Influence of perceived dignity and coping strategies on uncertainty and emotional distress in advanced cancer patients

Abstract

Aim: In this analysis we will assess psychological distress at diagnosis of advanced cancer, perceived dignity and its relationship with sociodemographic, clinical, and psychological factors and coping strategies as modulators between uncertainty and psychological distress. Method: This study was based on the NEOetic project, a prospective, multicentre registry promoted by the Bioethics section of the Spanish Society of Medical Oncology (SEOM). Several scales were used: BSI-18, PPDS, MUIS, DUFSSQ and MINI-MAC. In addition, sociodemographic and clinical aspects and their relationship with the other variables were analyzed. Results: Patients treated during the Covid-19 pandemic exhibited high levels of anxiety and depression, particularly associated with young age at diagnosis, life expectancy over 18 months, female sex, cancer-related concerns, and hopelessness. Patients with low perceived dignity experienced higher levels of anxiety and depression, along with lower positive attitudes. Psychological distress affected 72% of patients, with positive attitude and cognitive avoidance being the most employed coping strategies. Conclusions: These findings underscore the importance of addressing the mental health of cancer patients, especially during crises like the pandemic, by promoting effective coping strategies and providing appropriate emotional support. Oncology professionals are encouraged to conduct regular assessments of psychological well-being and tailor specific interventions based on identified factors to enhance emotional resilience and improve patients’ quality of life.