Psychological Distress In Patients Research Articles

The influence of pain-related comorbidities on pain intensity and pain-related psychological distress in patients presenting with musculoskeletal pain

BackgroundMusculoskeletal pain (MSP) is the largest contributor to chronic pain and frequently occurs alongside other medical comorbidities. ObjectiveExplore the relationships between the presence of pain-related comorbidities, pain intensity, and pain-related psychological distress in patients with MSP. MethodsA longitudinal assessment of individuals 18–90 years old in the Midwestern United States beginning a new episode of physical therapy for MSP. Electronic medical records were assessed the full year prior for care-seeking of diagnoses for pain-related comorbidities (anxiety, metabolic disorder, chronic pain, depression, nicotine dependence, post-traumatic stress disorder, sleep apnea, and sleep insomnia). Pain intensity and pain-related psychological distress (Optimal Screening for Prediction of Referral and Outcome - Yellow Flags tool) were captured during the physical therapy evaluation. Generalized linear models were used to assess the association between pain intensity, psychological distress, and pain-related co-morbidities. Models were adjusted for variables shown in the literature to influence pain. Results532 participants were included in the cohort (56.4% female; median age of 59 years, Interquartile Range [IQR]:47, 69). Comorbid depression (beta coefficient (β) = 0.7; 95%CI: 0.2, 1.2), spine versus lower extremity pain ((β = 0.6; 95%CI: 0.1, 1.1), and prior surgery (β = 0.8, 95%CI: 0.3, 1.4) were associated with higher pain intensity scores. No pain-related comorbidities were associated with pain-related psychological distress (yellow flag count or number of domains). Female sex was associated with less pain-related psychological distress (β = −0.2, 95%CI: −0.3, −0.02). ConclusionsDepression was associated with greater pain intensity. No comorbidities were able to account for the extent of pain-related psychological distress.

The effects of Managing Cancer and Living Meaningfully (CALM) on psychological distress in esophageal cancer patients.

Aim: To evaluate the effectiveness of Managing Cancer and Living Meaningfully (CALM) in esophageal cancer with psychological distress during treatment. Materials & methods: The study assigned eligible patients to either a CALM group or a usual care group. Psychological distress, anxiety, depression and quality of life scores were assessed for both groups at baseline, during the intervention period and at the end of the intervention. Results: Patients showed a significant reduction in psychological distress, anxiety and depression and demonstrated improved quality of life after the CALM intervention, and the positive effect remained after 1month of follow-up. Conclusion: This study suggests that CALM may be an effective approach for targeting psychological distress in patients with esophageal cancer.

The accuracy of the Psychological Distress Inventory – Revised (PDI-R) in identifying distress in oncological outpatients: A pilot study using a machine learning approach.

e24222 Background: Ever greater importance is given to psychological distress in oncological settings. Distress could have a severe adverse effect on adherence and compliance to therapies, medical treatments, and quality of life (NCCN, 2015). Moreover, psychological research is progressively increasing in oncological settings and psychological distress has rapidly gained popularity – leading to the development of scales aimed at its evaluation. In this regard, the revised version of the Psychological Distress Inventory – the PDI-R (Rossi et al., 2022) – has demonstrated excellent psychometric properties but its screening properties were limited to self-report questionnaires. Consequently, to fill this gap, this study aimed to evaluate the accuracy of the PDI-R in identifying the levels of distress of oncological outpatients compared to a diagnostic interview – using a machine learning approach. Methods: Oncological outpatients ( n = 603; mean age = 68.38, SD = 9.31; 316 males) were enrolled at the Presidio Ospedaliero of Saronno, ASST Valle Olona, Italy. Patients were tested with the PDI-R which is composed of 8 items that evaluate internal, external, and general distress. In this study, the PDI-R shows good internal consistency: McDonald’s omega = .922. Then, patients were interviewed by a psycho-oncologist who assessed distress levels of each patient. In accordance with the methodological procedures for the application of machine learning algorithms, patients were randomly divided into two different databases. The first database ( n = 400) was used to train the machine learning algorithm and the second one ( n = 203) was used to test the accuracy of its predictions. The k-nearest neighbors ( k-NN) algorithm was applied. Results: According to the clinical interview, the training database (mean age = 67.78, SD = 9.10; 212 males) shows that 76% of patients were without distress (or mild distress) and 24% had moderate or severe distress. Moreover, according to the clinical interview, the testing database (mean age = 69.58, SD = 9.62; 104 males) shows that 71% of patients were without distress (or mild distress) and 29% had moderate or severe distress. Using the 8 items of the PDI-R, the k-NN algorithm, correctly identified 193 subjects (144 true negatives and 49 true positives). At the same time, only 10 subjects (10 false negatives) were incorrectly classified – thereby showing a machine learning-based accuracy of 95%. Conclusions: These findings suggest that the PDI-R is a reliable self-report questionnaire with strong psychometric properties and high accuracy in identifying psychological distress. Its use in research and clinical practice is therefore recommended to increase the quality of both assessment and treatment of psychological distress in patients with oncological difficulties.

Hope, quality of life, and psychological distress in patients on peritoneal dialysis: A cross-sectional study.

Hope is a goal-directed thought that reflects the sense of control over uncertainties and can promote adjustment to chronic illness. This study aimed to assess the level of hope among patients on peritoneal dialysis and evaluate the association of hope with health-related quality of life and psychological distress. This cross-sectional study included 134 Chinese patients receiving peritoneal dialysis in Hong Kong. Patients' level of hope was assessed using the Adult Trait Hope Scale. Participants who were employed, had a higher income, and received automated peritoneal dialysis reported a higher hope score. Hope was found to have significant correlations with age and social support. A higher hope score was associated with better mental well-being and less severe depressive symptoms. Specific relationships between agency/pathway thinking and these outcomes were identified. The patient subgroups at risk for losing hope need to be identified and received early interventions to prevent adverse outcomes.

Improvements in psychological distress in patients participating in a cooking programme following digestive cancer surgery: A retrospective, propensity score-matched pilot study

Introduction: This retrospective pilot study evaluated whether an Instrumental Activities of Daily Living intervention relieves psychological distress during hospital stays after digestive cancer surgery. Methods: In all, 24 patients were divided into two groups according to the experience of cooking programme during hospital stay (‘control group’, n = 11 and ‘cooking group’, n = 13) and both groups received usual postoperative care. The two groups were matched using propensity scores to reduce the potential for confounding factors. Outcome measures included psychological distress assessed by the Hospital Anxiety and Depression Scale and Basic Activities of Daily Living assessed by the Functional Independence Measure. Assessment time points were after surgical treatment and before discharge. Results: Propensity score matching generated nine pairs (‘control group’, n = 9 and ‘cooking group’, n = 9). The Functional Independence Measure improved in both groups ( p = 0.008, r = 0.89) and the improvements in the Hospital Anxiety and Depression Scale were only found in the cooking group ( p ⩽ 0.049, r ⩾ 0.66). Conclusion: We found significant improvement in Basic Activities of Daily Livings in both groups and additional improvements in psychological distress in the cooking group. These observations suggest that Instrumental Activities of Daily Living-based intervention could improve mental health in patients with cancer in their early postoperative period.

Acceptance and Commitment Therapy (ACT) Enriched with Compassion Focused Therapy (CFT) on Psychological Distress in Patients under Methadone Maintenance Treatment (MMT)

Introduction: Mental problems caused by opioid addiction or drug withdrawal can increase the risk of relapse in methadone maintenance treatment. The present study was conducted to compare the efficacy of acceptance and commitment therapy enriched with compassion-focused therapy on the effect of sertraline and venlafaxine on patients' psychological distress under methadone maintenance treatment.
 Method: This study was a clinical trial with a pre-test and post-test design. Forty patients under methadone maintenance treatment were selected by voluntary sampling and randomly divided into two groups. The first group received acceptance and commitment therapy enriched with compassion-focused therapy and venlafaxine, and the second group received acceptance and commitment therapy enriched with compassion-focused therapy and sertraline for intervention days. The patients were evaluated based on the anxiety, stress, and depression questionnaire. The data were analyzed using the paired t-test and analysis of covariance at a significance level of 0.01.
 Results: Both venlafaxine, and sertraline plus acceptance and commitment therapy enriched with compassion-focused therapy, were influential on psychological distress and its dimensions (depression, anxiety, and stress) (P<0.001). Sertraline had a more significant effect on psychological distress, and anxiety than venlafaxine (P<0.01). No significant difference was observed between them on depression and stress (p>0.05).
 Conclusion: Sertraline is more effective than Venlafaxine in controlling psychological symptoms in methadone maintenance treatment.

Psychological distress in patients with cancer at the Kenyatta National Hospital in Nairobi, Kenya, during the COVID-19 pandemic

Abstract Background: Psychosocial care for oncology patients is now recognized as a critical aspect of care because it has a positive impact on patient outcomes. Various screening tools have been validated to objectively measure the levels of distress, such as the National Comprehensive Cancer Network distress thermometer. However, there is little evidence of its use in sub-Saharan Africa, where the cancer burden continues to increase. This study sought to evaluate the levels of psychological distress in patients with cancer and the impact of the COVID-19 pandemic. Methods: This was a single-center cross-sectional study among patients with a histological diagnosis of cancer attending the hemato-oncology and radio-oncology units at the Kenyatta National Hospital, a referral tertiary center. We used the National Comprehensive Cancer Network Distress Thermometer and Problem Checklist to define psychological distress, fear of COVID-19 scale, and Corona Anxiety Score to determine the level of fear and anxiety caused by COVID-19 given the study happened during the pandemic, and the Eastern Cooperative Oncology Group (ECOG) to assess the performance status. Results: Of the 361 patients, the median age was 54 years (interquartile range, 43–63), and most were female (70%). The leading cancer diagnosis was breast cancer (26%), followed by cervical cancer (24%), with most of the patients having advanced disease and 28% having ECOG 3. Most (80%) patients were able to continue with their treatment despite the COVID-19 pandemic; however, 71% had a high level of fear of COVID-19 but minimal anxiety symptoms based on Corona Anxiety Score. The mean distress thermometer score was 2.7 (SD, 2.6), with 30% having a high level of distress (4 or above). ECOG status was the only variable significantly associated with high levels of distress, with the strongest association observed in the highest ECOG status (ECOG 4: OR, 6.8 [95% CI, 2.8–16.6] P < .001). Transportation was the main problem in the practical domain (62%) while fears and worries in the emotional domain (46% and 49%, respectively), and pain (65%) were the main physical problems. Conclusions: One-third of patients experienced high levels of distress. These patients reported significant concerns, such as transportation, fears, worry, and pain, in the problem checklist. There is a need to incorporate screening for distress into our patient population to help identify these patients and institute appropriate interventions.

The Quantitative Study on Psychological Distress of patients regarding Hospital Management

Aim: To examine the effect of elements of emotional distress like diminished quality of life, loss of enjoyment, cognitive changes, embarrassment, psychological trauma and loss of sleep on person’s perception towards illness and how these elements influence self-care management of patients and their adherence to treatment. Methodology: Four number of questionnaires were used to collect data having high reliability and validity from 1000 patients in different areas of Pakistan. Results: The results revealed a significant relationship of psychological distress, illness perception, self care management and adherence to medication. Conclusion: Based on these findings, the greater the psychological distress, the more would be the negative effects on illness perception, self-care management and adherence to medication. Keywords: Psychological distress, illness perception, self-care management and adherence to medication.

Quality of life and psychological distress of patients with advanced cancer in the Philippines.

This study aimed to describe the quality of life (QOL) and psychological distress (anxiety and depression) of Filipino patients with advanced solid cancers and identify sociodemographic and clinical-related factors associated with them. 195 patients with advanced cancer were recruited from a major hospital treating cancer patients in the Philippines. Participants completed self-reported surveys on Quality-of-life (QOL-FACT-G) and psychological distress (HADS-D, HADS-A). Multi-variable OLS regression models were performed where sociodemographic, health history and clinical characteristics were included as predictors. The average total FACT-G score was 65.39/108 (Standard deviation (SD) = 13.76), with the physical well-being scale having the lowest scores (M = 14.14/28, SD = 5.92). The two most common symptoms reported were fatigue (88%) and pain (86.5%). Physical symptom burden was significantly negatively associated with QOL and psychological distress. The average HADS-total score was 14.46/21 (SD = 5.77), with 8% with probable anxiety and 27% with probable depression. Participants who reported greater reliance on their spiritual faith for strength in coping with illness reported lower depression scores. Our findings underline the importance of understanding the multi-dimensional outcomes of Filipino advanced cancer patients. Results may be used to improve QOL and reduce the psychological distress of advanced cancer patients.

The Effectiveness of Acceptance and Commitment Therapy on Emotional Regulation and Psychological Distress in Patients with Chronic Low Back Pain and COVID-19 Anxiety

Background: The COVID-19 pandemic brought many psychological consequences for patients with chronic low back pain. The present study aimed to assess the effectiveness of acceptance and commitment therapy on emotional regulation and psychological distress in patients with chronic low back pain and COVID-19 anxiety.
 Methods: This was a semi-experimental study with a pre-test-post-test design and a control group. The statistical population included patients with chronic low back pain in Tehran in 2021. The study sample included 30 patients with chronic low back pain who were selected using the convenience sampling method and were randomly assigned in to two experimental and control groups. The collection tools included COVID-19 anxiety (Alipour et al (2020)), emotional regulation (Gross and John (2003)), and psychological distress (Lovibond and Lovibond (1995)) questionnaires. The experimental group received 8 ninety-minute sessions of therapy based on acceptance and commitment, but the control group did not receive any intervention.
 Research data were analyzed using descriptive statistics (mean and standard deviation), normality (Shapiro-Wilk test), multivariate covariance analysis, univariate covariance analysis test in Mancova text, and Levene's, Box's and Bartlett's chi-square tests at a significance level of 0.05 through SPSS 24 software.
 Results: The results of the present study showed that acceptance and commitment therapy has significantly increased emotion regulation (reevaluation and suppression) and reduced psychological distress (depression, anxiety, and stress) in patients suffering from chronic low back pain and COVID-19 anxiety (p < 0.05).
 Conclusion: Based on the findings, it can be concluded that acceptance and commitment therapy has been able to reduce the psychological problems of patients with chronic low back pain and COVID-19 anxiety. For this purpose, it is suggested to hold workshops and develop programs by psychologists and pain specialists for patients with chronic low back pain.

Pain associated psychological distress is more strongly associated with shoulder pain and function than tear severity in patients undergoing rotator cuff repair

Psychological distress has been associated with declining shoulder function in patients with rotator cuff tears (RCTs). Thus, we aimed to 1) evaluate the absence or presence of differences in shoulder pain, function, or pain-associated psychological distress in patients with increasing RCT severity and 2) assess whether psychological distress is associated with shoulder pain and function while adjusting for RCT severity. Consecutive patients who underwent rotator cuff repair and completed the optimal screening for prediction of referral and outcome (OSPRO) survey from 2019 to 2021 were included. OSPRO is composed of 3 domains that estimate pain associated psychological distress (negative mood, negative coping, and positive coping). Demographics, tear characteristics, and three patient reported outcomes (PRO), including the visual analog scale (VAS), Single Assessment Numeric Evaluation, and American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) were collected. Patients were analyzed with analysis of variance and chi-square tests and stratified based on severity of RCTs into three groups: partial-thickness, small-to-medium full-thickness, and large-to-massive full-thickness tear. Linear regression analysis was used to evaluate the association between OSPRO scores and PROs, adjusting for severity of RCT. Eighty-four patients were included: 33 (39%) had partial-thickness, 17 (20%) had small-to-medium full-thickness, and 34 (41%) had large-to-massive tears. Regarding PROs and psychological distress, there were no significant differences amongst the three cohorts. In contrast, multiple significant associations between psychological distress and PROs were found. Within the negative coping domain, fear avoidance dimensions demonstrated the strongest correlation to PROs: fear-avoidance behavior for physical activity (ASES Beta-0.592, P<.001; VAS 0.357, P<.001) and work (ASES Beta-0.442, P<.001; VAS 0.274, P=.015). Several other dimensions within the negative coping, negative mood, and positive coping domains also demonstrated significant associations to PROs. These findings suggest that in patients undergoing arthroscopic rotator cuff repair, preoperative psychological distress can more strongly influence patient perception of shoulder pain and diminished shoulder function than RCT severity.

Post-traumatic stress disorder and post COVID 19 syndrome

IntroductionPatients hospitalized in the case of COVID19 have had to face a complex and potentially very stressful situation. In this context a screening program for psychological distress in patients with COVID19 is necessary.ObjectivesTo screen for post-traumatic stress disorder post COVID19 and to identify the epidemiological and clinical factors correlated with this disorder in post COVID19 patients.MethodsA descriptive and analytical cross-sectional study that took place during the period from 1st March to 15th May 2021 with 154 patients who were hospitalized at the COVID19 unit at Hedi Chaker Hospital Sfax.We used a pre-established form to record sociodemographic, clinical and therapeutic data. The post-traumatic stress disorder was assessed by the “Impact of Event Scale-Revised”.ResultsThe mean age was 66.62 ± 13.34 years with a male predominance of 60.4%. In our sample, 77.9% of the patients had a somatic history, of which hypertension was the most frequent pathology (46.1%). The average length of hospitalization was 9.5 days ± 6.3. The form was considered severe in 27.9 cases. According to the IES-R scale, twenty-one patients (13.6%) had post-traumatic stress disorder, with a predominance of women (57.1%).A significant association was found between marital status and post-traumatic stress disorder. Thus, married or widowed patients are more likely to develop PTSD.In the present study, we did not find statistically significant associations between the clinical characteristics of the disease (severity of the disease, length of hospitalization, functional signs) and post-traumatic stress disorder.ConclusionsPsychological support interventions in surviving patients of COVID 19 is necessary aiming to increase resilience, manage coping strategies and decrease the deleterious impact of the pandemic on mental health.Disclosure of InterestNone Declared

Subjective memory disorders and psychological distress in post COVID 19

IntroductionIn addition to psychological distress in patients with COVID 19, neurological and neurocognitive manifestations, such as memory impairment, are increasingly reported. Screening for cognitive impairment is therefore crucial.ObjectivesIdentify cognitive impairment inpost COVID19.MethodsThis is a descriptive and analytical cross-sectional study that took place during the period from 1 st March 15 th May 2021 with 154 patients who were hospitalized at the COVID19 unit at Hedi Chaker Hospital Sfax. The psychometric evaluation, done by telephone, was performed using the &amp;quot;Hospital Anxiety and Depression Scale&amp;quot; for the screening of anxiety-depressive disorders, the &amp;quot;Impact of Event Scale-Revised&amp;quot; for the screening of post-traumatic stress disorder, the Insomnia Severity Index for the evaluation of sleep, the &amp;quot;The Prospective and Retrospective Memory Questionnaire&amp;quot; scale and the Mac Nair questionnaire for the evaluation of subjective memory.ResultsThe mean age was 66.62 ± 13.34 years. Male patients represented 60.4% of the population. The prevalence of anxiety, depression and post-traumatic stress disorder was 24.7%, 11% and 13.6% respectively. For the assessment of subjective memory, the mean total score of the PRMQ was 27.72 ± 7.71, with that of prospective and retrospective memory 15.41 ± 4.44 and 12.16 ± 3.73 respectively. According to the Mac Nair scale, 18.8% of patients had memory impairment (Mac Nair score &amp;gt;15). Anxious patients showed more memory impairment. Depressed patients had the most impaired scores for total memory (p= 0.03) and retrospective memory (p= 0.022). Patients with post-traumatic stress disorder had more memory impairment (p=0.021).ConclusionsPsychological distress is multifactorial in its etiology. The medium and long term management of COVID+ patients must therefore be multidisciplinary.Disclosure of InterestNone Declared

Using the emotional functioning in clinical practice to detect psychological distress in patients with advanced thoracic and colorectal cancer

PurposePatients with advanced cancer suffer significant decline of their psychological state. A rapid and reliable evaluation of this state is essential to detect and treat it and improve quality of life. The aim was to probe the usefulness of the emotional function (EF) subscale of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EF-EORTC-QLQ-C30) to assess psychological distress in cancer patients.MethodsThis is a multicenter, prospective, observational study involving 15 Spanish hospitals. Patients diagnosed with unresectable advanced thoracic or colorectal cancer were included. Participants completed the Brief Symptom Inventory 18 (BSI-18), the current the gold standard, and the EF-EORTC-QLQ-C30 to assess their psychological distress prior to initiating systemic antineoplastic treatment. Accuracy, sensitivity, positive predictive value (PPV), specificity, and negative predictive value (NPV) were calculated.ResultsThe sample comprised 639 patients: 283 with advanced thoracic cancer and 356 with advanced colorectal cancer. According to the BSI scale, 74% and 66% displayed psychological distress with an EF-EORTC-QLQ-C30 accuracy of 79% and 76% in detecting psychological distress in individuals with advanced thoracic and colorectal cancer, respectively. Sensitivity was 79 and 75% and specificity was 79 and 77% with a PPV of 92 and 86% and a NPV of 56 and 61% (scale cut-off point, 75) for patients with advanced thoracic and colorectal cancer, respectively. The mean AUC for thoracic cancer was 0.84 and, for colorectal cancer, it was 0.85.ConclusionThis study reveals that the EF-EORTC-QLQ-C30 subscale is a simple and effective tool for detecting psychological distress in people with advanced cancer.

Predictors of Psychological Distress among Patients with Colorectal Cancer-Related Enterostomy: A Cross-sectional Study.

To identify variables that may predict psychological distress in patients with an enterostomy. Investigators recruited 77 patients with a stoma from a stoma clinic according to the inclusion criteria. Patients' psychological distress was assessed with the Distress Thermometer (DT) tool, and their personality type was determined by the Eysenck Personality Questionnaire. Researchers also collected demographic and disease-related data. Predictive values were estimated using multiple regression analyses. The mean DT score of all patients was 5.94 (SD, 1.81), and approximately 85.7% consistently suffered from psychological distress. Being unmarried and having peristomal complications were associated with higher psychological distress, whereas having a monthly income 5,000 ¥ or more was associated with lower levels of distress. Moreover, patients with a melancholic personality type tended to have higher DT scores, which could act as a strong independent predictor for psychological distress. The majority of patients with a stoma endured moderate to severe psychological distress during follow-up care. Exploring the related factors that predict the levels of psychological distress could enable clinicians to identify at-risk patients as early as possible and thus provide optimal care for improving patients' quality of life.

Research Progress on Psychological Distress in Patients with Ectopic Pregnancy in China.

Ectopic pregnancy is a leading cause of death for child-bearing aged women. Most patients with ectopic pregnancy experience suffer psychological distress which seriously affects their physical and mental health. The psychological distress, influencing factors, measurement tools, and nursing interventions in patients with ectopic pregnancy in China are reviewed in this article. The results showed that the main psychological distress of patients with ectopic pregnancy is anxiety, depression, uncertainty sense of disease, and low self-esteem. The main factors affecting the psychological distress of ectopic pregnancy patients included life-threatening disease, different marital status, and reproductive needs. The main intervention methods for psychological distress in pregnant patients included: cognitive behavioral therapy, emotional therapy of traditional Chinese medicine, and family support. The majority of cross-sectional surveys in China focused on psychological conditions of the patients with ectopic pregnancy, and there are very few longitudinal studies. Large-sample, multi-center longitudinal studies should be conducted in the future to monitor the development of ectopic pregnancy. Qualitative research should be conducted on patient experience, to provide guidance and basis for the implementation of targeted nursing interventions and to further explore standardized, continuous, and generalizable psychological care protocols for distress interventions for patients with ectopic pregnancy, thereby minimizing psychological distress such as anxiety, depression, and uncertainty in patients with ectopic pregnancy.

Psychological Impact of Maxillectomy and Prosthodontic Rehabilitation and Role of Socio-demographic and Disease-related Variables

Abstract Background: The objectives of this study were to evaluate the psychological impact of maxillectomy and prosthodontic rehabilitation and to assess the role of various sociodemographic and disease-related variables on the psychological distress of patients. Materials and Methods: Thirty-nine patients who were referred for prosthodontic rehabilitation after maxillectomy were enrolled, of whom 36 completed the study. The Hospital Anxiety and Depression Scale (HADS) was used to assess and compare the psychological distress level after maxillectomy (T0) and 3 weeks after insertion of a definitive obturator (T1). The Obturator Functioning Scale was also used to assess the functioning of the obturator prosthesis. The means of anxiety and depression scores were also compared among different variables using one-way ANOVA. A probability level of P &lt; 0.05 was considered statistically significant. Results: Anxiety and depression scores were significantly reduced at T1 compared to T0 (P &lt; 0.001). The patients reported little or no difficulty with the obturator prosthesis. Among the sociodemographic variables, psychological distress was not affected by the patient’s age or marital status at any time point (P &gt; 0.05); however, the female, illiterate, and unemployed patients had significantly higher HADS scores compared to the male, graduate, and employed patients (P &lt; 0.05). Malignant tumors and large postsurgical defects had a significant impact on psychological distress compared to benign tumors and small defects (P &lt; 0.05). Conclusion: Maxillectomy had a profound psychological impact. Prosthodontic rehabilitation after maxillectomy restored function and esthetics to near normalcy, and this helps to cope with psychological distress.

Retracted: Analysis of Current Situation and Influencing Factors of Psychological Distress in Patients with Lung Cancer during Perioperative Period.

[This retracts the article DOI: 10.1155/2022/1925668.].

Predictive Factors for Psychological Distress in Patients with Lung Cancer Who Underwent Video-Assisted Thoracic Surgery Lobectomy

Predictive Factors for Psychological Distress in Patients with Lung Cancer Who Underwent Video-Assisted Thoracic Surgery Lobectomy

Effects of group acceptance and commitment therapy on psychological distress of patients with cervical cancer receiving chemotherapy and radiotherapy

Effects of group acceptance and commitment therapy on psychological distress of patients with cervical cancer receiving chemotherapy and radiotherapy