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Psychological distress is a common psychological health problem in patients with cancer during receiving chemotherapy. They may express their psychological distress through depression, anxiety, fear, and uncertainty. Psycho-neuro-immunological imbalance caused this problem. Patients with psychological distress require a specific approach. Psychological screening through interaction, observation and/or using 2Q or the Hospital Anxiety and Depression Scale (Thai HADS) is the first step in identifying such problems. Nurses play crucial roles in supporting patients from the early stage of illness. Key nursing interventions include giving information, education, offering encouragement, and applying evidence-based care programs such as psycho-educational support programs and mindfulness/meditation-based programs relevant to the patients’ preference. Providing early nursing care for patients experiencing psychological distress during receiving chemotherapy would enhance their psychological well-being.
Temtap S, Nilmanat K. The relationship between psychological distress and coping strategies in patients with advanced or terminal stage hepatocellular carcinoma: A cross-sectional descriptive study. Songkla Med J. 2017; 35(4): 313-24. Thai.
Morasso G, Di Leo S, Caruso A, et al. Evaluation of a screening programme for psychological distress in cancer survivors. Support Care Cancer. 2010; 18(12): 1545-552.
Gundelach A, Henry B. Cancer-related psychological distress: A concept analysis. Clin J Oncol Nurs. 2016; 20(6): 630-34.
Howell D, Olsen K. Distress-the 6th vital sign. Curr Oncol. 2011; 18(5): 208-10.
Ridner SH. Psychological distress: Concept analysis. J Adv Nurs. 2004; 45(5): 536-45.
Conti CM, Maccauro G, Fulcheri M. Psychological stress and cancer. Int J Immunopathol Pharmacol. 2011; 24(1): 1-5.
Reiche EMV, Nunes SOV, Morimoto HK. Stress, depression, the immune system, and cancer. Lancet Oncol. 2004; 5(10): 617-25.
Schoormans D, Pedersen SS, Dalton S, et al. Cardiovascular co-morbidity in cancer patients: The role of psychological distress. Cardiooncology. 2016; 2(1): 9.
Misono S, Weiss NS, Fann JR, et al. Incidence of suicide in persons with cancer. J Clin Oncol. 2008; 26(29): 4731–738.
Promkamsao N, Thongkrajai E, Tangworaphongchai J. Experience of young women with breast cancer. J Nurs Sci & Health. 2015; 38(2): 86-94. Thai.
National Comprehensive Cancer Network. Distress management clinical practice guidelines in oncology. Natl Compr Canc Netw. 2003; 1(3): 344-74.
Opasrattanakorn S, Detprapon M, Sumdaengrit B. Stress and coping of nasopharyngeal carcinoma patients receiving concurrent chemotherapy treatment. Rama Nurs J. 2015; 21(2): 158- 70. Thai.
Hwang KH, Cho OH, Yoo YS. Symptom clusters of ovarian cancer patients undergoing chemotherapy, and their emotional status and quality of life. Eur J Oncol Nurs. 2016; 21: 215-22.
Zainal NZB, Guan NC. Psychological distress among cancer patients on chemotherapy. J Health Transl Med. 2010; 13(1): 12-18.
Jafari A, Goudarzian AH, Nesami MB. Depression in women with breast cancer: A systematic review of cross-sectional studies in Iran. Asian Pac J Cancer Prev. 2018; 19(1): 1-7.
Singh H, Banipal R. Psychological distress in cancer patient during chemotherapy: A cross-sectional study. J Clin Oncol. 2016; 34 (26_suppl): 231.
Souza BFd, Moraes JAd, Inocenti A, et al. Women with breast cancer taking chemotherapy: Depression symptoms and treatment adherence. Rev Lat Am Enfermagem. 2014; 22: 866-73.
Lim CC, Devi MK, Emily A. Anxiety in women with breast cancer undergoing treatment: A systematic review. Int J Evid Based Healthc. 2011; 9(3): 215-35.
Genç F, Tan M. Symptoms of patients with lung cancer undergoing chemotherapy and coping strategies. Cancer Nurs. 2011; 34(6): 503-09.
Surakul J, Chaowalit A, Phantusena C, et al. Experiences of cancer patients in being told the truth about their illnesses. Songkla Med J. 2002; 20(4): 241-49. Thai.
Bronner MB, Nguyen, MH, Smets EMA et al. Anxiety during cancer diagnosis: Examining the influence of monitoring coping style and treatment plan. Psychooncology. 2018; 27(2): 661-67.
Hong JF, Zhang W, Song YX, et al. Psychological distress in elderly cancer patients. Int J Nurs Sci. 2015; 2(1): 23-27.
Singer S, Blettner M, Kreienberg R, et al. Breast cancer patients’ fear of treatment: Results from the multicenter longitudinal study BRENDA II. Breast Care. 2015; 10(2): 95-100.
Simard S, Thewes B, Humphris G, et al. Fear of cancer recurrence in adult cancer survivors: A systematic review of quantitative studies. J Cancer Surviv. 2013; 7(3): 300-22.
Yang Y, Wen Y, Bedi C, et al. The relationship between cancer patient’s fear of recurrence and chemotherapy: A systematic review and meta-analysis. J Psychosom Res. 2017; 98: 55-63.
Aumann I, Kreis K, Damm K, et al. Treatment-related experiences and preferences of patients with lung cancer: A qualitative analysis. Health Expect. 2016; 19(6): 1226-236.
Bergqvist, J, Strang P. The will to live - breast cancer patients perceptions’ of palliative chemotherapy. Acta Oncol. 2017; 56(9): 1168-174.
Zhang Y, Kwekkeboom K, Petrini M. Uncertainty, self-efficacy, and self-care behavior in patients with breast cancer undergoing chemotherapy in China. Cancer Nurs. 2015; 38(3): E19-26.
Thuy Trang, HT, Ruisungnoen W. Experiences of Vietnamese with breast cancer. J Nurs’ Assoc Thailand, North-Eastern Divis. 2012; 30(4): 30-39. Thai.
Chengtawee P. Sirilerttrakul S. Factors related to depressive episode among the colorectal cancer patients receiving chemotherapy: A case study at oncology unit, Ramathibodi hospital. Srinagarind Med J. 2017; 32(1): 63-70. Thai.
Peteet JR, Balboni M. Spirituality and religion in oncology. CA: A Cancer. J Clin. 2013; 63(4): 280-89.
Chobsubin C. Prevalence of anxiety and depression and related factors in breast cancer patients receiving chemotherapy at King Chulalongkorn Memorial Hospital [Thesis]. [Bangkok]: Chulalongkorn University; 2011. 121 p.
McMullen M, Lau PKH, Taylor S, et al. Factors associated with psychological distress amongst outpatient chemotherapy patients: An analysis of depression, anxiety and stress using the DASS-21. Appl Nurs Res. 2018; 40: 45-50.
Nilmanat K. The end of life care. Songkhla: Chanmuang; 2012. Thai.
Department of Mental Health. Depression screening form [Internet]. Bangkok: The Department; 2018 [cited 2018 Nov 26]. Available form https://www.dmh.go.th/test/download/
Nilchaikovit T, Lortrakul M, Phisansuthideth U. Development of Thai version of hospital anxiety and depression scale in cancer patients. J Psychiatr Assoc Thailand. 1996; 41(1): 18-30.
Herdman T, Kamitsuru, S. NANDA International, Nursing diagnoses. 11th ed. New York; Thieme; 2018.
Wongpanarak N. The therapeutic relationship: Application in nursing process. J The Royal Thai Army Nurs. 2014; 15(2): 84-91. Thai.
Chaleoykitti C. Keskomon T. Health counseling: Development of quality of care. J Police Nurs. 2015; 7(1): 253-262. Thai.
Kokaew S, Wongtim S. The effects of individual counseling on the enhancement of happiness in breast cancer patients after mastectomy. J The Police Nurs. 2017; 9(1): 94-104. Thai.
Rotter JB. Generalized expectancies for internal versus external control of reinforcement. Psychol Monogr. 1966; 80(1):1-28.
Hwang K-H, Cho O-H, Yoo Y-S. Symptom clusters of ovarian cancer patients undergoing chemotherapy, and their emotional status and quality of life. Eur J Oncol Nurs. 2016; 21: 215-22.
Yeon Hee K, Kyung Sook C, Kihye H, et al. A psychological intervention programme for patients with breast cancer under chemotherapy and at a high risk of depression: A randomised clinical trial. J Clin Nurs. 2018; 27(3/4): 572-81.
Sungkamuneejinda K, Nilmanat K, Kitrungrote L. Impact of a hop-building supportive programme on chemotherapy-treated advanced breast cancer patients. Thai J Nurs Council. 2013; 28(3): 32-42. Thai.
Zhao Y, Zhu R. The effect of a psycho-educational intervention on quality of life of patients with advanced lung cancer undergoing chemotherapy. Open J Nurs. 2015; 5: 843-47.
Zhu J, Ebert L, Liu X et al. A mobile application of breast cancer e-support program versus routine care in the treatment of Chinese women with breast cancer undergoing chemotherapy: Study protocol for a randomized controlled trial. BMC Cancer. 2017; 17: 291-99.
Zhang R, Yin J, Zhou Y. Effects of mindfulness-based psychological care on mood and sleep of leukemia patients in chemotherapy. Int J Nurs Sci. 2017; 4(4): 357-61.
Thasaneesuwan S, Petpichetchian W, Chinnawong T. Randomized controlled trial of a Buddhist-based Nursing Program for women with breast cancer. Pac Rim Int J Nurs Res. 2018; 22(1): 58-73.
Vijarnpreecha N, Phrakrupipitsutathor, Intanon V, Ruensat P. Integration of Buddha Dhamma principles for strengthening the sense of coherence and well-being of life in breast cancer patients. Nurs J. 2015; 42(3): 95-105. Thai.
Charalambous A, Giannakopoulou M, Bozas E, et al. A randomized controlled trial for the effectiveness of progressive muscle relaxation and guided imagery as anxiety reducing interventions in breast and prostate cancer patients undergoing chemotherapy. Evid Based Complement Alternat Med. 2015; 1-10.
Dhruva A, Miaskowski C, Abrams D, et al. Yoga breathing for cancer chemotherapy-associated symptoms and quality of life: Results of a pilot randomized controlled trial. J Altern Complement Med. 2012; 18(5): 473-79.