Prevalence and characteristics of anxiety in patients with unconfirmed pulmonary nodules

被引:8
作者
Wang, Xiao-Hui [1 ]
Wang, Ting [1 ]
Ao, Min [1 ]
He, Jinglan [2 ]
Duan, Jun [1 ]
Cui, Long-Biao [3 ]
Guo, Shuliang [1 ]
Yang, Li [1 ]
机构
[1] Chongqing Med Univ, Affiliated Hosp 1, Dept Resp & Crit Care Med, Chongqing 400016, Peoples R China
[2] Chongqing Med Univ, Affiliated Hosp 1, Dept Psychiat, Chongqing, Peoples R China
[3] Fourth Mil Med Univ, Dept Clin Psychol, Xian, Peoples R China
关键词
anxiety; characteristic; prevalence; pulmonary nodules; QUALITY-OF-LIFE; LUNG-CANCER; DEPRESSION; MORTALITY; DISTRESS; IMPACT;
D O I
10.1111/crj.13576
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
This study focuses on the prevalence and characteristics of anxiety in patients with pulmonary nodules that was assessed by Hamilton Anxiety Scale (HAMA) scores. A total of 890 patients were enrolled in this study, including incidence of absence of anxiety n = 343 (38.54%), mild or probable anxiety n = 459 (51.57%) and moderate or definite anxiety n = 79 (8.88%) and obvious anxiety n = 9 (1.01%), respectively. According to the definition of anxiety, 88 (9.89%) patients were enrolled in anxiety group. The incidence of anxiety in females was significantly higher than male (11.98% vs. 7.20%, p = 0.018), patients with respiratory symptoms were significantly higher than without respiratory symptoms (13.33% vs. 8.50%, p = 0.029) and diameter of pulmonary nodules >8 mm is significantly higher than <= 8 mm (13.35% vs. 7.10%, p = 0.002). Regression analysis showed that female (OR = 0.548, 95% CI: 0.340-0.884), family history of malignant tumour (OR = 1.691, 95% CI: 1.067-2.678), respiratory symptoms (OR = 1.713, 95% CI: 1.073-2.733) and diameter >8 mm (OR = 2.135, 95% CI: 1.350-3.375) were independent risk factors of anxiety. Further analysis of 88 patients with anxiety showed the sum of psychic anxiety was significantly higher than somatic anxiety (16.66 +/- 2.46 vs. 0.97 +/- 1.10, p < 0.0001). Hence, vast majority of patients with unconfirmed pulmonary nodules suffered various severity of anxiety and manifested as psychic anxiety. And gender, respiratory symptoms, family history of malignant tumour and diameter of pulmonary nodules were independent influencing factors of anxiety. Effective strategies urgently need exploring and providing for improving the mental health.
引用
收藏
页码:157 / 164
页数:8
相关论文
共 34 条
  • [11] [杜佳 Du Jia], 2018, [中国肿瘤, Bulletin of Chinese Cancer], V27, P328
  • [12] Lung Cancer Screening with Low-Dose CT: Baseline Screening Results in Shanghai
    Fan, Li
    Wang, Yun
    Zhou, Ying
    Li, Qiong
    Yang, Wenjie
    Wang, Shengping
    Shan, Fei
    Zhang, Xingwei
    Shi, Jingyun
    Chen, Wufei
    Liu, Shi-Yuan
    [J]. ACADEMIC RADIOLOGY, 2019, 26 (10) : 1283 - 1291
  • [13] Patients' Knowledge, Beliefs, and Distress Associated with Detection and Evaluation of Incidental Pulmonary Nodules for Cancer: Results from a Multicenter Survey
    Freiman, Marc R.
    Clark, Jack A.
    Slatore, Christopher G.
    Gould, Michael K.
    Woloshin, Steven
    Schwartz, Lisa M.
    Wiener, Renda Soylemez
    [J]. JOURNAL OF THORACIC ONCOLOGY, 2016, 11 (05) : 700 - 708
  • [14] Impact of Lung Cancer Screening Results on Participant Health-Related Quality of Life and State Anxiety in the National Lung Screening Trial
    Gareen, Ilana F.
    Duan, Fenghai
    Greco, Erin M.
    Snyder, Bradley S.
    Boiselle, Phillip M.
    Park, Elyse R.
    Fryback, Dennis
    Gatsonis, Constantine
    [J]. CANCER, 2014, 120 (21) : 3401 - 3409
  • [15] THE ASSESSMENT OF ANXIETY-STATES BY RATING
    HAMILTON, M
    [J]. BRITISH JOURNAL OF MEDICAL PSYCHOLOGY, 1959, 32 (01): : 50 - 55
  • [16] Prevalence of mental disorders in China: a cross-sectional epidemiological study
    Huang, Yueqin
    Wang, Yu
    Wang, Hong
    Liu, Zhaorui
    Yu, Xin
    Yan, Jie
    Yu, Yaqin
    Kou, Changgui
    Xu, Xiufeng
    Lu, Jin
    Wang, Zhizhong
    He, Shulan
    Xu, Yifeng
    He, Yanling
    Li, Tao
    Guo, Wanjun
    Tian, Hongjun
    Xu, Guangming
    Xu, Xiangdong
    Ma, Yanjuan
    Wang, Linhong
    Wang, Limin
    Yan, Yongping
    Wang, Bo
    Xiao, Shuiyuan
    Zhou, Liang
    Li, Lingjiang
    Tan, Liwen
    Zhang, Tingting
    Ma, Chao
    Li, Qiang
    Ding, Hua
    Geng, Hongchun
    Jia, Fujun
    Shi, Jianfei
    Wang, Shiliang
    Zhang, Ning
    Du, Xinbai
    Du, Xiangdong
    Wu, Yue
    [J]. LANCET PSYCHIATRY, 2019, 6 (03): : 211 - 224
  • [17] Novel Insights Into Pathological Anxiety and Anxiety-Related Disorders
    Kalin, Ned H.
    [J]. AMERICAN JOURNAL OF PSYCHIATRY, 2020, 177 (03) : 187 - 189
  • [18] Electro-acupuncture improves psychiatric symptoms, anxiety and depression in methamphetamine addicts during abstinence A randomized controlled trial
    Leng, Liang
    Tao, Ying
    Hou, Wenguang
    Zong, Lei
    Yu, Lei
    [J]. MEDICINE, 2018, 97 (34)
  • [19] Assessment of anxiety and depression in patients with incidental pulmonary nodules and analysis of its related impact factors
    Li, Lihong
    Zhao, Yan
    Li, Hui
    [J]. THORACIC CANCER, 2020, 11 (06) : 1433 - 1442
  • [20] Schuyler Dean, 2016, Prim Care Companion CNS Disord, V18, DOI 10.4088/PCC.16f02074