Depression and anxiety in patients with hematological malignancies, prevalence, and associated factors.

Depression and anxiety in patients with hematological malignancies, prevalence, and associated factors.
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DOI:
10.15537/smj.2016.8.14597
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发表时间:
2016-08
影响因子:
1.6
通讯作者:
Malik MA
Malik MA
中科院分区:
医学4区
文献类型:
--
作者:
Abuelgasim KA;Ahmed GY;Alqahtani JA;Alayed AM;Alaskar AS;Malik MA

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[目的]了解血液病患者抑郁、焦虑情绪的发生率及其相关因素。2014年3月至2015年6月,我们在沙特阿拉伯利雅得的阿卜杜勒阿齐兹国王医学城(KAMC)对所有HC患者进行了横断面调查。我们排除了患有抑郁症或广泛性焦虑症的患者。我们使用内部编制和验证的问卷(患者健康问卷-9和广泛性焦虑障碍-7患者问卷,所有参与者)进行了结构化的面对面访谈。在211名受试者中,98人(46.5%)出现抑郁,47人(22.3%)出现焦虑。38人(18.1%)同时存在焦虑和抑郁。多种并发症和紧张的家庭氛围预示着焦虑和抑郁。我们发现,性别、吸烟、收入或接受积极治疗与抑郁或焦虑之间没有关联。在KAMC的HC患者中,抑郁和焦虑是非常普遍的。卫生保健提供者应该筛查HC癌症的抑郁和焦虑;因为早期干预可能会改善他们的疾病结局,并可能提高他们的心理健康。
To study the prevalence and associated factors of depression and anxiety in hematological cancers (HC) patients. We conducted a cross-sectional survey in all HC patients at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia between March 2014 and June 2015. We excluded patients with depression, or generalized anxiety disorder. We conducted a structured face to face interview using an internally developed and validated questionnaire (Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 patient’s questionnaire with all participants). Among 211 participants, depression was detected in 98 (46.5%) and anxiety was detected in 47 (22.3%). Thirty-eight (18.1%) had concurrent anxiety and depression. Multiple co-morbidities and tense home atmosphere were predictive for anxiety and depression. We found no association between gender, smoking, income, or being on active therapy and depression or anxiety. Depression and anxiety are highly prevalent in HC patients in KAMC. Health care providers should screen HC cancers for depression and anxiety; as early intervention possibly improve their disease outcome and will likely enhance their psychological wellbeing.
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