Moderate/severe Depression (MADRS) Can Affect the Quality of Life and Outcome Among Patients Admitted to Breast Cancer Diagnosis Unit

Eskelinen, Matti; Selander, Tuomas; Ollonen, Paula; Korhonen, Riika

doi:10.21873/anticanres.11611

Cited by 4 publications

(3 citation statements)

References 30 publications

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“… 9 , 10 Depression can worsen the feeling of discomfort and may result in poorer outcome. 11 – 14 Persistent depression has been found to be associated with poorer cognition, family function, treatment compliance, greater physical distress, and more use of tobacco or alcohol, which decreased the quality of life. 15 – 17 …”

Section: Introductionmentioning

confidence: 99%

Depression and family support in breast cancer patients

Su¹,

Yeh²,

Chang³

et al. 2017

NDT

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BackgroundBreast cancer is the most common cancer in women. Among the survivors, depression is one of the most common psychiatric comorbidities. This paper reports the point prevalence of major depressive disorder among breast cancer patients and the association between family support and major depressive disorder.MethodsClinical data were collected from a breast cancer clinic of a general hospital in central Taiwan. Participants included 300 patients who were older than 18 years and diagnosed with breast cancer. Among these individuals, we used Mini International Neuropsychiatric Interview (a structural diagnostic tool for psychiatric disorders) to ascertain if they had major depressive disorder. We also used the Family Adaptability, Partnership, Growth, Affection, and Resolve score to assess the family support.ResultsThe point prevalence of major depressive disorder among breast cancer patients was 8.33%, and this was positively associated with insomnia, psychiatric family history, pain severity, and radiotherapy and negatively associated with menopause, cancer duration, hormone therapy, and family support. Family support (adjusted odds ratio =0.87, 95% CI: 0.78–0.98) was found to be an associated factor for major depressive disorder in breast cancer patients after controlling for potential risk factors.ConclusionMajor depressive disorder is a common comorbidity among breast cancer patients. Family support is an important associated factor for these patients. Health care professionals should evaluate mood problems and family support while treating these patients.

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Section: Introductionmentioning

confidence: 99%

Depression and family support in breast cancer patients

Su¹,

Yeh²,

Chang³

et al. 2017

NDT

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“…Based on the scores, patients can be categorized into having no depression (0–6), mild depression (7–19), moderate depression (20–34), severe depression (≥35), and very severe depression (≥60). 24 The scale has better psychometric properties and internal consistency, with a Cronbach’s alpha of 0.8 and over for the English version. 25 …”

Section: Methodsmentioning

confidence: 99%

Association Between Sleep-related Cognitions, Sleep-related Behaviors, and Insomnia in Patients with Anxiety and Depression: A Cross-sectional Study

Muthuraman,

Sankaran,

Subramanian

2024

Indian Journal of Psychological Medicine

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Background: The cognitive model of insomnia states that worry about sleep contributes to poor sleep quality. Besides worry, beliefs about sleep and maladaptive safety behaviors also affect sleep quality. We aimed to find the association among the presence of insomnia, sleep-related cognitions, and behaviors among patients diagnosed with anxiety or depression. Methodology: The present cross-sectional comparison study included patients with anxiety spectrum or depressive disorders as per the Diagnostic and Statistical Manual for Mental Disorders—fifth edition and healthy controls. Mood status, insomnia severity, sleep quality, dysfunctional beliefs about sleep, maladaptive safety behaviors, and pre-sleep arousal were evaluated using Hamilton Anxiety Scale (HAM-A), Montgomery Åsberg Depression Rating Scale (MADRS), Insomnia Severity Index, Pittsburgh Sleep Quality Index, Dysfunctional Beliefs and Attitudes Sleep Scale (DBAS), Sleep-related Behavior Questionnaire (SRBQ), and Pre-sleep Arousal Scale (PSAS), respectively. A p value ≤.05 was considered statistically significant. Results: Both patients ( n = 80) and controls ( n = 80) were similar in sociodemographic profile, though the sample was predominantly female. Comparison between patients with insomnia ( n = 60), patients without insomnia ( n = 20), and healthy controls ( n = 80) showed that HAM-A and MADRS, DBAS, SRBQ, and PSAS scores were higher in patients with insomnia compared to their counterparts. DBAS and SRBQ scores positively correlated with increasing severity of insomnia. Dysfunctional beliefs regarding sleep (OR: 1.05; 95% CI = 1.00–1.09) and maladaptive behaviors related to sleep (OR: 1.02; 95% CI = 1.00–1.05) predicted insomnia in patients with depression or anxiety. Conclusion: Insomnia in anxiety or depression is associated with illness severity, dysfunctional beliefs regarding sleep, and sleep-related maladaptive behaviors. Maladaptive cognitions and behaviors can independently influence sleep quality.

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“…In Sweden, the life time risk of depression is around 35 percent for women and 25 percent for men [2]. Depression is associated with a large burden of disease and serious consequences, such as decreased quality of life and reduced ability to cope with daily life [1,3], and increased risk of disease [4]. The main symptoms of depression are low mood and/or loss of interest combined with feeling sad, sleep disturbance, weight change, impaired concentration, feelings of hopelessness and fatigue.…”

Section: Introductionmentioning

confidence: 99%

Creating a safety net for patients with depression in primary care; a qualitative study of care managers’ experiences

Svenningsson

Udo

Westman

et al. 2018

Scandinavian Journal of Primary Health Care

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Objective: The aim of this study was to explore nurses’ experiences and perceptions of working as care managers at primary care centers. Design: Qualitative, focus group study. Systematic text condensation was used to analyze the data. Setting: Primary health care in the region of Västra Götaland and region of Dalarna in Sweden. Subjects: Eight nurses were trained during three days including treatment of depression and how to work as care managers. The training was followed by continuous support. Main outcome measures: The nurses’ experiences and perceptions of working as care managers at primary care centers. Results: The care managers described their role as providing additional support to the already existing care at the primary care center, working in teams with a person-centered focus, where they were given the opportunity to follow, support, and constitute a safety net for patients with depression. Further, they perceived that the care manager increased continuity and accessibility to primary care for patients with depression. Conclusion: The nurses perceived that working as care managers enabled them to follow and support patients with depression and to maintain close contact during the illness. The care manager function helped to provide continuity in care which is a main task of primary health care. Key Points The care managers described their role as an additional support to the already existing care at the primary care center. • They emphasized that as care managers, they had a person-centered focus and constituted a safety net for patients with depression. • Their role as care managers enabled them to follow and support patients with depression over time, which made their work more meaningful. • Care managers helped to achieve continuity and accessibility to primary health care for patients with depression.

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Moderate/severe Depression (MADRS) Can Affect the Quality of Life and Outcome Among Patients Admitted to Breast Cancer Diagnosis Unit

Abstract: The moderate/severe depression (MADRS) can affect the quality of life and outcome among patients admitted to the BCDU.

Cited by 4 publications

References 30 publications

Depression and family support in breast cancer patients

Depression and family support in breast cancer patients

Association Between Sleep-related Cognitions, Sleep-related Behaviors, and Insomnia in Patients with Anxiety and Depression: A Cross-sectional Study

Creating a safety net for patients with depression in primary care; a qualitative study of care managers’ experiences

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