Impact of Anxiety and Depression on Quality of Life in Elderly Patients with Brain Tumor (original) (raw)
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Depression and Anxiety Disorders in a Sample of Saudi Persons with Brain Tumor
Global Journal of Health Science
BACKGROUND: Depression and anxiety (DA) are common in persons with brain tumor (PBT) and are associated with neurocognitive deficits. The terms DA and affective disorders are often used interchangeably in this study. Objective: This was a pilot study, conducted with the purpose of better assessing DA symptoms in association with socioeconomic and clinical characteristics in PBT. METHOD: A cross-sectional study was conducted on a sample of PBT (N = 102), recruited from a neurosurgical department. The tools employed were the Beck Depression Inventory-II (BDI-II) and the Hospital Anxiety and Depression Scale (HADS). The self-rating instruments proved feasible and reliable in screening for the severity of DA symptoms. The HADS is designed to measure the severity of anxiety and depressive symptoms in non-psychiatric hospital outpatients and does not assess the common somatic symptoms of these two disorders. The BDI-II evaluates the severity of depressive symptoms with items related to ph...
Journal of College of Medical Sciences-Nepal, 2021
Introduction: The co-existence of anxiety disorders in patients with neurological and neurosurgical disease is in association with barriers to treatment and worsening medical outcomes. This study aims to identify the prevalence and correlation of anxiety in a tertiary neurological center in Kathmandu, Nepal. Methods: This was a hospital-based cross-sectional study conducted at a tertiary neurological center in Kathmandu in patients undergoing major neurosurgical procedure. A semi-structured questionnaire including socio-demographic characteristics and medical history were used to collect data. Nepali translated Hospital Anxiety Scale, AUDIT, and Fragesterum Questionnaire were used to assess the anxiety level, alcohol dependence and tobacco dependence among the participants respectively. Chi-square tests and multiple logistic regression were used to test the association of anxiety with independent variables. Results: A total of 260 patients participated in this study with the mean a...
Assessment of Quality of Life of Patients with Brain Tumors
International Journal of Humanities, Social Sciences and Education, 2018
Introduction: Cancer as a disease and therapies administered for its treatment indicate that patients undergo major trauma, different from one person to another, and these individuals react differently. The aim of the study was to analyze the quality of life (QoL) and the level of depression anxiety and stress patients with brain tumours before and after psychotherapy.
Research Square (Research Square), 2021
Introduction Despite quality of life (QoL) being recognized as an important outcome in neuro-oncology, there is a lack of research from Pakistan where sociocultural differences may in uence QoL. This study aimed to measure the QoL in patients with primary brain tumors (PBTs), and assess its association with mental health outcomes, resilience, and social support. Methods A cross-sectional survey was conducted among primary brain tumor patients. QoL was measured using European Organization for Research and Treatment of Cancer Quality of Life Questionnaire. Resilience was assessed by Wagnild and Young's Resilience Scale, mental health outcomes using Hospital Anxiety and Depression Scale, and social support using the Enriched Social Support Instrument. Results Our study included a total of 250 patients, with median age of 42 years (range 33-54 years). The mean global QoL of the sample was 75.73 ± 14.9. On multivariable linear regression, global QoL was inversely associated with no or low income, having hypertension (-5.77), currently using a urine catheter (-15.33), having low social support (-28.16) suffering from mild (-9.88) or symptomatic (-17.59) depression, or mild anxiety (-7.11), while resilience (0.28) demonstrated a signi cant positive association. Conclusion The quality of life of patients with primary brain tumors in Pakistan is a function of clinical factors such as comorbid disease and use of a urinary catheter, social factors such a family income and social support, and psychological factors such as mental illness and resilience. Our ndings may be of use in the development of QoL-improving interventions within the sociocultural setting of Pakistan. Lay Summary Despite quality of life (QoL) being recognized as an increasingly important outcome in the management of patients with primary brain tumors, there is a lack of research from Pakistan. Findings related to QoL, and its associated psychosocial factors, are likely to differ in Pakistan, due to a unique economic, social, and cultural landscape Our study nds that the QoL of patients with primary brain tumors in Pakistan dependent on clinical factors such as comorbid disease, economic factors, such a family income, social factors such as social support, and psychological factors such as mental illness and resilience.
Malaysian Journal of Public Health Medicine
Objectives: To assess the association between major depressive disorder, anxiety disorders and the quality of life of neurological disorder (brain tumour/brain disorder) patients. Methods: This study was conducted at Kuala Lumpur Hospital, Malaysia, a tertiary referral centre hospital for neurological disorder patients. The cross-sectional study design was applied. The Mini-International Neuropsychiatric Interview and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire were used in the study. Results: A total of 100 neurological disorder patients were included in the study. The study found that the Major depressive disorder correlated with almost all domains of the quality of life, except the nausea and vomiting scores. Logistic regression showed that emotional functioning and pain were related to major depressive disorder. Different anxiety disorders also correlated with quality of life in specific domains. The leading anxiety disorders that ass...
ANXIETY IN BREAT CANCER PATIENTS UNDERGOING SURGERY
Breast cancer is the most common cancer and main cause of cancer death in females worldwide. Anxiety and psychological distress are most common sequelae seen in patients with cancer. Prolonged anxiety can influence a person's response to treatment, decision making and overall quality of life. The main objective of the study was to assess the level of anxiety experienced by breast cancer patients awaiting surgery. A descriptive, cross-sectional study among 30 breast cancer patients undergoing surgery by purposive sampling was used to assess the level of anxiety prior to surgery. The study was conducted in general surgery and oncology wards of a tertiary care hospital in Karnataka. Data for this study was collected through State Trait Anxiety Inventory (STAI). The findings of this study show that 80% of women were in the age group of 41-60years,80% were in stage II of cancer and 67% were planned to have modified radical mastectomy(MRM).Majority of the samples (80%) exhibited moderate level of anxiety, whereas 7% had severe anxiety . Study found that none of the demographic and clinical variables were associated with anxiety level. The findings of the study indicate the magnitude of the problem and need for appropriate interventions to alleviate anxiety among these patients
Makara Journal of Health Research
Background: The quality of life of patients with primary brain tumor in Indonesia is poorly understood. Therefore, this study aimed to investigate the health-related quality of life of patients admitted to the Neurosurgery Department of Dr. Hasan Sadikin Hospital, Bandung, Indonesia, up to 3 months after discharge. Methods: Baseline data were collected from patients aged ≥18 years who were admitted to the hospital between October 9, 2015, and February 17, 2016. In-person interviews were then conducted 1-2 days pre-discharge (n = 65) and follow-up telephone interviews were made 1, 2, and 3 months post-discharge (n = 58, 55, and 54, respectively) to collect socio-demographic data, clinical characteristics, and EQ-5D-5L data. Results: Prior to discharge, one-third or less of the 65 patients interviewed reported "no problems" with mobility (32%), self-care (32%), usual activities (18%), and pain/discomfort (43%), whereas 74% reported "no problems" with anxiety/depression. By contrast, at 3 months post-discharge, an increased proportion of patients reported "no problems" with mobility (61%), self-care (67%), usual activities (56%), and pain/discomfort (76%), with little change in anxiety/depression ("no problems" 70%). Conclusions: While there was improvement, many patients were still reporting problems at 3 months post-discharge, highlighting the need for ongoing support and care to ensure the best possible outcomes.
Anxiety in the preoperative phase of awake brain tumor surgery
Clinical neurology and neurosurgery, 2017
Awake surgery emerges as a standard of care for brain tumors located in or near eloquent areas. Levels of preoperative anxiety in patients are important, because anxiety can influence cognitive performance and participation, hence altering the outcome of the procedure. In this study we analyzed the prevalence and potential clinical predictors of anxiety in the pre-operative phase of an awake brain tumor surgery. Seventy consecutive candidates for an awake brain tumor surgery were included. All patients received a neuropsychological pre-operative work-up. The Hospital Anxiety and Depression Scale (HADS) was administrated to investigate symptoms of anxiety. Demographic and medical data were extracted from patients' charts. Linear regression analyses, multiple regression analyses, t-tests for parametric and Mann-Whitney U tests for non-parametric data were used to analyze the relation between demographic and medical variables and pre-operative anxiety. Mean score on the anxiety sca...
Assessment Of The Anxiety, Depression And Coping Strategies In Diagnosed Cancer Patients
Asian Journal of Health Sciences, 2013
Across the world, there are people who suffer from different types of cancers. These patients suffer problems of anxiety and depression as the commonest psychological problems. Therefore, an exploratory study was conducted to assess the anxiety, depression and coping strategies in diagnosed cancer patients in selected hospital of Indore. Samples of 50 patients both males and females were taken for the study using non-probability purposive sampling technique. Assessment of data was done using standardized tools i.e. Hamilton's anxiety scale, Beck's Depression inventory and a set of 5 open ended questionnaire for the patients. Statistical findings revealed that there was no association between the level of anxiety and the socio demographic variables. The findings of the study revealed that majority of the cancer patients suffer from symptoms of anxiety (23 out of 50 patients, 46%) and depression (19 out of 50 patients, 38%) in their daily life. To adapt to these stressful cond...