The role of social position in anxiety and depressive symptoms among Danish cancer survivors
| Autor: | Ingelise Andersen, Pernille Envold Bidstrup, Cecilie Dyg Sperling, Hanna B. Hovaldt, Kirsten Frederiksen, Christoffer Johansen, Mette Sandager, Susanne Oksbjerg Dalton |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Denmark Anxiety Hospital Anxiety and Depression Scale Danish Young Adult Sex Factors Neoplasms Surveys and Questionnaires Medicine Social position Humans Radiology Nuclear Medicine and imaging Registries Survivors Psychiatry Depressive symptoms Aged Response rate (survey) Aged 80 and over Marital Status business.industry Smoking Cancer Hematology General Medicine Middle Aged medicine.disease Anxiety Disorders language.human_language Oncology Social Class language Population study Educational Status Female medicine.symptom business |
| Zdroj: | Acta oncologica (Stockholm, Sweden). 54(5) |
| ISSN: | 1651-226X |
| Popis: | Anxiety and depressive symptoms are common among cancer survivors. Studies of a possible association with social position have had divergent results. We examined these associations, social position being measured by education, in Danish cancer survivors approximately two years after diagnosis.People aged over 18, living in Denmark and registered for a first cancer in the Danish National Patient Registry between 1 May and 31 August 2010 were contacted; 4346 returned a questionnaire shortly after diagnosis, and 2568 were followed up in 2012. Age, sex and cancer site were derived from the registry; all other information was self-reported, with that on education from the 2010 questionnaire and responses to the Hospital Anxiety and Depression Scale from the 2012 questionnaire. General linear models were used, with adjustment for demographic factors, cancer-specific factors, and comorbidity.The study population consisted of 1667 people (response rate, 51%). The mean symptom scores were 4.34 (SD 3.77) for anxiety and 2.94 (SD 3.25) for depression. People with medium and higher education had slightly higher anxiety symptom scores (mean differencemedium = 0.41, 95% CI 20.07; 0.88, mean differencehigher = 0.19, 95% CI 20.27; 0.65). Depressive symptom scores were slightly elevated for people with medium education and reduced for those with higher education (mean differencemedium = 0.34, 95% CI 20.07; 0.75, mean differencehigher = 20,11, 95% CI 20.50; 0.29). Female sex, smoking-related cancers and chemotherapy were significantly associated with higher scores for both anxiety and depressive symptoms, but somatic comorbidity and mental disorders at the time of treatment were most strongly, significantly associated with elevated anxiety and depressive symptom scores.No overall significant differences in anxiety or depressive symptom scores were found with length of education. Previous mental disorders and somatic comorbidity are the strongest indicators of higher levels of anxiety and depressive symptoms. |
| Databáze: | OpenAIRE |
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