与其他癌症相比,头癌患者的并发性抑郁症与其他癌症相比
Marina C Martinez1, Andrey Finegersh2,3, Fred M Baik2
1Stanford University School of Medicine, Palo Alto, California.
JAMA otolaryngology-- head & neck surgery
|October 24, 2024
概括
与其他癌症患者相比,头癌 (HNC) 患者患抑郁症的患病率明显高. 这凸显了在HNC护理中改善抑郁症查和治疗的迫切需要.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 抑郁症在癌症患者中更为常见,并且与较高的死亡率有关,特别是在头癌 (HNC) 中.
- 了解HNC和其他癌症类型之间的抑郁症患病率差异对于有针对性的干预至关重要.
研究的目的:
- 为了比较患有头癌的患者和患有其他癌症类型的患者中抑郁症的患病率和严重程度.
- 为了确定与癌症患者抑郁症相关的因素.
主要方法:
- 使用2019年国家卫生访谈调查数据进行回顾性队列研究.
- 分析包括了完成个人健康问卷-8 (PHQ-8) 的成年癌症患者.
- 用多变量逻辑回归来评估与抑郁症的关联.
主要成果:
- 在HNC患者中,抑郁症的患病率为40.1%,而在其他癌症患者中为22.3%.
- 对于HNC患者来说,查抑郁症呈阳性结果的可能性是其两倍 (OR,2.94).
- 焦虑和未婚与抑郁症有很强的关联.
结论:
- 患有HNC的患者的抑郁查率高于其他癌症患者.
- 自我报告可能导致HNC中抑郁症的诊断不足和治疗不足.
- 对伴随性抑郁症的HNC患者需要加强识别和治疗策略.
更多相关视频
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
223
07:29Intramucosal Inoculation of Squamous Cell Carcinoma Cells in Mice for Tumor Immune Profiling and Treatment Response Assessment
Published on: April 22, 2019
11.4K
相关概念视频
Treatment Resistant Cancers
3.3K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.3K
Cancer Survival Analysis
328
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
328
Depression: Overview
222
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
222
Depressive Disorders: MDD and Dysthymia
61
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
61
Cancer Therapies
7.6K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.6K
Depressive Disorders: Etiology
51
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
51
