1 Department of Psychology.
2 Department of Sociology and Political Science, Norwegian University of Science and Technology (NTNU), Norway.
Scand J Public Health. 2019 Jul;47(5):504-510. doi: 10.1177/1403494817727161. Epub 2017 Aug 21.
An increasing number of people in Europe are living with cancer, either as an active disease or as a past experience. Depressive symptoms may impair quality of life in cancer patients and may constitute increased risks for disability, as well as being a risk factor for increased mortality. Our study compared self-reported symptoms of depression in people who currently or previously have experienced cancer with self-reported symptoms of depression in the general population. Our study was based on data from the European Social Survey 2014, with representative samples from 19 countries. Depression was measured by an eight-item CES-D Scale, with a cut-point of a mean score of 2 to indicate depression. Multilevel modelling was used to examine the relationship between cancer status and depression. Respondents who at the time of the interview reported to have cancer were more likely to report symptoms above the cut-point on the depression scale than people who never had experienced cancer (unadjusted odds ratio (OR)=2.59; 95% confidence interval (CI) 2.20-3.06; and OR=2.00; 95% CI 1.70-2.36). The difference was smaller comparing people who previously had experienced cancer to people who never had experienced cancer (OR=1.46; 95% CI 1.19-1.79; and OR=1.28; 95% CI 1.05-1.55). The differences in depression by cancer status did not vary among the welfare state regimes. .
越来越多的欧洲人患有癌症，无论是作为一种活跃的疾病还是作为过去的经历。抑郁症状可能会降低癌症患者的生活质量，并可能增加残疾风险，以及增加死亡率的风险因素。我们的研究比较了目前或以前经历过癌症的人与一般人群中自我报告的抑郁症状。我们的研究基于 2014 年欧洲社会调查的数据，来自 19 个国家的代表性样本。抑郁通过 8 项 CES-D 量表测量，以平均得分 2 表示抑郁。多层次模型用于研究癌症状况与抑郁之间的关系。在接受采访时报告患有癌症的受访者比从未经历过癌症的人更有可能报告抑郁量表上的得分高于临界点（未调整的优势比（OR）=2.59；95%置信区间（CI）2.20-3.06；和 OR=2.00；95% CI 1.70-2.36）。与从未经历过癌症的人相比，以前经历过癌症的人之间的差异较小（OR=1.46；95% CI 1.19-1.79；和 OR=1.28；95% CI 1.05-1.55）。癌症状况引起的抑郁差异在福利国家制度之间没有差异。
