Predicting delayed anxiety and depression in patients with gastrointestinal cancer
1999

Predicting Anxiety and Depression in Cancer Patients

Sample size: 159 publication Evidence: moderate

Author Information

Author(s): Nordin K, Glimelius B

Primary Institution: Department of Oncology, University Hospital, Uppsala, Sweden

Hypothesis

Can anxiety and depression be predicted 6 months after a cancer diagnosis based on initial measures of anxiety, depression, coping, and subjective distress?

Conclusion

Initial levels of anxiety and depression can predict similar levels 6 months after a cancer diagnosis.

Supporting Evidence

  • Patient anxiety and depression close to the diagnosis explained approximately 35% of the variance in anxiety and depression found 6 months later.
  • A model using cut-off scores for anxiety and depression achieved a sensitivity of 75% and a specificity of 98%.
  • The HAD scale combined with the IES intrusion subscale may help detect patients at risk of delayed anxiety and depression.

Takeaway

Doctors can tell if cancer patients might feel anxious or sad later by looking at how they feel right after their diagnosis.

Methodology

Patients were interviewed using structured questionnaires assessing anxiety, depression, coping, and subjective distress at diagnosis, 3 months, and 6 months later.

Participant Demographics

Patients with gastrointestinal cancer.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690082

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