| Titre : | Depression, hopelessness, and Desire for hastened death in terminally ill patients with cancer. (2000) |
| Auteurs : | William BREITBART ; Robert BRESCIA ; Julie FUNESTI-ESCH ; Michele GALIETTA ; Monique KAIM ; Christian-J NELSON ; Hayley PESSIN ; Barry ROSENFELD ; Department of Psychiatry and Behavioral Sciences. Memorial Sloan-Kettering Cancer Center. New York. NY. USA ; Department of Psychology. Fordham University. Bronx. NY. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 284, n° 22, 2000) |
| Pagination : | 2907-2911 |
| Langues: | Anglais |
| Mots-clés : | Cancer ; Etats Unis ; Amérique ; Désir ; Mort ; Prévalence ; Epidémiologie ; Etat dépressif ; Adulte ; Homme ; Soins palliatifs ; Trouble humeur ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST BY4KWR0x. Diffusion soumise à autorisation]. Context Understanding why some terminally ill patients desire a hastened death has become an important issue in palliative care and the debate regarding legalization of assisted suicide. Objectives To assess the prevalence of desire for hastened death among terminally ill cancer patients and to identify factors corresponding to desire for hastened death. Design Prospective survey conducted in a 200-bed palliative care hospital in New York, NY. Patients Ninety-two terminally ill cancer patients (60% female ; 70% white ; mean age, 65.9 years) admitted between June 1998 and January 1999 for end-of-life care who passed a cognitive screening test and provided sufficient data to permit analysis. Main Outcome Measure Scores on the Schedule of Attitudes Toward Hastened Death (SAHD), a self-report measure assessing desire for hastened death among individuals with life-threatening medical illness. Results Sixteen patients (17%) were classified as having a high desire for hastened death based on the SAHD and 15 (16%) of 89 patients met criteria for a current major depressive episode. Desire for hastened death was significantly associated with a clinical diagnosis of depression (P=001) as well as with measures of depressive symptom severity (P<. 001) and hopelessness (P<. 001). In multivariate analyses, depression (P=003) and hopelessness (P<. (...) |
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