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THE ASSOCIATION OF ANXIETY AND DEPRESSION WITH
MORTALITY IN LUNG CANCER
Y. ALOULOU, H. REJEB, H. KAMOUN, D. GREB, I. AKROUT, H. BEN ABDELGHAFFAR, H.
HASSEN, L. FEKIH, H. SMADHI, ML. MEGDICHE
SERVICE DE PNEUMOLOGIE IBN, HÔPITAL ABDERRAHMANE MAMI, ARIANA- TUNISIE
UNIVERSITÉ TUNIS-EL MANAR- TUNISIE
BACKGROUND : Anxiety and depression are frequent symptoms in patients with lung
cancer. Most of the time it is under diagnosed, that's why this patient population
receives little or no support to address their psychosocial needs. The aim of this study
aims to compare mortality in patients with lung cancer who have and who have not
had symptoms of anxiety or depression.
METHODS : One hundred forty-three patients with cancer answered an adapted
version of the Hospital Anxiety and Depression Scale (HADS) and were followed until
December 2021. We choose a cut-off score of ≥ 8 to reflect probable cases of anxiety
and depression.
RESULTS : The average age of patients was 61, 58 years (40-81), the majority were
male (92, 3%). Participants were diagnosed with Stage IV (Metastatic) (67,1%) and
adenocarcinoma (53,8%) was the most common histologic type. 62.9% of patients had
symptoms of anxiety (HADS-A ≥8); 60,8% had symptoms of depression (HADS-D ≥8)
and 54,5% had both. They were followed for 2 years during which forty-three
individuals died (30,06%) including 34 patients had symptoms of anxiety and 28
patients had symptoms of depression. We observed a positive association between
HADS scores and mortality rate. In fact, compared to those with HADS-A and -D score
< 8, symptoms of anxiety or depression increased mortality by 20,8 % and 23%
respectively.
CONCLUSION : Patients with anxiety or depression had greater risk of mortality. that’s
why screening for anxiety and depression in adult cancer patients deserve special
attention by the healthcare system. A psychological support in the early stage must
be provided to them, in order to lower mortality and to improve their quality of life.
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