Prevalence and predictors of anxiety and depression among esophageal cancer patients prior to surgery

被引:44
|
作者
Hellstadius, Y. [1 ]
Lagergren, J. [2 ,3 ,4 ]
Zylstra, J. [2 ,3 ,4 ]
Gossage, J. [2 ,3 ,4 ]
Davies, A. [2 ,3 ,4 ]
Hultman, C. M. [5 ]
Lagergren, P. [1 ,3 ]
Wikman, A. [1 ,6 ]
机构
[1] Kings Coll London, Surg Care Sci, London, England
[2] Kings Coll London, Dept Mol Med & Surg, Upper Gastrointestinal Surg, London, England
[3] Kings Coll London, Div Canc Studies, Sect Gastrointestinal Canc, London, England
[4] Guys & St Thomas NHS Fdn Trust, Upper Gastrointestinal Surg, London, England
[5] Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden
[6] Uppsala Univ, Dept Publ Hlth & Caring Sci, Clin Psychol Healthcare, Uppsala, Sweden
来源
DISEASES OF THE ESOPHAGUS | 2017年 / 30卷 / 08期
基金
瑞典研究理事会;
关键词
emotional distress; HADS; esophageal cancer surgery; esophagectomy; quality of life; upper gastrointestinal surgery; HOSPITAL ANXIETY; PSYCHOLOGICAL DISTRESS; PSYCHIATRIC MORBIDITY; POPULATION; DIAGNOSIS; SURVIVAL; DISEASE; SCALE; CARE; METAANALYSIS;
D O I
10.1111/dote.12437
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
This study aims to establish the prevalence and predictors of anxiety and depression among esophageal cancer patients, post-diagnosis but prior to curatively intended surgery. This was a cross-sectional study using data from a hospital-based prospective cohort study, carried out at St Thomas' Hospital, London. Potential predictor variables were retrieved from medical charts and self-report questionnaires. Anxiety and depression were measured prior to esophageal cancer surgery, using the Hospital Anxiety and Depression Scale. Prevalence of anxiety and depression was calculated using the established cutoff (scores >= 8 on each subscale) indicating cases of 'possible-probable' anxiety or depression, and multivariable logistic regression analyses were performed to examine predictors of emotional distress. Among the 106 included patients, 36 (34%) scored above the cutoff (>= 8) for anxiety and 24 (23%) for depression. Women were more likely to report anxiety than men (odds ratio 4.04, 95% confidence interval 1.45-11.16), and patients reporting limitations in their activity status had more than five times greater odds of reporting depression (odds ratio 6.07, 95% confidence interval 1.53-24.10). A substantial proportion of esophageal cancer patients report anxiety and/or depression prior to surgery, particularly women and those with limited activity status, which highlights a need for qualified emotional support.
引用
收藏
页码:CP4 / U10
页数:7
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