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Cancer Research and Treatment > Volume 35(5); 2003 > Article
Cancer Research and Treatment 2003;35(5): 411-418. doi: https://doi.org/10.4143/crt.2003.35.5.411
Associations between Depression, Anxiety, Hostility and Fighting Spirit among Cancer Patients in a Cancer Center in Korea
Joohyung Kim, Jae Kyung Roh, Jeoung Soon Yoon, Suk Jeong Lee, Dong Yeon Lee
1Nursing Policy Research Institute, Yonsei University Collegeof Nursing, Seoul, Korea. hspirit333@yumc.yonsei.ac.kr
2Department of Internal Medicine, Yonsei University Collegeof Medicine, Seoul, Korea.
3Yonsei Cancer Center, Seoul, Korea.
4Yonsei University College of Nursing, Seoul, Korea.
  Published online: October 31, 2003.
The aim of this study was to examine the associations between depression, anxiety, hostility and fighting spirit among patients with stomach, colorectal or breast cancer.
223 patients, diagnosed as with stomach, colorectal or breast cancer, undergoing chemotherapy or follow up care, were the subjects of the study. The study design was cross-sectional at the time of the survey. The degrees of depression, anxiety and hostility of the patients were assessed by the SCL-90-R scores, and the fighting spirit was measured by the Mental Adjustment to Cancer (MAC) scale score.
The scores of anxiety and hostility of the patients at younger age were higher than those at older age (p<0.01). The patients with metastasis were more depressed than those without it (p<0.01). There was a negative association between depression and fighting spirit (p<0.001).
The study showed the more depressed cancer patients had lower fighting spirit score, which was known to be one of the most active psychosocial contributors in adjusting to cancer and survival.
Key words: Depression;Anxiety;Hostility;Fighting spirit;Cancer
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