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Hope, Symptoms, and Palliative Care.
Mellar P Davis1, Ruth Lagman1, Armida Parala1
11 Harry R Horvitz Center for Palliative Medicine, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA.
The American Journal of Hospice & Palliative Care
|January 27, 2016
Summary
In cancer patients, depression significantly impacts hope. While overall symptom burden showed a weak correlation, depression emerged as the key factor influencing hope levels in advanced cancer patients.
Area of Science:
- Oncology
- Palliative Care
- Psychosocial Oncology
Background:
- Hope is crucial for cancer patients' well-being.
- Factors influencing hope require identification.
- Anxiety, depression, fatigue, and pain are known to diminish hope.
Purpose of the Study:
- To investigate correlations between patient demographics, cancer symptoms, and symptom burden with hope.
- To determine if age, gender, marital status, or cancer duration affect hope.
- To assess the relationship between symptom severity (ESAS) and hope (HHI).
Main Methods:
- Study included 197 patients with advanced cancer in a palliative care unit.
- Data collected on demographics, Edmonton Symptom Assessment Scale (ESAS), and Herth Hope Index (HHI).
- Spearman correlation and linear regression analyses were performed, adjusting for covariates.
Main Results:
- Hope was not significantly associated with gender, age, marital status, or cancer duration.
- A significant inverse correlation was observed between depression and hope (r=-0.39).
- While total symptom burden showed a weak correlation, depression was the only clinically significant factor impacting hope.
Conclusions:
- Depression is a clinically relevant factor negatively correlated with hope in advanced cancer patients.
- Interventions targeting depression may be important for maintaining hope in this population.
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