Prevalence and characteristics of anxiety in patients with unconfirmed pulmonary nodules
Abstract This study focuses on the prevalence and characteristics of anxiety in patients with pulmonary nodules that was assessed by Hamilton Anxiety Scale (HAMA) scores. A total of 890 patients were enrolled in this study, including incidence of absence of anxiety n = 343 (38.54%), mild or probable...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-03-01
|
| Series: | The Clinical Respiratory Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/crj.13576 |
| _version_ | 1828000478562091008 |
|---|---|
| author | Xiao‐Hui Wang Ting Wang Min Ao Jinglan He Jun Duan Long‐Biao Cui Shuliang Guo Li Yang |
| author_facet | Xiao‐Hui Wang Ting Wang Min Ao Jinglan He Jun Duan Long‐Biao Cui Shuliang Guo Li Yang |
| author_sort | Xiao‐Hui Wang |
| collection | DOAJ |
| description | Abstract This study focuses on the prevalence and characteristics of anxiety in patients with pulmonary nodules that was assessed by Hamilton Anxiety Scale (HAMA) scores. A total of 890 patients were enrolled in this study, including incidence of absence of anxiety n = 343 (38.54%), mild or probable anxiety n = 459 (51.57%) and moderate or definite anxiety n = 79 (8.88%) and obvious anxiety n = 9 (1.01%), respectively. According to the definition of anxiety, 88 (9.89%) patients were enrolled in anxiety group. The incidence of anxiety in females was significantly higher than male (11.98% vs. 7.20%, p = 0.018), patients with respiratory symptoms were significantly higher than without respiratory symptoms (13.33% vs. 8.50%, p = 0.029) and diameter of pulmonary nodules >8 mm is significantly higher than ≤8 mm (13.35% vs. 7.10%, p = 0.002). Regression analysis showed that female (OR = 0.548, 95% CI: 0.340–0.884), family history of malignant tumour (OR = 1.691, 95% CI: 1.067–2.678), respiratory symptoms (OR = 1.713, 95% CI: 1.073–2.733) and diameter >8 mm (OR = 2.135, 95% CI: 1.350–3.375) were independent risk factors of anxiety. Further analysis of 88 patients with anxiety showed the sum of psychic anxiety was significantly higher than somatic anxiety (16.66 ± 2.46 vs. 0.97 ± 1.10, p < 0.0001). Hence, vast majority of patients with unconfirmed pulmonary nodules suffered various severity of anxiety and manifested as psychic anxiety. And gender, respiratory symptoms, family history of malignant tumour and diameter of pulmonary nodules were independent influencing factors of anxiety. Effective strategies urgently need exploring and providing for improving the mental health. |
| first_indexed | 2024-04-10T06:15:00Z |
| format | Article |
| id | doaj.art-47e14f625ded42a89d844db6cc6de864 |
| institution | Directory Open Access Journal |
| issn | 1752-6981 1752-699X |
| language | English |
| last_indexed | 2024-04-10T06:15:00Z |
| publishDate | 2023-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Clinical Respiratory Journal |
| spelling | doaj.art-47e14f625ded42a89d844db6cc6de8642023-03-02T08:35:44ZengWileyThe Clinical Respiratory Journal1752-69811752-699X2023-03-0117315716410.1111/crj.13576Prevalence and characteristics of anxiety in patients with unconfirmed pulmonary nodulesXiao‐Hui Wang0Ting Wang1Min Ao2Jinglan He3Jun Duan4Long‐Biao Cui5Shuliang Guo6Li Yang7Department of Respiratory and Critical Care Medicine The First Affiliated Hospital of Chongqing Medical University Chongqing P. R. ChinaDepartment of Respiratory and Critical Care Medicine The First Affiliated Hospital of Chongqing Medical University Chongqing P. R. ChinaDepartment of Respiratory and Critical Care Medicine The First Affiliated Hospital of Chongqing Medical University Chongqing P. R. ChinaDepartment of Psychiatry The First Affiliated Hospital of Chongqing Medical University Chongqing P. R. ChinaDepartment of Respiratory and Critical Care Medicine The First Affiliated Hospital of Chongqing Medical University Chongqing P. R. ChinaDepartment of Clinical Psychology Fourth Military Medical University Xi'an P. R. ChinaDepartment of Respiratory and Critical Care Medicine The First Affiliated Hospital of Chongqing Medical University Chongqing P. R. ChinaDepartment of Respiratory and Critical Care Medicine The First Affiliated Hospital of Chongqing Medical University Chongqing P. R. ChinaAbstract This study focuses on the prevalence and characteristics of anxiety in patients with pulmonary nodules that was assessed by Hamilton Anxiety Scale (HAMA) scores. A total of 890 patients were enrolled in this study, including incidence of absence of anxiety n = 343 (38.54%), mild or probable anxiety n = 459 (51.57%) and moderate or definite anxiety n = 79 (8.88%) and obvious anxiety n = 9 (1.01%), respectively. According to the definition of anxiety, 88 (9.89%) patients were enrolled in anxiety group. The incidence of anxiety in females was significantly higher than male (11.98% vs. 7.20%, p = 0.018), patients with respiratory symptoms were significantly higher than without respiratory symptoms (13.33% vs. 8.50%, p = 0.029) and diameter of pulmonary nodules >8 mm is significantly higher than ≤8 mm (13.35% vs. 7.10%, p = 0.002). Regression analysis showed that female (OR = 0.548, 95% CI: 0.340–0.884), family history of malignant tumour (OR = 1.691, 95% CI: 1.067–2.678), respiratory symptoms (OR = 1.713, 95% CI: 1.073–2.733) and diameter >8 mm (OR = 2.135, 95% CI: 1.350–3.375) were independent risk factors of anxiety. Further analysis of 88 patients with anxiety showed the sum of psychic anxiety was significantly higher than somatic anxiety (16.66 ± 2.46 vs. 0.97 ± 1.10, p < 0.0001). Hence, vast majority of patients with unconfirmed pulmonary nodules suffered various severity of anxiety and manifested as psychic anxiety. And gender, respiratory symptoms, family history of malignant tumour and diameter of pulmonary nodules were independent influencing factors of anxiety. Effective strategies urgently need exploring and providing for improving the mental health.https://doi.org/10.1111/crj.13576anxietycharacteristicprevalencepulmonary nodules |
| spellingShingle | Xiao‐Hui Wang Ting Wang Min Ao Jinglan He Jun Duan Long‐Biao Cui Shuliang Guo Li Yang Prevalence and characteristics of anxiety in patients with unconfirmed pulmonary nodules The Clinical Respiratory Journal anxiety characteristic prevalence pulmonary nodules |
| title | Prevalence and characteristics of anxiety in patients with unconfirmed pulmonary nodules |
| title_full | Prevalence and characteristics of anxiety in patients with unconfirmed pulmonary nodules |
| title_fullStr | Prevalence and characteristics of anxiety in patients with unconfirmed pulmonary nodules |
| title_full_unstemmed | Prevalence and characteristics of anxiety in patients with unconfirmed pulmonary nodules |
| title_short | Prevalence and characteristics of anxiety in patients with unconfirmed pulmonary nodules |
| title_sort | prevalence and characteristics of anxiety in patients with unconfirmed pulmonary nodules |
| topic | anxiety characteristic prevalence pulmonary nodules |
| url | https://doi.org/10.1111/crj.13576 |
| work_keys_str_mv | AT xiaohuiwang prevalenceandcharacteristicsofanxietyinpatientswithunconfirmedpulmonarynodules AT tingwang prevalenceandcharacteristicsofanxietyinpatientswithunconfirmedpulmonarynodules AT minao prevalenceandcharacteristicsofanxietyinpatientswithunconfirmedpulmonarynodules AT jinglanhe prevalenceandcharacteristicsofanxietyinpatientswithunconfirmedpulmonarynodules AT junduan prevalenceandcharacteristicsofanxietyinpatientswithunconfirmedpulmonarynodules AT longbiaocui prevalenceandcharacteristicsofanxietyinpatientswithunconfirmedpulmonarynodules AT shuliangguo prevalenceandcharacteristicsofanxietyinpatientswithunconfirmedpulmonarynodules AT liyang prevalenceandcharacteristicsofanxietyinpatientswithunconfirmedpulmonarynodules |