Anxiety and Depression Levels with Risk Factors of Breast Cancer Patients in Erbil City – Iraq
DOI:
https://doi.org/10.15218/ejnm.2021.09Keywords:
Anxiety, Depression, Breast cancer, Risk factorsAbstract
Background and objectives: Breast cancer appears to be becoming more common worldwide. It is the most common type of cancer in women in the Middle East and the Western countries. Patients with breast cancer are at a high risk of developing psychological problems such as anxiety and depression. This study aimed to evaluate the severity of anxiety and depression levels in breast cancer patients and their risk factors for breast cancer.
Methods: A quantitative descriptive study design was conducted at Rizgary Teaching Hospital and Nanakali Oncology Hospital in Erbil City in the Kurdistan Region of Iraq from 1st September 2020 to 5th August 2021. The duration of data collection was four months and purposive sampling was used to select 298 patients who were admitted to both hospitals. A questionnaire format was used to gather the data, and the Hospital Anxiety and Depression Scale (HADS) standardized questionnaire was utilized to measure the level of anxiety and depression.
Results: The average age of the patients was 45.28±9.17 years, 80.5% were married, 60.7% of the studied sample had a low socioeconomic status. Almost a third (30.5%) of the participants had severe anxiety and 60.4% had severe depression. Concerning the risk factors of breast cancer, 82.2% of patients were obese, 91.9% did not do exercise, 35.6% had breast cancer family history, 93.6% were non-smoker, and 6.4% of them were smokers.
Conclusion: According to the findings, the majority of breast cancer patients suffer from anxiety and depression, and obesity is one of the risk factors for breast cancer.
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References
[2] Jadoon NA, Munir W, Shahzad MA, Choudhry ZS. Assessment of depression and anxiety in adult cancer outpatients: a cross-sectional study. BMC Cancer. 2010;10(1):1-7.
[3] Tsaras K, Papathanasiou IV, Mitsi D, Veneti A, Kelesi M, Zyga S, et al. Assessment of depression and anxiety in breast cancer patients: prevalence and associated factors. Asian Pacific journal of cancer prevention. 2018;19(6):1661.
[4] Akel R, El Darsa H, Anouti B, Mukherji D, Temraz S, Raslan R, et al. Anxiety, depression and quality of life in breast cancer patients in the Levant. Asian Pacific journal of cancer prevention: 2017;18(10):2809.
[5] Bellver-Perez A, Peris-Juan C, Santaballa-Beltrán A. Effectiveness of therapy group in women with localized breast cancer. International Journal of Clinical and Health Psychology. 2019;19(2):107-14.
[6] Ng CG, Mohamed S, Kaur K, Sulaiman AH, Zainal NZ, Taib NA, et al. Perceived distress and its association with depression and anxiety in breast cancer patients. PLOS One. 2017;12(3):e0172975.
[7] Tkaczuk KH, Kesmodel SB, Feigenberg SJ. Handbook of breast cancer and related breast disease: Springer Publishing Company; 2016.
[8] Ismail KH, Tahir DH, Barzinji BK. Depression and anxiety in women with breast cancer in Erbil city: a case-control study. Zanco Journal of Medical Sciences. 2012;16(1):65- 70
[9] ] Prusty RK, Begum S, Patil A, Naik D, Pimple S, Mishra G. Knowledge of symptoms and risk factors of breast cancer among women: a community-based study in a low socio-economic area of Mumbai, India. BMC women's health. 2020; 20:1-12.
[10] Ranjan Kumar Prusty, Shahina Begum, Anushree Patil, DD. Naik, Sharmila Pimple and Gaurav Mishra. Knowledge of symptoms and risk factors of breast cancer among women: a community-based study in a low socio-economic area of Mumbai, India. BMC Women's Health (2020) 20:106.P.12.https://bmcwomenshealth.biomedcentral.com.
[11] Yasin YM, Al-Hamad A. Anxiety and depression as key determinants of cancer-related fatigue among patients receiving chemotherapy. European Scientific Journal. 2015;11(33).
[12] Hsiu-Mei Huang, Jun-Hung Lai, Tsai-Wei Huang. Mediating effects of depression on anxiety and leisure constraints in patients with breast cancer. BMC Women’s Health. 2019Nov20;19(1):141.https://bmcwomenshealth.biomedcentral.com.
[13] Sunil R, Lakhani Ian O. Ellis Stuart J. Schnitt Puay Hoon Tan Marc J. van de Vijver. WHO Classification of Tumours of the Breast, 4th edition. International Agency for Research on Cancer. Lyon, 2012. P.17.
[14] WHO. Breast cancer, 2021. https://www.who.int/news-room/fact-sheets/detail/breast-cancer.
[15] Civilotti C, Botto R, Maran DA, Leonardis BD, Bianciotto B, Stanizzo MR. Anxiety and Depression in Women Newly Diagnosed with Breast Cancer and Waiting for Surgery: Prevalence and Associations with Socio-Demographic Variables. Medicina Journal- scientific journal of the Lithuanian University of Health Sciences 2021;57(5):454. https://www.mdpi.com/1648-9144/57/5/454.
[16] Su J-A, Yeh D-C, Chang C-C, Lin T-C, Lai C-H, Hu P-Y, et al. Depression and family support in breast cancer patients. Neuropsychiatric disease and treatment. 2017; 13:2389.
[17] Alagizy H, Soltan M, Soliman S, Hegazy N, Gohar S. Anxiety, depression and perceived stress among breast cancer patients: single institute experience. Middle East Current Psychiatry. 2020;27(1):1-10.
[18] Chen X, Zheng Y, Zheng W, Gu K, Chen Z, Lu W, et al. Prevalence of depression and its related factors among Chinese women with breast cancer. ACTA Oncologica Journal. 2009;48(8):1128-36.
[19] Wali Omer, Tariq Al-Hadithi. Developing a socio-economic index for health research in Iraq. Eastern Mediterranean Health Journal. Vol.23No.10,https://pubmed.ncbi.nlm.nih.gov/29270967.
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Copyright (c) 2021 Mosleh Saber Kareem, Diyar Hussain Taher (Author)
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