Anxiety and depression disorders in oncological patients under palliative care at a hospital service: a cross-sectional study
Abstract Background This study aimed to evaluate the risk and protective factors associated with anxiety and depression symptoms in cancer patients at an advanced stage of cancer. Methods A cross-sectional study was conducted on patients with advanced cancer who were receiving palliative care. Cance...
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Palliative Care |
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| Online Access: | https://doi.org/10.1186/s12904-023-01233-1 |
| _version_ | 1797451066000801792 |
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| author | Gustavo Souza Gontijo Garcia Karina Cardoso Meira Alessandra Hubner de Souza Nathalia Sernizon Guimarães |
| author_facet | Gustavo Souza Gontijo Garcia Karina Cardoso Meira Alessandra Hubner de Souza Nathalia Sernizon Guimarães |
| author_sort | Gustavo Souza Gontijo Garcia |
| collection | DOAJ |
| description | Abstract Background This study aimed to evaluate the risk and protective factors associated with anxiety and depression symptoms in cancer patients at an advanced stage of cancer. Methods A cross-sectional study was conducted on patients with advanced cancer who were receiving palliative care. Cancer patients aged 18 years or older, with preserved cognitive function who completed the questionnaires were eligible. The questionnaires of Hospital Anxiety and Depression Scale (HADS) and health related of quality of life questionnaire; the European Organization for Research and Treatment of Cancer (EORTC-C30) were applied. Outcome variables were the depression and anxiety symptoms of cancer patients under palliative care, according to the answers to the 14 items that make up the HADS Scale. The analysis used the R software, version 4.2.0. Results Seventy cancer patients with advanced cancer were included. The colon was the most common neoplastic diagnostic (20%), followed by breast (12.9%) and lung (10%). The prevalence of depression was 44.3%, 25.7% anxiety and 52.9% had both symptoms. Patients with a high level of functionality had a lower chance of anxiety (OR = 0.80;p = 0.025), depression (OR = 0.82; p = 0.007), and anxiety and depression (OR = 0.82p = 0.008). We observed a lower chance of depression and depression/anxiety who showed a high level of Overall Performance. Three symptoms increased the chance of depression/anxiety: nausea/vomiting (p = 0.019), fatigue (0.031), loss of appetite (0.048). Conclusion This study found high prevalence of anxiety and depression.Better quality of life and functionality were negatively associated with these outcomes. Examining the patient’s functions will assist the clinician in alleviating symptoms of anxiety and depression, giving cancer patients in palliative care more dignity. Trial registration Not applicable. |
| first_indexed | 2024-03-09T14:49:34Z |
| format | Article |
| id | doaj.art-a7477eb61b194fc1a2bc82bc637d0b44 |
| institution | Directory Open Access Journal |
| issn | 1472-684X |
| language | English |
| last_indexed | 2024-03-09T14:49:34Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj.art-a7477eb61b194fc1a2bc82bc637d0b442023-11-26T14:33:53ZengBMCBMC Palliative Care1472-684X2023-08-0122111010.1186/s12904-023-01233-1Anxiety and depression disorders in oncological patients under palliative care at a hospital service: a cross-sectional studyGustavo Souza Gontijo Garcia0Karina Cardoso Meira1Alessandra Hubner de Souza2Nathalia Sernizon Guimarães3Faculdade Ciências Médicas de Minas GeraisEscola de Saúde, Universidade Federal do Rio Grande do NorteFaculdade Ciências Médicas de Minas GeraisFaculdade Ciências Médicas de Minas GeraisAbstract Background This study aimed to evaluate the risk and protective factors associated with anxiety and depression symptoms in cancer patients at an advanced stage of cancer. Methods A cross-sectional study was conducted on patients with advanced cancer who were receiving palliative care. Cancer patients aged 18 years or older, with preserved cognitive function who completed the questionnaires were eligible. The questionnaires of Hospital Anxiety and Depression Scale (HADS) and health related of quality of life questionnaire; the European Organization for Research and Treatment of Cancer (EORTC-C30) were applied. Outcome variables were the depression and anxiety symptoms of cancer patients under palliative care, according to the answers to the 14 items that make up the HADS Scale. The analysis used the R software, version 4.2.0. Results Seventy cancer patients with advanced cancer were included. The colon was the most common neoplastic diagnostic (20%), followed by breast (12.9%) and lung (10%). The prevalence of depression was 44.3%, 25.7% anxiety and 52.9% had both symptoms. Patients with a high level of functionality had a lower chance of anxiety (OR = 0.80;p = 0.025), depression (OR = 0.82; p = 0.007), and anxiety and depression (OR = 0.82p = 0.008). We observed a lower chance of depression and depression/anxiety who showed a high level of Overall Performance. Three symptoms increased the chance of depression/anxiety: nausea/vomiting (p = 0.019), fatigue (0.031), loss of appetite (0.048). Conclusion This study found high prevalence of anxiety and depression.Better quality of life and functionality were negatively associated with these outcomes. Examining the patient’s functions will assist the clinician in alleviating symptoms of anxiety and depression, giving cancer patients in palliative care more dignity. Trial registration Not applicable.https://doi.org/10.1186/s12904-023-01233-1CancerDepressionAnxietyPalliative careSymptoms |
| spellingShingle | Gustavo Souza Gontijo Garcia Karina Cardoso Meira Alessandra Hubner de Souza Nathalia Sernizon Guimarães Anxiety and depression disorders in oncological patients under palliative care at a hospital service: a cross-sectional study BMC Palliative Care Cancer Depression Anxiety Palliative care Symptoms |
| title | Anxiety and depression disorders in oncological patients under palliative care at a hospital service: a cross-sectional study |
| title_full | Anxiety and depression disorders in oncological patients under palliative care at a hospital service: a cross-sectional study |
| title_fullStr | Anxiety and depression disorders in oncological patients under palliative care at a hospital service: a cross-sectional study |
| title_full_unstemmed | Anxiety and depression disorders in oncological patients under palliative care at a hospital service: a cross-sectional study |
| title_short | Anxiety and depression disorders in oncological patients under palliative care at a hospital service: a cross-sectional study |
| title_sort | anxiety and depression disorders in oncological patients under palliative care at a hospital service a cross sectional study |
| topic | Cancer Depression Anxiety Palliative care Symptoms |
| url | https://doi.org/10.1186/s12904-023-01233-1 |
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