TY  - JOUR
TI  - Role of Emotion Regulation and Fear of  Compassion on Depression and Anxiety in Patients with Colorectal Cancer
AB  - Objective: Maladaptive emotion regulation (ER) styles act as transdiagnostic mechanisms  that underlie many psychiatric symptoms linked to cancer. ER and fear of compassion (FC)  were studied in breast cancer, but their effects on psychiatric symptoms of colorectal cancer  (CRC) patients are not studied. We aim to examine the role of ER and FC on depression  and anxiety in Turkish CRC patients. Methods: This observational, cross-sectional study recruited 38 patients with CRC who  were being followed up by the general surgery department of a university hospital. Emo tion Regulation Questionnaire, Fear of Compassion Scale, the Exercise of Self-care Agency  Scale, Hospital Anxiety and Depression Scale, Distress Thermometer, Numeric Pain Intensi ty Scale, and Ostomy Adjustment Inventory were applied. Multiple regression analyses were  performed to identify factors affecting depression and anxiety levels. Results: Twenty-nine men and 9 women (median age=56.5, 28–69), most of whom were  married and highly educated, were recruited. Expressive suppression (p=0.013) and pain  (p=0.010) positively (Model, R2 =0.42, p<0.001) and self-care agency (p=0.021) negatively  influenced anxiety levels. Expressive suppression (p=0.017) and male gender (p=0.020) pos itively influenced depression levels (Model, R2 =0.28, p=0.003). There was no association be tween cognitive reappraisal and levels of depression and anxiety. Among ostomates (n=17),  11 patients had low and 6 patients had medium adaptation to an active ostomy. No patient  exhibited high adjustment to an ostomy. Conclusion: Findings indicate that in CRC patients, expressive suppression affects levels  of anxiety and depression while cognitive reappraisal does not. FC was not found to be  related to anxiety and depression. Physicians should carefully observe the patients’ and the  caregivers’ ER strategies and the dynamic and interactive psychological states to understand  which patients need psychological and psychiatric interventions. We suggest future studies  explore the interventions that target expressive suppression patterns to prevent anxiety and  depression in CRC patients.
AU  - BALIK, Emre
AU  - Dikmen, Yasemin
AU  - kuscu, kemal
AU  - Tüfekçi, Tutku
AU  - Kilic, Ozge
AU  - AGCAOGLU, ORHAN
AU  - Yalçınay-inan, merve
AU  - Özata, İbrahim Halil
DO  - 10.14744/scie.2022.69926
PY  - 2022
JO  - Southern Clinics of Istanbul Eurasia
VL  - 33
IS  - 3
SN  - 2587-0998
SP  - 245
EP  - 252
DB  - TRDizin
UR  - http://search/yayin/detay/1134946
ER  -