Health-related quality of life, anxiety and depression in the diagnostic phase of suspected cancer, and the influence of diagnosis
Undergoing diagnostic evaluation for cancer has been associated with a high prevalence of anxiety and depression and affected health-related quality of life (HRQoL). The aims of this study were to assess HRQoL, anxiety, and depression pre- and post-diagnosis in patients undergoing diagnostic evaluat...
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| creator | Moseholm, Ellen Rydahl-Hansen, Susan Overgaard, Dorthe Wengel, Hanne S Frederiksen, Rikke Brandt, Malene Lindhardt, Bjarne Ø |
| description | Undergoing diagnostic evaluation for cancer has been associated with a high prevalence of anxiety and depression and affected health-related quality of life (HRQoL). The aims of this study were to assess HRQoL, anxiety, and depression pre- and post-diagnosis in patients undergoing diagnostic evaluations for cancer due to non-specific symptoms; to examine changes over time in relation to final diagnosis (cancer yes/no); and to assess the predictive value of pre-diagnostic psychological, socio-demographic and clinical factors.
A prospective, multicenter survey study of patients suspected to have cancer based on non-specific symptoms was performed. Participants completed the EORTC-QLQ-C30 quality of life scale, HADS, SOC-13 and self-rated health before and after completing diagnostic evaluations. Intra- and inter-group differences between patients diagnosed with cancer versus patients with non-cancer diagnoses were calculated. The impact of baseline psychological, socio-demographic, and medical factors on HRQoL, anxiety and depression at follow-up was explored by bootstrapped multivariate linear regression analyses and logistic regression analyses.
A total of 838 patients participated in this study; 679 (81 %) completed the follow-up. Twenty-two percent of the patients received a cancer diagnosis at the end of the follow-up. Patients presented initially with a high burden of symptoms and affected role and emotional functioning and global health/QL, irrespective of diagnosis. The prevalence of clinical anxiety prior to knowledge of the diagnosis was 32 % in patients with cancer and 35 % in patients who received a non-cancer diagnosis. HRQoL and anxiety improved after diagnosis, and a larger improvement was seen in patients who received a non-cancer diagnosis. There were no intra- or inter-group differences in the depression scores. The strongest predictors of global QL, anxiety, and depression after a known diagnosis were baseline scores, co-morbidity and poor self-rated health.
Patients undergoing diagnostic evaluations for cancer based on non-specific symptoms experience a high prevalence of anxiety and affected quality of life prior to knowledge of the diagnosis. The predictive value of the baseline scores is important when assessing the psychological impact of undergoing diagnostic evaluations for cancer. |
| doi_str_mv | 10.1186/s12955-016-0484-9 |
| format | Article |
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A prospective, multicenter survey study of patients suspected to have cancer based on non-specific symptoms was performed. Participants completed the EORTC-QLQ-C30 quality of life scale, HADS, SOC-13 and self-rated health before and after completing diagnostic evaluations. Intra- and inter-group differences between patients diagnosed with cancer versus patients with non-cancer diagnoses were calculated. The impact of baseline psychological, socio-demographic, and medical factors on HRQoL, anxiety and depression at follow-up was explored by bootstrapped multivariate linear regression analyses and logistic regression analyses.
A total of 838 patients participated in this study; 679 (81 %) completed the follow-up. Twenty-two percent of the patients received a cancer diagnosis at the end of the follow-up. Patients presented initially with a high burden of symptoms and affected role and emotional functioning and global health/QL, irrespective of diagnosis. The prevalence of clinical anxiety prior to knowledge of the diagnosis was 32 % in patients with cancer and 35 % in patients who received a non-cancer diagnosis. HRQoL and anxiety improved after diagnosis, and a larger improvement was seen in patients who received a non-cancer diagnosis. There were no intra- or inter-group differences in the depression scores. The strongest predictors of global QL, anxiety, and depression after a known diagnosis were baseline scores, co-morbidity and poor self-rated health.
Patients undergoing diagnostic evaluations for cancer based on non-specific symptoms experience a high prevalence of anxiety and affected quality of life prior to knowledge of the diagnosis. The predictive value of the baseline scores is important when assessing the psychological impact of undergoing diagnostic evaluations for cancer.</description><identifier>ISSN: 1477-7525</identifier><identifier>EISSN: 1477-7525</identifier><identifier>DOI: 10.1186/s12955-016-0484-9</identifier><identifier>PMID: 27206557</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Aged ; Anxiety ; Anxiety - psychology ; Cancer ; Cancer patients ; Denmark ; Depression - psychology ; Depression, Mental ; Diagnosis ; Diagnostic Tests, Routine - psychology ; Female ; Health ; Health aspects ; Humans ; Male ; Middle Aged ; Neoplasms - diagnosis ; Neoplasms - psychology ; Prospective Studies ; Psychological aspects ; Quality of life ; Quality of Life - psychology ; Socioeconomic Factors ; Surveys ; Surveys and Questionnaires ; Time Factors</subject><ispartof>Health and quality of life outcomes, 2016-05, Vol.14 (80), p.80-80, Article 80</ispartof><rights>COPYRIGHT 2016 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2016</rights><rights>Moseholm et al. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c528t-21cdcaae2da880732fc7699c7e830340c8dbe6a6cc445c0152e8c8f8d44e85173</citedby><cites>FETCH-LOGICAL-c528t-21cdcaae2da880732fc7699c7e830340c8dbe6a6cc445c0152e8c8f8d44e85173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4873991/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4873991/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27206557$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moseholm, Ellen</creatorcontrib><creatorcontrib>Rydahl-Hansen, Susan</creatorcontrib><creatorcontrib>Overgaard, Dorthe</creatorcontrib><creatorcontrib>Wengel, Hanne S</creatorcontrib><creatorcontrib>Frederiksen, Rikke</creatorcontrib><creatorcontrib>Brandt, Malene</creatorcontrib><creatorcontrib>Lindhardt, Bjarne Ø</creatorcontrib><title>Health-related quality of life, anxiety and depression in the diagnostic phase of suspected cancer, and the influence of diagnosis</title><title>Health and quality of life outcomes</title><addtitle>Health Qual Life Outcomes</addtitle><description>Undergoing diagnostic evaluation for cancer has been associated with a high prevalence of anxiety and depression and affected health-related quality of life (HRQoL). The aims of this study were to assess HRQoL, anxiety, and depression pre- and post-diagnosis in patients undergoing diagnostic evaluations for cancer due to non-specific symptoms; to examine changes over time in relation to final diagnosis (cancer yes/no); and to assess the predictive value of pre-diagnostic psychological, socio-demographic and clinical factors.
A prospective, multicenter survey study of patients suspected to have cancer based on non-specific symptoms was performed. Participants completed the EORTC-QLQ-C30 quality of life scale, HADS, SOC-13 and self-rated health before and after completing diagnostic evaluations. Intra- and inter-group differences between patients diagnosed with cancer versus patients with non-cancer diagnoses were calculated. The impact of baseline psychological, socio-demographic, and medical factors on HRQoL, anxiety and depression at follow-up was explored by bootstrapped multivariate linear regression analyses and logistic regression analyses.
A total of 838 patients participated in this study; 679 (81 %) completed the follow-up. Twenty-two percent of the patients received a cancer diagnosis at the end of the follow-up. Patients presented initially with a high burden of symptoms and affected role and emotional functioning and global health/QL, irrespective of diagnosis. The prevalence of clinical anxiety prior to knowledge of the diagnosis was 32 % in patients with cancer and 35 % in patients who received a non-cancer diagnosis. HRQoL and anxiety improved after diagnosis, and a larger improvement was seen in patients who received a non-cancer diagnosis. There were no intra- or inter-group differences in the depression scores. The strongest predictors of global QL, anxiety, and depression after a known diagnosis were baseline scores, co-morbidity and poor self-rated health.
Patients undergoing diagnostic evaluations for cancer based on non-specific symptoms experience a high prevalence of anxiety and affected quality of life prior to knowledge of the diagnosis. The predictive value of the baseline scores is important when assessing the psychological impact of undergoing diagnostic evaluations for cancer.</description><subject>Aged</subject><subject>Anxiety</subject><subject>Anxiety - psychology</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Denmark</subject><subject>Depression - psychology</subject><subject>Depression, Mental</subject><subject>Diagnosis</subject><subject>Diagnostic Tests, Routine - psychology</subject><subject>Female</subject><subject>Health</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasms - diagnosis</subject><subject>Neoplasms - psychology</subject><subject>Prospective Studies</subject><subject>Psychological aspects</subject><subject>Quality of life</subject><subject>Quality of Life - psychology</subject><subject>Socioeconomic Factors</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><issn>1477-7525</issn><issn>1477-7525</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNptkl1rHCEYhaW0NOm2P6A3ZaA3LWRSdXR0bgohtEkgUOjHtRh9Z9fg6kadktz2l9fpbtJsKXPh8PqcIx4PQq8JPiZE9h8yoQPnLSZ9i5lk7fAEHRImRCs45U8f_R-gFzlfY0w7SvlzdEAFxT3n4hD9Ogfty6pN4HUB29xM2rty18Sx8W6Eo0aHWwd1oINtLGwS5OxiaFxoygoa6_QyxFycaTYrnWHW5SlvwMxmRgcD6eiPdqZdGP0EdTZjO6nLL9GzUfsMr3brAv34_On76Xl7-eXs4vTksjWcytJSYqzRGqjVUmLR0dGIfhiMANnhjmEj7RX0ujeGMW4w4RSkkaO0jIHkRHQL9HHru5mu1mANhJK0V5vk1jrdqaid2t8JbqWW8adiUnTDQKrBu51BijcT5KLWLhvwXgeIU1ZEDHigjNeYF-jtP-h1nFKo15spwRgVHf9LLbUHVdOJ9Vwzm6oTxusjEdYNlTr-D1U_C2tnYoDR1fme4P2eoDIFbstSTzmri29f91myZU2KOScYH_IgWM0lU9uSqVoyNZdMzZo3j4N8UNy3qvsNxvXM2g</recordid><startdate>20160520</startdate><enddate>20160520</enddate><creator>Moseholm, Ellen</creator><creator>Rydahl-Hansen, Susan</creator><creator>Overgaard, Dorthe</creator><creator>Wengel, Hanne S</creator><creator>Frederiksen, Rikke</creator><creator>Brandt, Malene</creator><creator>Lindhardt, Bjarne Ø</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISR</scope><scope>3V.</scope><scope>7T2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PATMY</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PYCSY</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160520</creationdate><title>Health-related quality of life, anxiety and depression in the diagnostic phase of suspected cancer, and the influence of diagnosis</title><author>Moseholm, Ellen ; Rydahl-Hansen, Susan ; Overgaard, Dorthe ; Wengel, Hanne S ; Frederiksen, Rikke ; Brandt, Malene ; Lindhardt, Bjarne Ø</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c528t-21cdcaae2da880732fc7699c7e830340c8dbe6a6cc445c0152e8c8f8d44e85173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Anxiety</topic><topic>Anxiety - psychology</topic><topic>Cancer</topic><topic>Cancer patients</topic><topic>Denmark</topic><topic>Depression - psychology</topic><topic>Depression, Mental</topic><topic>Diagnosis</topic><topic>Diagnostic Tests, Routine - psychology</topic><topic>Female</topic><topic>Health</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoplasms - diagnosis</topic><topic>Neoplasms - psychology</topic><topic>Prospective Studies</topic><topic>Psychological aspects</topic><topic>Quality of life</topic><topic>Quality of Life - psychology</topic><topic>Socioeconomic Factors</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moseholm, Ellen</creatorcontrib><creatorcontrib>Rydahl-Hansen, Susan</creatorcontrib><creatorcontrib>Overgaard, Dorthe</creatorcontrib><creatorcontrib>Wengel, Hanne S</creatorcontrib><creatorcontrib>Frederiksen, Rikke</creatorcontrib><creatorcontrib>Brandt, Malene</creatorcontrib><creatorcontrib>Lindhardt, Bjarne Ø</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Environmental Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Environmental Science Collection</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Health and quality of life outcomes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moseholm, Ellen</au><au>Rydahl-Hansen, Susan</au><au>Overgaard, Dorthe</au><au>Wengel, Hanne S</au><au>Frederiksen, Rikke</au><au>Brandt, Malene</au><au>Lindhardt, Bjarne Ø</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health-related quality of life, anxiety and depression in the diagnostic phase of suspected cancer, and the influence of diagnosis</atitle><jtitle>Health and quality of life outcomes</jtitle><addtitle>Health Qual Life Outcomes</addtitle><date>2016-05-20</date><risdate>2016</risdate><volume>14</volume><issue>80</issue><spage>80</spage><epage>80</epage><pages>80-80</pages><artnum>80</artnum><issn>1477-7525</issn><eissn>1477-7525</eissn><abstract>Undergoing diagnostic evaluation for cancer has been associated with a high prevalence of anxiety and depression and affected health-related quality of life (HRQoL). The aims of this study were to assess HRQoL, anxiety, and depression pre- and post-diagnosis in patients undergoing diagnostic evaluations for cancer due to non-specific symptoms; to examine changes over time in relation to final diagnosis (cancer yes/no); and to assess the predictive value of pre-diagnostic psychological, socio-demographic and clinical factors.
A prospective, multicenter survey study of patients suspected to have cancer based on non-specific symptoms was performed. Participants completed the EORTC-QLQ-C30 quality of life scale, HADS, SOC-13 and self-rated health before and after completing diagnostic evaluations. Intra- and inter-group differences between patients diagnosed with cancer versus patients with non-cancer diagnoses were calculated. The impact of baseline psychological, socio-demographic, and medical factors on HRQoL, anxiety and depression at follow-up was explored by bootstrapped multivariate linear regression analyses and logistic regression analyses.
A total of 838 patients participated in this study; 679 (81 %) completed the follow-up. Twenty-two percent of the patients received a cancer diagnosis at the end of the follow-up. Patients presented initially with a high burden of symptoms and affected role and emotional functioning and global health/QL, irrespective of diagnosis. The prevalence of clinical anxiety prior to knowledge of the diagnosis was 32 % in patients with cancer and 35 % in patients who received a non-cancer diagnosis. HRQoL and anxiety improved after diagnosis, and a larger improvement was seen in patients who received a non-cancer diagnosis. There were no intra- or inter-group differences in the depression scores. The strongest predictors of global QL, anxiety, and depression after a known diagnosis were baseline scores, co-morbidity and poor self-rated health.
Patients undergoing diagnostic evaluations for cancer based on non-specific symptoms experience a high prevalence of anxiety and affected quality of life prior to knowledge of the diagnosis. The predictive value of the baseline scores is important when assessing the psychological impact of undergoing diagnostic evaluations for cancer.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>27206557</pmid><doi>10.1186/s12955-016-0484-9</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Anxiety Anxiety - psychology Cancer Cancer patients Denmark Depression - psychology Depression, Mental Diagnosis Diagnostic Tests, Routine - psychology Female Health Health aspects Humans Male Middle Aged Neoplasms - diagnosis Neoplasms - psychology Prospective Studies Psychological aspects Quality of life Quality of Life - psychology Socioeconomic Factors Surveys Surveys and Questionnaires Time Factors |
| title | Health-related quality of life, anxiety and depression in the diagnostic phase of suspected cancer, and the influence of diagnosis |
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