Prevalence and Predictors of Anxiety and Depression Among Cervical Cancer Survivors in Korea

Kim, Soo Hyun; Kang, Sokbom; Kim, Yong‐Man; Kim, Byoung-Gie; Seong, Seok Ju; Do, Soon; Park, Chanyong; Yun, Young Ho

doi:10.1111/igc.0b013e3181e4a704

Cited by 58 publications

(67 citation statements)

References 47 publications

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“…These reviews were the following: (1) Massie indicated the prevalence of depression (12%–23%) of gynecologic cancer patients [2]; (2) Based on 13 literatures, Thompson showed the prevalence of depression (4%–44%) and anxiety (4%–41%) among gynecologic cancer patients [51]. The empirical studies using the same instruments (HADS) were as follows: (1) Hopwood reported that the prevalence of depression and anxiety were 33% (possible cases: 16%; probable cases: 17%) and 34% (possible cases: 17%; probable cases: 18%) in 987 lung cancer patients [46]; (2) Albrecht reported that depression occurred in 14% (possible cases: 6.3%; probable cases: 7.4%) in 175 melanoma patients [52]; (3) Based on the cut-off of 8, Kim reported that the prevalence of depression, anxiety and co-morbidity was 34.6%, 39.5% and 23.4% in 828 cervical cancer survivors in Korea [53]. By contrast, the prevalence of depression and anxiety in our study was at a high level, and there might be four reasons for the different prevalence.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Associated Positive Psychological Variables of Depression and Anxiety among Chinese Cervical Cancer Patients: A Cross-Sectional Study

et al. 2014

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BackgroundThe prevalence of depression and anxiety and its associated factors in cervical cancer are not well evaluated in China. Meanwhile, with increasing attention given to positive psychological variables in oncology field, there is a need to conduct a study to explore the integrative effects of positive psychological variables on depression/anxiety so as to provide patients a more holistic cancer care. The aim of this study was to assess the prevalence of depression/anxiety as well as the integrative effects of hope, optimism and general self-efficacy on depression/anxiety among Chinese cervical cancer patients.MethodsA multi-centre, cross-sectional study was conducted of consecutive inpatients at the Liaoning Cancer Hospital & Institute and the Shengjing Hospital of China Medical University in Liaoning Province, northeast China. A total of 224 cervical cancer patients eligible for this study completed questionnaires on demographic and clinic variables, Hospital Anxiety and Depression Scale, Herth Hope Index, Life Orientation Scale-Revised, and General Self-Efficacy Scale during February and August 2013.ResultsThe prevalence of depression and anxiety was 52.2% and 65.6% in cervical cancer patients. The anxiety score was significantly higher in patients at the period of 4–6 months after diagnose and at cancer stage II. Hierarchical regression analyses indicated that hope, optimism and general self-efficacy as a whole accounted for 31.3% variance of depression and 35.6% variance of anxiety. Under standardized estimate (β) sequence, hope, optimism and general self-efficacy significantly associated with depression, respectively; hope and optimism were also significant individual predictors of anxiety.ConclusionsThe high prevalence of depression and anxiety among cervical cancer patients should receive more attention in Chinese medical settings. More importantly, efforts to develop the integrated psychosocial interventions are effective and necessary to alleviate depression/anxiety in cervical cancer patients by synthesizing and integrating the individual protective effects of hope, optimism and general self-efficacy.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Associated Positive Psychological Variables of Depression and Anxiety among Chinese Cervical Cancer Patients: A Cross-Sectional Study

et al. 2014

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“…Three studies 29,30,43 with good methodology focused on emotional distress in long-time CCSs. Wenzel et al 43 explored QoL in CCSs of childbearing age (mean age of 37 years at diagnosis and 45 years at interview) to find that CCSs enjoy a good QoL with physical, social, and emotional functioning comparable with or better than comparative norms.…”

Section: Psychosocial Domains and Qolmentioning

confidence: 99%

“…19,29 Carter et al 15 concluded that emotional distress was not related to surgical radicality of early-stage CC.…”

Section: Psychosocial Domains and Qolmentioning

confidence: 99%

A Systematic Review of Quality of Life and Sexual Function of Patients With Cervical Cancer After Treatment

Yang

Cao

et al. 2014

Int J Gynecol Cancer

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“…Most patients explain any anxiety or depressive symptoms in the preoperative and postoperative period by a current social crisis, which has broad implications for almost all spheres of individual functioning. Anxiety and depression in Korean cervical cancer survivors (CCSs) were commonly associated with financial difficulty, poor body image, sexual inactivity, and low existential wellbeing [11].…”

Section: Discussionmentioning

confidence: 99%

Anxiety levels related to the type of therapy for cervical cancer

Conic

Tošić-Golubović

et al. 2012

Open Medicine

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AbstractThe aim of this study was to examine the effect of treatment type on anxiety in patients with cervical cancer. Subjects and methods: This prospective study was conducted in 60 patients with cervical cancer treated by radiotherapy. The study was done before treatment, and 3 and 6 months after initial testing. For assessment of anxiety the Hamilton Anxiety Scale (HAM-A) was used.: At baseline, the values of the scale of anxiety in patients who were treated surgically were significantly higher than in patients who had been treated by radiotherapy, but the intensity of anxiety gradually decreased in both groups. In this study, pain and irregular menstrual bleeding were the most important risk factors for the development of anxiety.: Routine assessment should be introduced in clinical practice for the detection and monitoring of anxiety in all patients with cervical cancer, and a psychiatrist should be included in the multidisciplinary team for their treatment.

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Prevalence and Predictors of Anxiety and Depression Among Cervical Cancer Survivors in Korea

Abstract: Cervical cancer survivors showed relatively good mental health compared with healthy controls; however, women who have low functioning and well-being could be at high risk of anxiety or depression or both.

Cited by 58 publications

References 47 publications

Prevalence and Associated Positive Psychological Variables of Depression and Anxiety among Chinese Cervical Cancer Patients: A Cross-Sectional Study

Prevalence and Associated Positive Psychological Variables of Depression and Anxiety among Chinese Cervical Cancer Patients: A Cross-Sectional Study

A Systematic Review of Quality of Life and Sexual Function of Patients With Cervical Cancer After Treatment

Anxiety levels related to the type of therapy for cervical cancer

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