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A Correlational Study among Perceived Stress, Anger Expression, and Depression in Cancer Patients
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Pyong Sook Lee, Jung Nam Sohn, Yong Mi Lee, Eun Young Park, Ji Sun Park
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Journal of Korean Academy of Nursing 2005;35(1):195-205. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2005.35.1.195
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 Abstract
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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.
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Citations
Citations to this article as recorded by  - Effects of Urban Forest Therapy on Depression, Anxiety, and Sleep Quality in People Experiencing Cancer
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