title: Psychological distress and cancer pain: Results from a controlled cross-sectional survey in China.
abstract: We evaluated the pain associated with cancer and its impact on pain management, anxiety, and depression in Chinese patients using a controlled cross-sectional study. One hundred and twenty-six cancer outpatients were evaluated from January 2012 to June 2014; 64 reported pain and 62 did not. Patients with cancer eligible for this study were older than 18 years and able to effectively communicate with medical personnel. Patients were administered a questionnaire regarding their medical status. The information collected was used along with patient charts to complete a socio-demographic and clinical characteristic summary for each patient. Results showed that patients who reported pain had mean State-Trait Anxiety Inventory (STAI) scores of 46.38 for state anxiety and 44.64 for trait anxiety, as well as a mean BDI (Beck Depression Inventory) score of 19.17. The pain-free patient group had mean STAI scores of 40.73 for state anxiety and 42.87 for trait anxiety, and a mean BDI score of 15.35. In conclusion, patients who reported pain were more prone to anxiety and depression, with pain severity being a strong predictor of anxiety. Adequate pain assessment and adjustment proved necessary for pain management.
authors.affiliation: Department of Medical Oncology, Chinese PLA General Hospital, Beijing, No. 28, Fuxing Road, Haidian district, Beijing 100853, China.
authors.forename: Xiao-Mei
authors.initials: XM
authors.lastname: Li
authors.affiliation: Department of Medical Oncology, the First Affiliated Hospital of Chinese PLA General Hospital, Beijing 100048, China.
authors.forename: Wen-Hua
authors.initials: WH
authors.lastname: Xiao
authors.affiliation: Department of Medical Oncology, PLA Navy General Hospital, Beijing 100048, China.
authors.forename: Ping
authors.initials: P
authors.lastname: Yang
authors.affiliation: Department of Medical Oncology, the First Affiliated Hospital of Chinese PLA General Hospital, Beijing 100048, China.
authors.forename: Hui-Xia
authors.initials: HX
authors.lastname: Zhao
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000150:complications* / Q000453:epidemiology* / Q000473:pathology; D000072716:Cancer Pain / Q000150:complications* / Q000453:epidemiology* / Q000473:pathology; D002681:China; D003430:Cross-Sectional Studies; D003863:Depression / Q000150:complications* / Q000453:epidemiology* / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D013315:Stress, Psychological / Q000523:psychology*; D055815:Young Adult