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

doi:10.4143/crt.2003.35.5.411

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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; Cancer Research and Treatment 2003;35(5): 411-418.
DOI: https://doi.org/10.4143/crt.2003.35.5.411
Published online: October 31, 2003

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.

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Abstract

PURPOSE
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. MATERIALS AND METHODS: 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. RESULTS: 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). CONCLUSION: 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.

Keywords: Depression;Anxiety;Hostility;Fighting spirit;Cancer

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Associations between Depression, Anxiety, Hostility and Fighting Spirit among Cancer Patients in a Cancer Center in Korea

Cancer Res Treat. 2003;35(5):411-418. Published online October 31, 2003

DOI: https://doi.org/10.4143/crt.2003.35.5.411