Factors Associated with Depression Assessed by the Patient Health Questionnaire-2 in Long-Term Cancer Survivors / 가정의학회지
Korean Journal of Family Medicine
;
: 228-234, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-212280
ABSTRACT
BACKGROUND:
This cross-sectional study aimed to evaluate the prevalence of depressive disorders and factors associated in long-term cancer survivors.METHODS:
A total of 702 long-term cancer survivors over 5-years in remission were recruited in a university-affiliated tertiary hospital in Korea. Self-report using the Patient Health Questionnaire-2 and the Fatigue Severity Scale assessed depression and fatigue, respectively. Demographic characteristics, cancer-related clinical characteristics, comorbidity, health behaviors, and physical symptoms were assessed through the review of medical records or a structured self-administered questionnaire.RESULTS:
We identified 26.1% of patients who had a depressed mood or displayed a loss of interest. The most prevalent primary site of cancer was the stomach (65.2%), followed by lung, breast, colorectal, and thyroid cancer. We also found that 5.7% of subjects experienced double or triple primary cancers. Larger proportion among depressive group (89.1%) complained at least one physical problem than among non-depressive group (53.2%). Physical symptoms including sleep problems, dry mouth, indigestion, pain, decreased appetite, and febrile sense were more frequent in the depressive group than in the non-depressive group. The Fatigue Severity Scale scores were higher in the depressive group than in the non-depressive group (P<0.001). Multiple logistic regression analysis showed that the highest tertile level of fatigue (odds ratio, 7.31; 95% confidence interval, 3.81-14.02) was associated with the increased risk of depression.CONCLUSION:
These findings suggest that careful concern about depression is necessary in long-term cancer survivors. Fatigue may be a surrogate sign for depression, and warrants further evaluation.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Apetite
/
Estômago
/
Mama
/
Neoplasias da Glândula Tireoide
/
Comportamentos Relacionados com a Saúde
/
Comorbidade
/
Modelos Logísticos
/
Prontuários Médicos
/
Prevalência
/
Estudos Transversais
Tipo de estudo:
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Pesquisa qualitativa
/
Fatores de risco
Limite:
Humanos
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Korean Journal of Family Medicine
Ano de publicação:
2016
Tipo de documento:
Artigo
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