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J Korean Soc Ther Radiol Oncol > Volume 22(4); 2004 > Article
The Journal of the Korean Society for Therapeutic Radiology and Oncology 2004;22(4): 271-279.
Psychology and Quality of Life in Cancer Patients on Radiation Therapy
Jong Chul Yang, Woong Ki Chung
1Departments of Psychiatry, Chonnam National University Hospital, Gwangju, Korea.
2Departments of Radiation Oncology, Chonnam National University Hospital, Gwangju, Korea. wkchung@chonnam.ac.kr
ABSTRACT
PURPOSE:
The object of this study is to investigate sociodemographic and clinical characteristics, psychology, self-esteem and quality of life in cancer patients on radiation therapy and to provide useful information for therapeutic approach to cancer patients on radiation therapy.
MATERIALS AND METHODS:
The subjects were 36 patents who had been treated with radiation therapy and 20 normal people. Sociodemographic information and clinical characteristics of cancer patients on radiation therapy were investigated, and symptom checklist-90-revised, Rosenberg Self-esteem Scale for self esteem, World Health Organization Quality of Life Assessment Instrument for quality of life were administered to subjects. And Spearman's correlation analysis was used among these.
Result:
The tendency of somatization, depression, anxiety and hostility in cancer group were significantly higher than normal group. Self esteem and quality of life in cancer group were significantly lower than normal group. No significant difference was found in comparison of psychology, self esteem and quality of life according to sociodemographic variables. Among clinical characteristics, in the presence of metastasis in cancer patients, the scores of anxiety, phobia and paranoid ideation were higher. In patients with pain, the score of somatization was higher. And in case of weight loss, the score of somatization was higher. The higher score of depression, anxiety and hostility were significantly associated with lower self-esteem. And higher score of somatization, depression, anxiety and hostility were significantly associated with lower quality of life.
CONCLUSION:
Understanding and management of psychological symptoms, such as somatization, depression, anxiety, and hostility, and pain control are necessary to improve quality of life in cancer patients on radiation therapy.
Key Words: Radiation therapy, Cancer, Psychology, Quality of life
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