ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Predictors of emotional distress in patients with lymphoma, gastrointestinal, and breast cancer at the Kuwait Cancer Control Centre.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Abstract
purposeThis study aimed to identify demographic, clinical, and psychosocial predictors of moderate-to-severe emotional distress in cancer patients at Kuwait Cancer Control Centre (KCCC), and to examine whether sex or nationality moderated these relationships. Lymphoma, gastrointestinal, and breast cancer were selected due to their high prevalence and consistent uptake of routine distress screening (K-DART).
methodsWe retrospectively analyzed K-DART data (2013-2017) from 3262 adult patients who completed validated assessments: PHQ-9 (depression), GAD-7 (anxiety), ESAS-r (symptom burden), and the Canadian Problem Checklist (CPC). Multivariable logistic regression, with AIC-based model selection and multicollinearity checks (variance inflation factors and sensitivity analysis using composite ESAS-r score), identified predictors of moderate-to-severe distress (PHQ-9 or GAD-7 > 10). Interaction terms assessed moderation by sex and nationality.
resultsGreater physical symptom burden (e.g., fatigue: OR 1.36) and CPC social concerns (OR 2.18) were associated with increased odds of emotional distress. Among females, spiritual and practical concerns were additional predictors. Moderation analyses showed that nationality-but not sex-significantly moderated the effects of social concerns: non-Kuwaitis with higher burden experienced disproportionately greater distress. Several statistically significant predictors (e.g., CPC practical concerns, OR ≈ 1.00) were not deemed clinically meaningful.
conclusionSymptoms and psychosocial concerns, particularly social and spiritual factors, are key predictors of distress in this Gulf population. These findings highlight the need for culturally tailored psychosocial interventions and attention to nationality-related disparities in supportive cancer care.
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