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臨床心理學刊
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| 篇名 | Anxiety and Depression in Patients with Hepatocellular Carcinoma |
|---|---|
| 卷期 | 6:1 |
| 作者 | Lin, Wei-chun 、 Fan, Sheng-yu |
| 頁次 | 053-053 |
| 出刊日期 | 201206 |
中文摘要
Objective: Hepatocellular carcinoma (HCC) is the second most common cancer in Taiwan and caused more than 7,000 deaths in 2008. HCC causes wide impact on patients' quality of life, as well as anxiety and depression. According to Common Sense Model (Leventhal, Nerenz, and Steele, 1984), patients actively interpret their diseases and cope with the demands of illness. The illness perceptions and coping may influence the emotional outcomes of illness. Therefore, the aims of this poster were to explore: (1) the prevalence of anxiety and depression in patients with HCC, (2) significant psychological predictors of anxiety and depression, and (3) the relationships between illness perceptions, coping, and anxiety and depression.
Method: Adult patients with HCC recruited from two medical teaching hospitals completed standardized measures of Hospital Anxiety and Depression Scale (HADS), Brief Illness Perception Questionnaire (BIPQ), and Jalowiec Coping Scale; demographic characteristics were also collected. Correlation and multiple regression analyses were used to investigate the relationships between variables.
Results: The prevalence of clinical anxiety, depression and emotional distress in patients with HCC was 11.27%, 25.44%, and 20.14% respectively. Cognitive and emotional representations of illness were always significant for anxiety, depression, and emotional distress; as well as problem-oriented coping for depression and emotional-oriented coping for anxiety. In addition, problem-oriented coping mediated the effects of cognitive representation on depression and emotional distress; and emotionoriented coping mediated the effects of cognitive representation on anxiety. Emotion-oriented coping also mediated the effects of emotional representation on anxiety and emotional distress.
Conclusion: More than one-fifth patients with HCC may experience emotional distress. Illness perceptions have direct effects on anxiety and depression that patients who interpret HCC positively tended to have less anxiety and depression. On the other hand, there are indirect effects through problem-oriented coping that patients with positive illness perceptions tended to use problem-oriented coping style, and then might have less depression and emotional distress. Healthcare professionals should detect the emotional problems in patients with HCC, and help them to identify illness perceptions and evaluate multiple factors, such as stressors, resources, and the expectancy of treatment effect, in order to find proper coping strategies for decreasing anxiety and depression.