Anticipatory nausea and emesis, and psychological morbidity: assessment of prevalence among out-patients on mild to moderate chemotherapy regimens
1992

Nausea and Psychological Effects in Chemotherapy Patients

Sample size: 95 publication Evidence: moderate

Author Information

Author(s): M. Watson, J. McCarron, M. Law

Primary Institution: Royal Marsden Hospital

Hypothesis

What is the prevalence of anticipatory nausea and emesis among out-patients on mild to moderate chemotherapy regimens?

Conclusion

The study found that 23% of patients experienced anticipatory nausea, which was linked to younger age and the emetic challenge of chemotherapy.

Supporting Evidence

  • 73% of patients experienced post-treatment nausea during preceding cycles.
  • 20% of all patients surveyed experienced anticipatory nausea before at least half of their preceding infusions.
  • Anxiety levels were significantly higher in patients experiencing anticipatory symptoms.

Takeaway

Some cancer patients feel sick before their treatment even starts, and this can be linked to their age and how strong their medicine is.

Methodology

Patients completed an evaluation of nausea and emesis using the Morrow Assessment of Nausea and Emesis and the Hospital Anxiety and Depression scale.

Potential Biases

Potential pre-existing differences between groups may influence results.

Limitations

The study did not evaluate the role of anxiety in the aetiology of anticipatory nausea and emesis.

Participant Demographics

Mean age was 50 years, with a 2:1 female to male ratio.

Statistical Information

P-Value

0.003

Statistical Significance

p<0.05

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication