Psychiatric morbidity in outpatients of gynecological oncology clinic in a tertiary care hospital

Mendonsa, Rohan Dilip; Appaya, P.

doi:10.4103/0019-5545.74307

Cited by 20 publications

(21 citation statements)

References 13 publications

(15 reference statements)

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“…10 Depressive disorders and anxiety disorders were diagnosed in 42.5% and 16.8% respectively among gynaecology oncology outpatients in a study. 11 The most common psychiatric disorder in the subjects in this study was depression (54%), finding similar to other studies done in gynaecological setup. Among 131 subjects 71 cases (54%) had definitive depressive symptoms and 21cases (16%) had borderline symptoms and 39(29.7%) were normal.…”

Section: Discussionsupporting

confidence: 91%

“…This finding is similar to the study done in a tertiary care hospital which showed the analysis done to compare socio-demographic variables between women with psychiatric morbidity and women without psychiatric morbidity using chi-square test showed no difference of statistical significance. 11 In a study by Bradley S et al showed greater depression and mood disturbance among unemployed and unmarried cancer survivors. 18 For those women with partners, lengthier relationships appeared to offer protection from both depressive and anxiety symptoms..…”

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confidence: 97%

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Psychological impact of cancer diagnosis among gynaecological cancer subjects in a tertiary care centre

Nanjaiah

Khan

Rao

2017

Int J Community Med Public Health

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INTRODUCTIONAmong gynaecological cancers, cervical cancer is one of the most prevalent cancers that afflict women and that lead to deaths worldwide. The data from HBCRs of India has shown that cancer of cervix (28%) and breast (16%) in women are most common and cancer of Head and Neck region constitute about 30% of all cancer in males and females.1 More than 3-8% of ovarian, 0.5-4.8% of corpus uteri, 1-3% of vulvar and gestational trophoblastic tumours are reported in India every year. 2The diagnosis of cancer affects patients and their families physically, financially and emotionally. Cancer is still considered synonymous to death, pain and suffering. 3 The common psychological and emotional responses to cancer arise from knowledge of life-threatening diagnosis, its prognostic uncertainty and fears about death ABSTRACT Background: The survival rate of cancer patients has improved and focus has shifted to improve the quality of life of the survivors. An adequate knowledge is required for psychosocial interventions and designing programs aimed at improving the quality of life of the cancer patients. The purpose of the study is to assess Anxiety and Depression [Psychiatric morbidity] among gynaecological cancer subjects and its association with duration since diagnosis, type of cancer, mode of treatment and socio-demographic variables. Methods: This is an interview based cross sectional study involving 131 patients diagnosed to have gynaecological cancer who were evaluated using hospital anxiety and depression scale (HADS). The gynaecological and sociodemographic data was analyzed for any correlation with HADS scores. Results:The prevalence of at least one psychiatric disorder was 90% (n=118). Sixty subjects [45.8%] had anxiety, 71 subjects [54%] had depression and 118 cases [90%] had psychiatric morbidity. Patients suffering for less than three months had anxiety; three to 12 months were both anxious and depressed; more than 12 months were depressed. Young women with less education were more anxious compared to educated women. Conclusions: Given a gynaecological cancer an individual will have 0.9 chance of developing psychiatric morbidity. Young women with less education aware of cancer diagnosis for three to 12 months were at increased risk and needs intervention. As cancer incidence is increasing and psychiatric morbidity is common among cancer patients, training of health care personnel in cancer screening and recognizing patients with common mental disorders is required to improve their quality of life. Creating awareness of public regarding risk factors of cancers, importance of screening and cancer treatment is necessary.

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Section: Discussionsupporting

confidence: 91%

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confidence: 97%

Psychological impact of cancer diagnosis among gynaecological cancer subjects in a tertiary care centre

Nanjaiah

Khan

Rao

2017

Int J Community Med Public Health

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“…The prevalence of depression of gynecologic cancer patients has been reported to range from 12 % to 55 %, and major depression has been observed to be much more common in cancer patients than in women with benign disease [19,20]. In our study, the prevalence of depression was 26.4 %.…”

Section: Discussionmentioning

confidence: 41%

“…However, the relationship between malnutrition and psychological factors in gynecologic cancer is not clear. In previous studies, gynecologic cancer patients have been found to have significant levels of psychological disorders, particularly depression and anxiety [19,20]. Therefore, identification of the association between psychological factors and malnutrition could have important implications for treatment of patients with gynecologic cancer.…”

Section: Introductionmentioning

confidence: 99%

Depression and appetite: predictors of malnutrition in gynecologic cancer

Nho

Kim

Kwon

2014

Support Care Cancer

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Purpose The reported prevalence of malnutrition and related factors in gynecologic cancer varies. We aimed to describe nutritional status and to identify demographic, clinical, psychological, and nutritional factors contributing to malnutrition in gynecologic cancer patients. Methods We used a descriptive cross-sectional design. A total of 129 subjects were enrolled. Subjects agreed to undergo a face-to-face interview, including measurement of body mass index (BMI) and administration of structured questionnaires including the Patient-Generated Subjective Global Assessment (PG-SGA), the Beck Depression Inventory (BDI), and the Simplified Nutritional Appetite Questionnaire (SNAQ). Results Mean BMI was 23.4 kg/m 2 (range, 14.6-36.7 kg/m 2 ) and median body weight was 55.0 kg (range, 38.5-91.3 kg). Sixty-nine (53.5 %) of 129 patients reported severe malnutrition according to the PG-SGA. Malnutrition among patients who had received chemotherapy was more common than among patients who had not received chemotherapy within 6 months. Depression and appetite were significant factors predicting malnutrition in patients with gynecologic cancer. However, malnutrition was not related to age, marital status, level of education, or annual income among demographic factors, nor age at onset of cancer, cancer type, stage, or duration of cancer among clinical factors.Conclusions Assessment of nutritional status should be considered along with depression and appetite in patients with gynecologic cancer. In addition, regular and consistent nutritional assessment is essential in gynecologic cancer patients because of the high prevalence of malnutrition in these patients.

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“…A study conducted by Mendonsa et al, revealed 50% of psychiatric morbidity in cancer group as compared to 42% of benign group while Lau et al, showed prevalence of 31% depressive disorders and anxiety disorders of 16%. 33,34 In present study, 65.95% of psychiatric illness was noted in cases as compared to control group of 21.42%.…”

Section: Discussionmentioning

confidence: 41%

Psychiatric morbidity in newly diagnosed carcinoma cervix and its comparison with benign condition

Raj¹,

Bhagat²

2017

Int J Reprod Contracept Obstet Gynecol

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Background: To study the psychiatric morbidity among newly diagnosed carcinoma cervix and its comparison with benign gynaecological diseases of cervix. Cervical cancer is the second most common cancer in the world and ranked first in India. It is mainly caused by sexually transmitted infection (STI) of human papilloma virus (HPV).Methods: It was an open labeled, cross-sectional and extended phase study that screened 158 patients in the age group of 18-70 years who fulfilled both inclusion and exclusion criteria and screened positive on liquid based cytology (LBC), as per guidelines of Bathesda system in Government Medical College, Patiala. 13 patients dropped out of study and finally 145 patients were enrolled. They were further divided after biopsy into two groups as per histopathological examination (HPE) i.e., Group-1, N=47 women HPE positive for cervical intraepithelial neoplasia (CIN) as Cases and Group-2, N=98 HPE negative as Control. and anxiety and severity on Hamilton Rating Scale for Depression (HAM-D) and Hamilton Rating Scale for Anxiety (HAM-A) and Hospital Anxiety Depression Scale (HADS) was used to screen psychiatric morbidity for depression.Results: Mean age of Group-1 was 38.45±11.22 SD years and Group-2 was 36.67±8.54 SD years. Psychiatric morbidity in Group-1 was 65.95% whereas Group-2 was 21.42%. P value obtained on comparing HADS score of two groups was significant (p <0.050). After active intervention there was a significant reduction in psychiatric morbidity of two groups (72% in Group-1 and 81.3% in Group-2).Conclusions: The study revealed that the breaking of bad news has a significant psycho-social impact on patients suffering from carcinoma cervix than benign group.

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Psychiatric morbidity in outpatients of gynecological oncology clinic in a tertiary care hospital

Cited by 20 publications

References 13 publications

Psychological impact of cancer diagnosis among gynaecological cancer subjects in a tertiary care centre

Psychological impact of cancer diagnosis among gynaecological cancer subjects in a tertiary care centre

Depression and appetite: predictors of malnutrition in gynecologic cancer

Psychiatric morbidity in newly diagnosed carcinoma cervix and its comparison with benign condition

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