Anxiety, depression, and coping styles among patients with chronic pancreatitis in East China

Abstract

Background Anxiety and depression are common psychological comorbidities in patients with chronic pancreatitis (CP). There is still a lack of epidemiological studies on anxiety and depression in Chinese CP patients. This study aimed to identify the incidence and related factor of anxiety and depression among East Chinese CP patients and explore the relationship between anxiety, depression, and coping styles. Methods This prospective observational study was conducted from June 1, 2019 to March 31, 2021 in Shanghai, China. Patient diagnosed with CP were interviewed using the sociodemographic and clinical characteristics questionnaire, Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), and Coping Style Questionnaire (CSQ). Multivariate logistic regression analysis was conducted to identify the related factors of anxiety and depression. Correlation test was preformed to analyze the correlation between anxiety, depression, and coping styles. Results The incidence of anxiety and depression in East Chinese CP patients was 22.64% and 38.61%, respectively. Patients’ previous health status, level of disease coping, frequency of abdominal pain episodes, and pain severity were significantly associated with anxiety and depression. Mature coping styles (Problem solving, Seeking for help) had a positive impact on anxiety and depression, while immature coping styles (Self-blame, Fantasy, Repression, Rationalization) had negative effects on anxiety and depression. Conclusion Anxiety and depression were common in patients with CP in China. The factors identified in this study may provide references for the management of anxiety and depression in CP patients.

Pain experience of lung cancer patients during home recovery after surgery: A qualitative descriptive study

“…However, negative coping harms pain management. Studies have authenticated that pain tolerance and non‐treatment will lead to pain symptoms not being discovered in time, thus aggravating the impact of symptoms and reducing patients' quality of life 48,49 . Therefore, when developing pain management programs, medical staff should fully assess the patient's coping style and strive to promote positive, constructive, problem‐oriented coping strategies.…”

Health Literacy Needs of Acute Pancreatitis Patients During the Diagnosis and Treatment Process Under the Lens of the Timing It Right Theory: A Qualitative Study

“…It can also raise patients' self-efficacy, improve their compliance with treatment and nursing care, and facilitate positive changes in their health behaviors. 25,26 Thus, at this point, medical professionals ought to enhance communication with patients, pay attention to their feelings, conduct psychological assessments and timely interventions, encourage patients to express their desires, provide them with individualized psychological support, and lessen their negative emotions. Family support can be engaged as necessary to strengthen patients' faith in the treatment they receive.…”