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Background <p>There has been increasing attention on negative emotions in advanced cancer patients. The correlative factors of negative emotions (anger/agitation) and the role of spousal care in older adults with advanced cancer remain limited.</p> Methods <p>This study was based on large cross-sectional sample data; a total of 117,396 individuals were included, who were conscious, cognitively intact home-dwelling older adults. Multivariable logistic regression analyses were conducted on the correlative factors of anger/agitation and the correlation between anger/agitation and spousal care.</p> Results <p>Among home-dwelling older adults with advanced cancer, 8.3% reported more feelings of anger/agitation in the past week, which was significantly lower than the results previously reported for other negative emotions (depression and anxiety). It was found that significant positive correlates of anger/agitation in older adults with advanced cancer included education level, receiving formal care, and the number of chronic diseases. Significant negative correlates included advanced age (≥ 80&#xa0;years), 1–12 outpatient visits, and 1–6 inpatient services in the past year. Emotional expressions among cancer patients may differ markedly between cultural contexts. Spousal care played a positive role in providing emotional support to older adults with advanced cancer and chronic diseases.</p> Conclusions <p>Older adults with higher education levels were more likely to experience anger/agitation; it is suggested that strategies are tailored to educational levels. Home-dwelling older adults had a reduced likelihood of experiencing anger/agitation. At the end-of-life stage, those who received spousal care, the likelihood of experiencing anger/agitation in both the advanced cancer group and the chronic diseases group was found to be significantly reduced. It was recommended to focus on socioeconomic disparities among older adults with advanced cancer in end-of-life care and to improve home-based palliative care. There is a need to consider the specific type of emotions under different cultural surroundings. Culturally adapted hierarchical strategies are critical for China’s aging cancer population on government, community, and technological levels.</p>

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The correlation between anger/agitation and other factors including spousal care in home-dwelling older adults with advanced cancer

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月16日

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  • Changying Wang,
  • Jin Wang,
  • Yunwei Zhang,
  • Yi Wang,
  • Ya Yang,
  • Hansheng Ding

摘要

Background

There has been increasing attention on negative emotions in advanced cancer patients. The correlative factors of negative emotions (anger/agitation) and the role of spousal care in older adults with advanced cancer remain limited.

Methods

This study was based on large cross-sectional sample data; a total of 117,396 individuals were included, who were conscious, cognitively intact home-dwelling older adults. Multivariable logistic regression analyses were conducted on the correlative factors of anger/agitation and the correlation between anger/agitation and spousal care.

Results

Among home-dwelling older adults with advanced cancer, 8.3% reported more feelings of anger/agitation in the past week, which was significantly lower than the results previously reported for other negative emotions (depression and anxiety). It was found that significant positive correlates of anger/agitation in older adults with advanced cancer included education level, receiving formal care, and the number of chronic diseases. Significant negative correlates included advanced age (≥ 80 years), 1–12 outpatient visits, and 1–6 inpatient services in the past year. Emotional expressions among cancer patients may differ markedly between cultural contexts. Spousal care played a positive role in providing emotional support to older adults with advanced cancer and chronic diseases.

Conclusions

Older adults with higher education levels were more likely to experience anger/agitation; it is suggested that strategies are tailored to educational levels. Home-dwelling older adults had a reduced likelihood of experiencing anger/agitation. At the end-of-life stage, those who received spousal care, the likelihood of experiencing anger/agitation in both the advanced cancer group and the chronic diseases group was found to be significantly reduced. It was recommended to focus on socioeconomic disparities among older adults with advanced cancer in end-of-life care and to improve home-based palliative care. There is a need to consider the specific type of emotions under different cultural surroundings. Culturally adapted hierarchical strategies are critical for China’s aging cancer population on government, community, and technological levels.