ArticleJournal of oncology practice2016
Relationships Among Financial Distress, Emotional Distress, and Overall Distress in Insured Patients With Cancer.
Article in Journal of oncology practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
50 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Assessing Financial Toxicity in Cancer: A Global Systematic Review and Meta-Analysis Using an Asset Framework.Cancer medicine · 2026Pooled it
- The Out-of-Pocket Cost Burden of Cancer Care-A Systematic Literature Review.Current oncology (Toronto, Ont.) · 2021Pooled it
- Financial Burdens of Cancer Treatment: A Systematic Review of Risk Factors and Outcomes.Journal of the National Comprehensive Cancer Network : JNCCN · 2019Pooled it
- Methods for measuring financial toxicity after cancer diagnosis and treatment: a systematic review and its implications.Annals of oncology : official journal of the European Society for Medical Oncology · 2019Pooled it
- Factors influencing the impact of financial toxicity on the quality of life of breast cancer patients after mastectomies.BMC cancer · 2026Article
- Financial toxicity and psychosocial distress of breast and cervical cancer patients at a tertiary healthcare facility in south-western Nigeria.BMC women's health · 2026Article
- Psychological distress and its associated factors among cancer patients in Nepal: A cross-sectional study.PLOS mental health · 2026Article
- Review
- Network analysis of the intercorrelations between quality of life, trait mindfulness, and mental health among patients with breast cancer.Scientific reports · 2025Article
- Financial Toxicity Among Patients With Advanced Solid Tumors Participating in Early-Phase Clinical Trials.JCO oncology practice · 2025Article
- Potential profile analysis of financial toxicity and its related factors among lung cancer patients.BMC cancer · 2025Article
- Risk Factors for Financial Toxicity in Patients With Pancreatic Cancer.Cancer medicine · 2025Article
- Drivers of Job Loss Among Chinese Breast Cancer Survivors: A Qualitative Analysis.Psycho-oncology · 2025Article
- Arabic validation of the incharge financial distress/financial well-being scale and the new single-item financial stress scale.Frontiers in public health · 2025Article
- Exploring the Relationship Among Financial Hardship, Anxiety, and Depression in Patients With Cancer: A Longitudinal Study.JCO oncology practice · 2024Article
- Prospective study of predictors for anxiety, depression, and somatization in a sample of 1807 cancer patients.Scientific reports · 2024Article
- The interaction of financial toxicity and social support on social functioning in post-chemotherapy breast cancer patients: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Psychological distress and associated factors among cancer patients in public hospitals, Addis Ababa, Ethiopia: a cross-sectional study.BMC psychology · 2023Article
- Assessment of Oncology Patient Engagement and Interest in Virtual Mind-Body Programming: Moving Toward Personalization of Virtual Care.JCO oncology practice · 2023Article
- Psychosocial distress and the quality of life of cancer patients in two health facilities in Cameroon.BMC palliative care · 2022Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
purposeRecent studies have demonstrated increasing rates of financial toxicities and emotional distress related to cancer treatment. This study assessed and characterized the relationships among financial distress, emotional symptoms, and overall distress in patients with cancer.
methodsA cross-sectional sample of patients with cancer who visited our outpatient medical oncology and psychiatry clinics completed a pen-and-paper survey. The survey assessed demographics; cost concerns; and financial, emotional, and overall distress.
resultsOne hundred twenty insured patients completed the survey. Sixty-five percent reported clinically significant overall distress scores, with the same percentage reporting at least one emotional problem (worry, anxiety, depression, etc). Twenty-nine percent scored in the range of high to overwhelming financial distress. By using structural equation modeling, we found that financial distress was associated with overall distress. This association was both direct (accounting for 76% of the effect) and indirect (accounting for 24% of the effect) via mediation by emotional distress.
conclusionThis cohort of patients with cancer reported significant levels of emotional distress, financial distress, and overall distress. These factors were interrelated, with both financial and emotional distress contributing to overall distress. Interventions targeted at alleviating financial distress may help to decrease levels of overall distress.
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