A Correlational Study among Perceived Stress, Anger Expression, and Depression in Cancer Patients.
10.4040/jkan.2005.35.1.195
- Author:
Pyong Sook LEE
1
;
Jung Nam SOHN
;
Yong Mi LEE
;
Eun Young PARK
;
Ji Sun PARK
Author Information
1. Korea University College of Nursing, Korea. pslee@korea.ac.kr
- Publication Type:Original Article ; English Abstract
- Keywords:
Stress;
Anger;
Depression;
Cancer patient
- MeSH:
*Stress, Psychological;
Neoplasms/*psychology;
Middle Aged;
Male;
Humans;
Female;
Depression/*etiology/psychology;
*Anger;
Aged, 80 and over;
Aged;
Adult
- From:
Journal of Korean Academy of Nursing
2005;35(1):195-205
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was to identify the relationship between perceived stress, anger expression, and level of depression in cancer patients. METHOD: A cross-sectional descriptive study design was used. Data was collected by questionnaires from 185 in- and out-patients who were diagnosed with cancer at 3 university hospitals and the National Cancer Center using Spielberger et al.'s Anger Expression Scale, Cohen, Kamarch & Mermelstein's Perceived Stress, and Derogatise's SCL-90. The data was analyzed using descriptive statistics, Pearson correlation coefficient, and stepwise multiple regression with SAS/PC. RESULT: The perceived stress in cancer patients indicated a significant positive correlation to anger-in(r=.288, p=.000), anger-out(r=.232, p=.001), and depression(r=.68, p=.000), but no significant correlation to anger-control. The anger-in of cancer patients showed a significant positive relationship to anger-out(r=.53, p=.000), and depression(r=.383, p=.000), but no significant correlation to anger-control. Anger-out showed a significantly negative correlation to anger-control(r=-.248, p=.001) and a positive correlation to depression(r=.240, p=.001). The most significant predictor which influenced depression in cancer patients was perceived stress, followed by anger-in and hobby, and these factors explained their depression with a variance of 54%. CONCLUSION: These results suggested that cancer patients with a high degree of perceived stress are likely to be high in anger-out and anger-in. Perceived stress and anger-in are major factors which affect depression in cancer patients.