[Awareness of cancer diagnosis does not lead to depression in palliative care patients]

Rev Assoc Med Bras (1992). 2006 Sep-Oct;52(5):298-303. doi: 10.1590/s0104-42302006000500014.
[Article in Portuguese]

Abstract

Objective: Characterize the profile of patients under palliative care at this institution and evaluate the prevalence of depression in these patients.

Methods: Sixty two cancer patients under palliative care, who had answered three questionnaires: one regarding their demographic characteristics, another to evaluate their quality of life and the Beck's depression inventory were surveyed.

Results: Of these patients, 68% presented with some degree of depression. Most of them were aware of their diagnosis (87.1%), did not talk to their physicians on other subjects but their disease (81.18%), were satisfied with their treatment (93.33%) and with the support they received (95.70%). Pain, fatigue, weakness and sleep disturbances were the most frequently reported symptoms. There was a significant correlation between presence of depression and not knowing the diagnosis (p=0.008), being admitted to the hospital (p=0.0019) and not having ever received oncologic treatment.

Conclusion: Patients under palliative care at this institution, despite being satisfied with the treatment, reported poor communication with their physicians and presented with a high rate of depression. Awareness of their diagnosis and having received prior oncologic treatment (p=0.07) correlated significantly and inversely with having depression.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Awareness*
  • Brazil
  • Depressive Disorder / diagnosis
  • Depressive Disorder / psychology*
  • Epidemiologic Methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / psychology*
  • Neoplasms / therapy
  • Palliative Care*
  • Patient Participation
  • Physician-Patient Relations
  • Psychiatric Status Rating Scales
  • Quality of Life / psychology*
  • Socioeconomic Factors
  • Surveys and Questionnaires