Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-10T07:02:00.829Z Has data issue: false hasContentIssue false

Nurses' perceptions of depression in patients with cancer

Published online by Cambridge University Press:  26 June 2014

Wadih Rhondali*
Affiliation:
Clinique La Chavannerie, Groupe Orpea, Chaponost, France Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas Laboratoire EA 4129, Santé-Individu-Société, Université Lyon 1, Lyon, France
Tanguy Leprince
Affiliation:
Institut de Psychologie, Université Lyon 2, Bron, France
Anne Chirac
Affiliation:
Institut de Psychologie, Université Lyon 2, Bron, France Centre de Soins palliatifs, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Lyon, France
Jean-Louis Terra
Affiliation:
Laboratoire EA 4129, Santé-Individu-Société, Université Lyon 1, Lyon, France Centre Hospitalier du Vinatier, Bron, France
Marilène Filbet
Affiliation:
Centre de Soins palliatifs, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Lyon, France
*
Address correspondence and reprint requests to: Wadih Rhondali, Clinique La Chavannerie, Groupe Orpea. 19 rue Favre Garin, 69630 Chaponost, France. E-mail: wadihrhondali@gmail.com

Abstract

Objective:

Our study aimed at examining nurses' perceptions of depression in cancer patients and their role in its management.

Method:

We employed questionnaire-based semi-directed interviews. Participants were asked to classify 22 symptoms (related and specific to depression in cancer patients, related but not specific, and unrelated) as “very important,” “important,” “less important,” or “not important” for the diagnosis of depression in cancer patients at two different timepoints (baseline and after a video education program). They were also asked to complete a questionnaire exploring their perceptions about depression and of their role in its systematic screening. We recruited nurses caring for cancer patients from four different departments (palliative care unit, hematology, medical oncology, and thoracic oncology) at an academic medical center.

Results:

We interviewed 18 nurses and found that they had a good general knowledge of depression in cancer patients, with the majority of them being able to distinguish specific and important symptoms from nonspecific symptoms. Some nurses considered depression as a second-line symptom, and most did not employ a screening tool in their daily practice. All considered that they had a role to play in the management of depression, even as they acknowledged lacking specific training for that task.

Significance of results:

Our results suggest that limited resources—especially lack of training—affects nurses' ability to correctly manage depression in their cancer patients.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Akechi, T., Okamura, H., Kugaya, A., et al. (2000). Suicidal ideation in cancer patients with major depression. Japanese Journal of Clinical Oncology, 30(5), 221224.CrossRefGoogle ScholarPubMed
Bailey, R.K., Geyen, D.J., Scott-Gurnell, K., et al. (2005). Understanding and treating depression among cancer patients. International Journal of Gynecological Cancer, 15(2), 203208.Google Scholar
Breitbart, W., Rosenfeld, B., Pessin, H., et al. (2000). Depression, hopelessness, and desire for hastened death in terminally ill patients with cancer. The Journal of the American Medical Association, 284(22), 29072911.CrossRefGoogle ScholarPubMed
Chesebro, J.W. & Borisoff, D.J. (2007). What makes qualitative research qualitative? Qualitative Research Reports in Communication, 8, 314.CrossRefGoogle Scholar
Chochinov, H.M., Wilson, K.G., Enns, M., et al. (1994). Prevalence of depression in the terminally ill: effects of diagnostic criteria and symptom threshold judgments. The American Journal of Psychiatry, 151(4), 537540.Google Scholar
Emanuel, E.J., Fairclough, D.L. & Emanuel, L.L. (2000). Attitudes and desires related to euthanasia and physician-assisted suicide among terminally ill patients and their caregivers. The Journal of the American Medical Association, 284(19), 24602468.CrossRefGoogle ScholarPubMed
Endicott, J. (1984). Measurement of depression in patients with cancer. Cancer, 53(10 Suppl.), 22432249.CrossRefGoogle ScholarPubMed
Froissart, G.D., Chauchat, J.H. & Terra, J.L. (1985). Etudes de la démarche diagnostique: Proposition méthodologique pour saisir et tester les différences d'attitude. Union Médicale du Canada, 114(11), 884892.Google Scholar
Fulcher, C.D., Badger, T., Gunter, A.K., et al. (2008). Putting evidence into practice: interventions for depression. Clinical Journal of Oncology Nursing, 12(1), 131140.CrossRefGoogle ScholarPubMed
Geka, M. & Dargentas, M. (2010). L'apport du logiciel Alceste à l'analyse des représentations sociales: l'Exemple de deux études diachroniques. Les Cahiers Internationaux de Psychologie Sociale, 1(85), 111136.Google Scholar
Guan, N.C., Sulaiman, A.H., Zainal, N.Z., et al. (2013). Diagnostic criteria for major depressive disorder in cancer patients: A review. The International Journal of Psychiatry in Medicine, 45(1), 7382.Google Scholar
Hart, S.L., Hoyt, M.A., Diefenbach, M., et al. (2012). Meta-analysis of efficacy of interventions for elevated depressive symptoms in adults diagnosed with cancer. Journal of the National Cancer Institute, 104(13), 9901004.CrossRefGoogle ScholarPubMed
Holland, J.C., Bultz, B.D. & National Comprehensive Cancer Network (2007). The NCCN guideline for distress management: A case for making distress the sixth vital sign. Journal of the National Comprehensive Cancer Network, 5(1), 37.Google Scholar
Hotopf, M., Chidgev, J., Addington-Hall, J., et al. (2002). Depression in advanced disease: A systematic review, part 1. Prevalence and case finding. Palliative Medicine, 16(2), 8197.Google Scholar
Jacobsen, P.B., Shibata, D., Siegel, E.M., et al. (2010). Evaluating the quality of psychosocial care in outpatient medical oncology settings using performance indicators. Psycho-Oncology, 20(11), 12211227.CrossRefGoogle ScholarPubMed
Lees, N. & Lloyd-Williams, M. (1999). Assessing depression in palliative care patients using the visual analogue scale: A pilot study. European Journal of Cancer Care, 8(4), 220223.CrossRefGoogle ScholarPubMed
Lindlof, T.R. & Taylor, B.C. (2002). Qualitative communication research methods. Thousand Oaks, CA: Sage.Google Scholar
Little, L., Dionne, B. & Eaton, J. (2005). Nursing assessment of depression among palliative care cancer patients. Journal of Hospice and Palliative Nursing, 7(2), 98105.CrossRefGoogle Scholar
Lloyd-Williams, M. & Payne, S. (2002). Nurse specialist assessment and management of palliative care patients who are depressed: A study of perceptions and attitudes. Journal of Palliative Care, 18(4), 270274.CrossRefGoogle ScholarPubMed
Lloyd-Williams, M. & Payne, S. (2003). A qualitative study of clinical nurse specialists' views on depression in palliative care patients. Palliative Medicine, 17(4), 334338.Google Scholar
Lloyd-Williams, M., Dennis, M. & Taylor, F. (2004). A prospective study to determine the association between physical symptoms and depression in patients with advanced cancer. Palliative Medicine, 18(6), 558563.CrossRefGoogle ScholarPubMed
Lloyd-Williams, M., Shiels, C., Taylor, F., et al. (2009). Depression: An independent predictor of early death in patients with advanced cancer. Journal of Affective Disorders, 113(1–2), 127132.CrossRefGoogle ScholarPubMed
Meyer, H.A., Sinnott, C. & Seed, P.T. (2003). Depressive symptoms in advanced cancer, part 1: Assessing depression: The Mood Evaluation Questionnaire. Palliative Medicine, 17(7), 596603.CrossRefGoogle ScholarPubMed
Mitchell, A.J., Kaar, S., Coggan, C., et al. (2008). Acceptability of common screening methods used to detect distress and related mood disorders: Preferences of cancer specialists and non-specialists. Psycho-Oncology, 17(3), 226236.Google Scholar
Mitchell, A.J., Chan, M., Bhatti, H., et al. (2011). Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: A metaanalysis of 94 interview-based studies. The Lancet Oncology, 12(2), 160174.CrossRefGoogle ScholarPubMed
Newell, S.A., Sanson-Fisher, R.W. & Savolainen, N.J. (2002). Systematic review of psychological therapies for cancer patients: Overview and recommendations for future research. Journal of the National Cancer Institute, 94(8), 558584.Google Scholar
Power, D., Kelly, S., Gilsenan, J., et al. (1993). Suitable screening tests for cognitive impairment and depression in the terminally ill: A prospective prevalence study. Palliative Medicine, 7(3), 213218.CrossRefGoogle ScholarPubMed
Rayner, L., Loge, J.H., Wasteson, E. & Higginson, I.J. (2009). The detection of depression in palliative care. Current Opinion in Supportive and Palliative Care, 3(1), 5560.Google Scholar
Rayner, L., Price, A., Evans, A., et al. (2010). Antidepressants for depression in physically ill people. The Cochrane Database of Systematic Reviews, (3), CD007503. doi: 10.1002/14651858.CD007503.pub2.Google Scholar
Rayner, L., Price, A., Hotopf, M., et al. (2011 a). The development of evidence-based European guidelines on the management of depression in palliative cancer care. European Journal of Cancer, 47(5), 702712.Google Scholar
Rayner, L., Price, A., Hotopf, M., et al. (2011 b). Expert opinion on detecting and treating depression in palliative care: A Delphi study. BMC Palliative Care, 10, 10.Google Scholar
Reinert, M. (1983). Une méthode de classification descendante hiérarchique: Application à l'analyse lexicale par contexte. Cahiers de l'Analyse des Données, 8(2), 187198.Google Scholar
Rhondali, W., Hui, D., Kim, S.H., et al. (2012 a). Association between patient-reported symptoms and nurses' clinical impressions in cancer patients admitted to an acute palliative care unit. Journal of Palliative Medicine, 15(3), 301307.Google Scholar
Rhondali, W., Perceau, E., Berthiller, J., et al. (2012 b). Frequency of depression among oncology outpatients and association with other symptoms. Supportive Care in Cancer, 20(11), 27952802.Google Scholar
Rhondali, W., Perceau, E., Saltel, P., et al. (2012 c). Depression assessment by oncologists and palliative care physicians. Palliative & Support Care, 10(4), 255263.Google Scholar
Rhondali, W., Chirac, A., Laurent, A., et al. (2013). Family caregivers' perceptions of depression in patients with advanced cancer: A qualitative study. Palliative & Supportive Care, 13, 18. Epub ahead of print.Google Scholar
Rodin, G., Lloyd, N., Katz, M., et al. (2007). The treatment of depression in cancer patients: A systematic review. Supportive Care in Cancer, 15(2), 123136.CrossRefGoogle ScholarPubMed
Satin, J.R., Linden, W. & Phillips, M.J. (2009). Depression as a predictor of disease progression and mortality in cancer patients: A meta-analysis. Cancer, 115(22), 53495361.Google Scholar
Sobocki, P., Jonsson, B., Angst, J., et al. (2006). Cost of depression in Europe. The Journal of Mental Health Policy and Economics, 9(2), 8798.Google Scholar
Stiefel, R., Die Trill, M., Berney, A., et al. (2001). Depression in palliative care: A pragmatic report from the Expert Working Group of the European Association for Palliative Care. Supportive Care in Cancer, 9(7), 477488.Google Scholar
Strong, V., Waters, R., Hibberd, C., et al. (2008). Management of depression for people with cancer (SMaRT oncology 1): A randomised trial. Lancet, 372(9632), 4048.CrossRefGoogle ScholarPubMed
van der Lee, M.L., van der Bom, J.G., Swarte, N.B., et al. (2005). Euthanasia and depression: A prospective cohort study among terminally ill cancer patients. Journal of Clinical Oncology, 23(27), 66076612.Google Scholar