Factors Associated with Depression Assessed by the Patient Health Questionnaire-2 in Long-Term Cancer Survivors / 가정의학회지
Korean Journal of Family Medicine
; : 228-234, 2016.
Article
en En
| WPRIM
| ID: wpr-212280
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND:
This cross-sectional study aimed to evaluate the prevalence of depressive disorders and factors associated in long-term cancer survivors.METHODS:
A total of 702 long-term cancer survivors over 5-years in remission were recruited in a university-affiliated tertiary hospital in Korea. Self-report using the Patient Health Questionnaire-2 and the Fatigue Severity Scale assessed depression and fatigue, respectively. Demographic characteristics, cancer-related clinical characteristics, comorbidity, health behaviors, and physical symptoms were assessed through the review of medical records or a structured self-administered questionnaire.RESULTS:
We identified 26.1% of patients who had a depressed mood or displayed a loss of interest. The most prevalent primary site of cancer was the stomach (65.2%), followed by lung, breast, colorectal, and thyroid cancer. We also found that 5.7% of subjects experienced double or triple primary cancers. Larger proportion among depressive group (89.1%) complained at least one physical problem than among non-depressive group (53.2%). Physical symptoms including sleep problems, dry mouth, indigestion, pain, decreased appetite, and febrile sense were more frequent in the depressive group than in the non-depressive group. The Fatigue Severity Scale scores were higher in the depressive group than in the non-depressive group (P<0.001). Multiple logistic regression analysis showed that the highest tertile level of fatigue (odds ratio, 7.31; 95% confidence interval, 3.81-14.02) was associated with the increased risk of depression.CONCLUSION:
These findings suggest that careful concern about depression is necessary in long-term cancer survivors. Fatigue may be a surrogate sign for depression, and warrants further evaluation.Palabras clave
Texto completo:
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Base de datos:
WPRIM
Asunto principal:
Apetito
/
Estómago
/
Mama
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Neoplasias de la Tiroides
/
Conductas Relacionadas con la Salud
/
Comorbilidad
/
Modelos Logísticos
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Registros Médicos
/
Prevalencia
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Estudios Transversales
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Límite:
Humans
País/Región como asunto:
Asia
Idioma:
En
Revista:
Korean Journal of Family Medicine
Año:
2016
Tipo del documento:
Article