Background This study aimed to evaluate the risk and protective factors associated with anxiety and depression symptoms in cancer patients at an advanced stage of cancer. Methods A cross-sectional study was conducted on patients with advanced cancer who were receiving palliative care. Cancer patients aged 18 years or older, with preserved cognitive function who completed the questionnaires were eligible. The questionnaires of Hospital Anxiety and Depression Scale (HADS) and health related of quality of life questionnaire; the European Organization for Research and Treatment of Cancer (EORTC-C30) were applied. Outcome variables were the depression and anxiety symptoms of cancer patients under palliative care, according to the answers to the 14 items that make up the HADS Scale. The analysis used the R software, version 4.2.0. Results Seventy cancer patients with advanced cancer were included. The colon was the most common neoplastic diagnostic (20%), followed by breast (12.9%) and lung (10%). The prevalence of depression was 44.3%, 25.7% anxiety and 52.9% had both symptoms. Patients with a high level of functionality had a lower chance of anxiety (OR = 0.80;p = 0.025), depression (OR = 0.82; p = 0.007), and anxiety and depression (OR = 0.82p = 0.008). We observed a lower chance of depression and depression/anxiety who showed a high level of Overall Performance. Three symptoms increased the chance of depression/anxiety: nausea/vomiting (p = 0.019), fatigue (0.031), loss of appetite (0.048). Conclusion This study found high prevalence of anxiety and depression.Better quality of life and functionality were negatively associated with these outcomes. Examining the patient’s functions will assist the clinician in alleviating symptoms of anxiety and depression, giving cancer patients in palliative care more dignity. Trial registration Not applicable.

Os processos seletivos de monitores da instituição pública federal são realizados no início de cada semestre letivo com avaliação prática e teórica do desempenho dos estudantes aptos a serem monitores de anatomia e neuroanatomia humana. Com isso, o objetivo do presente estudo foi avaliar o desempenho cognitivo dos estudantes candidatos ao processo seletivo de monitoria de anatomia e neuroanatomia humana entre os anos de 2018 e 2022. Nesse viés, o estudo em questão identificou o impacto negativo do ensino remoto durante a pandemia do Coronavírus nos anos de 2020 e 2021. Desse modo, a análise verificou que apesar dos esforços dispendidos com o uso de tecnologias, metodologias ativas de ensino aprendizagem, estudo híbrido com aulas síncronas e assíncronas, os estudantes que participaram do processo seletivo presencial no ano de 2022 demonstraram desempenhos piores em comparação com os estudantes que participaram dos processos seletivos presenciais entre os anos de 2018 a 2019. Depreende-se, então, que o ensino presencial de anatomia humana é essencial para o bom aprendizado dos conteúdos abordados na unidade curricular do curso de medicina da instituição pública avaliada.

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