Psychological and symptom distress in terminal cancer patients with met and unmet needs

Gabriella Morasso, Marco Capelli, Paola Viterbori, Silvia Di Leo, Alessandra Alberisio, Massimo Costantini, Margherita Fiore, Denis Saccani, Gabriele Zeitler, Nilla Verzolatto, Walter Tirelli, Laura Lazzari, Manuela Partinico, Gianpiero Borzoni, Catia Savian, Enrico Obertino, Paola Zotti, Gian Paolo Ivaldi, Franco Henriquet

Research output: Contribution to journalArticle

81 Citations (Scopus)

Abstract

This study identified the needs of terminal cancer patients, investigated the factors associated with unmet needs, and assessed psychological and symptom distress associated with unsolved needs. Ninety- four patients were randomly selected from 324 patients admitted for palliative care in 13 Italian centers. Two self-administered questionnaires (the Symptom Distress Scale and the Psychological Distress Inventory) were administered to all the patients. Patients needs were identified using a semi-structured interview, aimed at exploring five areas: physiological needs, safety need, love and belonging needs, self-esteem needs, self- fulfillment needs. A content analysis of the answers defined 11 needs, and identified patients with unmet needs. The most frequent unmet needs were symptom control (62. 8%), occupational functioning (62.1%), and emotional support (51.7%). The less frequently reported needs were those related to personal care (14.6%), financial support (14.1%), and emotional closeness (13.8%). Low functional state was significantly associated with a high proportion of patients with unmet needs of personal care, information, communication, occupational functioning, and emotional closeness. Patients with unmet needs showed significantly higher psychological and symptom distress for most needs. This study provides some suggestions about the concerns that should be carefully considered during the late stage of cancer.

Original languageEnglish
Pages (from-to)402-409
Number of pages8
JournalJournal of Pain and Symptom Management
Volume17
Issue number6
DOIs
Publication statusPublished - Jun 1999

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Psychology
Neoplasms
Financial Support
Love
Palliative Care
Self Concept
Communication
Interviews
Safety
Equipment and Supplies

Keywords

  • Cancer
  • Needs
  • Psychological distress
  • Terminal care

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology
  • Neurology
  • Nursing(all)

Cite this

Psychological and symptom distress in terminal cancer patients with met and unmet needs. / Morasso, Gabriella; Capelli, Marco; Viterbori, Paola; Di Leo, Silvia; Alberisio, Alessandra; Costantini, Massimo; Fiore, Margherita; Saccani, Denis; Zeitler, Gabriele; Verzolatto, Nilla; Tirelli, Walter; Lazzari, Laura; Partinico, Manuela; Borzoni, Gianpiero; Savian, Catia; Obertino, Enrico; Zotti, Paola; Ivaldi, Gian Paolo; Henriquet, Franco.

In: Journal of Pain and Symptom Management, Vol. 17, No. 6, 06.1999, p. 402-409.

Research output: Contribution to journalArticle

Morasso, G, Capelli, M, Viterbori, P, Di Leo, S, Alberisio, A, Costantini, M, Fiore, M, Saccani, D, Zeitler, G, Verzolatto, N, Tirelli, W, Lazzari, L, Partinico, M, Borzoni, G, Savian, C, Obertino, E, Zotti, P, Ivaldi, GP & Henriquet, F 1999, 'Psychological and symptom distress in terminal cancer patients with met and unmet needs', Journal of Pain and Symptom Management, vol. 17, no. 6, pp. 402-409. https://doi.org/10.1016/S0885-3924(99)00034-2
Morasso, Gabriella ; Capelli, Marco ; Viterbori, Paola ; Di Leo, Silvia ; Alberisio, Alessandra ; Costantini, Massimo ; Fiore, Margherita ; Saccani, Denis ; Zeitler, Gabriele ; Verzolatto, Nilla ; Tirelli, Walter ; Lazzari, Laura ; Partinico, Manuela ; Borzoni, Gianpiero ; Savian, Catia ; Obertino, Enrico ; Zotti, Paola ; Ivaldi, Gian Paolo ; Henriquet, Franco. / Psychological and symptom distress in terminal cancer patients with met and unmet needs. In: Journal of Pain and Symptom Management. 1999 ; Vol. 17, No. 6. pp. 402-409.
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