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女性乳腺癌新诊断患者术前焦虑和抑郁状况及与社会人口学变量的相关性研究。

Anxiety and Depression in Women Newly Diagnosed with Breast Cancer and Waiting for Surgery: Prevalence and Associations with Socio-Demographic Variables.

机构信息

Department of Psychology, Università di Torino, 10124 Torino, Italy.

Clinical Psychology Unit, Department of Neuroscience, University of Turin, "Città della Salute e della Scienza" Hospital of Turin, 10126 Turin, Italy.

出版信息

Medicina (Kaunas). 2021 May 7;57(5):454. doi: 10.3390/medicina57050454.

Abstract

Cancer is a threatening-life disease with a significant psychological burden. The psychological morbidity varies according to the phases of the illness and is influenced by multiple socio-demographic factors, that are useful to consider in order to identify the categories of patients most at risk of developing psychiatric disorders. The present study analyzes, in a sample of women newly diagnosed with breast cancer, the relationships between their levels of anxiety and depression and several socio-demographic characteristics. The study was cross-sectional. : Four hundred and seventy eight women newly diagnosed with breast cancer completed the Hospital Anxiety and Depression Scale during the pre-surgical phase. : Findings show that almost 40% of the sample had clinically relevant anxious symptoms and about a quarter of the sample had significant depressive symptoms. Their prevalence was higher in widows. Moreover, depressive symptoms were higher in older women and anxious symptoms were higher in patients with a lower educational level. In the pre-surgical phase, women can suffer from clinically relevant anxiety and depression, especially the widows, older women, and women with a lower educational level. : Identifying the most psychologically vulnerable patients, due to specific socio-demographic characteristics, is essential in order to provide adequate psycho-oncological treatments to the categories of patients, who are most at risk of developing psychopathological concerns.

摘要

癌症是一种具有重大心理负担的威胁生命的疾病。心理发病率因疾病阶段而异,并受到多种社会人口因素的影响,这些因素对于识别最有可能出现精神障碍的患者类别很有用。本研究分析了一组新诊断为乳腺癌的女性患者,研究了她们的焦虑和抑郁水平与几种社会人口学特征之间的关系。该研究是横断面研究。共有 478 名新诊断为乳腺癌的女性在术前阶段完成了医院焦虑和抑郁量表。研究结果表明,近 40%的样本存在临床相关的焦虑症状,约四分之一的样本存在明显的抑郁症状。丧偶者的患病率更高。此外,年龄较大的女性抑郁症状较高,教育程度较低的患者焦虑症状较高。在术前阶段,女性可能会遭受临床相关的焦虑和抑郁,尤其是丧偶者、年龄较大的女性和教育程度较低的女性。识别出由于特定社会人口学特征而最易受心理影响的患者,对于为最有可能出现心理病理问题的患者提供适当的心理肿瘤治疗至关重要。

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