Risk factors for postoperative anxiety and depression after surgical treatment for lung cancer

Park, Samina; Kang, Chang Hyun; Hwang, Yoohwa; Seong, Yong Won; Lee, Hyun Joo; Park, In Kyu; Kim, Young Tae

doi:10.1093/ejcts/ezv336

Cited by 91 publications

(78 citation statements)

References 22 publications

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“…Park et al conducted their study among 278 patients undergoing curative surgical resection for primary lung cancer. They reported that severe pain was identified as a risk factor for postoperative depression after adjusting for preoperative depression (OR=3.9; P=0.001) (22). The assessment of nutritional status in patients with metastatic NSCLC stage IV or extended stage SCLC referred for chemotherapy, which was performed by Giannousi et al, revealed significant correlations between the MNA score and depression (r=0.275; P=0.002) while the correlation between the MNA score and anxiety was insignificant (23).…”

Section: Discussionmentioning

confidence: 99%

Is nutritional status associated with the level of anxiety, depression and pain in patients with lung cancer?

Chabowski¹,

Polański²,

Jankowska‐Polańska³

et al. 2018

J. Thorac. Dis.

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Background: Nutritional deficiencies are common in lung cancer patients, especially in those with advanced and metastatic cancers. The pathogenesis of the development of nutritional disorders in cancer patients has not been fully explained. The study was performed in order to research associations between nutritional status and mental condition and pain. The aim of the study was to assess the relationship between nutritional status and the level of anxiety, depression and perceived pain in patients with lung cancer. Methods: A total of 257 patients with lung cancer were enrolled. The Mini-Nutritional Assessment (MNA) questionnaire was used to assess their nutritional status; the Hospital Anxiety and Depression Scale (HADS) was used to assess their levels of anxiety and depression; the Visual Analog Scale (VAS) was used to assess levels of perceived pain. Results: The MNA showed that 23% of the study group was malnourished, 33% at risk of malnutrition and 44% displayed a normal nutritional status. The HADS questionnaire showed that 65% of the study group had depressive symptoms and 65% had anxiety. The mean score of the VAS was 4.35. A significant negative correlation between nutritional status and pain was observed (r=−0.65; P<0.001) as well as between nutritional status and anxiety and depression (r=−0.68; P<0.001 and r=−0.60; P<0.001, respectively). Conclusions:The prevalence of nutritional disorders and the intensity of somatic symptoms and psychological distress are high among lung cancer patients. The significant levels of depression, anxiety and pain in patients at risk of malnutrition which were highlighted in comparison to patients with a normal nutritional status indicate the need for early supportive psychotherapy or pharmacological interventions.

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Section: Discussionmentioning

confidence: 99%

Is nutritional status associated with the level of anxiety, depression and pain in patients with lung cancer?

Chabowski¹,

Polański²,

Jankowska‐Polańska³

et al. 2018

J. Thorac. Dis.

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show abstract

“…The prevalence rates for fatigue (42.2%) and anxiety (20.9%) were similar to those observed in previous studies involving lung cancer survivors (16.8% to 57% and 19.75 to 34%, respectively) . The prevalence rate for depression (38.9%) was somewhat higher relative to those reported in previously published research (8.9% to 33%) . In addition, previous studies have reported various prevalence rates for fatigue, anxiety, and depression in lung cancer patients.…”

Section: Discussionmentioning

confidence: 99%

Comparison of fatigue, depression, and anxiety as factors affecting posttreatment health‐related quality of life in lung cancer survivors

et al. 2017

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“…The result is consistent with a recent report and depression after operation may be related to residual symptoms including pain and dyspnea. [29] However, lung cancer patients receiving operation were mostly in earlier stages and were expected live longer to receive psychiatric interventions. On the contrary, patients with brain metastasis, or those receiving CT, RT, and EGFR-TKI treatments were in late stages.…”

Section: Discussionmentioning

confidence: 99%

Incidence and risk factors of depression after diagnosis of lung cancer

et al. 2017

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This study aimed to explore the incidence and risk factors of depression after lung cancer diagnosis. Using the Taiwan National Health Insurance Research Database (NHIRD), incidences and risk factors of depression in lung cancer and nonlung cancer cohorts were analyzed.From 1998 to 2006, a total of 22,125 patients were included in each matched cohort of lung cancer and nonlung cancer patients from NHIRD. The incidence of depression was higher in the lung cancer cohort than in the nonlung cancer cohort (1545.8 vs 1366.6 per 100,000 person-years). An increased risk of depression was observed in the lung cancer cohort [adjusted hazard ratio (aHR): 1.16, 95% confidence interval (95% CI): 1.01–1.34, P = .0377]. In lung cancer patients, age ≤50 years (aHR: 2.72, 95% CI: 2.02–3.66, P < .0001), age 50 to 69 years (aHR: 2.34, 95% CI: 1.87–2.94, P < .0001), female gender (aHR: 1.50, 95% CI: 1.26–1.80, P < .0001), coronary artery disease (CAD) (aHR: 1.40, 95% CI: 1.08–1.82, P = .0113), and operation (aHR: 1.78, 95% CI: 1.46–2.16, P < .0001) were associated with an increased risk of depression. In addition, higher incidences of emergency room (ER) visit (4.76 vs 2.82, per person-year) and admission (5.73 vs 4.33, per person-year) were observed in lung cancer patients with depression than those without depression.Our results showed that early surveillance and intervention of depression should be advocated after a diagnosis of lung cancer.

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Risk factors for postoperative anxiety and depression after surgical treatment for lung cancer

Cited by 91 publications

References 22 publications

Is nutritional status associated with the level of anxiety, depression and pain in patients with lung cancer?

Is nutritional status associated with the level of anxiety, depression and pain in patients with lung cancer?

Comparison of fatigue, depression, and anxiety as factors affecting posttreatment health‐related quality of life in lung cancer survivors

Incidence and risk factors of depression after diagnosis of lung cancer

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