Abuelgasim Khadega A, Ahmed Gasmelseed Y, Alqahtani Jamilah A, Alayed Aseel M, Alaskar Ahmed S, Malik Mansoor A
Department of Oncology, King Abdulaziz Medical City National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2016 Aug;37(8):877-81. doi: 10.15537/smj.2016.8.14597.
To study the prevalence and associated factors of depression and anxiety in hematological cancers (HC) patients.
We conducted a cross-sectional survey in all HC patients at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia between March 2014 and June 2015. We excluded patients with depression, or generalized anxiety disorder. We conducted a structured face to face interview using an internally developed and validated questionnaire (Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 patient's questionnaire with all participants).
Among 211 participants, depression was detected in 98 (46.5%) and anxiety was detected in 47 (22.3%). Thirty-eight (18.1%) had concurrent anxiety and depression. Multiple co-morbidities and tense home atmosphere were predictive for anxiety and depression. We found no association between gender, smoking, income, or being on active therapy and depression or anxiety.
Depression and anxiety are highly prevalent in HC patients in KAMC. Health care providers should screen HC cancers for depression and anxiety; as early intervention possibly improve their disease outcome and will likely enhance their psychological wellbeing.
研究血液系统癌症（HC）患者中抑郁和焦虑的患病率及相关因素。
2014年3月至2015年6月期间，我们对沙特阿拉伯利雅得阿卜杜勒阿齐兹国王医疗城（KAMC）的所有HC患者进行了横断面调查。我们排除了患有抑郁症或广泛性焦虑症的患者。我们使用内部开发并验证的问卷（患者健康问卷 - 9和广泛性焦虑症 - 7患者问卷）对所有参与者进行了结构化的面对面访谈。
在211名参与者中，98人（46.5%）被检测出患有抑郁症，47人（22.3%）被检测出患有焦虑症。38人（18.1%）同时患有焦虑症和抑郁症。多种合并症和紧张的家庭氛围是焦虑和抑郁发作的预测因素。我们发现性别、吸烟、收入或正在接受积极治疗与抑郁或焦虑之间没有关联。
KAMC的HC患者中抑郁和焦虑非常普遍。医疗保健提供者应筛查HC癌症患者的抑郁和焦虑情况；因为早期干预可能会改善他们的疾病结局，并可能提高他们的心理健康水平。
