ASSESSMENT OF LEVEL OF ANXIETY & DEPRESSION AMONG WOMEN WITH CARCINOMA BREAST ATTENDING DR. B.R.A.M. HOSPITAL, RAIPUR, C.G.: A PROSPECTIVE OBSERVATIONAL STUDY

Abstract :

BACKGROUND: DIAGNOSIS & TREATMENT OF BREAST CANCER CAN BE A VERY STRESSFUL ISSUE FOR A WOMEN. THIS STUDY WAS UNDERTAKEN TO ASSESS THE PSYCHOLOGICAL PROBLEMS & TO KNOW ITS ASSOCIATION WITH VARIOUS FACTORS.METHODS: PROSPECTIVE OBSERVATIONAL STUDY CONDUCTED BETWEEN APRIL 2018 TO MARCH 2019 IN DEPARTMENT OF SURGERY, DR. B.R.A.M. HOSPITAL, RAIPUR, C.G. STUDY POPULATION WERE 100 NEWLY DIAGNOSED PREVIOUSLY UNTREATED BREAST CANCER WOMEN; INTERVIEWED USING QUESTIONNAIRE OF HOSPITAL ANXIETY & DEPRESSION SCALE AT THE CERTAIN TIME POINTS. THEIR PERSONNEL & DISEASE RELATED INFORMATION COLLECTED TO KNOW ASSOCIATION WITH ANXIETY & DEPRESSION.RESULTS: PREVALENCE OF ANXIETY & DEPRESSION WERE 51% & 52% RESPECTTIVELY AT THE TIME OF DIAGNOSIS & 39% & 24% RESPECTIVELY AFTER 6 MONTHS. SIGNIFICANT FACTOR ASSOCIATED WITH ANXIETY WERE EDUCATION LEVEL (p=0.024), STAGE OF CANCER (p=0.002, 0.01), TYPE OF THERAPY (p=0.048, 0.001, 0.04) & DEPRESSION WERE AGE GROUP (p=0.042), RESIDENCE (p=0.046), EDUCATION LEVEL (p=0.007,0.02), FAMILY SUPPORT (p=0.04), MARITAL STATUS (p=0.02), NUMBER OF CHILDREN (p=0.028), EMPLOYMENT STATUS (p=0.01,0.04), STAGE OF CANCER (p=0.004, 0.001, 0.02) & TYPE OF THERAPY (p=0.00001, 0.0001, 0.04, 0.007). BOTH ANXIETY & DEPRESSION WERE MORE AMONG LOW EDUCATED WOMEN, HAVING ADVANCED STAGE OF CANCER & WHO PLANNED FOR NEOADJUVANT CHEMOTHERAPY FIRST. HOWEVER, ONLY DEPRESSION WAS MORE AMONG ELDERLY, RURAL, SINGLE, UNEMPLOYED WOMEN, HAVING MORE CHILDREN & NOT GETTING FAMILY SUPPORT.CONCLUSION: PSYCHOLOGICAL DISTRESS AFFECT THE TREATMENT OUTCOME & CONSTRIANT THE PATIENT FROM FOLLOW-UP THERAPY. COMPREHENSIVE APPROACH SHOULD INCLUDE TREATING THE DISEASE AS WELL AS RECOGNIZING & MANAGING THE DISTRESS LEVEL THROUGHOUT THE COURSE OF DISEASE.

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