Flourishing or floundering? Prevalence and correlates of anxiety and depression among a population-based sample of adult cancer survivors 6 months after diagnosis
Flourishing or floundering? Prevalence and correlates of anxiety and depression among a population-based sample of adult cancer survivors 6 months after diagnosis
复制标题
DOI：
10.1016/j.jad.2011.07.016
复制
发表时间：
2011-12-01
影响因子：
6.6
通讯作者：
Zucca, Alison C.
中科院分区：
文献类型：
--
作者：
Boyes, Allison W.;Girgis, Afaf;Zucca, Alison C.
目标：描述焦虑，抑郁和共病的焦虑抑郁症的患病率在成年癌症幸存者诊断后6个月，并确定个人，疾病，健康行为，心理和社会因素与心理morphism.Methods：一个基于人口的样本的成年癌症幸存者被招募从两个国家为基础的癌症登记处在澳大利亚。1323名幸存者的数据通过自我报告问卷和与登记数据的联系获得。结果：精神疾病患病率为28%（95%CI：23%~ 33%），精神疾病患病率为28%（95%CI：23%~ 33%）。具体而言，24%（95% CI：19%-29%）的幸存者被确定为焦虑病例（不考虑抑郁），14%（95% CI：9%-19%）的幸存者被确定为抑郁病例（不考虑焦虑），10%（95% CI：5%-15%）的幸存者被确定为焦虑-抑郁共病病例。除了癌症前的心理健康史，可修改的健康行为（体力活动，吸烟状况），心理（绝望，焦虑的当务之急应对）和社会（低积极的社会互动）的特点是更强的指标的心理发病率比幸存者的个人或疾病的characteristics.Limitations：心理发病率进行了评估自我报告筛选工具，而不是临床访谈。在何种程度上，心理发病率是年龄相关的癌症相关的不能确定没有性别和年龄匹配的对照group.Conclusion：虽然低于以前报道的，心理发病率是普遍的癌症诊断后6个月，并强调需要在整个癌症轨迹的常规心理社会评估，以确定那些风险增加或需要立即干预。体育活动、戒烟和应对技能培训干预措施值得进一步探索。(C)2011爱思唯尔有限公司版权所有。
Objective: To describe the prevalence of anxiety, depression and comorbid anxiety-depression among adult cancer survivors six months following diagnosis, and identify the individual, disease, health behaviour, psychological and social factors associated with psychological morbidity.Methods: A population-based sample of adult cancer survivors was recruited from two state-based cancer registries in Australia. Data for 1323 survivors were obtained by self-report questionnaire and linkage with registry data. Anxiety and depression were assessed by the 14-item Hospital Anxiety and Depression Scale (HADS).Results: The prevalence of psychological morbidity was 28% (95% CI: 23%-33%). Specifically, 24% (95% CI: 19%-29%) of survivors were identified as cases on anxiety (irrespective of depression), 14% (95% CI: 9%-19%) as cases on depression (irrespective of anxiety) and 10% (95% CI: 5%-15%) as cases on comorbid anxiety-depression. In addition to mental health history prior to cancer, modifiable health behaviours (physical activity, smoking status), psychological (helplessness-hopelessness, anxious preoccupation coping) and social (low positive social interaction) characteristics were stronger indicators of psychological morbidity than survivors' individual or disease characteristics.Limitations: Psychological morbidity was assessed by self-report screening instrument rather than clinical interview. The extent to which psychological morbidity is age-related versus cancer-related cannot be determined without a gender- and age-matched control group.Conclusion: Although lower than previously reported, psychological morbidity is prevalent six months after a cancer diagnosis and emphasises the need for routine psychosocial assessment throughout the cancer trajectory to identify those at increased risk or in need of immediate intervention. Physical activity, smoking cessation and coping skills training interventions warrant further exploration. (C) 2011 Elsevier B.V. All rights reserved.