Anxiety and depression in the patients with pulmonary nodules and its related influencing factors: A cross-sectional study
- VernacularTitle:肺结节患者焦虑、抑郁情绪及其影响因素的横断面研究
- Author:
Junhan WU
1
,
2
,
3
;
Weitao ZHUANG
2
,
4
;
Haijie XU
5
;
Yong TANG
2
,
4
;
Cheng DENG
2
,
4
;
Hansheng WU
6
;
Guibin QIAO
2
,
4
Author Information
1. 1. Department of Thoracic Surgery, Guangdong Provincial People&rsquo
2. s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, P. R. China
3. 2. Shantou University Medical College, Shantou, 515041, Guangdong, P. R. China
4. Department of Thoracic Surgery, Guangdong Provincial People&rsquo
5. 2. Shantou University Medical College, Shantou, 515041, Guangdong, P. R. China;3. Department of Thoracic Surgery, The First Affiliated Hospital of Shantou University Medical College, Shantou, 515041, Guangdong, P. R. China
6. Department of Thoracic Surgery, The First Affiliated Hospital of Shantou University Medical College, Shantou, 515041, Guangdong, P. R. China
- Publication Type:Journal Article
- Keywords:
Pulmonary nodule;
anxiety;
depression;
psychological burden;
treatment preference
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(03):357-363
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identify the potential factors for psychological burdens and to better understand how the patients’ psychological status affect their treatment preferences. Methods A questionnaire survey was conducted among 996 patients with pulmonary nodules who visited the Thoracic Surgery Clinic of Guangdong Provincial People's Hospital from January to November 2021, including 381 males and 615 females, aged 47.26±11.53 years. A self-administrated questionnaire was used to investigate the sociodemographic and clinical characteristics of the patients, and the Hospital Anxiety and Depression Scale (HADS) was used to evaluate the psychological status of the patients, with a score>7 points of each subscale indicating potential anxiety or depression. Results Among the 996 patients with pulmonary nodules, the incidence of anxiety was 42.4% and the incidence of depression was 26.4%, while the incidence of both anxiety and depression was 24.7%. There was a significant correlation between anxiety and depression (ρ=0.834, P<0.05). Age, purpose of CT examination, number of pulmonary nodules and symptoms were independent factors for anxiety, while symptoms and number of pulmonary nodules were independent factors for depression (P<0.05). For treatment preferences, there was a statistical difference in educational level, symptoms, nodule size and anxiety level (P<0.05). Conclusion Anxiety and depression are common in patients with pulmonary nodules. Symptoms are associated with anxiety and depression, which also make an impact on treatment preferences.