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哈萨克斯坦新诊断乳腺癌女性的抑郁症状发生率及相关因素。

Prevalence and Associated Factors of Depression Symptoms in Women Newly Diagnosed with Breast Cancer in Kazakhstan.

机构信息

Department of Epidemiology, Evidence-Based Medicine and Biostatistics, Kazakhstan's Medical University "KSPH," Almaty, Kazakhstan.

Department of Public Health, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.

出版信息

Asian Pac J Cancer Prev. 2022 Jul 1;23(7):2483-2489. doi: 10.31557/APJCP.2022.23.7.2483.

Abstract

INTRODUCTION

Diagnosis of breast cancer is associated with the presence of psychological disorders including depression. There is a lack of study examining the prevalence of depression among newly diagnosed breast cancer patients in Kazakhstan.

OBJECTIVE

This study aims to assess the prevalence and associated sociodemographic and clinical factors of depression symptoms in women newly diagnosed with breast cancer.

METHODS

162 newly diagnosed breast cancer patients at the oncology center in Almaty were recruited for this study. Data were collected using a structured questionnaire on sociodemographic and clinical information and the Beck Depression Inventory-II scale.

RESULTS

The mean age of the patients was 54.41 years (SD=8.1). 95% of participants had unilateral breast cancer, and 79% of participants had stage I or stage II breast cancer. 73% of patients said that they do not have reliable social support. 46% of patients had symptoms of moderate depression, and 31% of patients had symptoms of severe depression. According to the multivariate analysis, factors associated with depression symptoms were: social status, household income level, reliability of social support, and stage of breast cancer.

CONCLUSION

The prevalence of depression symptoms is very high among newly diagnosed breast cancer patients. Unemployed or retired patients, with a lower household income, and no reliable social support diagnosed with an advanced stage of breast cancer are especially at high risk for developing depression.

摘要

简介

乳腺癌的诊断与包括抑郁在内的心理障碍有关。在哈萨克斯坦,缺乏对新诊断乳腺癌患者中抑郁患病率的研究。

目的

本研究旨在评估新诊断为乳腺癌的女性中抑郁症状的患病率及相关社会人口学和临床因素。

方法

在阿拉木图的肿瘤中心招募了 162 名新诊断为乳腺癌的患者参与本研究。使用结构化问卷收集社会人口学和临床信息以及贝克抑郁量表第二版的数据。

结果

患者的平均年龄为 54.41 岁(SD=8.1)。95%的参与者患有单侧乳腺癌,79%的参与者患有 I 期或 II 期乳腺癌。73%的患者表示他们没有可靠的社会支持。46%的患者有中度抑郁症状,31%的患者有重度抑郁症状。根据多因素分析,与抑郁症状相关的因素包括:社会地位、家庭收入水平、社会支持的可靠性以及乳腺癌的分期。

结论

新诊断为乳腺癌的患者中抑郁症状的患病率非常高。失业或退休、家庭收入较低且没有可靠社会支持的患者,以及患有晚期乳腺癌的患者,患抑郁症的风险尤其高。

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1
Understanding breast cancer as a global health concern.理解乳腺癌作为一个全球健康问题。
Br J Radiol. 2022 Feb 1;95(1130):20211033. doi: 10.1259/bjr.20211033. Epub 2021 Dec 14.

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