Incidence and Degree of Anxiety-Depression in Lung Cancer Patients Using The Hamilton Rating Scale

· Thoracic Oncology

Aila Haris¹, Elisna Syahruddin¹, Mardi Susanto², Aria Kekalih³
¹Departemen Pulmonologi dan Ilmu Kedokteran Respirasi, Fakultas Kedokteran Universitas Indonesia, RS Persahabatan Jakarta
²Departemen Psikiatri, Fakultas Kedokteran Universitas Indonesia, RS Persahabatan Jakarta
³Departemen Kedokteran Komunitas, Keluarga dan Kerja Fakultas Kedokteran, Universitas Indonesia

Background: Lung cancer is one of the leading cause of death worldwide. For most patients, it is a devasting condition ie clinically, psychologically and socially, and therefore many of them are prone to be affected by some form of psychiatrics disorder. Previous study shown that around 51% of lung cancer patients had psychiatric disorder ranging from adjustment disorders to severe depression. This study aimed to get an overview of depression and anxiety in patients with lung cancer as well as factors relating, in relation to search for the best management in a holistic manner in improving the quality of life of patients.
Methods: Seventy lung cancer patients in Persahabatan Hospital/Dept of Pulmonology-Respiratory medicine, Faculty of Medicine University of Indonesia were recruited consecutively after informed consents were given. Interview were done ,-at the beginning of the diagnosis and 3 months after diagnosis/therapy-, to evaluate the degree of depression & anxiety using Hamilton Depression Scale Questionnaire and Hamilton Anxiety Scale Questionnaire.
Results: Of the 70 lung cancer patients recruited, 76% are male, ranging from 33 to 82 years old, 80 % with advance adenocarcinoma. Anxiety were found in 35 patients (50%) of which 23 (32.9%) were categorized as mild anxiety, whereas 33 patients (47.1%) were found to suffer depression with 40% (28) of them are categorized as mild depression and well educated patients tend to be easily affected with these psychiatric disorders. The degree of these psychiatrics disorders cease after the treatment of primary disease is lung cancer.
Conclusion: Anxiety and Depression are common in lung cancer patients, and physician should be aware of these conditions for the better management of lung cancer. (J Respir Indo. 2015; 35: 61-71)
Keywords: Lung Cancer, anxiety, depression, the Hamilton Rating Scale

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