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Anxiety in patients with gastrointestinal cancer undergoing primary surgery

PURPOSE: Anxiety in the perioperative period is not only an unpleasant emotional state, but can also negatively affect the outcomes and quality of life of surgical patients. The present study investigated anxiety in patients with gastrointestinal cancer scheduled for primary surgery. METHODS: A tota...

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Autores principales: Harms, Jens, Kunzmann, Benedikt, Bredereke, Jan, Harms, Lea, Jungbluth, Thomas, Zimmermann, Tanja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374702/
https://www.ncbi.nlm.nih.gov/pubmed/37060473
http://dx.doi.org/10.1007/s00432-023-04759-2
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author Harms, Jens
Kunzmann, Benedikt
Bredereke, Jan
Harms, Lea
Jungbluth, Thomas
Zimmermann, Tanja
author_facet Harms, Jens
Kunzmann, Benedikt
Bredereke, Jan
Harms, Lea
Jungbluth, Thomas
Zimmermann, Tanja
author_sort Harms, Jens
collection PubMed
description PURPOSE: Anxiety in the perioperative period is not only an unpleasant emotional state, but can also negatively affect the outcomes and quality of life of surgical patients. The present study investigated anxiety in patients with gastrointestinal cancer scheduled for primary surgery. METHODS: A total of 101 patients in four non-university surgical departments were included. Anxiety (GAD-7), depression (PHQ-9), distress (Distress thermometer), and illness perception (Brief IPQ) were assessed at four time points: first outpatient contact before surgery (t1), preoperative inpatient contact (t2), postoperative inpatient contact before hospital discharge (t3), and postoperative outpatient follow-up contact after 30 days (t4). RESULTS: 56% of patients had an episode of mild or moderate anxiety and 5% had an episode of severe anxiety and/or depression. Subjectively perceived anxiety and depression were highest at t1, followed by t3. 30% of patients had elevated anxiety and depression scores at t1. Regression analyses showed that high subjectively perceived mental distress at t1 was associated with higher anxiety scores at t3 and t4. Women, and younger women in particular, were significantly more likely to experience stress than men. Higher levels of subjectively perceived stress at t1 were associated with higher levels of anxiety at t3 and t4. Sociodemographic factors were not relevant predictors of anxiety. CONCLUSION: Anxiety and depression appear to be a persistent problem during the perioperative course in patients with gastrointestinal tumors. Identifying patients at risk for clinically relevant anxiety and depression remains a particular challenge. The results confirm the relevance of repeated screening for mental distress.
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spelling pubmed-103747022023-07-29 Anxiety in patients with gastrointestinal cancer undergoing primary surgery Harms, Jens Kunzmann, Benedikt Bredereke, Jan Harms, Lea Jungbluth, Thomas Zimmermann, Tanja J Cancer Res Clin Oncol Research PURPOSE: Anxiety in the perioperative period is not only an unpleasant emotional state, but can also negatively affect the outcomes and quality of life of surgical patients. The present study investigated anxiety in patients with gastrointestinal cancer scheduled for primary surgery. METHODS: A total of 101 patients in four non-university surgical departments were included. Anxiety (GAD-7), depression (PHQ-9), distress (Distress thermometer), and illness perception (Brief IPQ) were assessed at four time points: first outpatient contact before surgery (t1), preoperative inpatient contact (t2), postoperative inpatient contact before hospital discharge (t3), and postoperative outpatient follow-up contact after 30 days (t4). RESULTS: 56% of patients had an episode of mild or moderate anxiety and 5% had an episode of severe anxiety and/or depression. Subjectively perceived anxiety and depression were highest at t1, followed by t3. 30% of patients had elevated anxiety and depression scores at t1. Regression analyses showed that high subjectively perceived mental distress at t1 was associated with higher anxiety scores at t3 and t4. Women, and younger women in particular, were significantly more likely to experience stress than men. Higher levels of subjectively perceived stress at t1 were associated with higher levels of anxiety at t3 and t4. Sociodemographic factors were not relevant predictors of anxiety. CONCLUSION: Anxiety and depression appear to be a persistent problem during the perioperative course in patients with gastrointestinal tumors. Identifying patients at risk for clinically relevant anxiety and depression remains a particular challenge. The results confirm the relevance of repeated screening for mental distress. Springer Berlin Heidelberg 2023-04-15 2023 /pmc/articles/PMC10374702/ /pubmed/37060473 http://dx.doi.org/10.1007/s00432-023-04759-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research
Harms, Jens
Kunzmann, Benedikt
Bredereke, Jan
Harms, Lea
Jungbluth, Thomas
Zimmermann, Tanja
Anxiety in patients with gastrointestinal cancer undergoing primary surgery
title Anxiety in patients with gastrointestinal cancer undergoing primary surgery
title_full Anxiety in patients with gastrointestinal cancer undergoing primary surgery
title_fullStr Anxiety in patients with gastrointestinal cancer undergoing primary surgery
title_full_unstemmed Anxiety in patients with gastrointestinal cancer undergoing primary surgery
title_short Anxiety in patients with gastrointestinal cancer undergoing primary surgery
title_sort anxiety in patients with gastrointestinal cancer undergoing primary surgery
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374702/
https://www.ncbi.nlm.nih.gov/pubmed/37060473
http://dx.doi.org/10.1007/s00432-023-04759-2
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