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Abstract(s)
Introdução: Os doentes com cancro metastático enfrentam desafios únicos relacionados à doença, sendo que a manutenção da qualidade de vida é essencial para os mesmos. O objetivo deste estudo é compreender qual impacto dos fatores psicológicos na qualidade de vida em doentes com cancro metastático, mais concretamente, avaliar a relação entre o stress, a ansiedade e a depressão na qualidade de vida.
Método: A amostra é constituída por 210 doentes (M = 65,89 anos; DP = 12,19) com cancro metastático assistidos no Hospital dos Capuchos do Centro Hospitalar Universitário de Lisboa Central. Para a mensuração dos constructos, foram utilizados o Questionário Breve de Qualidade de Vida, a Escala de Stress Percebido, e a Escala de Ansiedade e Depressão Hospitalar.
Resultados: Os resultados evidenciam uma correlação significativa e negativa entre o stress, a ansiedade e a depressão com a qualidade de vida. Quanto aos modelos explicativos da qualidade de vida, todos eles foram significativos, no entanto apenas o domínio Psicológico apresentou uma variância explicada acima dos 50% (F (3,206) = 84,17; p ≤ 0,001) sendo que o stress (β = -0,35; p ≤ 0,001), ansiedade (β = -0,24; p = 0,002) e depressão (β = -0,24; p = 0,002) são os principais preditores da qualidade de vida.
Conclusão: Os doentes com cancro metastático apresentam níveis moderados de stress, ansiedade e depressão, apesar de revelarem uma boa qualidade de vida. Evidencia-se a importância da avaliação dos fatores psicológicos aquando da intervenção para a promover a qualidade de vida, nestes doentes.
Introduction: Patients with metastatic cancer face unique disease-related challenges and maintaining quality of life is essential for them. The aim of this study is to understand the impact of psychological factors on quality of life in patients with metastatic cancer, more specifically, to evaluate the relationship between stress, anxiety and depression on quality of life. Method: The sample was composed of 210 patients (M = 65.89 years; SD = 12.19) with metastatic cancer assisted at Hospital dos Capuchos of the Centro Hospitalar Universitário de Lisboa Central. To measure the constructs, the Brief Quality of Life Questionnaire, the Perceived Stress Scale, and the Hospital Anxiety and Depression Scale were used. Results: The results show a significant and negative correlation between stress, anxiety, and depression with quality of life. As for the explanatory models of quality of life, all of them were significant, however only the Psychological domain showed an explained variance above 50% (F (3,206) = 84.17; p ≤ 0.001) with stress (β = -0.35; p ≤ 0.001), anxiety (β = -0.24; p = 0.002) and depression (β = -0.24; p = 0.002) being the main predictors of quality of life. Conclusion: Patients with metastatic cancer have moderate levels of stress, anxiety and depression, despite showing a good quality of life. The importance of assessing psychological factors when intervening to promote quality of life in these patients is evident.
Introduction: Patients with metastatic cancer face unique disease-related challenges and maintaining quality of life is essential for them. The aim of this study is to understand the impact of psychological factors on quality of life in patients with metastatic cancer, more specifically, to evaluate the relationship between stress, anxiety and depression on quality of life. Method: The sample was composed of 210 patients (M = 65.89 years; SD = 12.19) with metastatic cancer assisted at Hospital dos Capuchos of the Centro Hospitalar Universitário de Lisboa Central. To measure the constructs, the Brief Quality of Life Questionnaire, the Perceived Stress Scale, and the Hospital Anxiety and Depression Scale were used. Results: The results show a significant and negative correlation between stress, anxiety, and depression with quality of life. As for the explanatory models of quality of life, all of them were significant, however only the Psychological domain showed an explained variance above 50% (F (3,206) = 84.17; p ≤ 0.001) with stress (β = -0.35; p ≤ 0.001), anxiety (β = -0.24; p = 0.002) and depression (β = -0.24; p = 0.002) being the main predictors of quality of life. Conclusion: Patients with metastatic cancer have moderate levels of stress, anxiety and depression, despite showing a good quality of life. The importance of assessing psychological factors when intervening to promote quality of life in these patients is evident.
Description
Dissertação de mestrado apresentada no
ISPA – Instituto Universitário para obtenção do grau
de Mestre na especialidade de Psicologia da Saúde.
Keywords
Cancro metastático Qualidade de vida Stress Ansiedade Depressão Metastatic cancer Quality of life Anxiety Depression