Asian Oncol Nurs.  2012 Dec;12(4):314-322. 10.5388/aon.2012.12.4.314.

Distress, Depression, Anxiety, and Spiritual Needs of Patients with Stomach Cancer

  • 1Cancer Center, Seoul St. Mary's Hospital, Seoul, Korea.
  • 2College of Nursing, The Catholic University of Korea, Seoul, Korea.


This study was to investigate relationships among distress, depression, anxiety, and spiritual needs of hospitalized patients with stomach cancer.
The participants were 120 in-patients with stomach cancer for surgery or chemotherapy at C University in Seoul from December 2010 to February 2011. To measure emotional and spiritual states was used Distress management version 1 (National Comprehensive Cancer Network, NCCN), the Hospital anxiety and Depression Scale (HADS), and the Spiritual Needs Scale. The data were analyzed using SPSS 19.0, specifically descriptive statistics, t-test, ANOVA, Scheffe's test, and Pearson's correlation coefficients.
Distress showed positive correlations with anxiety (r=.49, p<.001), and depression (r=.44, p<.001). Anxiety showed positive correlations with depression (r=.59, p<.001). While, depression showed negative correlations with spiritual needs (r=-.25, p<.001).
This study's findings show that hospitalized patients with stomach cancer experienced distress, anxiety, depression and high spiritual needs. Distress, anxiety, and depression of patients with stomach cancer were positively correlated with each other. While the level of depression was negatively correlated with the level of spiritual needs, indicating the higher the level of depression, the lower the spiritual needs. Therefore, nursing interventions for emotional and spiritual support need to be developed for stomach cancer patients.


Stomach Neoplasms; Anxiety; Depression; Spirituality
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