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Hope and Distress Are Not Associated With the Brain Tumor Stage

OBJECTIVE: Hopelessness and depression are strongly associated with suicidality. Given that physical and psychological outcomes can be altered with hope, hope is a therapeutic goal of increasing importance in the treatment of brain tumor patients. Moreover, it is not yet understood which factors aff...

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Autores principales: Mayer, Simone, Fuchs, Stefanie, Fink, Madeleine, Schäffeler, Norbert, Zipfel, Stephan, Geiser, Franziska, Reichmann, Heinz, Falkenburger, Björn, Skardelly, Marco, Teufel, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8192812/
https://www.ncbi.nlm.nih.gov/pubmed/34122231
http://dx.doi.org/10.3389/fpsyg.2021.642345
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author Mayer, Simone
Fuchs, Stefanie
Fink, Madeleine
Schäffeler, Norbert
Zipfel, Stephan
Geiser, Franziska
Reichmann, Heinz
Falkenburger, Björn
Skardelly, Marco
Teufel, Martin
author_facet Mayer, Simone
Fuchs, Stefanie
Fink, Madeleine
Schäffeler, Norbert
Zipfel, Stephan
Geiser, Franziska
Reichmann, Heinz
Falkenburger, Björn
Skardelly, Marco
Teufel, Martin
author_sort Mayer, Simone
collection PubMed
description OBJECTIVE: Hopelessness and depression are strongly associated with suicidality. Given that physical and psychological outcomes can be altered with hope, hope is a therapeutic goal of increasing importance in the treatment of brain tumor patients. Moreover, it is not yet understood which factors affect the perception of hope in brain tumor patients. In addition, it remains uncertain whether lower-grade brain tumor patients suffer less from psycho-oncological distress than higher-grade brain tumor patients. METHODS: Neuro-oncological patients were examined perioperatively with the Distress Thermometer (DT) and the Herth Hope Index (HHI). In addition, psychological comorbidities (anxiety GAD-2, depression PHQ-2) and an assessment of general psycho-oncological distress were recorded. RESULTS: Sixty-six brain tumor patients were included (median age 53 years, 35% higher-grade brain tumors, i.e., WHO grade III/IV). No differences between higher- and lower-grade brain tumor patients were observed for general psycho-oncological distress and hope. However, higher-grade brain tumor patients showed a significantly higher level of depression (p ≤ 0.001) and more negative expectations regarding therapeutic success (H = 4.873, p ≤ 0.050). The extent of depression correlated negatively with hope. CONCLUSION: Unexpectedly, higher-grade brain tumor patients remained as hopeful as lower-grade brain tumor patients despite the devastating diagnosis, higher levels of depression, and a worse expectation of therapeutic success. Conversely, lower-grade brain tumor patients experience as much psycho-oncological distress as patients with a higher-grade brain tumor, underpinning the imperative need for comprehensive psycho-oncological screening. For all brain tumor patients, considering hope is important to avoid suicides resulting from hopelessness and depression.
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spelling pubmed-81928122021-06-12 Hope and Distress Are Not Associated With the Brain Tumor Stage Mayer, Simone Fuchs, Stefanie Fink, Madeleine Schäffeler, Norbert Zipfel, Stephan Geiser, Franziska Reichmann, Heinz Falkenburger, Björn Skardelly, Marco Teufel, Martin Front Psychol Psychology OBJECTIVE: Hopelessness and depression are strongly associated with suicidality. Given that physical and psychological outcomes can be altered with hope, hope is a therapeutic goal of increasing importance in the treatment of brain tumor patients. Moreover, it is not yet understood which factors affect the perception of hope in brain tumor patients. In addition, it remains uncertain whether lower-grade brain tumor patients suffer less from psycho-oncological distress than higher-grade brain tumor patients. METHODS: Neuro-oncological patients were examined perioperatively with the Distress Thermometer (DT) and the Herth Hope Index (HHI). In addition, psychological comorbidities (anxiety GAD-2, depression PHQ-2) and an assessment of general psycho-oncological distress were recorded. RESULTS: Sixty-six brain tumor patients were included (median age 53 years, 35% higher-grade brain tumors, i.e., WHO grade III/IV). No differences between higher- and lower-grade brain tumor patients were observed for general psycho-oncological distress and hope. However, higher-grade brain tumor patients showed a significantly higher level of depression (p ≤ 0.001) and more negative expectations regarding therapeutic success (H = 4.873, p ≤ 0.050). The extent of depression correlated negatively with hope. CONCLUSION: Unexpectedly, higher-grade brain tumor patients remained as hopeful as lower-grade brain tumor patients despite the devastating diagnosis, higher levels of depression, and a worse expectation of therapeutic success. Conversely, lower-grade brain tumor patients experience as much psycho-oncological distress as patients with a higher-grade brain tumor, underpinning the imperative need for comprehensive psycho-oncological screening. For all brain tumor patients, considering hope is important to avoid suicides resulting from hopelessness and depression. Frontiers Media S.A. 2021-05-28 /pmc/articles/PMC8192812/ /pubmed/34122231 http://dx.doi.org/10.3389/fpsyg.2021.642345 Text en Copyright © 2021 Mayer, Fuchs, Fink, Schäffeler, Zipfel, Geiser, Reichmann, Falkenburger, Skardelly and Teufel. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Mayer, Simone
Fuchs, Stefanie
Fink, Madeleine
Schäffeler, Norbert
Zipfel, Stephan
Geiser, Franziska
Reichmann, Heinz
Falkenburger, Björn
Skardelly, Marco
Teufel, Martin
Hope and Distress Are Not Associated With the Brain Tumor Stage
title Hope and Distress Are Not Associated With the Brain Tumor Stage
title_full Hope and Distress Are Not Associated With the Brain Tumor Stage
title_fullStr Hope and Distress Are Not Associated With the Brain Tumor Stage
title_full_unstemmed Hope and Distress Are Not Associated With the Brain Tumor Stage
title_short Hope and Distress Are Not Associated With the Brain Tumor Stage
title_sort hope and distress are not associated with the brain tumor stage
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8192812/
https://www.ncbi.nlm.nih.gov/pubmed/34122231
http://dx.doi.org/10.3389/fpsyg.2021.642345
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