The psychosocial role for nurses responding to depression among cancer patients during palliative treatment
Keywords:
Cancer, Depression, Palliative Care, Psychosocial NursingAbstract
Depressive disorder (or depression) is a common psychiatric condition characterized by a persistent despondent mood and a prolonged loss of pleasure or interest in daily activities. This condition may lead to self-harm or suicide. Depression is frequently found among patients diagnosed with cancer, which is a chronic disease requiring long-term treatment. It has been reported that more than 50% of cancer patients experience symptoms of depression. Therefore, cancer patients undergoing palliative treatment should receive systematic assessments to identify depression risk factors, severity levels and be evaluated if their condition may result in self-harm.
Caring for cancer patients with depression presents a significant challenge for nurses, particularly in the context of palliative care, where patients experience complex health conditions affecting their physical, psychological and social dimensions. Key psychosocial roles for nurses include providing education and counseling, conducting psychotherapy through therapeutic relationships and therapeutic communication, managing the patient’s environment to reduce anxiety, and empowering patients while promoting self-care abilities to prevent the patient’s condition from becoming more severe. These interventions require the appropriate application of psychological theories tailored to the individual needs of each patient. This situation reflects a significant opportunity to develop the competencies of nurses by equipping them with specialized knowledge and expertise, particularly in psychosocial nursing. These applications will enable nurses to effectively respond to the complex needs of patients and adapt to future changes in the healthcare system.
References
World Health Organization. Depression [Internet]. Geneva: World Health Organization; 2025 [accessed Sep 11, 2025]. Available from: https://www.who.int/news-room/fact-sheets/detail/depression
Irwin MR. Depression and insomnia in cancer: prevalence, risk factors, and effects on cancer outcomes. Curr Psychiatry Rep. 2013; 15: 1–13.
Tadsaneesuwan S, Nilmanat K. Psychological Distress in Patient with Cancer Undergoing Chemotherapy and Nursing Care. Songklanagarind J Nurs. 2019; 39: 110–9. (in Thai)
Charassang N, Mongkolthawornchai S, Butakhiew P, Boonchan S, Hanlakorn P, Arunpongpaisal S. Depression in chronic illnesses at the OPD section in Srinagarind hospital, Faculty of medicine, Khon Kaen University . J Psychiatr Assoc Thailand. 2012; 57: 439–46. (in Thai)
Department of medical services, Ministry of public health. Palliative and end-of-life care manual (for health professionals). Bangkok: The veterans organization printing office; 2020. (in Thai)
Fungfuang S, Fungfuang Y, Boonpradit O. Screening and primary care for depression among borderland soldiers. QLLJ. 2023; 19: 68–82. (in Thai)
Champawan T. Psychological theories of depression. Journal of Buddhist Psychology. 2017; 2: 1–11. (in Thai)
National Institute of Mental Health. Major depression [Internet]. Bethesda (MD): National Institute of Mental Health; 2025 [accessed Sep 12, 2025]. Available from: https://www.nimh.nih.gov/health/statistics/major-depression
Picco L, Subramaniam M, Abdin E, Vaingankar JA, Chong SA. Depression and its correlates in the general population of Singapore. Singapore Med J. 2017; 58: 649–55.
Phusomsri P. Major depressive disorder, serious health issue closes to us. EAU Heritage Journal Science and Technology. 2020; 14: 51–8. (in Thai)
Kongsuk T, Arunpongpaisal S, Chanthong S, Phrukkanon B, Sukhawaha S, Leejongpermpoon J. Criterion-Related Validity of the 9 Questions Depression Rating Scale revised for Thai Central Dialect. J Psychiatr Assoc Thailand. 2018; 63: 321–34. (in Thai)
Tolentino JC, Schmidt SL. DSM-5 criteria and depression severity: implications for clinical practice. Front Psychiatry. 2018; 9: 1–9.
Phumpuang W, editor. Psychiatric nursing practice. 1st ed. Bangkok: Run To Vision Co., Ltd.; 2022. p. 43–65. (in Thai)
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington (DC): American Psychiatric Association; 2013.
Chanaphan N. Patients with Major Depressive Disorder: Nurses’ Role in Promoting for Patients’ Self-Care. JNSCU. 2020; 32: 75–88. (in Thai)
de Souza BF, de Moraes JA, Inocenti A, dos Santos MA, Silva AE, Miasso AI. Women with breast cancer taking chemotherapy: depression symptoms and treatment adherence. Rev Lat Am Enfermagem. 2014; 22: 866–73.
Intapun M, Upasen R. The effect of family-based interpersonal psychotherapy on depression in patients with major depressive disorder. J Royal Thai Army Nurses. 2018; 19: 175–83. (in Thai)
Choengtawee P, Sirilertrakoon S. Factors Related to Depressive Episode among the Colorectal Cancer Patients Receiving Chemotherapy: A Case Study at Oncology Unit, Ramathibodi Hospital. Srinagarind Med J. 2017; 32: 63–70. (in Thai)
Grassi L, Caruso R, Hammelef K, Nanni MG, Riba M. Anxiety and depression in adult cancer patients: ESMO clinical practice guideline. ESMO Open. 2023; 8: 1–14.
Smith HR. Depression in cancer patients: pathogenesis, implications and treatment. Oncol Lett. 2015; 9: 1509–14.
Khamanek S, Ruenphet K, Hiranwichayakul A, Makeh A, Saelim P. Nurses’ Roles in Caring for People Experiencing Depression After COVID-19 Infection. Journal of Nursing and Health Care. 2022; 40: 1–9. (in Thai)
Charoensuk S. Concepts and theories in psychiatric and mental health nursing. In: Satyatham C, et al., editors. Psychiatric and mental health nursing. 4th ed. Vol. 1. Bangkok: Thana Place Co., Ltd.; 2022. p. 90–113. (in Thai)
Thumnan J. effects of Self-Reported Monitoring Depression of People in Community at Trakan Phuet Phon District, Ubon Ratchathani Province. Regional Health Promotion Center 9 Journal. 2022; 16: 659–72. (in Thai)
Wang YP, Gorenstein C. Assessment of depression in medical patients: a systematic review of the utility of the Beck Depression Inventory-II. Clinics. 2013; 68: 1274–87.
Pia-yu N. Palliative nursing care of lung cancer patient in the final stage: Home visit case study. SHJ. 2019; 28: 105–17. (in Thai)
Nantsupawat A, Nantsupawat R, Kunaviktikul W, Turale S, Poghosyan L. Nurse burnout, nurse-reported quality of care, and patient outcomes. hospitals. J Nurs Scholarsh. 2016; 48: 83–90. (in Thai)
Lyu XC, Jiang HJ, Lee LH, Yang CI, Sun XY. Oncology nurses’ experiences of providing emotional support for cancer patients: a qualitative study. BMC Nurs. 2024; 23: 58.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Burapha University

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.