Anxiety, grief, and mood swings were the psychological distress categories with the highest scores, each reported with a high distress level by about a fifth of the sample.
Although a close collaboration between oncologists and mental health professionals is most important and desirable, patients reporting a high distress level are not necessarily referred to psychosocial service.
Approached patients vulnerable to short-term high distress were younger, single, less optimistic, experienced little social support, used an avoiding coping style and displayed a lower quality of life and higher distress level before approach for genetic counseling.
Further interrogation of some patients who had reported an extraordinarily high distress level resulted in the knowledge that their distress originated from a totally different source than their disease.
It is possible that those with missing values had a higher distress level compared to those who completed the questionnaire, therefore biasing the result towards a lower K10 score at 12 months.
There is also evidence that a high distress level correlates with a number of negative outcomes like decreased medical adherence, greater desire for death, increased morbidity and length of hospital stays [ 8– 14].
Individual coping strategies and significant life events like death or marriage can all lead to higher distress levels, but some of the sources of distress among current residents may also be related to larger societal shifts.
Each group reported roughly the same number of stressful events, but the PNES group reported much higher distress levels than the other two groups.
While that was well-intentioned, what it has done is prolong the high distress levels in those states.
Millions of people experience higher distress levels of this, which elicits a real anxiety disorder known as toilet phobia.
