The prevalence of anxiety and depression in palliative care patients with cancer in Western Australia and New South Wales.
Summary of "The prevalence of anxiety and depression in palliative care patients with cancer in Western Australia and New South Wales."
OBJECTIVES:
To examine the prevalence and predictors of depression and anxiety in palliative care patients with cancer in Western Australia and New South Wales. DESIGN, SETTING AND
PARTICIPANTS:
A descriptive study of 266 consecutive patients at a range of inpatient and outpatient settings including home care, hospices, and private and tertiary care hospitals in WA and NSW from 1 March to 30 June 2002. MAIN OUTCOME
MEASURES:
Self-reported anxiety and depression using the Hospital Anxiety and Depression Scale (HADS) at a cut-off score of >/= 8 on each subscale (depression and anxiety) for possible cases, and of >/= 11 for probable cases; a cut-off score of >/= 19 was used for probable combined depression and anxiety.
RESULTS:
Patients included 200 in WA and 66 in NSW. For the whole sample, 45.8% of patients were possibly depressed and 22.7% probably depressed; 36.9% were possibly anxious and 19.8% probably anxious. About 25% of patients had probable combined depression and anxiety. Logistic regression analyses indicated that past anxiety in the family predicted probable depression, while age, marital status and past depression predicted probable anxiety. Age and past depression predicted probable combined depression and anxiety.
CONCLUSIONS:
These findings underscore the need for routine screening for anxiety and depression in palliative care settings, including questions about past personal and family history of anxiety and depression, and the need for a range of interventions and support services.
Affiliation
Curtin University, Perth, WA, Australia. m.oconnor@curtin.edu.au.
Journal Details
This article was published in the following journal.
Name: The Medical journal of Australia
ISSN: 0025-729X
Pages: S44-7
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20819027
- DOI: http://dx.doi.org/
Medical and Biotech [MESH] Definitions
Cancer Care Facilities
Institutions specializing in the care of cancer patients.
Oncologic Nursing
Nursing care provided cancer patients. It includes aspects of family functioning through education of both patient and family. The specialty of oncologic nursing focuses on cancer as a major health care problem.
Palliative Care
Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)
Dental Anxiety
Abnormal fear or dread of visiting the dentist for preventive care or therapy and unwarranted anxiety over dental procedures.
Physicians, Primary Care
Providers of initial care for patients. These PHYSICIANS refer patients when appropriate for secondary or specialist care.
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