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Prevalence and prognostic implications of psychological distress in patients with gastric cancer

DC FieldValueLanguage
dc.contributor.author김건민-
dc.contributor.author김경란-
dc.contributor.author김혜련-
dc.contributor.author노성훈-
dc.contributor.author라선영-
dc.contributor.author정현철-
dc.contributor.author송수경-
dc.date.accessioned2017-11-01T08:49:16Z-
dc.date.available2017-11-01T08:49:16Z-
dc.date.issued2017-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/153679-
dc.description.abstractBACKGROUND: The aim of this study was to investigate the prevalence and prognostic significance of psychological distress in gastric cancer patients. METHODS: The study population included 229 gastric cancer patients visiting Yonsei Cancer Center between November 2009 and March 2011. The distress was measured by available tools including the Modified Distress Thermometer (MDT), Hospital Anxiety and Depression Scale (HADS), and Center for Epidemiologic Studies-Depression Scale (CES-D). Patients with psychological distress were defined as those who scored above the cut-off values in both the MDT and either one of the HADS or CES-D. RESULTS: The median age of patients was 56 (range, 20 to 86) and 97 (42.4%) patients were with stage IV disease status at enrollment. The overall prevalence of psychological distress was 33.6% (95% CI: 27.5-39.8%) in 229 gastric cancer patients. In multiple logistic regression analysis, lower education level (odds ratio [OR] 2.39; 95% confidence interval [CI] 1.11-5.17, P = 0.026) and higher disease stage (OR 2.72; 95% CI 1.47-5.03, P = 0.001) were associated with psychological distress. In stage I-III disease, patients with psychological distress had worse disease-free survival (DFS) (5-year DFS rate: 60% vs 76%, P = 0.49) compared with those without psychological distress. In stage IV disease (n = 97), patients with psychological distress showed poorer overall survival than those without psychological distress (median OS (Overall Survival): 12.2 vs. 13.8 months, P = 0.019). CONCLUSION: Psychological distress is common in patients with all stages of gastric cancer and is associated with worse outcomes.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.publisherBioMed Central-
dc.relation.isPartOfBMC Cancer-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHDisease-Free Survival-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHLogistic Models-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeoplasm Staging-
dc.subject.MESHOdds Ratio-
dc.subject.MESHPrevalence-
dc.subject.MESHPrognosis-
dc.subject.MESHQuality of Life/psychology-
dc.subject.MESHStomach-
dc.subject.MESHeoplasms/pathology*-
dc.subject.MESHStomach Neoplasms/psychology*-
dc.subject.MESHStress, Psychological/epidemiology*-
dc.subject.MESHSurvival Analysis-
dc.subject.MESHYoung Adult-
dc.titlePrevalence and prognostic implications of psychological distress in patients with gastric cancer-
dc.typeArticle-
dc.publisher.locationEngland-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Internal Medicine-
dc.contributor.googleauthorGun Min Kim-
dc.contributor.googleauthorSeung Jun Kim-
dc.contributor.googleauthorSu Kyung Song-
dc.contributor.googleauthorHye Ryun Kim-
dc.contributor.googleauthorBeo Deul Kang-
dc.contributor.googleauthorSung Hoon Noh-
dc.contributor.googleauthorHyun Cheol Chung-
dc.contributor.googleauthorKyung Ran Kim-
dc.contributor.googleauthorSun Young Rha-
dc.identifier.doi10.1186/s12885-017-3260-2-
dc.contributor.localIdA00293-
dc.contributor.localIdA01166-
dc.contributor.localIdA01281-
dc.contributor.localIdA01316-
dc.contributor.localIdA03773-
dc.contributor.localIdA04591-
dc.contributor.localIdA00287-
dc.relation.journalcodeJ00351-
dc.identifier.eissn1471-2407-
dc.relation.journalsince2001~-
dc.identifier.pmid28427439-
dc.subject.keywordGastric cancer-
dc.subject.keywordPrognosis-
dc.subject.keywordPsychological distress-
dc.subject.keywordSurvival-
dc.contributor.alternativeNameKim, Gun Min-
dc.contributor.alternativeNameKim, Kyung Ran-
dc.contributor.alternativeNameKim, Hye Ryun-
dc.contributor.alternativeNameNoh, Sung Hoon-
dc.contributor.alternativeNameRha, Sun Young-
dc.contributor.alternativeNameChung, Hyun Cheol-
dc.contributor.alternativeNameSong Su Kyung-
dc.contributor.affiliatedAuthorKim, Kyung Ran-
dc.contributor.affiliatedAuthorKim, Hye Ryun-
dc.contributor.affiliatedAuthorNoh, Sung Hoon-
dc.contributor.affiliatedAuthorRha, Sun Young-
dc.contributor.affiliatedAuthorChung, Hyun Cheol-
dc.contributor.affiliatedAuthorSong Su Kyung-
dc.contributor.affiliatedAuthorKim, Gun Min-
dc.citation.titleBMC Cancer-
dc.citation.volume17-
dc.citation.number1-
dc.citation.startPage283-
dc.identifier.bibliographicCitationBMC Cancer, Vol.17(1) : 283, 2017-
dc.date.modified2017-11-01-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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