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Are depressive symptoms more common among British South Asian patients compared with British White patients with cancer? A cross-sectional survey

OBJECTIVES: This cross-sectional survey investigated whether there were ethnic differences in depressive symptoms among British South Asian (BSA) patients with cancer compared with British White (BW) patients during 9 months following presentation at a UK Cancer Centre. We examined associations betw...

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Autores principales: Lord, Karen, Ibrahim, Kausher, Kumar, Sawan, Mitchell, Alex J, Rudd, Nicky, Symonds, R Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3686160/
https://www.ncbi.nlm.nih.gov/pubmed/23794580
http://dx.doi.org/10.1136/bmjopen-2013-002650
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author Lord, Karen
Ibrahim, Kausher
Kumar, Sawan
Mitchell, Alex J
Rudd, Nicky
Symonds, R Paul
author_facet Lord, Karen
Ibrahim, Kausher
Kumar, Sawan
Mitchell, Alex J
Rudd, Nicky
Symonds, R Paul
author_sort Lord, Karen
collection PubMed
description OBJECTIVES: This cross-sectional survey investigated whether there were ethnic differences in depressive symptoms among British South Asian (BSA) patients with cancer compared with British White (BW) patients during 9 months following presentation at a UK Cancer Centre. We examined associations between depressed mood, coping strategies and the burden of symptoms. DESIGN: Questionnaires were administered to 94 BSA and 185 BW recently diagnosed patients with cancer at baseline and at 3 and 9 months. In total, 53.8% of the BSA samples were born in the Indian subcontinent, 33% in Africa and 12.9% in the UK. Three screening tools for depression were used to counter concerns about ethnic bias and validity in linguistic translation. The Hospital Anxiety and Depression Scale (HADS-D), Patient Health Questionnaire-9 (both validated in Gujarati), Emotion Thermometers (including the Distress Thermometer (DT), Mini-MAC and the newly developed Cancer Insight and Denial questionnaire (CIDQ) were completed. SETTING: Leicestershire Cancer Centre, UK. PARTICIPANTS: 94 BSA and 185 BW recently diagnosed patients with cancer. RESULTS: BSA self-reported significantly higher rates of depressive symptoms compared with BW patients longitudinally (HADS-D ≥8: baseline: BSA 35.1% vs BW 16.8%, p=0.001; 3 months BSA 45.6% vs BW 20.8%, p=0.001; 9 months BSA 40.6% vs BW 15.3%, p=0.004). BSA patients used potentially maladaptive coping strategies more frequently than BW patients at baseline (hopelessness/helplessness p=0.005, fatalism p=0.0005, avoidance p=0.005; the CIDQ denial statement ‘I do not really believe I have cancer’ p=0.0005). BSA patients experienced more physical symptoms (DT checklist), which correlated with ethnic differences in depressive symptoms especially at 3 months. CONCLUSIONS: Health professionals need to be aware of a greater probability of depressive symptomatology (including somatic symptoms) and how this may present clinically in the first 9 months after diagnosis if this ethnic disparity in mental well-being is to be addressed.
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spelling pubmed-36861602013-06-20 Are depressive symptoms more common among British South Asian patients compared with British White patients with cancer? A cross-sectional survey Lord, Karen Ibrahim, Kausher Kumar, Sawan Mitchell, Alex J Rudd, Nicky Symonds, R Paul BMJ Open Oncology OBJECTIVES: This cross-sectional survey investigated whether there were ethnic differences in depressive symptoms among British South Asian (BSA) patients with cancer compared with British White (BW) patients during 9 months following presentation at a UK Cancer Centre. We examined associations between depressed mood, coping strategies and the burden of symptoms. DESIGN: Questionnaires were administered to 94 BSA and 185 BW recently diagnosed patients with cancer at baseline and at 3 and 9 months. In total, 53.8% of the BSA samples were born in the Indian subcontinent, 33% in Africa and 12.9% in the UK. Three screening tools for depression were used to counter concerns about ethnic bias and validity in linguistic translation. The Hospital Anxiety and Depression Scale (HADS-D), Patient Health Questionnaire-9 (both validated in Gujarati), Emotion Thermometers (including the Distress Thermometer (DT), Mini-MAC and the newly developed Cancer Insight and Denial questionnaire (CIDQ) were completed. SETTING: Leicestershire Cancer Centre, UK. PARTICIPANTS: 94 BSA and 185 BW recently diagnosed patients with cancer. RESULTS: BSA self-reported significantly higher rates of depressive symptoms compared with BW patients longitudinally (HADS-D ≥8: baseline: BSA 35.1% vs BW 16.8%, p=0.001; 3 months BSA 45.6% vs BW 20.8%, p=0.001; 9 months BSA 40.6% vs BW 15.3%, p=0.004). BSA patients used potentially maladaptive coping strategies more frequently than BW patients at baseline (hopelessness/helplessness p=0.005, fatalism p=0.0005, avoidance p=0.005; the CIDQ denial statement ‘I do not really believe I have cancer’ p=0.0005). BSA patients experienced more physical symptoms (DT checklist), which correlated with ethnic differences in depressive symptoms especially at 3 months. CONCLUSIONS: Health professionals need to be aware of a greater probability of depressive symptomatology (including somatic symptoms) and how this may present clinically in the first 9 months after diagnosis if this ethnic disparity in mental well-being is to be addressed. BMJ Publishing Group 2013-06-06 /pmc/articles/PMC3686160/ /pubmed/23794580 http://dx.doi.org/10.1136/bmjopen-2013-002650 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/3.0/ and http://creativecommons.org/licenses/by-nc/3.0/legalcode
spellingShingle Oncology
Lord, Karen
Ibrahim, Kausher
Kumar, Sawan
Mitchell, Alex J
Rudd, Nicky
Symonds, R Paul
Are depressive symptoms more common among British South Asian patients compared with British White patients with cancer? A cross-sectional survey
title Are depressive symptoms more common among British South Asian patients compared with British White patients with cancer? A cross-sectional survey
title_full Are depressive symptoms more common among British South Asian patients compared with British White patients with cancer? A cross-sectional survey
title_fullStr Are depressive symptoms more common among British South Asian patients compared with British White patients with cancer? A cross-sectional survey
title_full_unstemmed Are depressive symptoms more common among British South Asian patients compared with British White patients with cancer? A cross-sectional survey
title_short Are depressive symptoms more common among British South Asian patients compared with British White patients with cancer? A cross-sectional survey
title_sort are depressive symptoms more common among british south asian patients compared with british white patients with cancer? a cross-sectional survey
topic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3686160/
https://www.ncbi.nlm.nih.gov/pubmed/23794580
http://dx.doi.org/10.1136/bmjopen-2013-002650
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