Prevalence and associated factors of anxiety and depression in colorectal cancer colostomy patients at King Chulalongkorn Memorial Hospital.

Abstract

Background : Mental health problem were common among patients with physical chronic illness. However, the prevalence and associated factors of anxiety and depression in colorectal cancer patients after colostomy surgery in Thai people were studies.

Objective : To estimate the prevalence and associated factors of anxiety and depression in colorectal cancer colostomy patients at King Chulalongkorn Memorial Hospital.

Design : A cross-sectional descriptive study.

Setting : Out-Patient Department of Surgery, King Chulalongkorn Memorial Hospital.

Materials and Methods : Data were collected from 80 patients with colorectal cancer after colostomy surgery from May 2014 to October 2014. Self-report included: 1) Demographic data and medical history; 2) Self-esteem questionnaire; 3) The Personal Resource Questionnaire, PRQ 85 Part ll; 4) Thai Hospital anxiety and depression scale (Thai-HADS). All these were complete by the patients. The data were analyzed by Chi-square test, Pearson’s correlation and multivariate logistic regression analysis.

Result : The prevalence of anxiety in colorectal cancer colostomy patients were 35 percent and the prevalence of depression in colorectal cancer colostomy patients were 10 percent. The statistically significant factors associated with anxiety were age, duration of illness, duration of colostomy surgery, socialization, self-esteem and social support. Self-esteem and social support were significantly associated with depression. In multivariate regression analysis, statistically significant factors associated with anxiety were aged 60 years or more (OR = 5.07; 95%CI = 1.57 - 16.42), duration of illness less than 6 months (OR = 5.19; 95%CI = 1.14 -23.64) and duration of colostomy surgery less than 3 months (OR = 4.96, 95%CI = 1.58 - 15.58), but can’t do regression analysis to find factors associated with depression because limited assumption of study was found 8 patients with depression.

Conclusion : Thirty five percent and ten percent were found to have anxiety and depression respectively. Self-esteem and social support were associated with anxiety and depression in colorectal cancer colostomy patients. Self-esteem should be respected and social support given for post colostomy surgery colorectal cancer patients in order to decrease anxiety and depression.