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

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Author(s)
Soo Hyun KimSokbom KangYong-Man KimByoung-Gie KimSeok Ju SeongSoon Do ChaChan-Yong ParkYoung Ho Yun
Keimyung Author(s)
Cha, Soon Do
Department
Dept. of Obstetrics & Gynecology (산부인과학)
Journal Title
International Journal of Gynecological Cancer
Issued Date
2010
Volume
20
Issue
6
Abstract
Purpose: With increasing survival rates of women with cervical cancer, quality of life of
the survivors becomes a more important issue. However, little is known about the mental
health of cervical cancer survivors (CCSs). This study investigated the prevalence of
anxiety and depression in CCSs compared with healthy controls and identified factors
associated with multidimensional model including sociodemographic, clinical, functioning
and well-being, and symptom variables.
Methods: The participants included 828 CCSs (mean time since treatment, 6.9 years)
enrolled at 6 tertiary hospitals from 1983 to 2004 and 500 control subjects selected randomly
from a representative sample of Korean women. Subjects completed the following
questionnaires: the Hospital Anxiety and Depression Scale, the European Organization for
Research and Treatment of Cancer Quality of Life questionnaire-C30, its Cervical Cancer
module, and the McGill Quality of Life Questionnaire.
Results: Hospital Anxiety and Depression ScaleYdefined anxiety in CCSs did not differ
from that in healthy controls (39.5% and 32.2%, respectively; P = 0.218). Anxiety was
significantly more prevalent in younger CCSs (e50 years) than in controls (40% vs 26.4%,
respectively; P G 0.001). Hospital Anxiety and Depression ScaleYdefined depression was
even lower in CCSs than in controls (34.6% vs 48.0%, respectively; P G 0.001). In multivariate
analyses, the Hospital Anxiety and Depression ScaleYdefined anxiety and depression
in CCSs were commonly associated with financial difficulty, poor body image,
sexual inactivity, and low existential well-being. Low support and insomnia were uniquely
related to anxiety, with older age and decrement role function uniquely related to depression.
However, disease-related clinical factors were not related to either anxiety or
depression.
Conclusions: 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.
Key Words: Anxiety, Depression, Cervical cancer, Survivors
Keimyung Author(s)(Kor)
차순도
Publisher
School of Medicine
Citation
Soo Hyun Kim et al. (2010). Prevalence and Predictors of Anxiety and Depression
Among Cervical Cancer Survivors in Korea. International Journal of Gynecological Cancer, 20(6), 1017–1024. doi: 10.1111/IGC.0b013e3181e4a704
Type
Article
ISSN
1048-891X
Source
http://insights.ovid.com/pubmed?pmid=20683411
DOI
10.1111/IGC.0b013e3181e4a704
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/35984
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Obstetrics & Gynecology (산부인과학)
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