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沙特阿拉伯奈季兰癌症患者中抑郁和焦虑症状的患病率

Prevalence of Depression and Anxiety Symptoms Among Patients With Cancer in Najran, Saudi Arabia.

作者信息

Ghowinam Mohamed A, Albokhari Ammar A, Badheeb Ahmed M, Lamlom Mohamed, Alwadai Mari, Hamza Aseel, Aladalah Ali

机构信息

Psychiatry, Al-Azhar University, Cairo, EGY.

Psychiatry, Hera General Hospital, Makkah, SAU.

出版信息

Cureus. 2024 Feb 17;16(2):e54349. doi: 10.7759/cureus.54349. eCollection 2024 Feb.

Abstract

BACKGROUND

Depression and anxiety are associated with poor health consequences in patients with cancer, and these mental health issues may affect cancer treatment. They are frequently triggered by stress, and cancer is among the most stressful conditions experienced by a person. Depression and anxiety are related to several sociodemographic variables in patients with cancer. However, only a few studies have examined the prevalence of depression and anxiety symptoms in patients with cancer in Saudi Arabia.

OBJECTIVES

To detect the prevalence of depression and anxiety symptoms among patients with cancer at the Najran Oncology Center in Najran, Saudi Arabia, and determine the risk factors associated with these symptoms.

METHODS

A cross-sectional study was conducted from April 1, 2023, to September 30, 2023, on a convenience sample of patients diagnosed with cancer who were receiving chemotherapy at Najran Oncology Center, King Khalid Hospital, Najran, Saudi Arabia, and who agreed to participate in the study. The Hospital Anxiety and Depression Scale was used. Data on the demographic characteristics of the patients were collected using a self-administered questionnaire. Moreover, medical data were collected from the medical records of the patients.

RESULTS

In total, 92 patients with various cancer diagnoses were recruited in this study. Among them, 51 and 41 were women and men, respectively. Moreover, 81 were married and 11 were either single, widow, or divorced. The mean age of the participants was 51.24 ± 15.15 years. The prevalence rates of depression and anxiety were 42.4% and 23.9%, respectively. There were significant associations between depression and marital status in patients with cancer-associated pain and those with a current history of chemotherapy. Furthermore, the association between anxiety and cancer-associated pain was significant. However, marital status was not associated with anxiety. Age, sex, family history of mental disorders, cancer duration, current cancer stage, and surgical interventions were not associated with the prevalence of depression and anxiety.

CONCLUSIONS

Our findings underline the importance of identifying depression and anxiety in patients with cancer. Marital status, presence of pain, and current chemotherapy history were significantly associated with depression and pain with anxiety.

RECOMMENDATIONS

Further studies with a higher number of patients with cancer should be conducted in Saudi Arabia and other Arab countries. Screening for depression and anxiety symptoms should be a part of the comprehensive evaluation of patients with cancer. Appropriate treatment interventions must be provided to patients with cancer who present with mental disorders.

摘要

背景

抑郁症和焦虑症与癌症患者的不良健康后果相关,这些心理健康问题可能会影响癌症治疗。它们常常由压力引发,而癌症是人们经历的压力最大的情况之一。抑郁症和焦虑症与癌症患者的多个社会人口学变量有关。然而,在沙特阿拉伯,只有少数研究调查了癌症患者中抑郁和焦虑症状的患病率。

目的

检测沙特阿拉伯奈季兰市奈季兰肿瘤中心癌症患者中抑郁和焦虑症状的患病率,并确定与这些症状相关的危险因素。

方法

于2023年4月1日至2023年9月30日进行了一项横断面研究,研究对象为在沙特阿拉伯奈季兰市哈立德国王医院奈季兰肿瘤中心接受化疗且被诊断患有癌症并同意参与研究的患者的便利样本。使用医院焦虑抑郁量表。通过自填问卷收集患者的人口统计学特征数据。此外,从患者的病历中收集医疗数据。

结果

本研究共招募了92例患有各种癌症诊断的患者。其中,女性51例,男性41例。此外,81例已婚,11例为单身、丧偶或离异。参与者的平均年龄为51.24±15.15岁。抑郁和焦虑的患病率分别为42.4%和23.9%。在伴有癌症相关疼痛的患者和有当前化疗史的患者中,抑郁与婚姻状况之间存在显著关联。此外,焦虑与癌症相关疼痛之间的关联显著。然而,婚姻状况与焦虑无关。年龄、性别、精神障碍家族史、癌症病程、当前癌症分期和手术干预与抑郁和焦虑的患病率无关。

结论

我们的研究结果强调了识别癌症患者中抑郁和焦虑的重要性。婚姻状况、疼痛的存在以及当前的化疗史与抑郁和伴有焦虑的疼痛显著相关。

建议

应在沙特阿拉伯和其他阿拉伯国家对更多癌症患者进行进一步研究。对抑郁和焦虑症状的筛查应成为癌症患者综合评估的一部分。必须为出现精神障碍的癌症患者提供适当的治疗干预措施。

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