| Autor: |
Rahnea-Nita RA; Clinical Department, Faculty of Medicine, University of Medicine and Pharmacy 'Carol Davila', 050474 Bucharest, Romania.; Oncology-Palliative Care Department, 'Sf. Luca' Chronic Diseases Hospital, 041915 Bucharest, Romania., Rebegea LF; Clinical Department, Faculty of Medicine and Pharmacy, 'Dunarea de Jos' University, 800008 Galati, Romania.; Radiotherapy Department, 'Sf. Ap. Andrei' County Emergency Clinical Hospital, 800579 Galati, Romania., Dumitru M; Radiotherapy Department, 'Sf. Ap. Andrei' County Emergency Clinical Hospital, 800579 Galati, Romania., Mitrica RI; Clinical Department, Faculty of Medicine, University of Medicine and Pharmacy 'Carol Davila', 050474 Bucharest, Romania.; Radiotherapy Department, The Oncological Institute 'Prof. Dr. Alexandru Trestioreanu', 022328 Bucharest, Romania., Nechifor A; Clinical Department, Faculty of Medicine and Pharmacy, 'Dunarea de Jos' University, 800008 Galati, Romania., Firescu D; Clinical Department, Faculty of Medicine and Pharmacy, 'Dunarea de Jos' University, 800008 Galati, Romania., Maier AC; Clinical Department, Faculty of Medicine and Pharmacy, 'Dunarea de Jos' University, 800008 Galati, Romania., Constantin GB; Morphological and Functional Sciences Department, Faculty of Medicine and Pharmacy, 'Dunarea de Jos' University, 800008 Galati, Romania., Grigorean VT; Clinical Department, Faculty of Medicine, University of Medicine and Pharmacy 'Carol Davila', 050474 Bucharest, Romania.; Department of General Surgery, 'Bagdasar-Arseni' Clinical Emergency Hospital, 041915 Bucharest, Romania., Rahnea-Nita G; Oncology-Palliative Care Department, 'Sf. Luca' Chronic Diseases Hospital, 041915 Bucharest, Romania.; Clinical Department, Faculty of Midwifery and Nursing, University of Medicine and Pharmacy 'Carol Davila', 050474 Bucharest, Romania. |
| Abstrakt: |
Background and Objectives : The treatment of advanced and metastatic lung cancer is multimodal, and it is coordinated by a multidisciplinary team. Anxiety and depression occur frequently in patients with lung cancer, creating considerable discomfort in therapeutic management. At the same time, these psychoemotional symptoms affect the patients' quality of life. Objective: This research seeks to identify correlations both between anxiety and depression and the patients' performance statuses, as well as between anxiety and depression and the type of treatment: radiotherapy, chemotherapy, tyrosine kinase inhibitors (TKI), immunotherapy and palliative care. Materials and Methods : The study evaluated 105 patients with lung cancer from two oncologic centers. Patients were assessed for anxiety and depression using the questionnaire Hospital Anxiety and Depression Scale (HADS). The HADS is a self-report rating scale of 14 items. It measures anxiety and depression, and has two subscales. There are seven items for each subscale. There are 4-point Likert scale ranging from 0 to 3. For each subscale, the score is the sum of the seven items, ranging from 0 to 21. Results : The most powerful correlation with statistical significance was observed between the IT type of treatment (immunotherapy) and the normal level of anxiety, PC = 0.82 ( p < 0.001) as well as the normal level of depression. Palliative treatment was correlated with anxiety and depression, both borderline and abnormal. For ECOG 3-4 performance status and abnormal anxiety, respectively, abnormal depression was significantly associated. Also, continuous hospitalization was associated with abnormal anxiety and depression. Conclusions : Early assessments of anxiety and depression are necessary in patients with advanced and metastatic lung cancer, with unfavorable performance status, who have been admitted to continuous hospitalization, and who require palliative care. |
