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Relationship between Negative Mental Adjustment to Cancer and Distress in Thyroid Cancer Patients

 Jeong-Ho Seok  ;  Won-Jung Choi  ;  Yong Sang Lee  ;  Cheong Soo Park  ;  Young-Ja Oh  ;  Jong-Sun Kim  ;  Hang-Seok Chang 
 YONSEI MEDICAL JOURNAL, Vol.54(3) : 658-664, 2013 
Journal Title
Issue Date
Adaptation, Psychological* ; Adult ; Anxiety ; Female ; Humans ; Male ; Regression Analysis ; Stress, Psychological/epidemiology* ; Thyroid Neoplasms/psychology* ; Thyroid Neoplasms/surgery ; Thyroidectomy
Anxious preoccupation ; distress ; helplessness hopelessness ; thyroid cancer
PURPOSE: Previous studies have reported that over a third of cancer patients experience significant psychological distress with diagnosis and treatment of cancer. Mental adjustment to cancer as well as other biologic and demographic factors may be associated with their distress. We investigated the relationship between mental adjustment and distress in patients with thyroid cancer prior to thyroidectomy. MATERIALS AND METHODS: One hundred and fifty-two thyroid cancer patients were included in the final analysis. After global distress levels were screened with a distress thermometer, patients were evaluated concerning mental adjustment to cancer, as well as demographic and cancer-related characteristics. A thyroid function test was also performed. Regression analysis was performed to discern significant factors associated with distress in thyroid cancer patients. RESULTS: Our regression model was significant and explained 38.5% of the total variance in distress of this patient group. Anxious-preoccupation and helpless-hopeless factors on the mental adjustment to cancer scale were significantly associated with distress in thyroid cancer patients. CONCLUSION: Negative emotional response to cancer diagnosis may be associated with distress in thyroid cancer patients awaiting thyroidectomy. Screening of mental coping strategies at the beginning of cancer treatment may predict psychological distress in cancer patients. Further studies on the efficacy of psychiatric intervention during cancer treatment may be needed for patients showing maladaptive psychological responses to cancer.
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1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Cheong Soo(박정수)
Seok, Jeong Ho(석정호) ORCID logo https://orcid.org/0000-0002-9402-7591
Lee, Yong Sang(이용상) ORCID logo https://orcid.org/0000-0002-8234-8718
Chang, Hang Seok(장항석) ORCID logo https://orcid.org/0000-0002-5162-103X
Choi, Won Jung(최원정)
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