Associated factors with psychological distress in Moroccan breast cancer patients: A cross-sectional study
| Autor: | Sanae El Majjaoui, Elamin Marnouche, Hanan El Kacemi, Etienne Ogandaga, Yassine Echchikhi, Amal Bouziane, Abdallah Aissa, Tayeb Kebdani, Selma Kadiri, Ibtissam Lahdiri, Noureddine Benjaafar, Hasna Loughlimi, Soufiane Berhili, Asmae Touil |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Multivariate analysis Cross-sectional study Breast Neoplasms Hospital Anxiety and Depression Scale Logistic regression 03 medical and health sciences 0302 clinical medicine Breast cancer Cronbach's alpha Risk Factors Surveys and Questionnaires Internal medicine medicine Humans 030212 general & internal medicine Psychiatry Aged Psychiatric Status Rating Scales business.industry Reproducibility of Results Social Support General Medicine Middle Aged medicine.disease Morocco Cross-Sectional Studies Logistic Models Socioeconomic Factors 030220 oncology & carcinogenesis Multivariate Analysis Marital status Anxiety Female Surgery medicine.symptom business Stress Psychological |
| Zdroj: | The Breast. 31:26-33 |
| ISSN: | 0960-9776 |
| DOI: | 10.1016/j.breast.2016.10.015 |
| Popis: | To estimate the prevalence of psychological distress (PD) in Moroccan breast cancer patients, and to determine clinical and social demographic factors associated with PD.It was a cross-sectional study where we included all female breast cancer patients that did not have other malignancies. Judgment criteria were based on the Hospital Anxiety and Depression Scale (HADS), and the Distress Thermometer (DT). Threshold values of 15 and 3 were fixed to detect patients on PD by the HADS and the DT, respectively. We analyzed data by calculation of Cronbach's alpha coefficient for the reliability of measurements, and by simple and multiple logistic regressions.446 women were enrolled. Cronbach's alpha coefficient was 0.801, 0.669 and 0.639 respectively for the HADS, HAD-A and HAD-D questionnaires. 120 patients (26.9%) had a HADS global score ≥15. HAD-A and HAD-D sub-scores were ≥11 in 25 (5.6%) and 30 (6.7%) patients respectively. In multivariate analysis, adjusted for the education level, marital status, taking analgesic and/or anxiolytic treatment, and current treatment type; we found that the occurrence of a distant metastasis [OR = 14.427 p 0.001], lack of social family support [OR = 4.631 p 0.001], living a difficult emotional [OR = 2533 p = 0.034] and/or financial [OR = 2.09 p = 0.037] situation, and younger (50 years) age [OR = 2.398 p = 0.002], were independent associated factors with PD as assessed by the HADS.Social family support, emotional and financial difficulties should be investigated in all Moroccan breast cancer patients, especially among younger ones, in order to detect those at risk of PD and offer them appropriate support. |
| Databáze: | OpenAIRE |
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