A cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodules
Abstract Background Uncertainty after the detection of pulmonary nodules (PNs) can cause psychological burden. We designed this study to quantitatively evaluate the prevalence, severity and possible impact of this burden on the preference of patients for management of nodules. Methods The Hospital A...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-12-01
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| Series: | Thoracic Cancer |
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| Online Access: | https://doi.org/10.1111/1759-7714.14165 |
| _version_ | 1818897800699576320 |
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| author | Rongxin Xiao Yuqing Huang Shushi Meng Xianping Liu Xiaoyi Zhao Jun Wang Xiao Li |
| author_facet | Rongxin Xiao Yuqing Huang Shushi Meng Xianping Liu Xiaoyi Zhao Jun Wang Xiao Li |
| author_sort | Rongxin Xiao |
| collection | DOAJ |
| description | Abstract Background Uncertainty after the detection of pulmonary nodules (PNs) can cause psychological burden. We designed this study to quantitatively evaluate the prevalence, severity and possible impact of this burden on the preference of patients for management of nodules. Methods The Hospital Anxiety and Depression Scale (HADS) was used to evaluate psychological burden in patients. An independent t‐test and a Mann–Whitney U test were used to determine the significance of differences between groups in continuous variables. A chi‐square test was used to determine the significance of difference between groups in categorical variables. Results A total of 334 inpatients diagnosed with PNs were included in the study. A total of 17.96% of the participates screened positive for anxiety and 14.67% for depression. Female patients had significantly higher positive rates of both anxiety and depression screenings than male patients (21.57% vs. 12.31%, p = 0.032 and 18.05% vs. 9.30%, p = 0.028, respectively). Among patients screened positive for anxiety, the proportion of those who chose more aggressive management was significantly higher (34/60 vs. 113/274, p = 0.029). The rate of benign or precursor disease resected was significantly higher in patients with more aggressive management (46.94% vs. 9.63%, p < 0.01). Conclusions Anxiety and depression are common in Chinese patients with PNs. Patients with positive HADS anxiety screening results are more likely to adopt more aggressive management that leads to a higher rate of benign or precursor disease resected/biopsied. This study alerts clinicians to the need to assess and possibly treat emotional responses. |
| first_indexed | 2024-12-19T19:21:56Z |
| format | Article |
| id | doaj.art-8774ed329cae4553a1e10bf64fce19cc |
| institution | Directory Open Access Journal |
| issn | 1759-7706 1759-7714 |
| language | English |
| last_indexed | 2024-12-19T19:21:56Z |
| publishDate | 2021-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Thoracic Cancer |
| spelling | doaj.art-8774ed329cae4553a1e10bf64fce19cc2022-12-21T20:08:59ZengWileyThoracic Cancer1759-77061759-77142021-12-0112233150315610.1111/1759-7714.14165A cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodulesRongxin Xiao0Yuqing Huang1Shushi Meng2Xianping Liu3Xiaoyi Zhao4Jun Wang5Xiao Li6Department of Thoracic Surgery, Centre of Thoracic Minimally Invasive Surgery Peking University People's Hospital Beijing ChinaDepartment of Thoracic Surgery, Beijing Haidian Hospital Haidian Section of Peking University Third Hospital Beijing ChinaDepartment of Thoracic Surgery, Beijing Haidian Hospital Haidian Section of Peking University Third Hospital Beijing ChinaDepartment of Thoracic Surgery, Centre of Thoracic Minimally Invasive Surgery Peking University People's Hospital Beijing ChinaDepartment of Thoracic Surgery, Centre of Thoracic Minimally Invasive Surgery Peking University People's Hospital Beijing ChinaDepartment of Thoracic Surgery, Centre of Thoracic Minimally Invasive Surgery Peking University People's Hospital Beijing ChinaDepartment of Thoracic Surgery, Centre of Thoracic Minimally Invasive Surgery Peking University People's Hospital Beijing ChinaAbstract Background Uncertainty after the detection of pulmonary nodules (PNs) can cause psychological burden. We designed this study to quantitatively evaluate the prevalence, severity and possible impact of this burden on the preference of patients for management of nodules. Methods The Hospital Anxiety and Depression Scale (HADS) was used to evaluate psychological burden in patients. An independent t‐test and a Mann–Whitney U test were used to determine the significance of differences between groups in continuous variables. A chi‐square test was used to determine the significance of difference between groups in categorical variables. Results A total of 334 inpatients diagnosed with PNs were included in the study. A total of 17.96% of the participates screened positive for anxiety and 14.67% for depression. Female patients had significantly higher positive rates of both anxiety and depression screenings than male patients (21.57% vs. 12.31%, p = 0.032 and 18.05% vs. 9.30%, p = 0.028, respectively). Among patients screened positive for anxiety, the proportion of those who chose more aggressive management was significantly higher (34/60 vs. 113/274, p = 0.029). The rate of benign or precursor disease resected was significantly higher in patients with more aggressive management (46.94% vs. 9.63%, p < 0.01). Conclusions Anxiety and depression are common in Chinese patients with PNs. Patients with positive HADS anxiety screening results are more likely to adopt more aggressive management that leads to a higher rate of benign or precursor disease resected/biopsied. This study alerts clinicians to the need to assess and possibly treat emotional responses.https://doi.org/10.1111/1759-7714.14165anxietydepressionpulmonary nodules |
| spellingShingle | Rongxin Xiao Yuqing Huang Shushi Meng Xianping Liu Xiaoyi Zhao Jun Wang Xiao Li A cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodules Thoracic Cancer anxiety depression pulmonary nodules |
| title | A cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodules |
| title_full | A cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodules |
| title_fullStr | A cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodules |
| title_full_unstemmed | A cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodules |
| title_short | A cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodules |
| title_sort | cross sectional study of psychological burden in chinese patients with pulmonary nodules prevalence and impact on the management of nodules |
| topic | anxiety depression pulmonary nodules |
| url | https://doi.org/10.1111/1759-7714.14165 |
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