2060P - Prevalence and predictor of poor mental adjustment to cancer before lung cancer surgery

Background

The aim of the study is to identify the prevalence and predictors of mental adjustment to cancer in patients who were going to resect lung for non-small cell lung cancer in Korea.

Methods

A total of 697 patients were recruited from September 2021 to October 2022 and completed a survey questionnaire of the Korean version of Mini-Mental Adjustment to Cancer (K-Mini-MAC) which higher mean score denote worse mental adjustment, except for positive attitude (PA) domain. Multivariable logistic regression was analyzed to determine potential predictors of poor adjustment to cancer for each domain of K-mini-MAC, which was defined by the mean score of 2.5 or higher, while PA domain was defined by mean score of 2.5 or lower.

Results

The mean age of study population was 63.2 ± 0.4 years old and 50.4% was male. The proportion of poor mental adjustment was 6.0% (Helpless/Hopeless [HH] domain), 29.6% (Anxious Preoccupation [AP] domain), 19.1% (PA domain), and 30.1% (Cognitive Avoidance [CA] domain). The mean score of each domain was 1.60 ± 0.02 (HH), 2.17 ± 0.02 (AP), 2.83 ± 0.02 (PA), and 2.62 ± 0.02 (CA). Younger age (<65 years old, aOR 1.78, 95% CI 1.15-2.76) and having comorbidity (aOR 1.64, 95% CI 1.09-2.45) were associated with poor mental adjustment in AP domain, while current alcohol drinking was associated with better mental adjustment in AP domain (aOR 0.56, 95% CI 0.32-0.96, vs. non-alcohol drinker). Poor mental adjustment in PA domain was predicted based on Lower education level (≤ middle school, aOR 1.97, 95% CI 1.12-3.46; high school, aOR 2.31, 95% CI 1.23-4.36, vs. ≥ university). There was no significant predictor for mental adjustment in HH and CA domain.

Conclusions

Younger, non-alcohol drinker, having comorbidity and lower educational level was associated with a poor adjustment to cancer. Interventions to help with adjustment to cancer should be focused particularly on these group.

Clinical trial identification

Editorial acknowledgement

Legal entity responsible for the study

The authors.

Funding

This research was supported by a grant from the National Research Foundation of Korea (NRF) funded by the Korean government (Grant Number: MSIT; 2019R1A2C2009751).

Disclosure

All authors have declared no conflicts of interest.