Yıl: 2017 Cilt: 7 Sayı: 3 Sayfa Aralığı: 156 - 162 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Self-esteem, pain and suicidal thoughts in a sample of cancer patients

Öz:
Objective: Our primary aim was to assess the relationship between self-esteem and pain and suicidal thoughts in a sample of patients with various kinds of cancer. Method: A total of 117 adult cancer patients were assessed with respect to several sociodemographic variables, the severity of pain, depression, and anxiety, current suicidal thoughts, hopelessness and self-esteem. Turkish versions of Visual Analog Scale, Hospital Anxiety and Depression Scale, Beck Hopelessness Scale, Beck Scale for Suicide Ideation, Rosenberg Self-Esteem Scale were used in this study. Results: The severity of depression, anxiety, hopelessness, and current suicidal thoughts were significantly higher in patients with pain compared to patients without pain. Self-esteem was significantly reduced in subjects with pain. Previous history of psychiatric disorder and pain significantly predicted current suicidal thoughts status. Reduced selfesteem was significantly correlated with depression, anxiety, hopelessness, pain, and current suicidal thoughts. Conclusions: Reduced self-esteem among cancer patients was particularly associated with a more severe pain, higher levels of depression, stronger feelings of hopelessness and current suicidal thoughts. Our findings might indicate that pain in cancer patients might have a negative influence on self-esteem leading to suicidal thoughts along with depression, anxiety, and hopelessness. Therefore, reduced self-esteem in cancer patients might be associated with suicidal ideations through pain, depression, anxiety, and hopelessness.
Anahtar Kelime:

Konular: Psikiyatri
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Weis J. Psychosocial care for cancer patients. Breast Care(Basel). 2015;10(2):84-6. [CrossRef]
  • 2. Brown ML, Lipscomb J, Snyder C. The burden of illness of cancer: economic cost and quality of life. Annu Rev Public Health. 2001;22:91-113. [CrossRef]
  • 3. Burgess C, Cornelius V, Love S, Graham J, Richards M, Ramirez A. Depression and anxiety in women with early breast cancer: five year observational cohort study. BMJ 2005;26:330-42. [CrossRef]
  • 4. Cipta AM, Pietras CJ, Weiss TE, Strouse TB. Cancer-related pain management in clinical oncology. J Community Support Oncol. 2015;13(10):347-55. [CrossRef]
  • 5. Weingart SN, Cleary A, Stuver SO, Lynch M, Brandoff D, Schaefer KG, et al. Assessing the quality of pain care in ambulatory patients with advanced stage cancer. J Pain Symptom Manage. 2012;43(6):1072-81. [CrossRef]
  • 6. Akechi T, Nakano T, Akizuki N, Nakanishi T, Yoshikawa E, Okamura H, et al. Clinical factors associated with suicidality in cancer patients. Jpn J Clin Oncol. 2002;32(12):506-11. [CrossRef]
  • 7. Balci Sengul MC, Kaya V, Sen CA, Kaya K. Association between suicidal ideation and behavior, and depression, anxiety, and perceived social support in cancer patients. Med Sci Monit 2014;20:329-36. [CrossRef]
  • 8. Robinson D, Renshaw C, Okello C, Moller H, Davies EA. Suicide in cancer patients in South East England from 1996 to 2005: a apopulation-based study. Br J Cancer. 2009;101(1):198-201. [CrossRef]
  • 9. Fegg M, Kraus S, Graw M, Bausewein C. Physical compared to mental diseases as reasons for committing suicide: a retrospective study. BMC Palliative Care. 2016;9:15-1. [CrossRef]
  • 10. Breitbart W, Rosenfeld B, Pessin H, Kaum M, Funesti-Esch J, Galietta M, et al. Depression, hopelessness, and desire for hastened death in terminally ill patients with cancer. JAMA. 2000;284(22):2907-11. [CrossRef]
  • 11. Akechi T, Kugaya A, Okamura H, Nakano T, Okuyama T, Mikami I, et al. Suicidal thoughts in cancer patients: clinical experience in psycho-oncology. Psychiatry Clin Neurosci. 1999;53(5):569-73. [CrossRef]
  • 12. McGee R, Williams S, Nada-Raja S. Low self-esteem and hopelessness in childhood and suicidal ideation in early adulthood. J Abnormal Child Psychology. 2001;29(4):281-91. [CrossRef]
  • 13. Mustian KM, Katula JA, Gill DL, Roscoe JA, Lang D, Murphy K. Tai Chi Chuan, health-related quality of life and self-esteem: a randomized trial with breast cancer survivors. Support Care Cancer. 2004; 12(12):871-6. [CrossRef]
  • 14. Carpenter JS. Self-esteem and well-being among women with breast cancer and women in an age-matched comparison group. J Psychosoc Oncol. 1997;15(3-4):59-81. [CrossRef]
  • 15. van Nieuwenhuizen AJ, Buffart LM, Brug J, Leemans CR, Verdonckde Leeuw IM. The association between health related quality of life and survival in patients with head and neck cancer: a systematic review. Oral Oncol. 2015;51(1):1-11. [CrossRef]
  • 16. Pinar G, Okdem S, Dogan N, Buyukgonenc L, Ayhan A. The effects of hysterectomy on body image, self-esteem, and marital adjustment in Turkish women with gynecologic cancer. Clin J Oncol Nurs. 2012;16(3):E99-E104. [CrossRef]
  • 17. Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain. 1983;16(1):87-101. [CrossRef]
  • 18. Aydemir O. Validity and Reliability of Turkish Version of Hospital Anxiety and Depression Scale. Turk Psikiyatri Derg. 1997;8(4):280-7.
  • 19. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-70. [CrossRef]
  • 20. Singer S, Kuhnt S, Gotze H, Hauss J, Hinz A, Liebmann A, et al. Hospital anxiety and depression scale cutoff scores for cancer patients in acute care. Br J Cancer. 2009;100(6):908-12. [CrossRef]
  • 21. Durak A. Beck Umutsuzluk Ölçeginin geçerlik ve güvenirlik çalısması Beck Hopelessness Scale, reliability and validity study. Türk Psikoloji Dergisi 1994; 9(31):1-11. (Turkish)
  • 22. Beck AT, Weissman A, Lester D, Trexler L. The measurement of pessimism: the hopelessness scale. J Consult Clin Psychol. 1974;42(6):861-5. [CrossRef]
  • 23. Ozcelik HS, Ozdel K, Bulut SD, Orsel S. The reliability and validity of the Turkish version of the Beck Scale for Suicide Ideation (Turkish BSSI). Klinik Psikofarmakoloji Bulteni - Bulletin of Clinical Psychopharmacology. 2015;25(2):141-50. [CrossRef]
  • 24. Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: the Scale for Suicide Ideation. J Consult Clin Psychol. 1979;47(2):343-52. [CrossRef]
  • 25. Cuhadaroglu F. Adolesanlarda benlik saygısı. Self-esteem in the adolescent. Unpublished doctoral dissertation, Hacettepe University, Ankara, Turkey, 1986. (Turkish)
  • 26. Rosenberg, M. Society and the adolescent self-image. Princeton, NJ: Princeton University Press, 1965. [CrossRef]
  • 27. Li CC, Chen ML, Chang TC, Chou HH, Chen MY. Social support buffers the effect of self-esteem on quality of life of earlystage cervical cancer survivors in Taiwan. Eur J Oncol Nurs. 2015;19(5):486-94. [CrossRef]
  • 28. Curbow B, Somerfield M, Legro M, Sonnega J. Self-concept and cancer in adults: theoretical and methodological issues. Soc Sci Med. 1990;31(2):115-28. [CrossRef]
  • 29. Molassiotis A, Chan CW, Yam BM, Chan ES, Lam CS. Life after cancer: Adaptation issues faced by Chinese gynaecological cancer survivors in Hong Kong. Psychooncology. 2002;11(2):114-23. [CrossRef]
  • 30. Bartoces MG, Severson RK, Rusin BA, Schwartz KL, Ruterbusch JJ, Neale AV. Quality of life and self-esteem of long-term survivors of invasive and noninvasive cervical cancer. J Womens Health (Larchmt). 2009;18(5):655-61. [CrossRef]
  • 31. Turk DC, Rudy TE. Cognitive factors and persistent pain: a glimpse into Pandora’s box. Cognitive Therapy and Research. 1992;16(2):99-122. [CrossRef]
  • 32. Dysvik E, Natvig GK, Eikeland O, Lindstrom TC. Coping with chronic pain. Int J Nurs Stud. 2005;42(3):297-305. [CrossRef]
  • 33. Portenoy RK. Cancer pain. Epidemiology and syndromes. Cancer. 1989;63(Suppl.11):S2298-S307. [CrossRef]
  • 34. Raphael J, Ahmedzai S, Hester J, Urch C, Barrie J, Williams J, et al. Cancer Pain: part 1: Pathophysiology; oncological, pharmacological, and psychological treatments: a perspective from the british pain society endorsed by the UK Association of Palliative Medicine and the Royal College of General Practitioners. Pain Med. 2010;11(5):742-64. [CrossRef]
  • 35. Vyssoki B, Gleiss A, Rockett IR, Hackl M, Leitner B, Sonneck G, et al. Suicide among 915,303 Austrian cancer patients: who is at risk? J Affect Disord. 2015;175:287-91. [CrossRef]
  • 36. Stinson DA, Logel C, Zanna MP, Holmes JG, Cameron JJ, Wood JV, et al. The cost of lower self-esteem: testing a self- and social-bonds model of health. J Pers Soc Psychol. 2008; 94(3):412-28. [CrossRef]
  • 37. Orth U, Robins RW, Roberts BW. Low self-esteem prospectively predicts depression in adolescence and young adulthood. J Pers Soc Psychol. 2008;95(3):695-708. [CrossRef]
  • 38. Kjelsberg E, Neegaard E, Dahl AA. Suicide in adolescent psychiatric inpatients: incidence and predictive factors. Acta Psychiatr Scand. 1994;89(4):235-41. [CrossRef]
  • 39. Reiche EM, Nunes SO, Morimoto HK. Stress, depression, the immune system, and cancer. Lancet Oncol. 2004;5(10):617-25. [CrossRef]
  • 40. Bhar S, Ghahramanlou-Holloway M, Brown G, Beck AT. Selfesteem and suicide ideation in psychiatric outpatients. Suicide Life Threat Behav. 2008;38(5):511-16. [CrossRef]
APA ÖZDEMİROĞLU F, MEMIS C, Meydan N, doğan b, MERSİN KİLİC S, SEVİNÇOK L, Karakus K (2017). Self-esteem, pain and suicidal thoughts in a sample of cancer patients. , 156 - 162.
Chicago ÖZDEMİROĞLU FİLİZ,MEMIS CAGDAS OYKU,Meydan Nezih,doğan bilge,MERSİN KİLİC Sanem,SEVİNÇOK Levent,Karakus Kadir Self-esteem, pain and suicidal thoughts in a sample of cancer patients. (2017): 156 - 162.
MLA ÖZDEMİROĞLU FİLİZ,MEMIS CAGDAS OYKU,Meydan Nezih,doğan bilge,MERSİN KİLİC Sanem,SEVİNÇOK Levent,Karakus Kadir Self-esteem, pain and suicidal thoughts in a sample of cancer patients. , 2017, ss.156 - 162.
AMA ÖZDEMİROĞLU F,MEMIS C,Meydan N,doğan b,MERSİN KİLİC S,SEVİNÇOK L,Karakus K Self-esteem, pain and suicidal thoughts in a sample of cancer patients. . 2017; 156 - 162.
Vancouver ÖZDEMİROĞLU F,MEMIS C,Meydan N,doğan b,MERSİN KİLİC S,SEVİNÇOK L,Karakus K Self-esteem, pain and suicidal thoughts in a sample of cancer patients. . 2017; 156 - 162.
IEEE ÖZDEMİROĞLU F,MEMIS C,Meydan N,doğan b,MERSİN KİLİC S,SEVİNÇOK L,Karakus K "Self-esteem, pain and suicidal thoughts in a sample of cancer patients." , ss.156 - 162, 2017.
ISNAD ÖZDEMİROĞLU, FİLİZ vd. "Self-esteem, pain and suicidal thoughts in a sample of cancer patients". (2017), 156-162.
APA ÖZDEMİROĞLU F, MEMIS C, Meydan N, doğan b, MERSİN KİLİC S, SEVİNÇOK L, Karakus K (2017). Self-esteem, pain and suicidal thoughts in a sample of cancer patients. Journal of Mood Disorders, 7(3), 156 - 162.
Chicago ÖZDEMİROĞLU FİLİZ,MEMIS CAGDAS OYKU,Meydan Nezih,doğan bilge,MERSİN KİLİC Sanem,SEVİNÇOK Levent,Karakus Kadir Self-esteem, pain and suicidal thoughts in a sample of cancer patients. Journal of Mood Disorders 7, no.3 (2017): 156 - 162.
MLA ÖZDEMİROĞLU FİLİZ,MEMIS CAGDAS OYKU,Meydan Nezih,doğan bilge,MERSİN KİLİC Sanem,SEVİNÇOK Levent,Karakus Kadir Self-esteem, pain and suicidal thoughts in a sample of cancer patients. Journal of Mood Disorders, vol.7, no.3, 2017, ss.156 - 162.
AMA ÖZDEMİROĞLU F,MEMIS C,Meydan N,doğan b,MERSİN KİLİC S,SEVİNÇOK L,Karakus K Self-esteem, pain and suicidal thoughts in a sample of cancer patients. Journal of Mood Disorders. 2017; 7(3): 156 - 162.
Vancouver ÖZDEMİROĞLU F,MEMIS C,Meydan N,doğan b,MERSİN KİLİC S,SEVİNÇOK L,Karakus K Self-esteem, pain and suicidal thoughts in a sample of cancer patients. Journal of Mood Disorders. 2017; 7(3): 156 - 162.
IEEE ÖZDEMİROĞLU F,MEMIS C,Meydan N,doğan b,MERSİN KİLİC S,SEVİNÇOK L,Karakus K "Self-esteem, pain and suicidal thoughts in a sample of cancer patients." Journal of Mood Disorders, 7, ss.156 - 162, 2017.
ISNAD ÖZDEMİROĞLU, FİLİZ vd. "Self-esteem, pain and suicidal thoughts in a sample of cancer patients". Journal of Mood Disorders 7/3 (2017), 156-162.