European Journal of Cancer
Volume 45, Issue 10 , Pages 1839-1845 , July 2009

Unrelieved symptoms of female cancer patients during their last months of life and long-term psychological morbidity in their widowers: A nationwide population-based study

  • Junmei Miao Jonasson

      Affiliations

    • Division of Clinical Cancer Epidemiology, Department of Oncology-Pathology, Karolinska Institutet Z5:U1, Karolinska Hospital, SE-17176 Stockholm, Sweden
    • Division of Clinical Cancer Epidemiology, Department of Oncology, Sahlgrenska Academy, Göteborg’s University, Kapellgången 9, Landala, 41345 Göteborg, Sweden
    • Corresponding Author InformationCorresponding author: Address: Division of Clinical Cancer Epidemiology, Department of Oncology, Sahlgrenska Academy, Göteborg’s University, Kapellgången 9, Landala, 41345 Göteborg, Sweden. Tel.: +46 31 814751; fax: +46 31 209250.
    • ,
  • Arna Hauksdóttir

      Affiliations

    • Division of Clinical Cancer Epidemiology, Department of Oncology-Pathology, Karolinska Institutet Z5:U1, Karolinska Hospital, SE-17176 Stockholm, Sweden
    • ,
  • Unnur Valdimarsdóttir

      Affiliations

    • Division of Clinical Cancer Epidemiology, Department of Oncology-Pathology, Karolinska Institutet Z5:U1, Karolinska Hospital, SE-17176 Stockholm, Sweden
    • Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Nobel väg 12a, Box 281, 17177 Stockholm, Sweden
    • Centre of Public Health Sciences, University of Iceland, Stapi v. Hringbraut, 101 Reykjavík, Iceland
    • ,
  • Carl Johan Fürst

      Affiliations

    • Stockholms Sjukhem Foundation, Mariebergsgatan 22, 11235 Stockholm, Sweden
    • ,
  • Erik Onelöv

      Affiliations

    • Division of Clinical Cancer Epidemiology, Department of Oncology-Pathology, Karolinska Institutet Z5:U1, Karolinska Hospital, SE-17176 Stockholm, Sweden
    • ,
  • Gunnar Steineck

      Affiliations

    • Division of Clinical Cancer Epidemiology, Department of Oncology-Pathology, Karolinska Institutet Z5:U1, Karolinska Hospital, SE-17176 Stockholm, Sweden
    • Division of Clinical Cancer Epidemiology, Department of Oncology, Sahlgrenska Academy, Göteborg’s University, Kapellgången 9, Landala, 41345 Göteborg, Sweden

Received 14 January 2009 ,Revised 23 January 2009 ,Accepted 4 February 2009.

References 

  1. Rådestad I, Steineck G, Nordin C, Sjögren B. Psychological complications after stillbirth-influence of memories and immediate management: population based study. BMJ. 1996;312(7045):1505–1508
  2. Kreicbergs U, Valdimarsdóttir U, Onelöv E, Bjork O, Steineck G, Henter JI. Care-related distress: a nationwide study of parents who lost their child to cancer. J Clin Oncol. 2005;23(36):9162–9171
  3. Valdimarsdottir U, Helgason AR, Fürst CJ, Adolfsson J, Steineck G. The unrecognised cost of cancer patients’ unrelieved symptoms: a nationwide follow-up of their surviving partners. Br J Cancer. 2002;86(10):1540–1545
  4. Zisook S, Chentsova-Dutton Y, Shuchter SR. PTSD following bereavement. Ann Clin Psychiatry. 1998;10(4):157–163
  5. Cassileth BR, Lusk EJ, Strouse TB, Miller DS, Brown LL, Cross PA. A psychological analysis of cancer patients and their next-of-kin. Cancer. 1985;55(1):72–76
  6. Hodgson C, Higginson I, McDonnell M, Butters E. Family anxiety in advanced cancer: a multicentre prospective study in Ireland. Br J Cancer. 1997;76(9):1211–1214
  7. Keller M, Sommerfeldt S, Fischer C, et al. Recognition of distress and psychiatric morbidity in cancer patients: a multi-method approach. Ann Oncol. 2004;15(8):1243–1249
  8. Fallowfield L, Ratcliffe D, Jenkins V, Saul J. Psychiatric morbidity and its recognition by doctors in patients with cancer. Br J Cancer. 2001;84(8):1011–1015
  9. Sollner W, DeVries A, Steixner E, et al. How successful are oncologists in identifying patient distress, perceived social support, and need for psychosocial counselling?. Br J Cancer. 2001;84(2):179–185
  10. Kristjanson LJ, Sloan JA, Dudgeon D, Adaskin E. Family members’ perceptions of palliative cancer care: predictors of family functioning and family members’ health. J Palliat Care. 1996;12(4):10–20
  11. Häggmark C, Bachner M, Theorell T. A follow-up of psychological state in relatives of cancer patients one year after the patient’s death. Effects of an activation programme. Acta Oncol. 1991;30(6):677–684
  12. Ahnlund K, Frodi A. Gender differences in the development of depression. Scand J Psychol. 1996;37(3):229–237
  13. Grigoriadis S, Robinson GE. Gender issues in depression. Ann Clin Psychiatry. 2007;19(4):247–255
  14. Scheibe S, Preuschhof C, Cristi C, Bagby RM. Are there gender differences in major depression and its response to antidepressants?. J Affect Disord. 2003;75(3):223–235
  15. Bergmark K, Åvall-Lundqvist E, Dickman PW, Henningsohn L, Steineck G. Vaginal changes and sexuality in women with a history of cervical cancer. N Engl J Med. 1999;340(18):1383–1389
  16. Dahlstrand H, Hauksdottir A, Valdimarsdottir U, Furst CJ, Bergmark K, Steineck G. Disclosure of incurable illness to spouses: do they want to know? A Swedish population-based follow-up study. J Clin Oncol. 2008;26(20):3372–3379
  17. Kreicbergs U, Valdimarsdóttir U, Onelöv E, Henter JI, Steineck G. Talking about death with children who have severe malignant disease. N Engl J Med. 2004;351(12):1175–1186
  18. Onelöv E, Steineck G, Nyberg U, et al. Measuring anxiety and depression in the oncology setting using visual-digital scales. Acta Oncol. 2007;46(6):810–816
  19. Herrmann C. International experiences with the Hospital Anxiety and Depression Scale – a review of validation data and clinical results. J Psychosom Res. 1997;42(1):17–41
  20. Rothman KJGS. Modern epidemiology. In: Philadelphia: Lippincott-Raven; 1998. p. 271.
  21. Thompson LW, Gallagher-Thompson D, Futterman A, Gilewski MJ, Peterson J. The effects of late-life spousal bereavement over a 30-month interval. Psychol Aging. 1991;6(3):434–441
  22. Nolen-Hoeksema S. Sex differences in unipolar depression: evidence and theory. Psychol Bull. 1987;101(2):259–282
  23. Portenoy RK, Lesage P. Management of cancer pain. Lancet. 1999;353(9165):1695–1700
  24. Cameron J, Parkes CM. Terminal care: evaluation of effects on surviving family of care before and after bereavement. Postgrad Med J. 1983;59(688):73–78
  25. Kurtz ME, Kurtz JC, Given CW, Given B. Predictors of postbereavement depressive symptomatology among family caregivers of cancer patients. Support Care Cancer. 1997;5(1):53–60
  26. Seligman M. Depression and learned helplessness. In:  Friedman RJKM editors. The psychology of depression: Contemporary theory and research. Washington DC: Winston-Wiley; 1974;p. 83–113
  27. Pagel MD, Becker J, Coppel DB. Loss of control, self-blame, and depression: an investigation of spouse caregivers of Alzheimer’s disease patients. J Abnorm Psychol. 1985;94(2):169–182

PII: S0959-8049(09)00098-7

doi: 10.1016/j.ejca.2009.02.008

European Journal of Cancer
Volume 45, Issue 10 , Pages 1839-1845 , July 2009

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