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Co-morbidity of depression, anxiety and fatigue in cancer patients receiving psychological care.

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Title: Co-morbidity of depression, anxiety and fatigue in cancer patients receiving psychological care.
Authors: Zhu, Lei, Ranchor, Adelita V., Lee, Marije, Garssen, Bert, Almansa, Josué, Sanderman, Robbert, Schroevers, Maya J.
Source: Psycho-Oncology. Apr2017, Vol. 26 Issue 4, p444-451. 8p. 1 Diagram, 3 Charts.
Subjects: Cancer patients, Diseases, Anxiety, Cancer diagnosis, Health, Tumor treatment, Tumors & psychology, Mental depression, Fatigue (Physiology), Longitudinal method, Mental health, Patient education, Tumors, Comorbidity, Disease complications, Psychology
Geographic Terms: Netherlands
Abstract: Objectives: This study aimed to examine (1) subgroups of cancer patients with distinct co-morbidity patterns of depression, anxiety and fatigue; (2) how individuals transitioned between these patterns; and (3) whether socio-demographic, clinical and psychological care characteristics distinguished patients' transitions.Method: This naturalistic, longitudinal study focused on 241 cancer patients receiving psycho-oncological care in the Netherlands. Data were collected before initiation of psychological care (T1), 3 months (T2), and 9 months thereafter (T3). Latent transition analysis was performed examining research questions.Results: Three distinct co-morbidity patterns were identified: class 1 ('mood disturbances and fatigue'), class 2 ('mood disturbances') and class 3 ('few symptoms of mood disturbances and fatigue'). Half of those in class 1 remained in this group from T1 to T3, a quarter transitioned to class 2 and another quarter to class 3. Baseline physical symptoms distinguished these transitions: those with more physical symptoms tended to remain stable. Half of patients in class 2 remained stable from T1 to T3, 46% moved into class 3 and 8% into class 1. Baseline physical symptoms and years after cancer diagnosis significantly distinguished these transitions: the 8% moving to class 1 had more physical symptoms and were longer after cancer diagnosis. Most patients in class 3 remained stable from T1 to T3, and predictors of transitions could not be examined.Conclusions: Three distinct co-morbidity patterns of depression, anxiety and fatigue were identified and exhibited different symptom courses longitudinally. Those with poor physical health tended to report elevated mood disturbances and fatigue during psychological care. Copyright © 2016 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Co-morbidity of depression, anxiety and fatigue in cancer patients receiving psychological care.
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  Data: <searchLink fieldCode="AR" term="%22Zhu%2C+Lei%22">Zhu, Lei</searchLink><br /><searchLink fieldCode="AR" term="%22Ranchor%2C+Adelita+V%2E%22">Ranchor, Adelita V.</searchLink><br /><searchLink fieldCode="AR" term="%22Lee%2C+Marije%22">Lee, Marije</searchLink><br /><searchLink fieldCode="AR" term="%22Garssen%2C+Bert%22">Garssen, Bert</searchLink><br /><searchLink fieldCode="AR" term="%22Almansa%2C+Josué%22">Almansa, Josué</searchLink><br /><searchLink fieldCode="AR" term="%22Sanderman%2C+Robbert%22">Sanderman, Robbert</searchLink><br /><searchLink fieldCode="AR" term="%22Schroevers%2C+Maya+J%2E%22">Schroevers, Maya J.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Apr2017, Vol. 26 Issue 4, p444-451. 8p. 1 Diagram, 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Cancer+patients%22">Cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Diseases%22">Diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+diagnosis%22">Cancer diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Health%22">Health</searchLink><br /><searchLink fieldCode="DE" term="%22Tumor+treatment%22">Tumor treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Tumors+%26+psychology%22">Tumors & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Fatigue+%28Physiology%29%22">Fatigue (Physiology)</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+education%22">Patient education</searchLink><br /><searchLink fieldCode="DE" term="%22Tumors%22">Tumors</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology%22">Psychology</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Netherlands%22">Netherlands</searchLink>
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  Data: <bold>Objectives: </bold>This study aimed to examine (1) subgroups of cancer patients with distinct co-morbidity patterns of depression, anxiety and fatigue; (2) how individuals transitioned between these patterns; and (3) whether socio-demographic, clinical and psychological care characteristics distinguished patients' transitions.<bold>Method: </bold>This naturalistic, longitudinal study focused on 241 cancer patients receiving psycho-oncological care in the Netherlands. Data were collected before initiation of psychological care (T1), 3 months (T2), and 9 months thereafter (T3). Latent transition analysis was performed examining research questions.<bold>Results: </bold>Three distinct co-morbidity patterns were identified: class 1 ('mood disturbances and fatigue'), class 2 ('mood disturbances') and class 3 ('few symptoms of mood disturbances and fatigue'). Half of those in class 1 remained in this group from T1 to T3, a quarter transitioned to class 2 and another quarter to class 3. Baseline physical symptoms distinguished these transitions: those with more physical symptoms tended to remain stable. Half of patients in class 2 remained stable from T1 to T3, 46% moved into class 3 and 8% into class 1. Baseline physical symptoms and years after cancer diagnosis significantly distinguished these transitions: the 8% moving to class 1 had more physical symptoms and were longer after cancer diagnosis. Most patients in class 3 remained stable from T1 to T3, and predictors of transitions could not be examined.<bold>Conclusions: </bold>Three distinct co-morbidity patterns of depression, anxiety and fatigue were identified and exhibited different symptom courses longitudinally. Those with poor physical health tended to report elevated mood disturbances and fatigue during psychological care. Copyright © 2016 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1002/pon.4153
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 8
        StartPage: 444
    Subjects:
      – SubjectFull: Cancer patients
        Type: general
      – SubjectFull: Diseases
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Cancer diagnosis
        Type: general
      – SubjectFull: Health
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      – SubjectFull: Tumor treatment
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      – SubjectFull: Tumors & psychology
        Type: general
      – SubjectFull: Mental depression
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      – SubjectFull: Fatigue (Physiology)
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      – SubjectFull: Tumors
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      – SubjectFull: Netherlands
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      – TitleFull: Co-morbidity of depression, anxiety and fatigue in cancer patients receiving psychological care.
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              Text: Apr2017
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              Y: 2017
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