PMID: 20642250Jul 21, 2010Paper

Psychosocial distress in patients treated for cancer pain: a prospective observational study

Journal of Opioid Management
Sean O'MahonyRichard Payne

Abstract

Untreated emotional distress negatively impacts the management of cancer pain. The authors evaluated 64 patients with cancer pain who completed baseline and follow-up measures to identify if (1) measures of psychosocial wellbeing, pain intensity, and pain management were associated with survival time; (2) higher opioid doses were associated with less psychosocial distress; and (3) intrasubject correlations across time altered the relationship between pain, depression, social support, spirituality, and increased desire for hastened death (DHD). The main outcome measures included the Brief Pain Inventory (BPI), Daily Morphine Equivalent Dose (DMED), Beck Depression Inventory-II (BDI-II), DHD scale, Bottomley Social Support Scale, FACIT Spiritual Well-Being Scale (FACIT-Sp), Karnofsky Performance Rating Scale (KPRS), and State-Trait Anxiety Inventory (STAI). There were significant differences between baseline and follow-up DHD (0.84 vs. 1.38, p = 0.021) and BPI scores (6.36 vs. 4.86, p < 0.001). Lower existential wellbeing was associated with reduced survival (HR = 0.78, p = 0.019); improvement in pain was associated with longer survival (HR = 1.33, p = 0.034). Higher religious wellbeing was associated with higher probability of s...Continue Reading

Citations

May 11, 2011·Current Pain and Headache Reports·Dawn A Marcus
May 23, 2013·Pain Practice : the Official Journal of World Institute of Pain·Tariq Malik
Sep 19, 2014·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Michael W Rabow, Sarah J Knish
Mar 1, 2014·International Journal of Palliative Nursing·Naimeh SeyedfatemiMamak Tahmasebi
Feb 15, 2019·Psycho-oncology·Bingqing GuanWeishuai Liu

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