title: Associations between Depression, Anxiety, Hostility and Fighting Spirit among Cancer Patients in a Cancer Center in Korea.
abstract: OBJECTIVE
  The aim of this study was to examine the associations between depression, anxiety, hostility and fighting spirit among patients with stomach, colorectal or breast cancer.
  
  
  METHODS
  223 patients, diagnosed as with stomach, colorectal or breast cancer, undergoing chemotherapy or follow up care, were the subjects of the study. The study design was cross-sectional at the time of the survey. The degrees of depression, anxiety and hostility of the patients were assessed by the SCL-90-R scores, and the fighting spirit was measured by the Mental Adjustment to Cancer (MAC) scale score.
  
  
  RESULTS
  The scores of anxiety and hostility of the patients at younger age were higher than those at older age (p<0.01). The patients with metastasis were more depressed than those without it (p<0.01). There was a negative association between depression and fighting spirit (p<0.001).
  
  
  CONCLUSIONS
  The study showed the more depressed cancer patients had lower fighting spirit score, which was known to be one of the most active psychosocial contributors in adjusting to cancer and survival.
authors.forename: Joohyung
authors.initials: J
authors.lastname: Kim
authors.forename: Jae Kyung
authors.initials: JK
authors.lastname: Roh
authors.forename: Jeoung Soon
authors.initials: JS
authors.lastname: Yoon
authors.forename: Suk Jeong
authors.initials: SJ
authors.lastname: Lee
authors.forename: Dong Yeon
authors.initials: DY
authors.lastname: Lee
keywords: Anxiety; Cancer; Depression; Fighting spirit; Hostility