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Demoralization and Its Association with Quality of Life, Sleep Quality, Spiritual Interests, and Suicide Risk in Breast Cancer Inpatients: A Cross-Sectional Study

Author

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  • Ting-Gang Chang

    (Department of Psychiatry, Taichung Veterans General Hospital, Taichung 407612, Taiwan
    School of Psychology, Chung Shan Medical University, Taichung 40201, Taiwan
    School of Medicine, College of Medicine, National Yung Ming Chiao Tung University, Taipei 11221, Taiwan
    Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung 40227, Taiwan)

  • Chih-Chiang Hung

    (Division of Breast Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung 407612, Taiwan
    Department of Applied Cosmetology, College of Human Science and Social Innovation, Hungkuang University, Taichung 433304, Taiwan)

  • Pei-Ching Huang

    (Cancer Prevention and Control Center, Taichung Veterans General Hospital, Taichung 407612, Taiwan)

  • Chiann-Yi Hsu

    (Biostatistics Task Force, Taichung Veterans General Hospital, Taichung 407612, Taiwan)

  • Ting-Ting Yen

    (School of Medicine, College of Medicine, National Yung Ming Chiao Tung University, Taipei 11221, Taiwan
    Department of Otorhinolaryngology, Taichung Veterans General Hospital, Taichung 407612, Taiwan)

Abstract

With decreasing mortality, the quality of life, spiritual needs, and mental health of breast cancer patients have become increasingly important. Demoralization is a poor prognostic factor for cancer patients. The extent of demoralization in breast cancer patients and its association with these factors remains unclear. This cross-sectional study was conducted at a Taiwanese medical center. We enrolled 121 participants (34 with high demoralization and 87 with low demoralization, as per the Mandarin Version of Demoralization Scale). High demoralization was associated with reduced quality of life, sleep quality, and spiritual interests. Multivariate analyses revealed that the scores of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire ≥ 62.5 (OR = 0.21, p = 0.002) and Spiritual Interests Related to Illness Tool Chinese Version ≥ 3.66 (OR = 0.11, p < 0.001) were associated with low demoralization. Demoralized patients with depression had a poorer quality of life and sleep quality. Although not statistically significant, depressed and demoralized participants were at a higher risk of suicide. Cancer patients with both depression and demoralization had the worst prognosis. Breast cancer patients exhibited demoralization when they had unmet bio-psycho-social-spiritual needs. An early assessment of demoralization may improve holistic healthcare for breast cancer patients.

Suggested Citation

  • Ting-Gang Chang & Chih-Chiang Hung & Pei-Ching Huang & Chiann-Yi Hsu & Ting-Ting Yen, 2022. "Demoralization and Its Association with Quality of Life, Sleep Quality, Spiritual Interests, and Suicide Risk in Breast Cancer Inpatients: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(19), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12815-:d:935005
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    Cited by:

    1. Irene Pinucci & Annalisa Maraone & Lorenzo Tarsitani & Massimo Pasquini, 2023. "Insomnia among Cancer Patients in the Real World: Optimising Treatments and Tailored Therapies," IJERPH, MDPI, vol. 20(5), pages 1-12, February.

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