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卡塔尔癌症患者中抑郁和焦虑症状的患病率及其相关因素:一项横断面研究。

The prevalence of depression and anxiety symptoms and their associated factors among patients with cancer in Qatar: A cross-sectional study.

作者信息

Alabdulla Majid, Reagu Shuja, Alishaq Moza, Al Hammadi Noora, Hassan Elkordy Mohammed, Ghazouani Hafedh, Assar Ahmed H

机构信息

Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar.

Corporate Quality Improvement and Patient Safety Department, Hamad Medical Corporation, Doha, Qatar.

出版信息

Qatar Med J. 2025 Feb 7;2025(1):4. doi: 10.5339/qmj.2025.4. eCollection 2025.

Abstract

BACKGROUND

Cancer is a significant global health challenge. One of the biggest health issues that cancer patients face is depression and anxiety. This has a significant impact on their quality of life and treatment outcomes.

AIM

The aim of this study was to investigate the frequency of depression and anxiety among cancer patients in Qatar.

MATERIALS AND METHODS

This study was a cross-sectional design using the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) scales. A total of 500 cancer patients were surveyed from the National Center for Cancer Care and Research in Doha.

RESULTS

The study found that a significant proportion of cancer patients suffered from depression, with an average PHQ-9 score indicating mild levels of severity. Depression was commonly categorized as mild, with a smaller percentage experiencing moderate, moderate-to-severe, or severe depression. Additionally, patients were predominantly anxious, as reflected by an average GAD-7 score, with most patients experiencing mild to moderate symptoms, while a few experienced moderate or severe anxiety. These findings highlight the significant prevalence of both depression and anxiety among cancer patients, pointing to the importance of comprehensive mental health support. Moreover, patients with advanced-stage cancer, those in their 40s and 60s, those undergoing radiotherapy or hormone therapy, and female patients were found to be more susceptible to depression and anxiety.

CONCLUSION

Treatment of mental health issues is essential to enhancing the effectiveness of cancer treatment. Cancer patients can have a higher quality of life and better adherence to cancer treatments when mental illnesses such as depression and anxiety are identified and treated early. Furthermore, most patients reported having depression and anxiety, according to the study, which showed that these conditions were more common in Qatar than in other countries. Several demographic groups have been linked to higher rates of depression and anxiety, including women, middle-aged adults, people with stage IV cancer, and patients receiving therapies such as radiotherapy and chemotherapy.

摘要

背景

癌症是一项重大的全球健康挑战。癌症患者面临的最大健康问题之一是抑郁和焦虑。这对他们的生活质量和治疗结果有重大影响。

目的

本研究的目的是调查卡塔尔癌症患者中抑郁和焦虑的发生率。

材料与方法

本研究采用横断面设计,使用患者健康问卷-9(PHQ-9)和广泛性焦虑障碍-7(GAD-7)量表。从多哈的国家癌症护理与研究中心对总共500名癌症患者进行了调查。

结果

研究发现,相当一部分癌症患者患有抑郁症,平均PHQ-9得分表明严重程度为轻度。抑郁症通常被归类为轻度,经历中度、中度至重度或重度抑郁症的患者比例较小。此外,患者主要存在焦虑情绪,这从平均GAD-7得分可以看出,大多数患者经历轻度至中度症状,而少数患者经历中度或重度焦虑。这些发现突出了癌症患者中抑郁和焦虑的显著患病率,表明全面心理健康支持的重要性。此外,发现晚期癌症患者、40多岁和60多岁的患者、接受放疗或激素治疗的患者以及女性患者更容易患抑郁和焦虑。

结论

心理健康问题的治疗对于提高癌症治疗的有效性至关重要。当抑郁症和焦虑症等精神疾病得到早期识别和治疗时,癌症患者可以拥有更高的生活质量并更好地坚持癌症治疗。此外,根据该研究,大多数患者报告患有抑郁和焦虑,这表明这些情况在卡塔尔比其他国家更为常见。几个特定人群与较高的抑郁和焦虑发生率有关,包括女性、中年成年人、IV期癌症患者以及接受放疗和化疗等治疗的患者。

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Management of psychiatric disorders in patients with cancer.癌症患者精神疾病的管理。
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