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The Role of Financial Difficulties as a Mediator between Physical Symptoms and Depression in Advanced Cancer Patients

Financial difficulties experienced by cancer patients negatively impact the mental health of the patients. The objective of this study was to examine the mediating role of financial difficulties between physical symptoms and depression in patients with advanced cancer. A prospective, cross-sectional...

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Autores principales: Lee, Eun Mi, Jiménez-Fonseca, Paula, Hernández, Raquel, Cruz-Castellanos, Patricia, Fernández-Montes, Ana, Rogado, Jacobo, Gil-Raga, Mireia, Antoñanzas, Mónica, López-Ceballos, Helena, Calderon, Caterina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297664/
https://www.ncbi.nlm.nih.gov/pubmed/37366912
http://dx.doi.org/10.3390/curroncol30060429
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author Lee, Eun Mi
Jiménez-Fonseca, Paula
Hernández, Raquel
Cruz-Castellanos, Patricia
Fernández-Montes, Ana
Rogado, Jacobo
Gil-Raga, Mireia
Antoñanzas, Mónica
López-Ceballos, Helena
Calderon, Caterina
author_facet Lee, Eun Mi
Jiménez-Fonseca, Paula
Hernández, Raquel
Cruz-Castellanos, Patricia
Fernández-Montes, Ana
Rogado, Jacobo
Gil-Raga, Mireia
Antoñanzas, Mónica
López-Ceballos, Helena
Calderon, Caterina
author_sort Lee, Eun Mi
collection PubMed
description Financial difficulties experienced by cancer patients negatively impact the mental health of the patients. The objective of this study was to examine the mediating role of financial difficulties between physical symptoms and depression in patients with advanced cancer. A prospective, cross-sectional design was adopted in the study. The data were collected from 861 participants with advanced cancer in 15 different tertiary hospitals in Spain. The participants’ socio-demographic characteristics were collected using a standardized self-report form. Hierarchical linear regression models were used to explore the mediating role of financial difficulties. In the results, 24% of patients reported a high level of financial difficulties. Physical symptoms were positively associated with financial difficulties and depression (β = 0.46 and β = 0.43, respectively), and financial difficulties was positively associated with depression (β = 0.26). Additionally, financial difficulties played a role in explaining the relationship between physical symptoms and depression, showing a standardized regression coefficient of 0.43 which decreased to 0.39 after the financial difficulties were controlled. Healthcare professionals should consider the importance of providing financial resources and emotional support to help patients and their families cope with the financial burden associated with cancer treatment and its symptoms.
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spelling pubmed-102976642023-06-28 The Role of Financial Difficulties as a Mediator between Physical Symptoms and Depression in Advanced Cancer Patients Lee, Eun Mi Jiménez-Fonseca, Paula Hernández, Raquel Cruz-Castellanos, Patricia Fernández-Montes, Ana Rogado, Jacobo Gil-Raga, Mireia Antoñanzas, Mónica López-Ceballos, Helena Calderon, Caterina Curr Oncol Article Financial difficulties experienced by cancer patients negatively impact the mental health of the patients. The objective of this study was to examine the mediating role of financial difficulties between physical symptoms and depression in patients with advanced cancer. A prospective, cross-sectional design was adopted in the study. The data were collected from 861 participants with advanced cancer in 15 different tertiary hospitals in Spain. The participants’ socio-demographic characteristics were collected using a standardized self-report form. Hierarchical linear regression models were used to explore the mediating role of financial difficulties. In the results, 24% of patients reported a high level of financial difficulties. Physical symptoms were positively associated with financial difficulties and depression (β = 0.46 and β = 0.43, respectively), and financial difficulties was positively associated with depression (β = 0.26). Additionally, financial difficulties played a role in explaining the relationship between physical symptoms and depression, showing a standardized regression coefficient of 0.43 which decreased to 0.39 after the financial difficulties were controlled. Healthcare professionals should consider the importance of providing financial resources and emotional support to help patients and their families cope with the financial burden associated with cancer treatment and its symptoms. MDPI 2023-06-12 /pmc/articles/PMC10297664/ /pubmed/37366912 http://dx.doi.org/10.3390/curroncol30060429 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lee, Eun Mi
Jiménez-Fonseca, Paula
Hernández, Raquel
Cruz-Castellanos, Patricia
Fernández-Montes, Ana
Rogado, Jacobo
Gil-Raga, Mireia
Antoñanzas, Mónica
López-Ceballos, Helena
Calderon, Caterina
The Role of Financial Difficulties as a Mediator between Physical Symptoms and Depression in Advanced Cancer Patients
title The Role of Financial Difficulties as a Mediator between Physical Symptoms and Depression in Advanced Cancer Patients
title_full The Role of Financial Difficulties as a Mediator between Physical Symptoms and Depression in Advanced Cancer Patients
title_fullStr The Role of Financial Difficulties as a Mediator between Physical Symptoms and Depression in Advanced Cancer Patients
title_full_unstemmed The Role of Financial Difficulties as a Mediator between Physical Symptoms and Depression in Advanced Cancer Patients
title_short The Role of Financial Difficulties as a Mediator between Physical Symptoms and Depression in Advanced Cancer Patients
title_sort role of financial difficulties as a mediator between physical symptoms and depression in advanced cancer patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297664/
https://www.ncbi.nlm.nih.gov/pubmed/37366912
http://dx.doi.org/10.3390/curroncol30060429
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