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- W1568972147 abstract "Abstract Objectives: To determine the prevalence of depression in cancer patients and the factors that predict its occurrence. Participants and Methods: Two hundred and ten consecutive patients admitted into the radiotherapy and affiliated wards in the University College Hospital, Ibadan who had cancers of the breast, cervix, colon / rectum or prostate were interviewed using the socio-demographic and clinical questionnaire, the Structured Clinical Interview for DSM-IV diagnosis, and the World Health Organization Quality of Life questionnaire. Results: The sample consisted of 63 (30%) males and 147 (70%) females. Sixty eight (32%) of the subjects had breast cancer, 59 (28%) had cervical cancer, 40 (19%) had colo-rectal cancer, while the remaining 43 (21 %) had prostate cancer. The prevalence of depression was found to be 30%. Having an advanced stage of cancer, presence of pains, and having a family history of mental illness were significantly associated with being depressed. Depressed patients had poorer quality of life. Conclusion: Depression is common among cancer patients and has a negative effect on quality of life. Those at risk have advanced stages of cancer, pains, and a family history of mental illness. Special attention should be paid to these categories of cancer patients. Key words: Depression; Neoplasms; Pain; Prevalence; Quality of life [TEXT NOT REPRODUCIBLE IN ASCII]. Introduction Cancer, a colloquial expression for malignant neoplasm, is associated with significantly high morbidity and mortality and its diagnosis is often regarded by many as a death sentence. (1) Some cancer patients experience physical symptoms such as pain, weight loss, ulceration at the cancer site, swelling, bleeding, and impaired sexual functioning (2) These patients also exhibit psychological symptoms of anxiety disorder, adjustment disorder, post-traumatic stress disorder, depression, and organic mental illness. (3,4) Psychiatric disorders are common in cancer patients but are often unrecognised by their oncologists. Craig and Abeloff (5) reported that failure of health care providers to recognise psychiatric symptoms in cancer patients may be due to their shying away from probing into psychological symptoms that are not disclosed. Previous studies in cancer populations have reported the prevalence of depression as low as 9% (6) and as high as 45%. (7) Some of the studies considered depressive symptoms rather than depressive disorder; some were carried out among severely ill patients, while in others the sample size was too small. Only a few of such studies have been conducted in Nigeria. (7) Patients at highest risk for depression are those with a history of affective disorder or alcoholism, advanced stages of cancer, poorly controlled pain and treatment with medication or concurrent illnesses associated with depressive symptoms. (8) Case examination of depressed cancer patients suggests that illness and treatment factors, even though important, may not be the primary risk factors for psychological morbidity. External stressors such as poor family support and past sexual abuse (compounded by illness and treatment factors) may be more relevant in adolescents. (6) Grassi and Rosti (9) reported that awareness of the diagnosis of cancer, history of previous psychiatric disorders, pain and stress factors are predictors of depression in cancer patients. Using a logistic regression analysis, Kugaya et al (10) concluded that having an advanced stage of cancer and living alone were significantly associated with having psychological distress. Several studies have shown that cancer patients with comorbid depression are more likely to have a poor quality of life compared to those who are not depressed. (11-14) There is limited information on the prevalence of psychiatric disorders among cancer patients in Nigeria and specifically there is paucity of data on the factors associated with the development of depression in this population of patients. …" @default.
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- W1568972147 date "2008-09-01" @default.
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- W1568972147 title "Prevalence and Predictors of Depression in Cancer Patients in the University College Hospital Ibadan, Nigeria" @default.
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