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Fear of Palliative Care: Roles of Age and Depression Severity.
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- Author(s): Alonzi S;Alonzi S; Perry LM; Perry LM; Lewson AB; Lewson AB; Mossman B; Mossman B; Silverstein MW; Silverstein MW; Hoerger M; Hoerger M; Hoerger M; Hoerger M
- Source:
Journal of palliative medicine [J Palliat Med] 2022 May; Vol. 25 (5), pp. 768-773. Date of Electronic Publication: 2021 Nov 11.- Publication Type:
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't- Language:
English - Source:
- Additional Information
- Source: Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 9808462 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-7740 (Electronic) Linking ISSN: 15577740 NLM ISO Abbreviation: J Palliat Med Subsets: MEDLINE
- Publication Information: Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., c1998-
- Subject Terms:
- Abstract: Background: Palliative care is underutilized due in part to fear and misunderstanding, and depression might explain variation in fear of palliative care. Objective: Informed by the socioemotional selectivity theory, we hypothesized that older adults with cancer would be less depressed than younger adults, and subsequently less fearful of utilizing palliative care. Setting/Subjects: Patients predominately located in the United States with heterogeneous cancer diagnoses ( n = 1095) completed the Patient-Reported Outcomes Information System (PROMIS) Depression scale and rated their fear of palliative care using the Palliative Care Attitudes Scale (PCAS). We examined the hypothesized intercorrelations, followed by a bootstrapped analysis of indirect effects in the PROCESS macro for SPSS. Results: Participants ranged from 26 to 93 years old (mean [M] = 60.40, standard deviation = 11.45). The most common diagnoses were prostate (34.1%), breast (23.3%), colorectal (17.5%), skin (15.3%), and lung (13.5%) cancer. As hypothesized, older participants had lower depression severity ( r = -0.20, p < 0.001) and were less fearful of palliative care ( r = -0.11, p < 0.001). Participants who were more depressed were more fearful of palliative care ( r = 0.21, p < 0.001). An indirect effect ( β = -0.04, standard error = .01, 95% confidence interval: -0.06 to -0.02) suggested that depression severity may account for up to 40% of age-associated differences in fear of palliative care. Conclusions: Findings indicate that older adults with cancer are more likely to favor palliative care, with depression symptom severity accounting for age-related differences. Targeted interventions among younger patients with depressive symptoms may be helpful to reduce fear and misunderstanding and increase utilization of palliative care.
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- Contributed Indexing: Keywords: aged; cancer; depressive symptoms; middle aged; oncology; palliative care
- Publication Date: Date Created: 20211111 Date Completed: 20220504 Latest Revision: 20230916
- Publication Date: 20240105
- Accession Number: PMC9081062
- Accession Number: 10.1089/jpm.2021.0359
- Accession Number: 34762507
- Source:
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