Assessing anxiety and depression with respect to the quality of life in cancer inpatients receiving palliative care
Language English Country Scotland Media print-electronic
Document type Journal Article, Observational Study, Research Support, Non-U.S. Gov't
PubMed
26009311
DOI
10.1016/j.ejon.2015.04.006
PII: S1462-3889(15)00072-1
Knihovny.cz E-resources
- Keywords
- Advanced cancer, Anxiety, Depression, Palliative care, Quality of life,
- MeSH
- Depressive Disorder epidemiology physiopathology psychology MeSH
- Adult MeSH
- Risk Assessment MeSH
- Inpatients psychology statistics & numerical data MeSH
- Quality of Life * MeSH
- Middle Aged MeSH
- Humans MeSH
- Neoplasms diagnosis psychology therapy MeSH
- Hospitals, University MeSH
- Palliative Care methods psychology MeSH
- Prevalence MeSH
- Cross-Sectional Studies MeSH
- Regression Analysis MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Anxiety Disorders epidemiology physiopathology psychology MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Observational Study MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Czech Republic MeSH
PURPOSE: The study aimed at assessing the presence of anxiety and depression in cancer inpatients receiving palliative care at an oncology department using the Hospital Anxiety and Depression Scale (HADS) and determining whether anxiety and depression contribute to a lower quality of life controlled for pain and illness severity. METHOD: This cross-sectional study comprised 225 advanced cancer inpatients (a mean age of 65.1 years). Data were collected with the HADS, EORTC QLQ-C30 and Karnofsky Performance Status scale. RESULTS: Anxiety (HADS-a ≥8) was found in 33.9% and depression (HADS-d ≥8) in 47.6% of patients. Higher anxiety scores were observed in patients living with a partner (p = 0.042) and non-religious patients (p = 0.045). Correlations were found between anxiety, depression and all quality of life dimensions (r = 0.31-0.63). Multiple regression analysis showed that anxiety and depression contribute to lower physical and emotional functioning. Patients with anxiety (HADS-a ≥8) and depression (HADS-d ≥8) reported a lower total quality of life (p < 0.01). CONCLUSION: Management of anxiety and depression in cancer patients receiving palliative care may contribute to improvement in certain quality of life dimensions.
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