Factors Associated with Depression in African American Patients Being Treated for Cancer Pain.
Factors Associated with Depression in African American Patients Being Treated for Cancer Pain.
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DOI：
10.1016/j.pmn.2020.03.006
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发表时间：
2020-10
影响因子：
1.7
通讯作者：
Woodruff, Nell Hodgson
中科院分区：
文献类型：
--
作者：
Kang, Youjeong;Meghani, Salimah H.;Bruner, Deborah W.;Yeager, Katherine A.;Woodruff, Nell Hodgson
在美国的癌症患者中，非裔美国人癌症患者的死亡率最高，存活率最短。尽管抑郁被认为是癌症死亡率的预测因子，也是医疗保健利用的潜在障碍，但对非裔美国人患者抑郁的研究有限。癌症疼痛会干扰个人应对抑郁的能力。确定与PHQ-8对接受癌症疼痛治疗的非裔美国人患者的抑郁症状进行阳性筛查相关的因素。阿片类药物依从性横断面研究的二次数据分析。乔治亚州亚特兰大的内科肿瘤学、姑息治疗和放射肿瘤学诊所。非裔美国人癌症疼痛患者的父母研究。采用独立样本t检验评估有无抑郁症状的变量相关性。调整后的Logistic回归被用于确定与抑郁症状的存在相关的因素。患者的平均年龄为55.6岁，近38%的患者PHQ-8得分为>；10，表明存在中度至重度抑郁症状。有抑郁症状的参与者比没有抑郁症状的参与者有更高的焦虑和疼痛干预情绪的手段。与抑郁症状显著相关的因素是焦虑、干扰情绪的疼痛以及不参与宗教集会。这项研究的结果有助于识别有抑郁风险的非裔美国癌症患者，并证明了在这一服务不足的人群中增加抑郁症筛查的必要性。
Among cancer patients in the United States, African American cancer patients have the highest mortality rate and shortest survival rate. Although depression is known as a predictor of mortality in cancer and a potential barrier to health care utilization, research on depression in African American patients is limited. Cancer pain can interfere with an individual’s ability to cope with depression. To identify factors that are associated with a positive screening of depressive symptoms assessed by the PHQ-8 in African American patients treated for cancer pain. Secondary data analysis of a cross-sectional study of opioid adherence. Medical oncology, palliative care, and radiation oncology clinics in Atlanta, Georgia. African American patients with cancer pain in the parent study. Independent samples t-test was used to assess variable correlations with and without depressive symptoms. Adjusted logistic regression was conducted to identify factors that were associated with presence of depressive symptoms. Mean patient age was 55.6 years, and nearly 38% had a PHQ-8 score of >10 indicating presence of moderate to severe depressive symptoms. Participants with depressive symptoms had significantly higher means for anxiety and pain interference with mood than those without depressive symptoms. Factors that were significantly associated with depressive symptoms were anxiety, pain interfering with mood, and lack of involvement with a religious congregation. The findings of this study help to identify African American cancer patients at risk for depression and demonstrates the need for increased screening for depression in this underserved population.
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