Prevalence and correlates of psychological distress among cancer patients in a tertiary care hospital in northern India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20191848Keywords:
Psychological distress, Prevalence, Cancer patients, tertiary care hospital, Northern IndiaAbstract
Background: Patients diagnosed with cancer are usually exposed to high level of mental stress and hence invariably lend in psychological distress. This study aimed to estimate the prevalence of psychological distress amongst cancer patients and determine its association with socio-demographic factors.
Methods: This hospital based cross-sectional study was conducted at a cancer research institute of district Dehradun. Purposive sampling was used to select the hospital and recruiting patients. All eligible patients, giving written consent for the study were interviewed and distress related information was gathered using the Hospital Anxiety and Depression Scale (HADS). The data were collected for two months and sample size of 208 was achieved. Data was entered in SPSS 22.0 and association of different variables with psychological distress was determined by chi-square test..
Results: The mean age of the surveyed cancer patients was 51.05±15.68 years and the male female ratio was 1.7. Prevalence of psychological distress was found to be 38.5% and significantly more female patients than male patients (47.4% and 33.3% respectively) had distress. The association between psychological distress and increasing age, sex, literacy and employment status was found to be significant.
Conclusions: Approximately 39% of cancer patients had psychological distress (anxiety/ depression/ both). The prevalence of psychological distress was found to be significantly higher in female patients, older age, patients with no formal education, unemployment and lower socio-economic status. Appropriate psychiatric interventions/ counselling following diagnosis and during therapy may be effective in reducing distress and improving quality of life in cancer patients.
References
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;00:1–31.
Stanton AL. What happens now? Psychosocial care for cancer survivors after medical treatment completion. J Clin Oncol. 2012;30(11):1215–20.
Drapeau A, Marchand A, Beaulieu-Prévost D. Epidemiology of psychological distress. In: Mental Illnesses - understanding, prediction and control LAbate L, editor. INTECH; 2012: 105–134.
Smith HR. Depression in cancer patients: Pathogenesis, implications and treatment (review). Oncol Lett. 2015;9(4):1509–14.
Sharma DC. Cancer data in India show new patterns. Lancet Oncol. 2016;17(7):e272.
Stern AF. Questionnaire review the Hospital anxiety and Depression scale. Occup Med (Chic Ill). 2014;64:393–4.
DiMatteo MR, Lepper HS, Croghan TW. Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Arch Intern Med. 2000;160(14):2101–7.
Thapa P, Rawal N, Bista Y. A study of depression and anxiety in cancer patients. Nepal Med Coll J. 2010;12(3):171–5.
Srivastava V, Ansari MA, Kumar A, Shah AG, Meena K, Sevach P, et al. Study of Anxiety and Depression among Breast Cancer Patients from North India. iMedPub J. 2016;2(1:17):1–7.
Khalil A, Faheem M, Fahim A, Innocent H, Mansoor Z, Rizvi S, et al. Prevalence of Depression and Anxiety amongst Cancer Patients in a Hospital Setting: A Cross-Sectional Study. Psychiatry J. 2016;2016:3964806.
Kim GM, Kim SJ, Song SK, Kim HR, Kang BD, Noh SH, et al. Prevalence and prognostic implications of psychological distress in patients with gastric cancer. BMC Cancer. 2017;17:283.
Pandey M, Sarita GP, Devi N, Thomas BC, Hussain BM, Krishnan R. Distress, anxiety, and depression in cancer patients undergoing chemotherapy. World J Surg Oncol. 2006;4:68.
Lueboonthavatchai P. Prevalence and psychosocial factors of anxiety and depression in breast cancer patients. J Med Assoc Thai. 2007;90(10):2164-74.
Kumar R, Singh KK, Rae AA, Singh RK, Singh GR. Prevalence of Anxiety and Depression among Cancer Patients. J Med Sci Clin Res. 2016;4(11):13696–9.
Leimanis ML, Fitzpatrick TR. Physical Activities and Distress among Participants of a Cancer Wellness Centre: A Community-Based Pilot Study. Int J Phys Med Rehabil. 2014;2(3):1-8.
Nikbakhsh N, Moudi S, Abbasian S, Khafri S. Prevalence of depression and anxiety among cancer patients. Casp J Intern Med. 2014;5(7):167–70.