Effect of Psychiatric Morbidity on Quality of Life among Gynaecologic Cancer Survivors
Keywords:
Cancer, Gynecologycal cancer, quality of life, HADS, WHOQOL-BREFAbstract
Introduction:All these years with the invention of newer modalities of treatment and investigations, cancer patients’ survival is improved but notthe life after it. Recently focus has shifted from curative aspect to preventive aspect and promoting healthy life. To achieve this an attempt is made to identify the factors affecting the quality of life of gynaecologic cancer survivors.
Methods: This is a cross sectional study involving 131 gynaecological cancerpatients who were evaluated using HADS and WHOQOL-BREF Questionnaire. The scores were analysed for any significant association using one-way ANOVA.
Results: Depression had negative correlation with psychological domain with p value 0.009 which is highly significant. There is a significant difference in physical domain scores between cases and borderline subjects of anxiety with p value 0.006.Women with psychiatric morbidity had physical and psychological domain affected significantly with p value 0.003 and 0.048 respectively.
Conclusions: Now, it is the time to focus on improving the quality of life of these cancer survived patients by early recognition and treatment of psychiatric illness and training them in positive coping abilities. Psychosocial care, with its goals of relieving emotional distress and promoting well-being, is central to efforts to improve the quality of patients’ lives.
References
Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11.
GLOBOCAN 2012: Estimated cancer incidence, mortality and prevalence worldwide in 2012. IARC. Available at http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx
Chaturvedi SK. Report of the Terry Fox Project on quality of life of cancer patients. NIMHANS; 2003.
Folstein MF, Folstein SE, McHugh PR: “Mini-mental state: A practical method for grading the cognitive state of pa-tients for the clinician.” J Psychiatr Res 1975;12:189-198
Hospital Anxiety and Depression Scale available at www.svri.org/sites/default/files/attachments/2016-01-13/HADS.pdf
WHOQOL-BREF: Introduction, Administration, Scoring and Generic version of the assessment. Available at http://www.who.int/mental_health/media/en/76.pdf
Snaith RP. The Hospital Anxiety and Depression Scale. Health Quality of Life Outcomes 2003; 1:29.
Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychological Medicine 1998, 28:551-558.
Frick E, Tyroller M, Panzer M.Anxiety, depression and quality of life of cancer patients undergoing radiation ther-apy: a cross-sectional study in a community hospital outpa-tient centre. European J Cancer Care (Engl). 2007 Mar;16(2):130-6
Stark D, Kiely M, Smith A, Velikova G, House A, and Selby P.Anxiety Disorders in Cancer Patients: Their Nature, Asso-ciations, and Relation to Quality of Life. Journal of Clinical Oncology, Vol 20, No 14 (July 15), 2002: pp 3137-3148
Skarstein J, Aass N, Fossa SD, Skovlund E, Dahl AA.Anxiety and depression in cancer patients: relation between the Hospital Anxiety and Depression Scale and the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire. J Psychosomatic Research. 2000 Jul;49(1):27-34
Tavoli A, Montazeri A, Roshan R, Tavoli Z and Melyani M. Depression and quality of life in cancer patients with and without pain: the role of pain beliefs. BMC Cancer2008, 8:177. Available at: http://www.biomedcentral.com/1471-2407/8/177
Mystakidou K, Tsilika E, Parpa E, Katsouda E, Galanos A, Vlahos L.Assessment of anxiety and depression in ad-vanced cancer patients and their relationship with quality of life. Quality of Life Research. 2005 Oct;14(8):1825-33.
Iconomou G, Iconomou AV, Argyriou AA, Nikolopoulos A, Ifanti AA, Kalofonos HP. Emotional distress in cancer pa-tients at the beginning of chemotherapy and its relation to quality of life.. Journal of B.U.ON. 2008 Apr-Jun;13(2):217-22.
Vaz AF, Pinto-Neto AM, Conde DM, Costa-Paiva L, Morais SS, Pedro AO, Esteves SB. Quality of life and menopausal and sexual symptoms in gynecologic cancer survivors: a cohort study. Menopause. 2011 jun;18(6):662-9.
Vaz AF, Conde DM, Costa-Paiva L, Morais SS, Esteves SB, Pinto-Neto AM.Quality of life and adverse events after ra-diotherapy in gynecologic cancer survivors: a cohort study. Arch Gynecol Obstet. 2011 Dec;284(6):1523-31.
B.E. Miller, B. Pittman, D. Case, R.P. McQuellon. Quality of life after treatment for gynecologic malignancies: a pilot study in an outpatient clinic.GynecolOncol, 87 (2) (2002), pp. 178-184.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.