Original Research Article
Year: 2019 | Month: April | Volume: 9 | Issue: 4 | Pages: 1-6
Prevalence of Depression, Anxiety and Stress among Cancer and Chronic Kidney Disease Patients
Vedprakash Sharma1, Sunil Choudhary2, Mona Srivastava3, T. B Singh4, Ravi Shankar5
1Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University,
Varanasi-221005. India.
2Department of Radiotherapy, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, India.
3Department of Psychiatric, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, India.
4Division of Biostatistics Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005,. India.
5Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University,
Varanasi-221005,. India.
Corresponding Author: Ravi Shankar
ABSTRACT
Background: Cancer is one among the life threatening diseases in present days it has biological, psychological and sociological impact on individual’s life. Cancer is a grave illness which has an effect on physical and emotional wellbeing of patients. Deaths from cancer worldwide are projected to continue to rise to over 11 million by 2030.Objective. To assess the prevalence of depression, anxiety and stress among cancer and chronic kidney disease patients.
Materials and Methods- A Hospital based cross-sectional study was carried out among the people aged 18to70years from selected study area. Sample size was determined based on prior estimates (prior study) of mean score of these three variables Anxiety, Depression, Stress. A Cross- sectional study involving different types of newly diagnosed cancer patients and CKD patients were included in the study. Patients with past history of psychological disorders were excluded from study. Data was collected by using HADS &PSLES Scales.
Results- In our study the risk in cancer group For HADS-Anxiety the OR was protective and statistically significant in Normal (OR=0.159) and borderline (OR=0.262) Anxiety group as compared to abnormal. As regard HADS–depression for cancer group the abnormal and border line depression was found protective (0.108 and 0.315respectively). However, it was found not statistically significant for borderline but highly statistically significant for abnormal (p=0.000). The risk in abnormal PSLES (1year stress) group was 2.662times higher than moderate stress in cancer group compared to chronic kidney disease group. The odds ratio was statistically significant also (p= 0.026).
Conclusion- On the basis of our findings we may concluded that cancer patients are inclined to various psychological problems particularly to depression, anxiety and stress. In initial stages patients are unaware about their illnesses after diagnoses they go in deep stress, even some times they have suicidal ideations, loneliness etc. Cancer thoroughly breaks the patients psychologically as well as biologically. Along these lines they should to be given psychological as well as emotional support by the family members and other relatives too. Psychologists, social workers, government and non government organization s should come forward to help cancer patients in each and every single corner of the country. So they found themselves secure and will enjoy their broken and remaining days of their life.
Key words: Anxiety, Depression, Stress, Cancer, chronic kidney disease