Islam Nashid, Biswas Jheelam, Kowshik Mostofa Monwar, Molla Md Maruf Ahmed, Saker Mridul, Chowdhury Mostofa Kamal, Bhuiyan Akm Motiur Rahman, Ahmad Nezamuddin
Department of Palliative Medicine Bangabandhu Sheikh Mujib Medical University (BSMMU) Dhaka Bangladesh.
Department of Medicine Dhaka Medical College Dhaka Bangladesh.
Health Sci Rep. 2022 Oct 29;5(6):e911. doi: 10.1002/hsr2.911. eCollection 2022 Nov.
Advanced breast cancer patients suffer from various psychological issues including depression and anxiety. This study aims to explore these psychological issues and their relationship with the performance status.
This cross-sectional study was conducted among 95 patients with metastatic breast cancer attending the Department of Palliative Medicine, Bangabandhu Sheikh Mujib Medical University, Bangladesh from April 2021 to September 2021. Data was collected by face-to-face interview using a structured questionnaire along with Hospital Depression and Anxiety Scale. The performance status of the patients was determined by the Eastern Cooperative Oncology Group (ECOG) performance scale. The association between different variables were assessed by test and Fisher Exact test.
Mean age of the respondents was 48.9 ± 9.9 years. Most of them were married (94.7%), muslim (92.6%) and homemakers (82.1%). More than half (52.6%) of the patients were evaluated having ECOG performance status grade II. Four out of ten (44.2%) patients had moderate to severely anxiety, and almost one-third (36.9%) patients were suffering from moderate to severe depression. The patients with high educational status were found to have less depression. In addition, patients faring better on ECOG performance scale (Grade 0 to I) had significantly ( < 0.05) less depression and anxiety.
Depression and anxiety are one of the major psychological sufferings among the women with metastatic breast cancers. All women suffering from breast cancer should be routinely screened and assessed for phychological distress and ensure early intervention.
晚期乳腺癌患者存在包括抑郁和焦虑在内的各种心理问题。本研究旨在探讨这些心理问题及其与体能状态的关系。
本横断面研究于2021年4月至2021年9月在孟加拉国班加班杜·谢赫·穆吉布医科大学姑息医学科的95例转移性乳腺癌患者中进行。通过面对面访谈，使用结构化问卷以及医院抑郁焦虑量表收集数据。患者的体能状态由东部肿瘤协作组（ECOG）体能量表确定。通过卡方检验和Fisher精确检验评估不同变量之间的关联。
受访者的平均年龄为48.9±9.9岁。他们中的大多数已婚（94.7%）、是穆斯林（92.6%）且为家庭主妇（82.1%）。超过一半（52.6%）的患者被评估为ECOG体能状态II级。十分之四（44.2%）的患者有中度至重度焦虑，近三分之一（36.9%）的患者患有中度至重度抑郁。发现受教育程度高的患者抑郁程度较轻。此外，ECOG体能量表评分较好（0至I级）的患者抑郁和焦虑程度明显较低（P<0.05）。
抑郁和焦虑是转移性乳腺癌女性患者的主要心理痛苦之一。所有乳腺癌女性患者都应常规筛查和评估心理困扰，并确保早期干预。
