Demoralisation in cancer patients: the association with distress, depression and positive emotion
Cancer patients experience a high level of distress and depression. The understanding of its psychological correlates such as demoralisation and positive emotion helps in the management of these conditions. The study objectives are to examine the correlation between demoralisation and positive...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2021
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| Online Access: | http://journalarticle.ukm.my/17441/1/10_ms0458_pdf_93048.pdf http://journalarticle.ukm.my/17441/ https://www.medicineandhealthukm.com/toc/16/1 |
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| Summary: | Cancer patients experience a high level of distress and depression. The
understanding of its psychological correlates such as demoralisation and positive
emotion helps in the management of these conditions. The study objectives are to
examine the correlation between demoralisation and positive emotion, defined as
discrete pleasant emotions, such as joy, pride, contentment or love, with depression
and distress in cancer patients. The sociodemographic and clinical associated
factors are also studied. This cross-sectional study recruited 178 cancer patients
from a local university hospital. They were assessed using the Malay versions of
the Demoralization Scales (DS-M), Positive Emotion Rating Scale (PERS), Centre
for Epidemiologic Studies Depression (CESD) Scale, and Distress Thermometer.
The mean age of the subjects was 53.6 + 16.51 years old, with 24% of them were
in the advanced stage of cancer. Almost 38% of the subject were demoralised.
Of them, 61.2% were depressed, 52.2% had low positive emotion, and 68.7%
were distressed. Demoralisation was positively correlated with depression (r=0.78,
p<0.01) and distress level (r=0.64, p<0.01) but negatively correlated with positive
emotion (r=-0.69, p<0.01). In conclusion, demoralisation was highly prevalent and
strongly associated with depression and distress in cancer patients. Assessment
and early detection of demoralisation among cancer patients should receive more
attention. Future studies on the management of this condition are needed. |
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