A carregar...
Publicação
Depression and anxiety symptoms following cancer diagnosis: a cross-sectional study.
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 832.25 KB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
INTRODUCTION:
The aims of the present study were to assess demographic and clinical characteristics of patients after receiving a cancer diagnosis, and to determine possible risk factors for anxiety and depression.
METHODS:
All consecutive patients aged 18 or above, were assessed before starting intravenous chemotherapy for the first time with the Hospital Anxiety and Depression Scale (HADS), the Distress Thermometer, and a Visual Analog Scale for pain. Demographic and clinical data were also collected.
RESULTS:
The patients assessed (n = 270) had a mean age of 59.4 (SD = 11.8) years, and 50.7% were women. Tumours were more frequently colorectal (27.2%), lung (18.8%) and breast (17.6%), and 68.9% were stages 3 or 4. A HADS Anxiety score ≥8 was present in 30% of the patients, a Depression score ≥8 in 24.1%, and a Distress score ≥4 in 44.4%. Independent risk factors for HADS Depression score ≥8 were being a woman (OR = 2.45; p = 0.004), being older (OR = 1.04; p = 0.005), and cancer stage 3-4 (OR = 2.24; p = 0.023) in the multivariable analysis; for Anxiety ≥8 they were being a woman (OR = 2.47; p = 0.002), having a past psychiatric consultation (OR = 2.83; p = 0.029), and cancer stage 3-4 (OR = 1.90; p = 0.047).
CONCLUSION:
These results suggest the need for greater awareness and a differentiated approach to patients at increased risk of anxiety and depression in the early stages of treatment and before starting chemotherapy.
Descrição
Palavras-chave
Depression Anxiety Neoplasms
Contexto Educativo
Citação
Psychol Health Med. 2016 Jul;21(5):562-70
Editora
Taylor & Francis