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癌症患者的心理健康挑战:抑郁与焦虑的横断面分析

Mental Health Challenges in Cancer Patients: A Cross-Sectional Analysis of Depression and Anxiety.

作者信息

Shalata Walid, Gothelf Itamar, Bernstine Tomer, Michlin Regina, Tourkey Lena, Shalata Sondos, Yakobson Alexander

机构信息

The Legacy Heritage Oncology Center & Dr. Larry Norton Institute, Soroka Medical Center, Ben-Gurion University, Beer-Sheva 84105, Israel.

Goldman Medical School, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel.

出版信息

Cancers (Basel). 2024 Aug 12;16(16):2827. doi: 10.3390/cancers16162827.

Abstract

Advancements in cancer treatment and early detection have extended survival rates, transforming many cancers into chronic conditions. However, cancer diagnosis and treatment can trigger significant psychological distress, including depression and anxiety, impacting patient outcomes and care. This study aimed to examine the prevalence of and identify the risk factors for depression and anxiety among cancer patients. A cross-sectional study was conducted, including patients under the care of the oncology department at a tertiary medical center between June 2021 and October 2023. Depression and anxiety were assessed using the Patient-Reported Outcomes Measurement Information System (PROMIS) short forms. Logistic regression analysis identified risk factors for depression and anxiety. The study population included 159 patients, with 40.3% reporting worsening mental health, but only about half of them received therapy. Among the study participants, 22.6% experienced symptoms of depression and 30.2% experienced symptoms of anxiety. Single-cancer patients and those with metastases were at increased risk for depression, while those with a disease duration of more than a year and patients with female-specific cancer were more likely to experience anxiety. Given the high prevalence of mental health deterioration in cancer patients, closer monitoring and validated assessment tools are essential to improve depression and anxiety diagnosis and facilitate early interventions.

摘要

癌症治疗和早期检测方面的进展延长了生存率,使许多癌症转变为慢性病。然而,癌症的诊断和治疗可能引发严重的心理困扰,包括抑郁和焦虑,影响患者的治疗效果和护理。本研究旨在调查癌症患者中抑郁和焦虑的患病率,并确定其风险因素。进行了一项横断面研究,纳入了2021年6月至2023年10月期间在一家三级医疗中心肿瘤科接受治疗的患者。使用患者报告结局测量信息系统(PROMIS)简表评估抑郁和焦虑情况。通过逻辑回归分析确定抑郁和焦虑的风险因素。研究人群包括159名患者,40.3%的患者报告心理健康状况恶化,但其中只有约一半接受了治疗。在研究参与者中,22.6%出现抑郁症状,30.2%出现焦虑症状。单一癌症患者和有转移灶的患者患抑郁症的风险增加,而病程超过一年的患者和患有女性特定癌症的患者更容易出现焦虑。鉴于癌症患者心理健康恶化的患病率较高,密切监测和经过验证的评估工具对于改善抑郁和焦虑的诊断以及促进早期干预至关重要。

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