Safaie Nilufar, Zeinali Hadi, Ghahramanfard Farahnaz, Mirmohammadkhani Majid, Moonesan Mohammadreza
Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Department of Internal Medicine, Semnan University of Medical Sciences, Semnan, Iran.
J Family Med Prim Care. 2022 Aug;11(8):4146-4150. doi: 10.4103/jfmpc.jfmpc_1984_21. Epub 2022 Aug 30.
Definitive diagnosis, tedious treatment methods, and long treatment duration are possible factors contributing to psychiatric disorders in cancerous patients, including anxiety and depression. Accordingly, this study aimed to investigate the effective factors on the occurrence of psychiatric disorders in newly diagnosed cancer patients.
This descriptive-analytical study was conducted in Semnan, Iran, in 2018, in which 122 patients with cancer were included. In this study, the Hospital Anxiety and Depression Scale questionnaire was used to collect the required data. Frequency comparisons between the sub-groups were performed using the Chi-square test and, if necessary, Fisher's exact test. Moreover, the T-test or Mann-Whitney U test was used to compare numerical variables.
In this study, the mean values of total depression and total anxiety among patients were 26.2% and 28.6%, respectively. According to the results, anxiety was observed in 74.3% of low-income people and 80% of females. Gender and income were significantly associated with anxiety in patients with cancer (p < 0/05). However, no significant association was found between depression and the variables of gender, age, level of education, and income (P > 0.05).
The inclusion of psychiatric interventions in the treatment program of cancer patients can be effective in controlling psychiatric disorders, especially depression and anxiety.
确切的诊断、繁琐的治疗方法以及漫长的治疗过程可能是导致癌症患者出现精神障碍(包括焦虑和抑郁)的因素。因此,本研究旨在调查新诊断癌症患者精神障碍发生的影响因素。
本描述性分析研究于2018年在伊朗塞姆南进行,纳入了122例癌症患者。在本研究中,使用医院焦虑抑郁量表问卷收集所需数据。亚组间的频率比较采用卡方检验,必要时采用Fisher精确检验。此外,采用t检验或Mann-Whitney U检验比较数值变量。
在本研究中,患者的总抑郁和总焦虑平均值分别为26.2%和28.6%。结果显示,74.3%的低收入人群和80%的女性存在焦虑。性别和收入与癌症患者的焦虑显著相关(p<0.05)。然而,抑郁与性别、年龄、教育程度和收入变量之间未发现显著关联(P>0.05)。
将精神干预纳入癌症患者的治疗方案可能对控制精神障碍,尤其是抑郁和焦虑有效。