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Prevalence and pred...
Prevalence and predictors of anxiety and depression among esophageal cancer patients prior to surgery
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- Hellstadius, Y. (author)
- Karolinska Institutet
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- Lagergren, J. (author)
- Karolinska Institutet
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- Zylstra, J. (author)
- Karolinska Inst, Dept Mol Med & Surg, Upper Gastrointestinal Surg, Stockholm, Sweden.;Kings Coll London, Div Canc Studies, Sect Gastrointestinal Canc, London, England.;Guys & St Thomas NHS Fdn Trust, Upper Gastrointestinal Surg, London, England.
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- Gossage, J. (author)
- Karolinska Inst, Dept Mol Med & Surg, Upper Gastrointestinal Surg, Stockholm, Sweden.;Kings Coll London, Div Canc Studies, Sect Gastrointestinal Canc, London, England.;Guys & St Thomas NHS Fdn Trust, Upper Gastrointestinal Surg, London, England.
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- Davies, A. (author)
- Karolinska Inst, Dept Mol Med & Surg, Upper Gastrointestinal Surg, Stockholm, Sweden.;Kings Coll London, Div Canc Studies, Sect Gastrointestinal Canc, London, England.;Guys & St Thomas NHS Fdn Trust, Upper Gastrointestinal Surg, London, England.
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- Hultman, C. M. (author)
- Karolinska Institutet
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- Lagergren, P. (author)
- Karolinska Institutet
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- Wikman, Anna (author)
- Uppsala universitet,Klinisk psykologi i hälso- och sjukvård,Karolinska Inst, Surg Care Sci, Stockholm, Sweden
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Karolinska Institutet Karolinska Inst, Dept Mol Med & Surg, Upper Gastrointestinal Surg, Stockholm, Sweden;Kings Coll London, Div Canc Studies, Sect Gastrointestinal Canc, London, England.;Guys & St Thomas NHS Fdn Trust, Upper Gastrointestinal Surg, London, England. (creator_code:org_t)
- 2015-11-06
- 2017
- English.
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In: Diseases of the esophagus. - : Oxford University Press (OUP). - 1120-8694 .- 1442-2050. ; 30:8, s. 1-7
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Abstract
Subject headings
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- This study aims to establish the prevalence and predictors of anxiety and depression among esophageal cancer patients, post-diagnosis but prior to curatively intended surgery. This was a cross-sectional study using data from a hospital-based prospective cohort study, carried out at St Thomas' Hospital, London. Potential predictor variables were retrieved from medical charts and self-report questionnaires. Anxiety and depression were measured prior to esophageal cancer surgery, using the Hospital Anxiety and Depression Scale. Prevalence of anxiety and depression was calculated using the established cutoff (scores ≥8 on each subscale) indicating cases of possible-probable' anxiety or depression, and multivariable logistic regression analyses were performed to examine predictors of emotional distress. Among the 106 included patients, 36 (34%) scored above the cutoff (≥8) for anxiety and 24 (23%) for depression. Women were more likely to report anxiety than men (odds ratio 4.04, 95% confidence interval 1.45-11.16), and patients reporting limitations in their activity status had more than five times greater odds of reporting depression (odds ratio 6.07, 95% confidence interval 1.53-24.10). A substantial proportion of esophageal cancer patients report anxiety and/or depression prior to surgery, particularly women and those with limited activity status, which highlights a need for qualified emotional support.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
Keyword
- emotional distress
- HADS
- esophageal cancer surgery
- esophagectomy
- quality of life
- upper gastrointestinal surgery
Publication and Content Type
- ref (subject category)
- art (subject category)
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