Cancer Res Treat.  2003 Oct;35(5):411-418.

Associations between Depression, Anxiety, Hostility and Fighting Spirit among Cancer Patients in a Cancer Center in Korea

Affiliations
  • 1Nursing Policy Research Institute, Yonsei University College of Nursing, Seoul, Korea. hspirit333@yumc.yonsei.ac.kr
  • 2Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
  • 3Yonsei Cancer Center, Seoul, Korea.
  • 4Yonsei University College of Nursing, Seoul, Korea.

Abstract

PURPOSE
The aim of this study was to examine the associations between depression, anxiety, hostility and fighting spirit among patients with stomach, colorectal or breast cancer. MATERIALS AND METHODS: 223 patients, diagnosed as with stomach, colorectal or breast cancer, undergoing chemotherapy or follow up care, were the subjects of the study. The study design was cross-sectional at the time of the survey. The degrees of depression, anxiety and hostility of the patients were assessed by the SCL-90-R scores, and the fighting spirit was measured by the Mental Adjustment to Cancer (MAC) scale score. RESULTS: The scores of anxiety and hostility of the patients at younger age were higher than those at older age (p<0.01). The patients with metastasis were more depressed than those without it (p<0.01). There was a negative association between depression and fighting spirit (p<0.001). CONCLUSION: The study showed the more depressed cancer patients had lower fighting spirit score, which was known to be one of the most active psychosocial contributors in adjusting to cancer and survival.

Keyword

Depression; Anxiety; Hostility; Fighting spirit; Cancer

MeSH Terms

Anxiety*
Breast Neoplasms
Depression*
Drug Therapy
Follow-Up Studies
Hostility*
Humans
Korea*
Neoplasm Metastasis
Stomach
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