Resumo

GORAYEB, Ricardo et al. Pre-Surgical Anxiety and Depression in an Oncological Gynaecology and Mastology Nursery Unit. Psic., Saúde & Doenças [online]. 2012, vol.13, n.2, pp.145-156. ISSN 1645-0086.

The aim of this studywas to evaluate the pre surgical anxiety and depression levels in women with gynecological or breast cancer. Methods: 181 patients participated in the study, with an average age of 52,8 years, from 2002 to 2005, while hospitalized in a university hospital in the interior of Brazil. A structured interview and the Hospital Anxiety and Depression (HADScale) were used. To analyze the data it was used a multiple linear regression model, in order to evaluate the influence of the independent variables on the scores of anxiety and depression. Results: From the total of the participants,56,9% had breast cancer and 13,3% refer not having information of the surgery they were about to undergo.Refer to chemotherapy as the most difficult moment of the treatment,32,6% of the patients. Had anxiety symptoms in the categories moderate and severe,44,8% of the participants and 31,5% had depression symptoms in the categories moderate and severe. The data analysis pointed out the existence of variables influencing the anxiety scores [F_(5,175) =3,0; p=0,01]. It was found association between age and anxiety, so every year of increase in age reduced 0,08 in the anxiety score. It was also found the existence of variables influencing the depression scores [F_(5,175) =3,69; p<0,01]. Through the descriptive analysis it was possible to observe that patients who did not had knowledge of their surgery had higher depression scores (average depression = 7,2),  comparing with patients which had knowledge of their surgery (average depression = 4,6). It was concluded that younger patients had higher anxiety scores, which reduced with increase in their age, and that patients who did not had knowledge of their surgery presented higher depression scores in the HAD Scale. These data pointed out the importance of the psychologist intervention in order to help patients to achieve a better coping with their disease.

Palavras-chave : anxiety; depression; HAD scale; breast cancer; gynaecological cancer.

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