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Identify Psychological Distress among Cancer Patients: A Study at Kilimanjaro Christian Medical Center (KCMC) in Moshi Municipality, Kilimanjaro Tanzania

DOI: 10.4236/ojmp.2023.124011, PP. 173-191

Keywords: Cancer, Psychological Distress

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Introduction: The major objective of this study was to identify the Psychological Distress among Cancer Patients at KCMC in Moshi Municipality, Kilimanjaro Tanzania. The specific objectives were to identify the psychological distress among cancer patients at KCMC, and to explore relationship between demographic characteristics of cancer patients and psychological distress. Methodology: The study used a sample of 175 respondents. The study was cross-sectional design, a quantitative approach. The data gathered for the study were analyzed using quantitative data analyzing software SPSS version 20 and were visually presented using descriptive statistics such as frequency distribution of tables, and figures. Result: The findings of the study showed that majority of the respondents (cancer patients) 105 (60.0%) were experiencing psychological distress among the cancer patients. The cancer patients who are divorced and widow them experience anxiety (p-value 0.01) significant. Those who were low in education were significantly affected with (p-value 0.03) anxiety and (p-value 0.01) depression. The variable in economic; the less satisfaction were significantly (p-value 0.01) were experience adjustment disorder. Conclusion and Recommendation: The study recommends that it is important to involve psychologists in the treatment team among the cancer patients to address psychological distresses they experience. Also Oncology Department should develop interest of doing research on psychological distress management because study showed 60% cancer patients suffer with psychological distress.


[1]  Siegel, R., Naishadhan, D. and Jemal, A. (2013) Cancer Statistics, 2013. CA: A Cancer Journal for Clinicians, 63, 11-30.
[2]  WHO: World Health Organization (2014) Comprehensive Cervical Cancer Control: A Guide to Essential Practice. Geneva.
[3]  Sharma, R., Aashima, Nanda, M., Fronterre, C., Sewagudele, P., Ssentongo, A., Yenney, K., Arhin, N.D. and Oh, J. (2020) Mapping Cancer in Africa: A Comprehansive and Comparable Characterization of 34 Cancer Type Using Estimates from GLOBACON 2020. Frontiers in Public Health, 10, Article 839835.
[4]  Ngwa, W. and Marlink, R. (2023) Time to Step up and Fight Cancer in Africa. Rutgers University, Botswana.
[5]  Hamdi, Y., Abdeljaoned-Tej, I., Zatchi, A., Abdelhak, S., Boulbaker, S., Brown, J.S. and Benkahla, A. (2021) Cancer in Africa: The Untold Story. Frontiers in Oncology, 11, Article 650117.
[6]  Boyle, P. and Levin, B. (2008) World Cancer Report. International Agency for Research on Cancer (IARC), Geneva.
[7]  Ferlay, J., Soerjomatanam, I., Dikshit, R., Eser, S., Mathers, C., Rebelo, M., Parkin, D.M., Forman, D. and Bray, F. (2012) Cancer Incidence, Mortality and Prevalence Worldwide. International Journal of Cancer, 136, E359-E386.
[8]  Komen, S.G. (2017) Tanzania Breast Health Care Assessment: An Assessement of Breast Cancer Early Detection, Diagnosis and Treatment in Tanzania. Breast Cancer Foundation. GLOBOCAN 2012. International Agency for Research on Cancer.
[9]  Zabora, J., Brintzenhofeszoc, K., Curbow, B., Hooker, C. and Piantadosis, S. (2001) The Prevalence of Psychological Distress by Cancer Site. Psycho-Oncology, 10, 19-28.<19::AID-PON501>3.0.CO;2-6
[10]  Sullivan, W.C. and Chang, C. (2011) Mental Health and the Build Environment. In: Dannenberg, A.L., Frumkin, H. and Jackson, R.J., Eds., Making Healthy Places, Island Press, Washington DC, 106-116.
[11]  Ridner, S.H. (2004) Psychological Distress: Concept Analysis. Journal of Clinical Nursing, 45, 536-545.
[12]  Gundelach, A. and Henry, B. (2016) Cancer-Related Psychological Distress: A Concept Analysis. Clinical Journal of Oncology Nursing, 20, 630-634.
[13]  Srikanthan, A., Leung, B., Shokooki, A., Smrke, A., Bates, A. and Ho, C. (2019) Psychosocial Distress Score and Needs among Newly Diagnosed Sarcoma Patients: A Provincial Experience. Sarcoma, 2019, Article ID: 5302639.
[14]  Akter, J., Khan, J.G., Khan, M.H. and Hossain, M.Z. (2015) Psychological Distress in Cancer Patients with Underage Children. Journal of Dhaka Medical College, 24, 146-151.
[15]  Gao, W., Bennett, M., Stark, D. and Murray, S. (2010) Psychological Distress in Cancer from Survivorship to End of Life Care: Prevalence Associated Factors and Clinical Implication. Europe Journal of Cancer, 46, 2036-2044.
[16]  Kadan-Lottick, N.S., Vanderwerker, L.C., Block, S.D., Zhang, B. and Prigerson, H.G. (2005) Psychiatric Disorders and Mental Health Services use in Patients with Advanced Cancer. Journal of Cancer, 104, 2872-2881.
[17]  Stark, D.P.H. and House, A. (2000) Anxiety in Cancer Patients. British Journal of Cancer, 83, 1261-1267.
[18]  Bras, M. (2009) Antidepresive U lijecenjukronicreboli Onkologijiipalijativnojmedicini. Zegreb Medicinskanaklada, 7, 108-125.
[19]  Ryan, H., Schofield, P., Cockburn, J., Butow, P., Tattersak, M., Turner, J., Girgis, A., Bandaranayake, D. and Browman, D. (2005) How to Recognize and Manage Psychological Distress in Cancer Patients. European Journal of Cancer, 14, 7-15.
[20]  Ma, L., Poulin, P., Feldstain, A. and Chasen, M.R. (2013) The Association between Malnutrition and Psychological Disteress in Patients with Advanced Head-and-Neck Cancer. Current Oncology, 20, 554-560.
[21]  Ojewole, F.O., Madu, A.M. and Nwozichi, C.U. (2018) Association between Pyschological Distress and Unmet Information Needs among Female Cancer Patients in Two Selected Teaching Hospitals in South-West Nigeria. CHRSMED Journal of Health and Research, 5, 11-70.
[22]  Uwayezu, G.M., Gishoma, D., Sego, R., Mukeshimana, M. and Collin A. (2019) Anxiety and Depression among Cancer Patients: Prespective Association Factors at a Rwandan Referral Hospitals. Rwanda Journal of Medicine and Health Science, 2, 118-125.
[23]  Holland, J.C. and Alici, Y. (2010) Management of Distress in Cancer Patients. Journal of Support Oncology, 8, 4-12.
[24]  Gruneir, A., Smith, T.F., Hirdes, J. and Cameron, R. (2005) Depression in Patients Advanced Illness: An Examination of Ontario Complex Continuing Care Using Minimum Date Set 2.0. Palliate Supportive Care, 3, 99-105.
[25]  Hoffe, S. and Balducci, L. (2012) Cancer and Age: Geriatric Consideration. Journal of Clinical Geriatric Medicine, 28, 1-18.
[26]  Nuhu, F.T., Odejide, O.A., Adebayo, K.O. and Yusuf, A.J. (2009) Psychological and physical effects of pain on cancer patients in Ibadan, Nigeria. African Journal of Psychiatric, 10, 63-70.
[27]  Bryman, A. (2008) Social Research Methods. Oxford University Press, New York.
[28]  Tanzania (2013) 2012 Population and Housing Census: Population Distribution by Administrative Areas. URT-Population and Housing Census, Dar Es Salaam.
[29]  Beck, I.L., McKeown, M.G. and Kulan, L. (2015) Bringing Word to Life Robust Vocabulary Introction. Gulford Press, New York.
[30]  Kombo, D.K. and Tromp, D.L.A. (2006) Proposal and Thesis Writing: An Introduction. Publication of Africa, Nairobi.
[31]  Mlyuka, E.E. (2011) A Simplified Guide to Research Proposal and Report Writing for Institution of Higher Learning. Inter-Press of Tanzania Ltd, Dar Es Salaam.
[32]  Singh, H. and Banipal, R. (2017) Psychological Distress in Cancer Patient during Chemotherapy: A Cross-Sectional Study. Journal of Clinical Oncology, 34, 231-231.
[33]  Hong, J.F., Zhang, W., Song, Y.X., Xie, L.F. and Wang, W.L. (2015) Psychological Distress in Elder Cancer Patients. International Journal of Nursing Science, 2, 23-27.
[34]  Mason, A., Juyal, R., Shikha, D., Das, S.C., Saini, S. and Semwal, J. (2019) Prevalence an Correlates of Psychological Distress among Cancer Patients in a Tertiary Care Hospital in Northern India. International Journal of Community Medicine and Public Health, 6, 2223-2228.
[35]  Kamen, C., Mustian, K., Heckler, C. and Janelsins, M. (2015) Association between Partner Support and Psychological Distress among Prostate Cancer Survivors. Journal of Cancer Survivorship, 9, 492-499.
[36]  Massie, M.J. (2004) Prevalence of Depression in Patients with Cancer. JNCI Monographs, 2004, 57-71.
[37]  Brighi, N., Balducci, L. and Biasco, G. (2014) Cancer in Elderly: Is It Time for Paliative Care in Geriatric Oncology? Journal of Geriatric Oncology, 5, 197-203.


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