Evidence map›Paper›PMID 33210393›Full record

ArticlePsycho-oncology2021

Prevalence of pain and its association with symptoms of post-traumatic stress disorder, depression, anxiety and distress in 846 cancer patients: A cross sectional study.

Matthias Unseld, Elisabeth L Zeilinger, Matthäus Fellinger, Simone Lubowitzki, Katharina Krammer, Ingo W Nader, Matthias Hafner, Anna Kitta, Feroniki Adamidis, Eva K Masel and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Psycho-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.6field-weighted citation impact, top 8% of its field
1 · What the graph read from 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.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 63 citations in OpenAlex.

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  20. Quality of life and psychological distress of patients with advanced cancer in the Philippines.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Matthias UnseldDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-1699-9846
Elisabeth L ZeilingerFaculty of Psychology, University of Vienna, Vienna, Austria.
Matthäus FellingerDepartment of Psychiatry and Psychotherapy, Clinical Division of Social Psychiatry, Medical University of Vienna, Vienna, Austria.
Simone LubowitzkiDepartment of Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria.
Katharina KrammerDepartment of Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria.
Ingo W NaderIT Power Services GmbH, Vienna, Austria.
Matthias HafnerDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.
Anna KittaDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.
Feroniki AdamidisDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.
Eva K MaselDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.
Matthias PreusserDepartment of Medicine I, Division of Oncology, Medical University of Vienna, Vienna, Austria.
Ulrich JägerDepartment of Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria.
Alexander GaigerDepartment of Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · ATEnvironmental Software and Services (Austria) · ATUniversity of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePain depicts a severe physical symptom but its relationship to mental health problems is not well studied in cancer patients. The aim of this study was to investigate the prevalence of pain and its correlation with symptoms of post-traumatic stress disorder (PTSD), depression, anxiety and psychological distress in a large sample of cancer patients.

methodsFrom 2010 to 2019, cancer patients who received outpatient treatment at the Medical University of Vienna were assessed with the Post-Traumatic Symptom Scale (PTSS-10) and the Hospital Anxiety and Depression Scales. A visual analogue scale was used to assess pain perception. For statistical analysis, linear regression models were applied to log-transformed data.

resultsOf the 846 cancer patients included in the study, 63.5% experienced pain (mild 43.5%, moderate 13.6%, severe 6.4%). About a third (31.2%) of the total sample presented with significant PTSD symptoms. Significant symptoms of depression, anxiety and distress were present in 13.9%, 15.1% and 25.3%, respectively. Women more often reported symptoms of PTSD, anxiety and distress. Pain scores were significantly related to symptoms of PTSD, depression and psychological distress (all with p < .001), but not to anxiety.

conclusionsResults show a high prevalence of experienced pain and indicate a clear association of elevated pain levels with psychiatric symptoms in oncological patients in a large Austrian sample. In order to decrease experienced pain and to enable better treatment of mental health problems in cancer patients, diagnostic procedures and interventions based on a biopsychosocial model need to be intensified.

Indexed as

NeoplasmsStress Disorders, Post-TraumaticAnxietyCross-Sectional StudiesDepressionFemaleHumansPainPrevalenceanxietycancerclinical oncologydepressionmental disordersoutpatientspainpost-traumatic stress disorderpsycho-oncologysymptom assessment

Identifiers

PMID33210393
PMCPMC8049050
OpenAlexW3104104172

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.