Evaluating and minimising the psychological stress to enhance medication adherence among cancer patients by implementing integrative oncology techniques
Abstract
Introduction. Cancer patients often experience significant psychological stress, which can negatively impact their medication adherence. This study aimed to evaluate and minimize psychological stress to enhance medication adherence among cancer patients by implementing integrative oncology techniques.
Material and methods. The study included 63 male and female participants diagnosed with head and neck, cervical, breast, and prostate cancers, who were followed for six months. Various scales were used to assess the psychological status of the patients, including the distress thermometer, the Hospital Anxiety and Depression Scale (HADS), and the Functional Assessment of Cancer Therapy (FACT) questionnaire. Integrative oncology techniques, including yoga, meditation, patient counseling, and rehabilitation, were employed to reduce stress and improve patient outcomes.
Results. The results showed a significant reduction in anxiety and depression levels among patients after implementing integrative oncology techniques. The quality of life (QoL) scores improved in patients with different cancer types, such as head and neck, cervical, breast, and prostate cancers, following the intervention. Moreover, distress levels decreased in patients who received effective patient counseling.
Conclusions. In conclusion, these findings suggest that integrative oncology techniques can effectively reduce psychological stress and enhance medication adherence in cancer patients, ultimately improving their overall well-being and treatment outcomes.
Keywords: Integrativemedication adherencepsychological stressrehabilitation
References
- Riaz S, Azad N, Mansoor S, et al. Adverse Childhood Experiences in Patients Admitted with Depression at A Tertiary Care Hospital in Pakistan. Pakistan Armed Forces Medical Journal. 2023; 73(1): 298–301.
- Riba MB, Donovan KA, Andersen B, et al. Distress Management, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw. 2019; 17(10): 1229–1249.
- Gascon B, Panjwani AA, Mazzurco O, et al. Screening for Distress and Health Outcomes in Head and Neck Cancer. Curr Oncol. 2022; 29(6): 3793–3806.
- Tosic Golubovic S, Binic I, Krtinic D, et al. Risk Factors and Predictive Value of Depression and Anxiety in Cervical Cancer Patients. Medicina (Kaunas). 2022; 58(4).
- DiMatteo MR, Lepper HS, Croghan TW. Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Arch Intern Med. 2000; 160(14): 2101–2107.
- Linden W, Vodermaier A, Mackenzie R, et al. Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age. J Affect Disord. 2012; 141(2-3): 343–351.
- Huang X, Shu C, Chen Li, et al. Impact of sex, body mass index and initial pathologic diagnosis age on the incidence and prognosis of different types of cancer. Oncol Rep. 2018; 40(3): 1359–1369.
- Mungase M, Chaudhury S, Patil AA, et al. Stress, anxiety, depression, and resilience in cancer patients on radiotherapy. Ind Psychiatry J. 2021; 30(2): 346–352.
- López-Abente G, Mispireta S, Pollán M. Breast and prostate cancer: an analysis of common epidemiological features in mortality trends in Spain. BMC Cancer. 2014; 14: 874.
- Morse DE, Psoter WJ, Baek LS, et al. Smoking and drinking in relation to depressive symptoms among persons with oral cancer or oral epithelial dysplasia. Head Neck. 2010; 32(5): 578–587.
- Abraham N, Kallivayalil R. Anxiety, depression and quality of life in breast cancer patients undergoing chemotherapy in a tertiary care centre- a cross-sectional study. Kerala Journal of Psychiatry. 2021; 34(2).
- Abu Sharour L, Malak M, Subih M, et al. Quality of life, care needs, and information needs among patients diagnosed with cancer during their treatment phase. Psychol Health Med. 2020; 25(2): 252–258.
- Rafie F, Torabi M, Taheri A, et al. Assessment of Quality of Life among Head and Neck Cancer Patients. Journal of Contemporary Medical Sciences. 2020; 6(1).
- Zhao M, Luo L, zhang Ch, et al. Healthy-related quality of life in patients with cervical cancer in Southwest China: a cross-sectional study. BMC Health Serv Res. 2021; 21(1): 841.
- Phoosuwan N, Lundberg P. Psychological distress and health-related quality of life among women with breast cancer: a descriptive cross-sectional study. Support Care Cancer. 2021; 30(4): 3177–3186.
- Nikbakhsh N, Moudi S, Abbasian S, et al. Prevalence of depression and anxiety among cancer patients. Caspian J Intern Med. 2014; 5(3): 167–170.
- Roth A, Kornblith A, Batel-Copel L, et al. Rapid screening for psychologic distress in men with prostate carcinoma. Cancer. 1998; 82(10): 1904–1908, doi: 10.1002/(sici)1097-0142(19980515)82:10<1904::aid-cncr13>3.0.co;2-x.
- Binks L, Drury-Smith H, Holborn C. The psychological impact of prostate cancer after treatment: a critical review of the literature. J Radiother Pract. 2021; 21(4): 576–585.
- Mundle R, Afenya E, Agarwal N. The effectiveness of psychological intervention for depression, anxiety, and distress in prostate cancer: a systematic review of literature. Prostate Cancer Prostatic Dis. 2021; 24(3): 674–687.
- Shrivastava S, Elhence A, Jinwala P, et al. Assessment of Psychological Distress Among Indian Adolescents and Young Adults with Solid Cancer Using the National Comprehensive Cancer Network Distress Thermometer. South Asian J Cancer. 2022.
- Yeh ML, Chung YC, Hsu MYF, et al. Quantifying psychological distress among cancer patients in interventions and scales: a systematic review. Curr Pain Headache Rep. 2014; 18(3): 399.