Anxiety disorders in breast cancer: Prevalence, types, and determinants

被引:26
作者
Fatiregun, Olamijulo A. [1 ,2 ]
Olagunju, Andrew T. [3 ]
Erinfolami, Adebayo R. [3 ]
Fatiregun, Omolara A. [4 ]
Arogunmati, Olubunmi A. [5 ]
Adeyemi, Joseph D. [3 ]
机构
[1] Fed Neuropsychiat Hosp, Lagos, Nigeria
[2] Neuropsychiat Hosp, Akure, Ondo, Nigeria
[3] Univ Lagos, Dept Psychiat, Coll Med, PMB 12003, Lagos, Nigeria
[4] Lagos State Univ, Oncol Unit, Teaching Hosp, Lagos, Nigeria
[5] Populat Council, Lagos, Nigeria
关键词
African; anxiety disorders; breast cancer; determinants; prevalence; QUALITY-OF-LIFE; CLINICAL-ASSESSMENT; DEPRESSION SCALE; EARLY-STAGE; WOMEN; NIGERIA; AFRICA; DIAGNOSIS; SCHEDULES; IBADAN;
D O I
10.1080/07347332.2016.1196805
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
The coexistence of anxiety disorders among women with breast cancer has been linked with delay in diagnosis, treatment abandonment, and poor quality of life. This study investigated anxiety disorders with their determinants among 200 participants with histological diagnosis of breast cancer. A questionnaire was designed to elicit sociodemographic and clinical factors, while the schedule for clinical assessment in neuropsychiatry (SCAN) was used to ascertain the presence of anxiety disorders. The mean age of participants was 49.6years (SD = 11.2) and more than half (54%) presented with advanced cancers (stages 3 and 4). Anxiety disorder was observed in 38 (19%) of the participants. Low income, absence of previous history of breast cancer, and early stage of breast cancer were the significant determinants of anxiety disorders (p < 0.05). However, only absence of previous history of breast cancer (odds ratio [OR] = 3.460, 95% confidence interval [CI] = 1.200-6.960) and early stage of breast cancer (OR = 1.560, 95% CI = 1.120-2.174) were the determinants of anxiety disorders following logistic regression. We advocate for public awareness to promote early screening. Similarly, there is need to improve access to care and integrate culturally appropriate psychosocial intervention into breast cancer care using the available knowledge on vulnerability factors. Further study on anxiety disorders in breast cancer is indicated.
引用
收藏
页码:432 / 447
页数:16
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