Objective: The experience of time is strongly related to our
momentary mood states. Patients with a life-threatening illness experience
an extreme change in mood and suffer from psychological distress that can
develop into clinically relevant psychiatric disorders, like anxiety and
depression. The aim of this study was to investigate the associations
among the subjective perception of time, psychological distress, and
quality of life in patients with hematological malignancies.
Methods: Eighty-eight inpatients with hematological
malignancies rated how fast time passes subjectively on a visual analog
scale and prospectively estimated a time span of 13 min. The Hospital
Anxiety and Depression Scale (HADS) self-report measures of health-related
quality of life (FACT-G) and spiritual well-being (FACIT-Sp) were employed
to assess psychological distress and quality of life.
Results: Those patients who reported a lower quality of life,
less spiritual well-being, and more anxiety experienced a slower passage
of subjective time and overestimated the 13-min time interval.
Significance of results: Our interpretation of the results is
that patients with a life-threatening illness who show symptoms of
psychological distress draw attention away from meaningful thoughts and
actions and, thus, experience time as passing more slowly. An altered
sense of time can be a sign of mental suffering, which should be addressed
within psycho-oncological interventions. As this is the first study to
demonstrate this relation in cancer patients, further research is needed
to investigate the experience of time and its relation to meaning as an
issue in clinical diagnostics.