Health Psychology, 12, 16-23. https://doi.org/10.1037/0278-6133.12.1.16
  23. Tiernan E (1998). Depression in terminally ill cancer patients. J Ir Med Assoc, 91, 47-8.
  24. Watson M, Homewood J, Haviland J, Bliss JM (2005). Influence of psychological response on breast cancer survival: 10-year follow-up of a population-based cohort. Eur J Cancer, 41, 1710-4. https://doi.org/10.1016/j.ejca.2005.01.012

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