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Gepubliceerd in: Quality of Life Research 7/2017

24-02-2017

The longitudinal course of depression symptomatology following a palliative rehabilitation program

Auteurs: Andrea Feldstain, Sophie Lebel, Martin R. Chasen

Gepubliceerd in: Quality of Life Research | Uitgave 7/2017

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Abstract

Purpose

Patients with advanced cancer have increased life expectancy but suffer from ongoing burden. Depressive symptomatology is their most common mental health concern. The Ottawa Palliative Rehabilitation Program (PRP) offers rehabilitation for this population. It offers 8 weeks of individualized interdisciplinary rehabilitation, post cancer treatment. Interventions include medical (physician and nurse), physiotherapy, occupational therapy, dietary, and social work using a general self-efficacy framework. Pilot data suggest benefits in a range of domains, including ratings of feeling “depressed.” We examined whether reduced symptomatology was maintained 3 months after PRP completion.

Methods

Participants with advanced heterogeneous cancers who completed the PRP were mailed the Hospital Anxiety and Depression Scale (among others) 3-month post-PRP (n = 44). Demographic and medical information were obtained from patient files.

Results

There was a significant linear trend (mean T1: 6.79 ± 2.29; T2: 5.23 ± 3.06; T3: 4.59 ± 3.34; p = 0.007) with statistically and clinically significant decreases in reported depressive symptomatology between T1 and T2 (p = 0.042) and T1 and T3 (p = 0.007). There was a significant decreases in number of cases reporting symptomatology scores in the clinical range from T1 to T3 (p = 0.038).

Conclusion

Patients who undergo a palliative rehabilitation program may experience relief of mild depressive symptomatology, maintainable 3-month post-PRP. The sample was exhibiting mild symptomatology and these results may not be generalizable to those with higher scores; a lack of specialized psychosocial clinician may have affected the acquired sample. Experimental designs are needed to more thoroughly compare these findings to independent rehabilitation interventions.

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Literatuur
1.
go back to reference Conroy, T., Desseigne, F., Ychou, M., Bouché, O., Guimbaud, R., Bécouarn, Y., et al. (2011). FOLFIRINOX versus Gemcitabine for metastatic pancreatic cancer. New England Journal of Medicine. doi: 10.​1056/​NEJMoa1011923. PubMed Conroy, T., Desseigne, F., Ychou, M., Bouché, O., Guimbaud, R., Bécouarn, Y., et al. (2011). FOLFIRINOX versus Gemcitabine for metastatic pancreatic cancer. New England Journal of Medicine. doi: 10.​1056/​NEJMoa1011923. PubMed
2.
go back to reference Tangen, C., Faulkner, J., Crawford, E. D., Thompson, I., Hirano, D., Eisenberger, M., & Hussain, M. (2003). Ten-year survival in patients with metastatic prostate cancer. Clinical Genitourinary Cancer, 2, 41–45. Tangen, C., Faulkner, J., Crawford, E. D., Thompson, I., Hirano, D., Eisenberger, M., & Hussain, M. (2003). Ten-year survival in patients with metastatic prostate cancer. Clinical Genitourinary Cancer, 2, 41–45.
6.
go back to reference Park, E. M., & Rosenstein, D. L. (2014). Living with advanced cancer: Unmet survivorship needs. North Carolina Medical Journal, 75, 279–282. CrossRefPubMed Park, E. M., & Rosenstein, D. L. (2014). Living with advanced cancer: Unmet survivorship needs. North Carolina Medical Journal, 75, 279–282. CrossRefPubMed
8.
go back to reference Wilson, K.G., Lander, M., Chochinov, H.M. (2009). Diagnosis and management of depression in palliative care. In H.M. Chochinov, & W. Breitbart (Eds.). Psychiatry in palliative care (2nd edn, pp. 39–69). New York, NY: Oxford University Press. Wilson, K.G., Lander, M., Chochinov, H.M. (2009). Diagnosis and management of depression in palliative care. In H.M. Chochinov, & W. Breitbart (Eds.). Psychiatry in palliative care (2nd edn, pp. 39–69). New York, NY: Oxford University Press.
9.
go back to reference Mitchell, A. J., Chan, M., Bhatti, H., Halton, M., Grassi, L., Johansen, C., & Meader, N. (2011). Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: A meta-analysis of 94 interview-based studies. Lancet Oncology. doi: 10.​1016/​S1470-2045(11)70002-X. Mitchell, A. J., Chan, M., Bhatti, H., Halton, M., Grassi, L., Johansen, C., & Meader, N. (2011). Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: A meta-analysis of 94 interview-based studies. Lancet Oncology. doi: 10.​1016/​S1470-2045(11)70002-X.
11.
go back to reference Fils, J. M., Penick, E. C., Nickel, E. J., Othmer, E., DeSouza, C., Gabrielli, W. F., & Hunter, E. E. (2010). Minor versus major depression: A comparative clinical study. Primary Care Companion to Journal of Clinical Psychiatry. doi: 10.​4088/​PCC.​08m00752blu. Fils, J. M., Penick, E. C., Nickel, E. J., Othmer, E., DeSouza, C., Gabrielli, W. F., & Hunter, E. E. (2010). Minor versus major depression: A comparative clinical study. Primary Care Companion to Journal of Clinical Psychiatry. doi: 10.​4088/​PCC.​08m00752blu.
12.
go back to reference Delgado-Guay, M., Parsons, H. A., Li, Z., Palmer, J. L., & Bruera, E. (2009). Symptom distress in advanced cancer patients with anxiety and depression in the palliative care setting. Supportive Care in Cancer. doi: 10.​1007/​s00520-008-0529-7. Delgado-Guay, M., Parsons, H. A., Li, Z., Palmer, J. L., & Bruera, E. (2009). Symptom distress in advanced cancer patients with anxiety and depression in the palliative care setting. Supportive Care in Cancer. doi: 10.​1007/​s00520-008-0529-7.
14.
go back to reference Satin, J. R., Linden, W., & Phillips, M. J. (2010). Depression as a predictor of disease progression and mortality in cancer patients: A meta-analysis. Cancer. doi: 10.​1002/​cncr.​24561. Satin, J. R., Linden, W., & Phillips, M. J. (2010). Depression as a predictor of disease progression and mortality in cancer patients: A meta-analysis. Cancer. doi: 10.​1002/​cncr.​24561.
15.
17.
go back to reference Li, M., & Rodin, G. (2010). Depression and illness. In J. M. Suis, K. W. Davidson & R. M. Kaplan (Eds.), Handbook of health psychology and behavioral medicine (pp. 217–233). New York: Guilford. Li, M., & Rodin, G. (2010). Depression and illness. In J. M. Suis, K. W. Davidson & R. M. Kaplan (Eds.), Handbook of health psychology and behavioral medicine (pp. 217–233). New York: Guilford.
18.
go back to reference Chasen, M., Feldstain, A., Gravelle, D., MacDonald, N., & Pereira, J. (2013). An interprofessional palliative care oncology rehabilitation program: Effects on function and predictors of program completion. Current Oncology. doi: 10.​3747/​co.​20.​1607. Chasen, M., Feldstain, A., Gravelle, D., MacDonald, N., & Pereira, J. (2013). An interprofessional palliative care oncology rehabilitation program: Effects on function and predictors of program completion. Current Oncology. doi: 10.​3747/​co.​20.​1607.
19.
go back to reference Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191–215. CrossRefPubMed Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191–215. CrossRefPubMed
20.
go back to reference Bandura, A. (2009). Self-efficacy. In I. B. Weiner & W. E. Craighead (Eds.), The Corsini Encyclopedia of Psychology (p. 1534). New York, NY: John Wiley & Sons, Inc. Bandura, A. (2009). Self-efficacy. In I. B. Weiner & W. E. Craighead (Eds.), The Corsini Encyclopedia of Psychology (p. 1534). New York, NY: John Wiley & Sons, Inc.
21.
go back to reference Luszczynska, A., Gutiérrez-Dona, B., & Schwarzer, R. (2005). General self-efficacy in various domains of human functioning: Evidence from five countries. International Journal of Psychology. doi: 10.​1080/​0020759044400004​1. Luszczynska, A., Gutiérrez-Dona, B., & Schwarzer, R. (2005). General self-efficacy in various domains of human functioning: Evidence from five countries. International Journal of Psychology. doi: 10.​1080/​0020759044400004​1.
22.
go back to reference Feldstain, A., Lebel, S., & Chasen, M. R. (2016). An interdisciplinary palliative rehabilitation intervention bolstering general self-efficacy to attenuate symptoms of depression in patients living with advanced cancer. Supportive Care in Cancer. doi: 10.​1007/​s00520-015-2751-4. PubMed Feldstain, A., Lebel, S., & Chasen, M. R. (2016). An interdisciplinary palliative rehabilitation intervention bolstering general self-efficacy to attenuate symptoms of depression in patients living with advanced cancer. Supportive Care in Cancer. doi: 10.​1007/​s00520-015-2751-4. PubMed
24.
go back to reference Krogh, J., Nordentoft, M., Sterne, J.A.C., & Lawlor, D. A. (2011). The effect of exercise in clinically depressed adults: Systematic review and meta-analysis of randomized controlled trials. Journal of Clinical Psychiatry. doi: 10.​4088/​JCP.​08r04913blu. PubMed Krogh, J., Nordentoft, M., Sterne, J.A.C., & Lawlor, D. A. (2011). The effect of exercise in clinically depressed adults: Systematic review and meta-analysis of randomized controlled trials. Journal of Clinical Psychiatry. doi: 10.​4088/​JCP.​08r04913blu. PubMed
26.
go back to reference Mishra, S. I., Scherer, R. W., Geigle, P. M., Berlanstein, D. R., Topaloglu, O., Gotay, C. C., & Snyder, C. (2010). Exercise interventions on health-related quality of life for cancer survivors. Cochrane Database of Systematic Reviews. doi: 10.​1002/​14651858.​CD007566.​pub2. Mishra, S. I., Scherer, R. W., Geigle, P. M., Berlanstein, D. R., Topaloglu, O., Gotay, C. C., & Snyder, C. (2010). Exercise interventions on health-related quality of life for cancer survivors. Cochrane Database of Systematic Reviews. doi: 10.​1002/​14651858.​CD007566.​pub2.
28.
go back to reference Oken, M. M., Creech, R. H., Tormey, D. C., Horton, J., Davis, T. E., McFadden, E. T., & Carbone, P. P. (1982). Toxicity and response criteria of the Eastern cooperative oncology group. American Journal of Clinical Oncology, 5, 649–655. CrossRefPubMed Oken, M. M., Creech, R. H., Tormey, D. C., Horton, J., Davis, T. E., McFadden, E. T., & Carbone, P. P. (1982). Toxicity and response criteria of the Eastern cooperative oncology group. American Journal of Clinical Oncology, 5, 649–655. CrossRefPubMed
29.
go back to reference Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370. CrossRefPubMed Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370. CrossRefPubMed
31.
go back to reference Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale: An updated literature review. Journal of Psychosomatic Research, 52, 69–77. CrossRefPubMed Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale: An updated literature review. Journal of Psychosomatic Research, 52, 69–77. CrossRefPubMed
32.
go back to reference Luckett, T., Butow, P., King, M., Oguchi, M., Heading, G., Hackl, N., et al. (2010). A review and recommendations for optimal outcome measures of anxiety, depression and general distress in studies evaluating psychosocial interventions for English-speaking adults with heterogeneous cancer diagnoses. Supportive Care in Cancer. doi: 10.​1007/​s00520-010-0932-8. PubMed Luckett, T., Butow, P., King, M., Oguchi, M., Heading, G., Hackl, N., et al. (2010). A review and recommendations for optimal outcome measures of anxiety, depression and general distress in studies evaluating psychosocial interventions for English-speaking adults with heterogeneous cancer diagnoses. Supportive Care in Cancer. doi: 10.​1007/​s00520-010-0932-8. PubMed
33.
go back to reference Vodermaier, A., & Millman, R. D. (2011). Accuracy of the Hospital Anxiety and Depression Scale as a screening tool in cancer patients: A systematic review and meta-analysis. Supportive Care in Cancer. doi: 10.​1007/​s00520-011-1251-4. Vodermaier, A., & Millman, R. D. (2011). Accuracy of the Hospital Anxiety and Depression Scale as a screening tool in cancer patients: A systematic review and meta-analysis. Supportive Care in Cancer. doi: 10.​1007/​s00520-011-1251-4.
34.
go back to reference Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavioral Research Methods (San Diego, Calif.). doi: 10.​3758/​BF03193146. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavioral Research Methods (San Diego, Calif.). doi: 10.​3758/​BF03193146.
35.
go back to reference Graham, J. W. (2012). Missing data analysis and design. New York: Springer. CrossRef Graham, J. W. (2012). Missing data analysis and design. New York: Springer. CrossRef
38.
40.
go back to reference Puhan, M. A., Frey, M., Büchi, S., & Schünemann, H. J. (2008). The minimal important difference of the hospital anxiety and depressive scale in patients with chronic obstructive pulmonary disease. Health and Quality of Life Outcomes. doi: 10.​1186/​1477-7525-6-46. Puhan, M. A., Frey, M., Büchi, S., & Schünemann, H. J. (2008). The minimal important difference of the hospital anxiety and depressive scale in patients with chronic obstructive pulmonary disease. Health and Quality of Life Outcomes. doi: 10.​1186/​1477-7525-6-46.
41.
43.
44.
go back to reference Jaremka, L. M., Fagundes, C. P., Glaser, R., Bennett, J. M., Malarkey, W. B., & Kiecolt-Glaser, J. K. (2013). Loneliness predicts pain, depression, and fatigue: Understanding the role of immune dysregulation. Psychoneuroendocrinology. doi: 10.​1016/​j.​psyneuen.​2012. PubMedCentral Jaremka, L. M., Fagundes, C. P., Glaser, R., Bennett, J. M., Malarkey, W. B., & Kiecolt-Glaser, J. K. (2013). Loneliness predicts pain, depression, and fatigue: Understanding the role of immune dysregulation. Psychoneuroendocrinology. doi: 10.​1016/​j.​psyneuen.​2012. PubMedCentral
Metagegevens
Titel
The longitudinal course of depression symptomatology following a palliative rehabilitation program
Auteurs
Andrea Feldstain
Sophie Lebel
Martin R. Chasen
Publicatiedatum
24-02-2017
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 7/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1531-7