title: Psychosocial adaptation and quality of life among Brazilian patients with different hematological malignancies.
abstract: This study aims to investigate the prevalence of posttraumatic stress disorder (PTSD) symptoms, anxiety, and depression in patients with hematological malignancies, and to investigate the possible relationship between these symptoms and variables such as demographic data, social support, and quality of life (QOL). We studied 107 patients: 54 with non-Hodgkin's lymphoma (NHL), 18 acute myelogenous leukaemia (AML), 10 acute lymphoblastic leukaemia (ALL), and 25 multiple myeloma (MM). Demographic data were collected, and three standardized instruments were applied to this group of patients: Hospital Anxiety and Depression Scale (HADS), Impact of Event Scale (IES), European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 questionnaire of QOL. The results showed a significant percentage of patients presenting with symptoms: 13% had high levels of intrusive thoughts, 20.5% had high levels of anxiety, and 16.8% had high levels of depression. Patients with MM had the lowest QOL scores in the EORTC physical functioning subscale. Patients under intravenous chemotherapy treatment had a higher level of anxiety than the monitoring patients. Patients with recent diagnosis had a level of intrusion symptoms (IES) relevantly higher than the others. The unemployed patients and those with lower social support had levels of stress, anxiety, and depression significantly higher than the others. Our results confirm the high incidence of intrusion, avoidance, anxiety, and depression in patients with hematological malignancies and highlight the importance of a multidisciplinary staff to complement the treatment of these patients, including psychosocial assistance.
authors.affiliation: Psychobiology Department, Universidade Federal de São Paulo, Rua Napoleão de Barros No. 925, São Paulo, Brazil. fabiomunhoz@hotmail.com
authors.forename: Fábio R M
authors.initials: FR
authors.lastname: Santos
authors.forename: Elisa H
authors.initials: EH
authors.lastname: Kozasa
authors.forename: Maria de Lourdes L F
authors.initials: Mde L
authors.lastname: Chauffaille
authors.forename: Gisele W B
authors.initials: GW
authors.lastname: Colleoni
authors.forename: Jose Roberto
authors.initials: JR
authors.lastname: Leite
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil / Q000453:epidemiology; D002391:Catchment Area, Health; D003430:Cross-Sectional Studies; D003710:Demography; D005260:Female; D006801:Humans; D007938:Leukemia / Q000145:classification / Q000208:ethnology / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D011788:Quality of Life; D012944:Social Support; D011795:Surveys and Questionnaires