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    Comparison of stress coping attitudes in caregivers for cancer and non-cancer patients on palliative care
    (Termedia Publishing House Ltd, 2020) Inci, Habibe; Kilincel, Oguzhan; Inci, Fatih; Karatas, Fatih; Adahan, Didem
    Introduction: Changes in the social and emotional state of patient caregivers are associated with the individual care burden of the patient rather than the diagnosis of the patient. Our aim was to compare the stress levels and coping attitudes of caregivers who give palliative care to patients with cancer and non-cancer. Material and methods: This non-randomised, controlled study included caregivers providing palliative care to patients diagnosed with cancer and non-cancer in the palliative care unit. The participants were evaluated in respect of age, gender, duration of caregiving, relationship to the patient, marital status, level of education, occupation, psychiatric history, chronic disease history, and smoking status using a data collection form, and the means of coping with stress with the Coping Orientation to Problems Experienced (COPE) scale. Results: Evaluation was made of a total of 80 participants comprising 40 (50%) caregivers of patients diagnosed with cancer and 40 (50%) caregivers of patients not diagnosed with cancer. Female gender, smoking, and caregiving duration were significantly higher (p = 0.009, p = 0.001, p = 0.001, respectively) and educational level was lower (p = 0.022) in the caregivers of non-cancer patients. In the subscales of COPE, the scores of suppressing other activities (p < 0.001), mental disengagement (p = 0.001), and emotion-focussed coping (p = 0.007) were higher in the group of caregivers of non-cancer patients. Conclusions: Because the duration of the cancer patient's need for care is shorter than that of non-cancer patients, this may cause the caregivers of cancer patients to be less able to adapt to the stressful process they experience than the caregivers of non-cancer patients.
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    The relationship between depression, anxiety, and pain catastrophising in cancer patients
    (Termedia Publishing House Ltd, 2020) Inci, Fatih; Inci, Habibe; Kilincel, Oguzhan; Ersoy, Suleyman; Karatas, Fatih; Adahan, Didem
    Introduction: Catastrophising is a person's view of an unreasonable belief and a worse situation than exaggerating its consequences. It is defined as individuals believing that their current condition and physical discomfort will worsen each time or that something will be worse than it actually is. The aim of this study was to evaluate the relationship between depression and anxiety and pain catastrophising in cancer patients. Material and methods: Fifty-five cancer patients who were followed and treated in the Oncology Outpatient Clinic were included in the study. The age, gender, marital status, occupation, and psychiatric history of the participants were recorded. A socio-demographic data form, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and the Pain Catastrophising Scale (PCS) were applied to the participants. Results: The mean age of the participants was 59.2 +/- 12.7 years, and 40% were female. When the total BDI and BAI scale scores of cancer patients were evaluated, it was seen that they were not depressed in terms of mean value (p = 0.112), but they were in the anxiety scale (p < 0.05). There was a positive correlation between depression and anxiety, as well as depression and anxiety and pain catastrophising (p < 0.001, r = 0.782). While the PCS subscales helplessness and rumination scores were significantly higher in cancer patients with depression and anxiety (p < 0.001), the magnification score was significantly higher in cancer patients with anxiety (p < 0.001). The Pain Catastrophising Scale total score increased with increasing BDI and BAI severity (p < 0.001), while the BDI and BAI scores were found to be significantly higher in females than males (p < 0.001). Conclusions: It was found that cancer patients were generally not depressed but were anxious, and the catastrophising of pain increased with increasing depression and anxiety severity. Health professionals giving care to cancer patients need to be alert to signs of psychological distress in patients experiencing pain.