Holistic Care, Sultan Qaboos Comprehensive Cancer Care and Research Centre, Muscat, Oman.
Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
BMJ Open. 2023 Sep 21;13(9):e073967. doi: 10.1136/bmjopen-2023-073967.
To determine the prevalence of psychological distress (ie, anxiety and depressive symptoms) among Omani women diagnosed with breast cancer (BC) and to investigate associations with socio-demographic factors.
A cross-sectional, self-administered survey was conducted between September 2021 and June 2022.
Sultan Qaboos Comprehensive Cancer Care and Research Centre (Muscat, Oman).
Adult Omani women diagnosed with BC during the study period.
Data regarding anxiety and depressive symptoms were collected using an Arabic version of the Hospital Anxiety and Depression Scale (HADS). Socio-demographic and clinical information was obtained from the participants and their hospital medical records.
190 Omani women diagnosed with BC were invited to participate in the study, of whom 171 participated (response rate: 90.0%). The mean age was 50.3±10.9 years. 52.3% of participants had been diagnosed with BC at stages III or IV and 28.9% had metastasis. 29 women (17.0%) exhibited depressive symptoms (HADS-D score: ≥8), while 37 (21.6%) exhibited anxiety symptoms (HADS-A score: ≥8). Women with anxiety symptoms were almost 15-times more likely to have depressive symptoms than those without anxiety symptoms (OR: 14.87, p<0.001). Younger women were less likely to exhibit depressive symptoms than older women (≤39 vs ≥60 years, p=0.050; 40-59 vs ≥60 years, p=0.005). Women at the school/diploma education level were less likely to have depressive symptoms than those at college/university level (OR: 0.19, p=0.017).
More than half of the women surveyed had been diagnosed at an advanced stage, with up to 21.6% presenting with symptoms of anxiety and depression. Healthcare professionals in Oman should consider additional screening for anxiety and depressive symptoms in this group and encourage patients with BC to disclose emotional information during consultations, particularly for those aged ≥60 years.
确定被诊断患有乳腺癌（BC）的阿曼女性的心理困扰（即焦虑和抑郁症状）的流行情况，并调查其与社会人口统计学因素的关联。
这是一项在 2021 年 9 月至 2022 年 6 月期间进行的横断面、自我管理的调查。
苏丹卡布斯综合癌症护理和研究中心（阿曼马斯喀特）。
在研究期间被诊断患有 BC 的成年阿曼女性。
研究邀请了 190 名被诊断患有 BC 的阿曼女性参加，其中 171 名女性（应答率：90.0%）参与了研究。参与者的平均年龄为 50.3±10.9 岁。52.3%的参与者被诊断为 III 期或 IV 期 BC，28.9%的参与者发生了转移。29 名女性（17.0%）表现出抑郁症状（HADS-D 评分：≥8），37 名女性（21.6%）表现出焦虑症状（HADS-A 评分：≥8）。有焦虑症状的女性出现抑郁症状的可能性是无焦虑症状女性的近 15 倍（OR：14.87，p<0.001）。年轻女性比老年女性出现抑郁症状的可能性更小（≤39 岁与≥60 岁，p=0.050；40-59 岁与≥60 岁，p=0.005）。与大学/大学水平相比，处于学校/文凭教育水平的女性出现抑郁症状的可能性较小（OR：0.19，p=0.017）。
调查的女性中超过一半被诊断为晚期，多达 21.6%的女性表现出焦虑和抑郁症状。阿曼的医疗保健专业人员应考虑在这一群体中增加对焦虑和抑郁症状的筛查，并鼓励 BC 患者在咨询中透露情绪信息，特别是对于年龄≥60 岁的患者。
