Hassan First University of Settat, Higher Institute of Health Sciences, Laboratory of Sciences and Health Technologies, Epidemiology and biomedical unit, 26000 Settat, Morocco.
Gynecology and Reproductive Sciences University of Miami Miller School of Medicine, Miami VA Medical Center and Department of Obstetrics, Neuropathology Research Unit, 33136 Miami, FL, USA.
Bull Cancer. 2021 May;108(5):472-480. doi: 10.1016/j.bulcan.2020.12.011. Epub 2021 Mar 19.
Psychosocial determinants can affect the mental health of women who have been diagnosed with gynecological cancer. The aim of this study was to examine how social support and self-esteem are associated with anxiety and depression symptoms in women with gynecological cancer, and who are treated by radical surgery.
A cross-sectional study was performed, within the oncology department of Ibn Rochd University Hospital, Casablanca, on 100 Moroccan women. They all had undergone radical surgery for gynecological cancer, hysterectomy and/or oophorectomy.
Our results showed that patients with gynecological cancer treated by radical surgery exhibited high prevalence rates of anxiety (66%) and depression symptoms (59%). Associations showed that age, having children, medical coverage system, area of residence, working status and socioeconomic status were significantly related to the prevalence of anxiety and depression symptoms (P<0.05). The general social support, family support and significant other support besides high self-esteem reduce significantly the risk of getting anxiety and depression symptoms (P-values<0.05).
Among patients with gynecological cancer treated by radical surgery, high prevalence of anxiety and depression symptoms was found. Social support and high self-esteem could help improve mental health issues related to this type of cancer.
社会心理因素会影响被诊断为妇科癌症的女性的心理健康。本研究旨在探讨社会支持和自尊与接受根治性手术的妇科癌症女性的焦虑和抑郁症状之间的关系。
在卡萨布兰卡 Ibn Rochd 大学医院的肿瘤科进行了一项横断面研究,共纳入 100 名摩洛哥女性。这些患者均因妇科癌症接受了根治性手术,包括子宫切除术和/或卵巢切除术。
我们的研究结果表明,接受根治性手术的妇科癌症患者中焦虑症(66%)和抑郁症(59%)的发病率较高。相关性分析显示,年龄、是否有子女、医疗保障制度、居住地、工作状况和社会经济地位与焦虑和抑郁症状的发生率显著相关(P<0.05)。一般社会支持、家庭支持和除高自尊外的重要他人支持显著降低了焦虑和抑郁症状的发生风险(P 值<0.05)。
在接受根治性手术的妇科癌症患者中,发现焦虑和抑郁症状的发病率较高。社会支持和高自尊有助于改善与这种癌症相关的心理健康问题。