Prevalence and Predictors of Anxiety and Depressive Symptoms among Patients Diagnosed with Oral Cancer in China: A cross-sectional study

Abstract

Background Anxiety and depression are common mental health problems among patients with cancer. While many psychological variables have been proven to influence anxiety and depressive symptoms, the variables are not mutually exclusive and their integrated effects on patients with oral cancer are yet unknown. The present study aims to explore the prevalence of anxiety and depressive symptoms among patients with oral cancer, to find out key potentially predictive factors associated with anxiety and depressive symptoms. Method A cross-sectional study was carried out for Chinese patients with oral cancer between May 2016 and October 2017 in two Grade-A Tertiary Hospitals in Shenyang, China. 230 patients with oral cancer were interviewed with questionnaires on demographic variables, Zung Self-Rating Anxiety Scale (SAS), Center for Epidemiologic Studies Depression Scale (CES-D), Herth Hope Index (HHI), Social Impact Scale, Multidimensional Scale of Perceived Social Support (MSPSS), Revised Life Orientation Test (LOT-R), Perceived Stress Scale-10 (PSS-10), and General Perceived Self-efficacy Scale(GSE). Chi-square test, nonparametric test, t-test and logistic regression analyses were conducted where appropriate to explore predictive factors of anxiety symptoms and depressive symptoms. Result The prevalence of anxiety symptoms and depressive symptoms in the sample population was 36.96% (85/230) and 65.21% (150/230), respectively. Social isolation dimension of stigma (β=0.436, OR=1.547, CI:1.211~1.975), optimism (β=-0.276, OR=0.759, CI:0.624~0.922), and perceived stress (β=0.217, OR=1.243, CI:1.092~1.414) were predictors of anxiety symptoms. Marriage (β=1.648, OR=5.198, CI:1.427~18.924), positive readiness and expectancy dimension of hope (β=-0.505, OR=0.604, CI:0.395~0.923), social isolation dimension of stigma (β=0.314, OR=1.368, CI:1.054~1.776) and perceived stress (β=0.273, OR=1.314, CI:1.134~1.524) were predictors of depressive symptoms among oral cancer patients. Conclusion The prevalence of anxiety symptoms and depressive symptoms was high among oral cancer patients in China. The communal predictors of anxiety and depressive symptoms in patients with oral cancer were levels of perceived stress and social isolation of stigma. In addition, optimism was a predictor of anxiety symptoms and hope was a predictor of depressive symptoms.

Financial toxicity and mental well‐being of the oral cancer survivors residing in a developing country in the era of COVID 19 pandemic – A cross‐sectional study

“…Table 4 illustrates the mental well‐being and financial toxicity of studies from the pre‐pandemic era. Depression rates ranged from 17% to 65%, Anxiety rates ranged from 20% to 35% 14–16 . Our study shows depression among 58.2% and anxiety in 72.2%.…”

“…Lulu Yuan et al. reported that the prevalence of anxiety symptoms and depressive symptoms were 36.96% (85/230) and 65.21% (150/230), respectively 15 . William F Pirl et al.…”

Examining the quality of life of patients living with breast cancer in Southern Sri Lanka: A descriptive cross-sectional study

“…Cancer and its treatments frequently cause physical and mental disorders in patients. The leading problems of cancer patients are stress, depressive symptoms, anxiety, hopelessness, fear, sadness, and aggression (Alagazy, Soltan & Soliman, 2020;Dehghan et al, 2020;Handbook/Brest cancer, 2021, p.1-6;Prabath & Ruban, 2020;Weeratunga, Senadheera & Ekanayake, 2016;Weeratunga et al, 2019;Weeratunga et al, 2021;Yan, Chen & Li, 2019;Yuan, Pan & Wang, 2020). Not only cancer, its related factors such as social activities, different coping strategies (Finck et al, 2018;Weeratunga et al 2022), work, and childcare also affect the QoL (Yusoff et al, 2022).…”