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Abstract：
OBJECTIVE: Studies show that anxiety and depression are widespread across patients presenting to outpatient services for medical illnesses. We expect similar or even higher prevalence in patients with breast complaints owing to the relevance of breasts in terms of sexuality, identity and confidence. Thus, this study was proposed to estimate the prevalence and identify risk factors for being at risk for anxiety and depression in patients seeking breast services.
METHODS: Descriptive, cross-sectional study.
METHODS: Tertiary care teaching hospital in Mumbai, Western India.
METHODS: Patients seeking breast services for either benign or malignant conditions.
METHODS: Proportion of those at risk for clinical depression (defined as a score of ≥10 on Patient Health Questionnaire-9) and proportion of those at risk for clinical anxiety warranting further clinical evaluation (defined as a score of ≥10 on Generalized Anxiety Disorder-7) and their predictors.
RESULTS: A total of 208 patients were screened, and 192 consenting patients were enrolled. The prevalence of those at risk for anxiety requiring further clinical evaluation was 46.4% (95% CI 39.2% to 53.7%) and for those at risk for major depression that warrants further clinical evaluation by a mental health provider was 29.7% (95% CI 23.3% to 36.7%). The predictors of anxiety were age (adjusted odds ratio (aOR) 1.053; 95% CI 1.024 to 1.083; p<0.001) and postmenopausal status (aOR 2.475; 95% CI 1.200 to 5.103; p=0.014). The predictors of depression were age (aOR 0.954; 95% CI 1.927 to 0.981; p=0.001) and rural place of residence (aOR 2.362; 95% CI 1.023 to 5.433; p=0.044).
CONCLUSIONS: There is a high prevalence of being at risk for anxiety and depression among patients who seek breast services warranting further clinical evaluation. The predictors of being at risk for anxiety were higher age and postmenopausal status, and for those at risk for depression were young age and residing in rural areas.
METHODS: Descriptive, cross-sectional study.
METHODS: Tertiary care teaching hospital in Mumbai, Western India.
METHODS: Patients seeking breast services for either benign or malignant conditions.
METHODS: Proportion of those at risk for clinical depression (defined as a score of ≥10 on Patient Health Questionnaire-9) and proportion of those at risk for clinical anxiety warranting further clinical evaluation (defined as a score of ≥10 on Generalized Anxiety Disorder-7) and their predictors.
RESULTS: A total of 208 patients were screened, and 192 consenting patients were enrolled. The prevalence of those at risk for anxiety requiring further clinical evaluation was 46.4% (95% CI 39.2% to 53.7%) and for those at risk for major depression that warrants further clinical evaluation by a mental health provider was 29.7% (95% CI 23.3% to 36.7%). The predictors of anxiety were age (adjusted odds ratio (aOR) 1.053; 95% CI 1.024 to 1.083; p<0.001) and postmenopausal status (aOR 2.475; 95% CI 1.200 to 5.103; p=0.014). The predictors of depression were age (aOR 0.954; 95% CI 1.927 to 0.981; p=0.001) and rural place of residence (aOR 2.362; 95% CI 1.023 to 5.433; p=0.044).
CONCLUSIONS: There is a high prevalence of being at risk for anxiety and depression among patients who seek breast services warranting further clinical evaluation. The predictors of being at risk for anxiety were higher age and postmenopausal status, and for those at risk for depression were young age and residing in rural areas.
摘要：
目的：研究表明，焦虑和抑郁在门诊就诊的患者中普遍存在。我们预计，由于乳房在性方面的相关性，乳房投诉患者的患病率相似甚至更高。身份和信心。因此，本研究旨在评估接受乳腺癌治疗的患者焦虑和抑郁的患病率,并确定其危险因素.
方法：描述性，横断面研究。
方法：孟买三级护理教学医院，印度西部。
方法：为良性或恶性疾病寻求乳房服务的患者。
方法：有临床抑郁风险者的比例（定义为患者健康问卷-9评分≥10）和有临床焦虑风险者的比例需要进一步的临床评估（定义为广泛性焦虑症-7评分≥10）及其预测因素。
结果：共筛查了208例患者，192名同意的患者被纳入。需要进一步临床评估的焦虑风险人群的患病率为46.4%(95%CI39.2%至53.7%)，需要精神卫生提供者进一步临床评估的重度抑郁症风险人群的患病率为29.7%(95%CI23.3%至36.7%)。焦虑的预测因素是年龄（校正比值比（aOR）1.053；95％CI1.024至1.083；p<0.001）和绝经后状态（aOR2.475；95％CI1.200至5.103；p=0.014）。抑郁症的预测因素是年龄(aOR0.954;95%CI1.927至0.981;p=0.001)和农村居住地(aOR2.362;95%CI1.023至5.433;p=0.044)。
结论：在寻求乳腺癌治疗的患者中，焦虑和抑郁的风险很高，需要进一步的临床评估。有焦虑风险的预测因素是更高的年龄和绝经后的状态，对于那些有抑郁症风险的人来说，他们年龄很小，居住在农村地区。
方法：描述性，横断面研究。
方法：孟买三级护理教学医院，印度西部。
方法：为良性或恶性疾病寻求乳房服务的患者。
方法：有临床抑郁风险者的比例（定义为患者健康问卷-9评分≥10）和有临床焦虑风险者的比例需要进一步的临床评估（定义为广泛性焦虑症-7评分≥10）及其预测因素。
结果：共筛查了208例患者，192名同意的患者被纳入。需要进一步临床评估的焦虑风险人群的患病率为46.4%(95%CI39.2%至53.7%)，需要精神卫生提供者进一步临床评估的重度抑郁症风险人群的患病率为29.7%(95%CI23.3%至36.7%)。焦虑的预测因素是年龄（校正比值比（aOR）1.053；95％CI1.024至1.083；p<0.001）和绝经后状态（aOR2.475；95％CI1.200至5.103；p=0.014）。抑郁症的预测因素是年龄(aOR0.954;95%CI1.927至0.981;p=0.001)和农村居住地(aOR2.362;95%CI1.023至5.433;p=0.044)。
结论：在寻求乳腺癌治疗的患者中，焦虑和抑郁的风险很高，需要进一步的临床评估。有焦虑风险的预测因素是更高的年龄和绝经后的状态，对于那些有抑郁症风险的人来说，他们年龄很小，居住在农村地区。
