Psychological Distress and Self-Esteem as Predictors of Quality of Life of Patients with Cancer in Benue -North -West Senatorial District, Nigeria

Akechi, T., Okuyama, T., Endo, C., Sagawa, R., Uchida, M., Nakaguchi, T., Sugawara, Y., Yamashita, H., Toyama, T., Furukawa, T. A., & Uchitomi, Y. (2012). Patient-perceived need for psychological support and its correlates among Japanese cancer patients. Japanese Journal of Clinical Oncology, 42(11), 1014–1021. https://doi.org/10.1093/jjco/hys130 American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.; DSM–5–TR). American Psychiatric Publishing. Beck, A. T., & Alford, B. A. (2009). Depression: Causes and treatment (2nd ed.). University of Pennsylvania Press. Ernst, J., Mehnert, A., Dietz, A., Hornemann, B., Esser, P., & Brähler, E. (2017). Perceived stigmatization and its impact on quality of life among cancer patients. Supportive Care in Cancer, 25(10), 3127–3135. https://doi.org/10.1007/s00520-017-3719-3 Hastert, T. A., Kyro, C., Bertram, C. C., et al. (2021). Social isolation, social support, and quality of life among cancer survivors. Cancer Epidemiology, Biomarkers & Prevention, 30(8), 1530–1538. https://doi.org/10.1158/1055-9965.EPI-21-0123 Getie, A., Ayalneh, M., & Bimerew, M. (2025). Global prevalence and determinant factors of pain, depression, and anxiety among cancer patients: An umbrella review of systematic reviews and meta-analyses. BMC Psychiatry, 25(1), 156. https://doi.org/10.1186/s12888-025-06599-5 Goldberg, D., & Williams, P. (1988). A user's guide to the General Health Questionnaire. NFER-Nelson. Jedy-Agba, E., Curado, M. P., Ogunbiyi, O., Oga, E., Fabowale, T., Igbinoba, F., Osubor, G., Otu, T., Kumai, H., Koechlin, A., & Adebamowo, C. (2024). Cancer incidence in Nigeria: Recent trends and implications for healthcare delivery. Cancer Epidemiology, 89, 102561. Khudoifah, U., Susanto, H., Amal, A. I., & Suyanto, S. (2025). Psychosocial aspects as determinants of cancer patients' quality of life: A literature review. Indonesian Journal of Global Health Research, 7(4), 6473–6484. Marzorati, C., Voskanyan, V., Sala, D., Grasso, R., Borgogni, F., Pietrobon, R., van der Heide, I., Bos, N., Caraceni, A., Ferrer, M., Groenvold, M., Kaasa, S., Lombardo, C., Vachon, H., Brunelli, C., & Pravettoni, G. (2025). Psychosocial factors associated with quality of life in cancer patients undergoing treatment: An umbrella review. Health and Quality of Life Outcomes, 23(1), 31. https://doi.org/10.1186/s12955-025- 02357-z Orth, U., & Robins, R. W. (2022). Self-esteem development from early adulthood to old age: A longitudinal perspective. Journal of Personality and Social Psychology, 122(6), 1045–1065 Papadopoulou, A., Govina, O., Tsatsou, I., Mantzorou, M., Mantoudi, A., Tsiou, C., & Adamakidou, T. (2022). Quality of life, distress, anxiety and depression of ambulatory cancer patients receiving chemotherapy. Medicine and Pharmacy Reports, 95(4), 418–429. https://doi.org/10.15386/mpr-2458 Robinson, E., Titler, M. G., & Shiao, P. (2017). Self-esteem and quality of life among cancer survivors: A review of the literature. European Journal of Oncology Nursing, 27, 1–8. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton University Press. Shafaee, M., Mirghafourvand, M., Hariri, F. Z., & Mohammad-Alizadeh-Charandabi, S. (2018). Self-esteem and quality of life in cancer patients: A correlational study. Supportive Care in Cancer, 26(10), 3461–3468. Stanton, A. L., Rowland, J. H., Ganz, P. A., & Meyerowitz, B. E. (2023). Psychological adjustment to cancer and cancer survivorship. Annual Review of Clinical Psychology, 19, 421–447. Tamura, S. (2021). Factors related to resilience, anxiety/depression, and quality of life in patients with colorectal cancer undergoing chemotherapy in Japan. Asia-Pacific Journal of Oncology Nursing, 8(4), 393–402. https://doi.org/10.4103/apjon.apjon- 2099 World Health Organization Quality of Life Group. (1995). The World Health Organization quality of life assessment : Position paper from the World Health Organization. Social Science & Medicine, 41(10), 1403–1409 Zhang, M. F., Wen, Y. S., Liu, W. Y., Peng, L. F., Wu, X. D., & Liu, Q. W. (2021). Effectiveness of cognitive behavioral therapy for improving quality of life in cancer patients: A systematic review and meta-analysis. Psycho-Oncology, 30(8), 1285– 1295.