Prevalence of anxiety and depression and their risk factors in Chinese cancer patients
Prevalence of anxiety and depression and their risk factors in Chinese cancer patients
复制标题
DOI：
10.1007/s00520-013-1997-y
复制
发表时间：
2014-02-01
影响因子：
3.1
通讯作者：
Tian, Jun
中科院分区：
文献类型：
--
作者：
Hong, Jin Sheng;Tian, Jun
本文旨在了解中国癌症患者的焦虑和抑郁水平。采用问卷调查法，对1,217名癌症患者进行调查。对患者在访视前一周内的焦虑、抑郁、疾病分期、肿瘤部位、疼痛状况和体力状况进行评估，焦虑和抑郁的患病率分别为6.49%和66.72%。头颈癌、肺癌、乳腺癌、食管癌、胃癌、肝癌、结直肠癌、宫颈癌的抑郁患病率分别为60.62%、77.19%、57.9%、75.81%、63.40%、68.42%、54.37%、71.13%。影响抑郁的因素有体力状态（P < 0.0001）、疼痛（P = 0.0003）、年龄（P < 0.0001）、文化程度（P < 0.0001）。焦虑的危险因素有体力状态（P = 0.0007）、年龄（P < 0.0001）、性别（P < 0.0001），抑郁是癌症患者较焦虑更重要的心理问题。与正常人群3.8%的抑郁患病率相比，中国癌症患者的抑郁水平较高。肺癌、食管癌和宫颈癌患者是抑郁症的高危人群。工作状态差、疼痛、年老、文化程度低是抑郁的预测因素。
This paper aimed to obtain information on the levels of anxiety and depression among cancer patients in China. The factors influencing these psychological problems were also analyzed.A total of 1,217 cancer patients were interviewed, and each participant was asked to complete a self-administered questionnaire. The anxiety status, depression status, disease stage, tumor site, pain status, and performance status of the patients during the week prior to the interview were assessed.The anxiety and depression prevalence rates were 6.49 and 66.72 %, respectively. The prevalence rates of depression were 60.62 % for head and neck cancer, 77.19 % for lung cancer, 57.9 % for breast cancer, 75.81 % for esophagus cancer, 63.40 % for stomach cancer, 68.42 % for liver cancer, 54.37 % for colorectal cancer, and 71.13 % for cervix cancer. The factors influencing depression of patients were performance status (P < 0.0001), pain (P = 0.0003), age (P < 0.0001), and education level (P < 0.0001). The risk factors of anxiety were performance status (P = 0.0007), age (P < 0.0001), and gender (P < 0.0001).Depression was a more important psychological problem than anxiety in cancer patients. Compared with 3.8 % of the prevalence of depression in normal population, depression level was high among Chinese cancer patients. Patients with lung, esophagus, and cervix cancers were the high-risk groups for depression. Poor performance status, pain, old age, and low-level education were the predicting factors for depression.