Depression and Anxiety Disorders among Hospitalized Women with Breast Cancer

Abstract

PurposeTo document the prevalence of depression and anxiety disorders, and their associations with mortality among hospitalized breast cancer patients.MethodsWe examined the associations between breast cancer diagnosis and the diagnoses of anxiety or depression among 4,164 hospitalized breast cancer cases matched with 4,164 non-breast cancer controls using 2006-2009 inpatient data obtained from the Nationwide Inpatient Sample database. Conditional logistic regression models were used to compute odds ratios (ORs) and 95% confidence intervals (CI) for the associations between breast cancer diagnosis and diagnoses of anxiety or depression. We also used binary logistic regression models to examine the association between diagnoses of depression or anxiety, and in-hospital mortality among breast cancer patients.ResultsWe observed that breast cancer cases were less likely to have a diagnosis of depression (OR=0.63, 95% CI: 0.52-0.77), and less likely to have a diagnosis of anxiety (OR=0.68, 95% CI: 0.52-0.90) compared with controls. This association remained after controlling for race/ethnicity, residential income, insurance and residential region. Breast cancer patients with a depression diagnosis also had lower mortality (OR=0.69, 95% CI: 0.52-0.89) compared with those without a depression diagnosis, but there was no significant difference in mortality among those with and without anxiety diagnoses.ConclusionDiagnoses of depression and anxiety in breast cancer patients were less prevalent than expected based on our analysis of hospitalized breast cancer patients and matched non-breast cancer controls identified in the NIS dataset using ICD-9 diagnostic codes. Results suggest that under-diagnosis of mental health problems may be common among hospitalized women with a primary diagnosis of breast cancer. Future work may fruitfully explore reasons for, and consequences of, inappropriate identification of the mental health needs of breast cancer patients.

Psychological distress and quality of life among Jordanian women diagnosed with breast cancer: The role of trait mindfulness

“…Therefore, researchers should pay attention to conduct the same study on inpatients to compare the results of both studies as the previous literature revealed higher stress levels among hospitalised patients with breast cancer (Sultan, Pati, Chaudhary, & Parganiha, 2018;Vin-Raviv, Akinyemiju, Galea, & Bovbjerg, 2015). First, this study was conducted at a single medical centre located in the capital city of the country treating breast cancer patients.…”

The Effect of Depression in Chronic Hemodialysis Patients on Inpatient Hospitalization Outcomes

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Pre-Transplant Depression Is Associated with Length of Hospitalization, Discharge Disposition, and Survival after Liver Transplantation

“…Accordingly, we did not know whether patients were treated by other therapeutic modalities such as psychotherapy. While ICD-9 codes are not the ideal way to capture active depressive symptoms, they have been used frequently in studies of depression in which it is not feasible to obtain symptom measures due to the retrospective nature of the study or the large population [23–26]. ICD-9 codes for depression have been found to have suboptimal sensitivity but high positive predictive values and specificity, suggesting that the control group may have some recipients with undetected depression.…”