THE CHARACTERISTICS OF ANXIETY WITH THE GAD-7 IN GASTROINTESTINAL CANCER PATIENTS AT K HOSPITAL
Main Article Content
Abstract
Objective: To assess the characteristic of anxiety with GAD-7 in patients with gastrointestinal cancers at K hospital. Subject: 124 patients were diagnosed gastrointestinal cancer and treated at K hospital from August 2020 to October 2020. Methods: A cross-sectional descriptive study. Result: The male/female ratio was 2.6/1, the average age was 57.9. The majority of patients had educational level under 10th grade (57.3%) and were single/widowed (93.5%). The most common cancer site was colorectal (52.4%), followed by esophagus (27.4%), and stomach (20.2%), mostly at stage III-IV (64.5%). The mean GAD-7 score was 3.5 ± 4.66 with 30.6% of patients having anxiety. Anxiety was statistically significant associated with age (p = 0.003; OR = 1.059, 95% CI = 0.123-9.097) and time since diagnosis (p = 0.037; OR = 1.238, 95% CI = 0.140) -10,940). The highest rates of anxiety were in gastric cancer (20% with GAD-7 ≥ 10) and stage III-IV (22.6%). There was no statistically significant relationship between anxiety and cancer site and stage (p>0.05). Conclusion: Anxiety was common in patients with gastrointestinal cancer. There was a statistically significant association between anxiety and age and time since diagnosis.
Article Details
Keywords
Anxiety, gastrointestinal cancer, characteristics, PHQ-9
References
2. (2012). NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) Distress Management. 64.
3. Holland J.C., Golant M., Greenberg D.B. và cộng sự. Psycho-Oncology: A Quick Reference on the Psychosocial Dimensions of Cancer Symptom Management. 249.
4. Bektas D.K. và Demir S. (2016). Anxiety, Depression Levels and Quality of Life in Patients with Gastrointestinal Cancer in Turkey. Asian Pacific Journal of Cancer Prevention, 17(2), 723–731.
5. Han L. (2020). Prevalence, risk factors and prognostic role of anxiety and depression in surgical gastric cancer patients. Translational Cancer Research, 9(3).
6. Matsushita T., Matsushima E., và Maruyama M. (2005). Anxiety and depression of patients with digestive cancer. Psychiatry Clin Neurosci, 59(5), 576–583.
7. Tavoli A., Mohagheghi M.A., Montazeri A. và cộng sự. (2007). Anxiety and depression in patients with gastrointestinal cancer: does knowledge of cancer diagnosis matter?. BMC Gastroenterol, 7, 28.
8. Medeiros M., Oshima C.T.F., và Forones N.M. (2010). Depression and anxiety in colorectal cancer patients. J Gastrointest Cancer, 41(3), 179–184.