Prevalence and Determinants of Depression among Women with Breast Cancer in Middle Euphrates Cancer Center in Najaf Province -Iraq

S. Alfadhul
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Abstract

Background: Breast cancer (BC) is the most prevalent cancer among women worldwide. The psychosocial consequences of illness among women with BC are so frequent that they result in depression and other psychological distress. Objectives: The present study aims to estimate the prevalence of depression among BC patients and to identify the potential determinants.                                                 Patients & Methods: An analytic cross-sectional study of patients with BC was carried out throughout the period from January 2016 to July 2016 at the Middle Euphrates Cancer Center in Najaf Province-Iraq.  Results: According to the results of BDI-ӀӀ questionnaire, 65 patients (37.1%) were screened as having depression and 110 patients (62.9%) were considered normal. The mean score for depression ± SD is equal to 13.60 ±8.78. The data analysis has found that 12.0%, 21.7%, and 3.4% of respondents had borderline, moderate depression, and severe depression, respectively while the binary logistic regression analysis has shown that cases with inadequate income (P= 0.010, OR =2.52, 95% C.I = 1.28-5.08), and lower educational attainment (P= 0.031, OR = 2.34, 95% C.I = 1.07-4.90) were more likely to have depression.  Conclusion: it has been found that depression among women with BC is a considerable issue. Inadequate income and lower educational attainment can be independent risk factors for such a depression.
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伊拉克纳杰夫省幼发拉底河中部癌症中心乳腺癌妇女抑郁患病率及决定因素
背景:乳腺癌(BC)是世界范围内最常见的女性癌症。患有BC的妇女疾病的社会心理后果是如此频繁,以至于导致抑郁和其他心理困扰。目的:本研究旨在估计BC患者中抑郁症的患病率,并确定潜在的决定因素。患者与方法:2016年1月至2016年7月,在伊拉克纳杰夫省幼发拉底河中部癌症中心对BC患者进行了一项分析性横断面研究。结果:根据BDI-ӀӀ问卷调查结果,65例(37.1%)患者被筛查为抑郁症,110例(62.9%)患者被认为正常。抑郁的平均得分±SD = 13.60±8.78。数据分析发现,12.0%、21.7%和3.4%的受访者分别患有边缘性、中度和重度抑郁症,而二元logistic回归分析显示,收入不足(P= 0.010, OR =2.52, 95% ci = 1.28 ~ 5.08)和受教育程度较低(P= 0.031, OR = 2.34, 95% ci = 1.07 ~ 4.90)的患者更易患抑郁症。结论:研究发现,女性BC患者的抑郁是一个相当大的问题。收入不足和受教育程度较低可能是这种抑郁症的独立风险因素。
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