The study examined the cancer patients’ psychological wellbeing and the need for mental health screening among cancer patients undergoing cancer related treatments. This research was conducted on 240 cancer patients (120 male and 120 female) from the Department of Radiotherapy and Oncology, Hospital Kuala Lumpur. This study used the Depression, Anxiety, and Stress Scale (DASS) as an instrument for mental health screening and data collection. Both descriptive and statistical analyses were performed on the data using mean, frequency, percentage, and independent sample t tests. Findings show that female participants recorded higher prevalence rates of symptoms related to depression, anxiety, and stress. Statistical analyses indicate there are significant differences in mean scores of depression, anxiety, and stress between genders. Implications of the research and suggestions for further study are also discussed.
Alacacioglu, A., Tarhan, O., Alacacioglu, I., Dirican, A., & Yilmaz, U. (2013). Depression and anxiety in cancer patients and their relatives. JBUON, 18(3), 767-774. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/24065497
Ary, D., Jacobs, L. C., Razavieh, A., & Sorensen, C. (2010). Introduction to research in education (8th ed.). California: Thomson Wadsworth.
Brown, T. A., Chorpita, B. F., Korotitsch, W., & Barlow, D. H. (1997). Psychometric properties of the depression anxiety stress scales (DASS) in clinical samples. Behaviour Research and Therapy, 35(1), 79-89.
Clarke, S. A., Booth, L., Velikova, G., & Hewison, J. (2006). Social support: Gender differences in cancer patients in the United Kingdom. Cancer Nursing, 29(1), 66-72. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/16557124
Clinton-McHarg, T., Carey, M., Sanson-Fisher, R., Tzelepis, F., Bryant, J., & Williamson, A. (2014). Anxiety and depression among haematological cancer patients attending treatment centres: prevalence and predictors. Journal of Affective Disorders, 165, 176-181. doi: dx.doi.org/10.1016/j.jad.2014.04.072
Firdaus Mukhtar, & Oei, T. P. S. (2011). A review on the prevalence of depression in Malaysia. Current Psychiatry Reviews, 7(3), 1-5.
Gehdoo, R. P. (2009). Anticancer chemotherapy and it's anaesthetic implications (current concepts). Indian Journal of Anaesthesia. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2900029/
Hund, B., Reuter, K., Harter, M., Brahler, E., Faller, H., Keller, M., Schulz, H., Wegscheider, K., Weis, J., Wittchen, H., Koch, U., Friedrich, M., & Mehnert, A. (2016). Stressors, symptom profile, and predictors of adjustment disorder in cancer patients: Results from an epidemiological study with the composite international diagnostic interview, adaptation for oncology (CIDI-O). Depression and Anxiety, 33(2), 153-161. doi: 10.1002/da.22441
International Agency for Research on Cancer. (2012a). GLOBOCAN 2012 – Malaysia (2012) estimated cancer incidence, all ages: both sexes. Retrieved from http://globocan.iarc.fr/old/summary_table_pop-html.asp?selectio…alaysia&sex=0&type=0&window=1&sort=0&submit=%C2%A0Execute%C2%A0
International Agency for Research on Cancer. (2012b). GLOBOCAN 2012 – Malaysia (2012) estimated cancer mortality, all ages: both sexes. Retrieved from http://globocan.iarc.fr/old/summary_table_pop-html.asp?selectio…alaysia&sex=0&type=1&window=1&sort=0&submit=%C2%A0Execute%C2%A0
Kalkidan Hassen Abate. (2013). Gender disparity in prevalence of depression among patient population: a systematic review. Ethiopian Journal of Health Sciences, 23(3), 283-288. doi: 10.4314/ejhs.v23i3.11
Kessler, R., McGonagle, K., Swartz, M., Blazer, D., & Nelson, C. (1993). Sex and depression in the National Comorbidity Survey I: Lifetime prevalence, chronicity and recurrence. Journal of Affect Disorder, 29, 85-96.
Knudsen, A. K., Berge, L. I., Skogen, J. C., Veddegjærde, K., & Wilhelmsen, I. (2015). The prospective association between health anxiety and cancer detection: A cohort study linking the Hordaland Health Study (HUSK) with the Norwegian Cancer Registry. Journal of Psychosomatic Research, 79, 148-152. doi: 10.1016/j.jpsychores.2015.03.002
Kolva, E., Rosenfeld, B., Pessin, H., Breitbart, W., & Brescia, R. (2011). Anxiety in terminally ill cancer patients. Journal of Pain and Symptom Management, 42(5), 691-701. doi: 10.1016/j.jpainsymman.2011.01.013
Liénard, A., Merckaert, I., Libert, Y., Delvaux, N., Marchal, S., Boniver, J., Etienne, A.-M., Klastersky, J., Reynaert, C., Scalliet, P., Slachmuylder, J.-L., & Razavi, D. (2006). Factors that influence cancer patients’ anxiety following a medical consultation: Impact of a communication skills training programme for physicians. Annals of Oncology, 17, 1450-1458. doi: 10.1093/annonc/mdl142
Linden, W., Vodermaier, A., MacKenzie, R., & Greig, D. (2012). Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age. Journal of Affective Disorders, 141, 343-351. doi: 10.1016/j.jad.2012.03.025
Liu, L., Yang, Y., Wang, Z., Wu, H., Wang, Y., & Wang, L. (2015). Prevalence and positive correlates of posttraumatic stress disorder symptoms among Chinese patients with hematological malignancies: A cross-sectional study. PLOS ONE, 10(12), 1-15. doi: 10.1371/journal.pone.0145103
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33, 335-342.
Matloob Ahmed Khan, & Muzamil Ahmad. (2014). Gender differences in stress and social support among Kashmiri cancer patients. Indian Journal of Positive Psychology, 5(4), 484-487.
Merckaert, I., Libert, Y., Messin, S., Milani, M., Slachmuylder, J. L., & Razavi, D. (2010). Cancer patients’ desire for psychological support: Prevalence and implications for screening patients’ psychological needs. Psycho-Oncology, 19, 141-149. doi: 10.1002/pon.1568
Ministry of Health Malaysia. (2015). Health Facts 2015. Retrieved from http://www.moh.gov.my/index.php/file_manager/dl_item/554756755a584a6961585268626939515a57356c636d4a706447467549465630595731684c305a68613352684947746c63326c
Moe, K. (2012). Factors influencing women’s psychological well-being within a positive functioning framework. (Doctoral dissertation). Retrieve from http://uknowledge.uky.edu/edp_etds/3
National Comprehensive Cancer Network. (1999). NCCN practice guidelines for the management of psychosocial distress. Oncology (Huntingt), 13, 113-147.
Nauman A Jadoon, Waqar Munir, Mohammad A Shahzad, & Zeshan S Choudhry (2010). Assessment of depression and anxiety in adult cancer outpatients: a cross-sectional study. BMC Cancer, 10(594), 1-7. Retrieved from http://www.biomedcentral.com/1471-2407/10/594
Nur Azma Amin, Rusli Nordin, Quek, K. F., & Rahim Mohd. Noah. (2014). Psychometric properties of the Malay version of the Depression Anxiety Stress Scale-21 (M-DASS21) among nurses in public hospitals in the Klang Valley. International Journal of Collaborative Research on Internal Medicine & Public Health, 6(5), 109-120.
O’Connor, M., White, K., Kristjanson, L. J., Cousins, K., & Wilkes, L. (2010). The prevalence of anxiety and depression in palliative care patients with cancer in Western Australia and New South Wales. Medical Journal of Australia, 193(5), S44-S47.
Ramli Musa, Mohd Ariff Fadzil, & Zaini Zain. (2007). Translation, validation and psychometric properties of Bahasa Malaysia version of the Depression Anxiety and Stress Scales (DASS). ASEAN Journal of Psychiatry, 8(2), 82-89.
Richardson, A. E., Morton, R. P., & Broadbent, E. (2016). Coping strategies predict post-traumatic stress in patients with head and neck cancer. European Archives of Otorhinolaryngoly, 2(1), 1-7. doi: 10.1007/s00405-016-3960-2
Ruhlmann, C. H., Iversen, T. Z., Okera, M., Muhic, A., Kristensen, G., Feyer, P., Hansen, O., & Herrstedt, J. (2015). Multinational study exploring patients’ perceptions of side-effects induced by chemo-radiotherapy. Radiotherapy and Oncology, 117, 333-337. doi: dx.doi.org/10.1016/j.radonc.2015.09.014
Sehlen, S., Hollenhorst, H., Schymura, B., Herschbach, P., Aydemir, U., Firsching, M., & Du?hmke, E. (2003). Psychosocial stress in cancer patients during and after radiotherapy. Strahlenther Onkol, 3, 175-180. doi: 10.1007/s00066-003-1018-z
Sprod, L. K., Fernandez, I. D., Janelsins, M. C., Peppone, L. J., Atkins, J. N., Giguere, J., Block, R., & Mustian, K. M. (2015). Effects of yoga on cancer-related fatigue and global side-effect burden in older cancer survivors. Journal of Geriatric Oncology, 6, 8-14. doi: dx.doi.org/10.1016/j.jgo.2014.09.184
Thekdi, S. M, Milbury, K., Spelman, A., Wei, Q., Wood, C., Matin, S. F., Tannir, N., Jonasch, E., Pisters, L., & Cohen, L. (2011). Posttraumatic stress and depressive symptoms in renal cell carcinoma: association with quality of life and utility of single-item distress screening. Psycho-Oncology, 24, 1477-1484. doi: 10.1002/pon.3758
Vodermaier, A., Linden, W., MacKenzie, R., Greig, D., & Marshall, C. (2011). Disease stage predicts post-diagnosis anxiety and depression only in some types of cancer. British Journal of Cancer, 105, 1814-1817. doi: 10.1038/bjc.2011.503
Wang, K., Liu, X., & Wang, L. (2014). Age and gender differences in the association between serious psychological distress and cancer: Findings from the 2003, 2005, and 2007 Health Information National Trends Surveys (HINTS). American Journals of Cancer Science, 3(1), 54-66. Retrieved from http://ivyunion.org/index.php/ajcs/
Weissman, M., Bland, R., Joyce, P., Newman, S., Wells, J., & Wittchen, H. (1993). Sex differences in rates of depression: Cross-national perspectives. Journal of Affect Disorder, 29, 77– 84.
World Health Organization. (2014). Integrating the response to mental disorders and other chronic diseases in health care systems. Retrieved from http://apps.who.int/iris/bitstream/10665/112830/1/9789241506793_eng.pdf
Yasmin Nilofer Farooqi, & Sidra Ahsan. (2009). Gender differences in anxiety and depression among Pakistani cancer patients. Journal of the Research Society of Pakistan, 46(2), 1-5.
Zhao, L., Li, X., Zhang, Z., Song, C., Guo, C., Zhang, Y., Zhang, Y., Li, L., Lu, G., Zheng, G., Wang, K., Pei, W., & Han, L. (2014). Prevalence, correlates and recognition of depression in Chinese inpatients with cancer. General Hospital Psychiatry, 36, 477-482. doi: http://dx.doi.org/10.1016/j.genhosppsych.2014.05.005
Wong, W. H., Noah, S. M., & Asmah Ismail. (2017). Psychological Wellbeing and Mental Health Screening among Cancer Patients. International Journal of Academic Research in Business and Social Sciences, 7(14), 314-324.
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