title: The effect of postoperative symptom experience, and personality and psychosocial factors on depression among postgastrectomy patients in Japan.
abstract: Depression, the most common affective disorder in cancer, has a major impact on quality of life. Various risk factors may interact and affect a cancer patient's depressive state. The purpose of this study was to examine the relationships between depression and postoperative symptom experience, personality, and psychosocial factors in Japanese gastrectomy patients. Causal relationships of these variables were also estimated. Eighty-two Japanese gastrectomy patients (M age = 63.63 years, SD = 10.21; men = 50, women = 32), who had been discharged within the last 3 years with no indication of cancer recurrence, participated in the study. Results showed significant correlations between depression and age, time-since-discharge, postoperative symptom experience, frequency of symptoms, self-esteem, and emotional support. Path analysis showed sufficient goodness of fit index (GFI = 0.993, AGFI = 0.963). Interpersonal dependency, emotional support, and marital status showed a direct effect on self-esteem, which, along with postoperative symptom experience, had a direct effect on depression. Findings provide a useful reference point for further understanding the mental health condition of postgastrectomy patients.
authors.affiliation: Department of Human Care Science, Graduate School of Comprehensive Human Science, University of Tsukuba, Japan. maedatakako@gmail.com
authors.forename: Takako
authors.initials: T
authors.lastname: Maeda
authors.forename: Francis N
authors.initials: FN
authors.lastname: Onuoha
authors.forename: Tsunetsugu
authors.initials: T
authors.lastname: Munakata
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health / Q000208:ethnology; D003430:Cross-Sectional Studies; D003858:Dependency, Psychological; D003866:Depressive Disorder / Q000175:diagnosis / Q000208:ethnology / Q000209:etiology*; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects / Q000523:psychology; D006304:Health Status; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D015404:Nursing Methodology Research; D010551:Personality; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D012044:Regression Analysis; D012307:Risk Factors; D012649:Self Concept; D012944:Social Support; D013274:Stomach Neoplasms / Q000208:ethnology / Q000601:surgery; D011795:Surveys and Questionnaires