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R. Dhar
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P1.11 - Poster Session/ Palliative and Supportive Care (ID 229)
- Event: WCLC 2015
- Type: Poster
- Track: Palliative and Supportive Care
- Presentations: 1
- Moderators:
- Coordinates: 9/07/2015, 09:30 - 17:00, Exhibit Hall (Hall B+C)
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P1.11-007 - To Determine Whether Psychosocial Factors Predict Depression among Older Indian Lung Cancer Patients (ID 3161)
09:30 - 17:00 | Author(s): R. Dhar
- Abstract
Background:
Depression is extremely common in elderly lung cancer patients. However, it is extremely difficult to predict or develop predicting tools. There is some early studies suggesting using psychosocial factors. Unfortunately there appears to be no data from developing countries, more so from India. This is an attempt to initiate the process.
Methods:
Design: A descriptive correlational study. Setting: Multispeciality Hospitao Oncology OPD Sample: Indian Lung Cancer Patients with cancer aged 50–88 years. Methods: Fisher’s exact and Wilcoxon rank-sum tests were used to evaluate differences between patients who were possibly depressed (Geriatric Depression Scale) or not.Multivariate linear regression statistics were used to identify the psychosocial factors that predicted higher depression scores. Education and gender were included as covariates. Main Research Variables: Religiosity, emotional support, collectivism, perceived stigma, and depression.
Results:
Participants (N = 67) had a mean age of 65 years (SD = 8.4), and a majority were well-educated, insured, religiously affiliated, and currently in treatment. Participants who were in the lowest income category, not married, or male had higher depression scores. The multivariable model consisting of organized religion, emotional support, collectivism, education, and gender explained 52% (adjusted R2) of the variation in depression scores. Stigma became insignificant in the multivariable model
Conclusion:
Psychosocial factors are important predictors of depression. Emotional support and organized religious activities may represent protective factors against depression, whereas collectivism may increase their risk Implications for Management : Care providers need to be particularly aware of the potential psychological strain for patients with collectivist values, experienced stigma, disruptions in church attendance, and lack of emotional support. In addition, the treatment plans for these patients should ensure that family members are knowledgeable about cancer, its treatment, and side effects so they are empowered to meet support needs. Knowledge Translation: Among Indian Lung Cancer Patients patients with cancer, emotional support and reassurance from family and friends that they will not abandon them decreases the likelihood of depressive symptoms and minimizes the impact of stigmatizing responses, but the perception that the illness is placing a strain on the family increases the likelihood of such symptoms. Emotional support likely is a stronger predictor of depressive symptoms than religious service attendance
