Andreas Hinz1, Philipp Yorck Herzberg2, Florian Lordick3, Joachim Weis4, Hermann Faller5, Elmar Brähler1,6, Martin Härter7, Karl Wegscheider8, Kristina Geue1, Anja Mehnert1. 1. Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany. 2. Personality Psychology and Psychological Assessment, Faculty of Humanities and Social Sciences, Helmut Schmidt University of the Federal Armed Forces, Hamburg, Germany. 3. University Cancer Center Leipzig (UCCL), University Medical Center Leipzig, Leipzig, Germany. 4. Department of Psychooncology, Clinic of Cancer Rehabilitation UKF RehagGmbH, University Clinic Centre Freiburg, Freiburg, Germany. 5. Department of Medical Psychology and Psychotherapy, Medical Sociology and Rehabilitation Sciences, and Comprehensive Cancer Center Mainfranken, University of Würzburg, Würzburg, Germany. 6. Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Mainz, Germany. 7. Department and Outpatient Clinic of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. 8. Department of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Abstract
OBJECTIVE: The aim of this study was to compare the levels of anxiety and depression in cancer patients with those of the general population, to examine age and gender differences in anxiety and depression, to analyse the impact of several socio-demographic and clinical parameters on anxiety and depression, and to test the age and gender measurement invariance of the Hospital Anxiety and Depression Scale (HADS). METHODS: A sample of 3,785 German patients with cancer and a sample of 2,747 people of the German general population were examined using the HADS. RESULTS: Patients with cancer were more anxious but slightly less depressed than age- and gender-matched individuals of the general population. Young patients with cancer were particularly affected by anxiety. Measurement invariance across gender and age could be established. For all analysed clinical variables, including tumour site, tumour stage, metastases, setting and Eastern Cooperative Oncology Group (ECOG) performance status we found no significant interaction effects with gender that exceeded the 5% significance criterion. CONCLUSION: The HADS provides fair comparisons between age and gender groups. Gender differences in anxiety and depression can be generalised across the cancer sites and clinical subgroups. Young patients with cancer deserve special attention by the healthcare system.
OBJECTIVE: The aim of this study was to compare the levels of anxiety and depression in cancerpatients with those of the general population, to examine age and gender differences in anxiety and depression, to analyse the impact of several socio-demographic and clinical parameters on anxiety and depression, and to test the age and gender measurement invariance of the Hospital Anxiety and Depression Scale (HADS). METHODS: A sample of 3,785 German patients with cancer and a sample of 2,747 people of the German general population were examined using the HADS. RESULTS:Patients with cancer were more anxious but slightly less depressed than age- and gender-matched individuals of the general population. Young patients with cancer were particularly affected by anxiety. Measurement invariance across gender and age could be established. For all analysed clinical variables, including tumour site, tumour stage, metastases, setting and Eastern Cooperative Oncology Group (ECOG) performance status we found no significant interaction effects with gender that exceeded the 5% significance criterion. CONCLUSION: The HADS provides fair comparisons between age and gender groups. Gender differences in anxiety and depression can be generalised across the cancer sites and clinical subgroups. Young patients with cancer deserve special attention by the healthcare system.
Authors: Maria Katsohiraki; Sofia Poulopoulou; Nikolaos Fyrfiris; Ioannis Koutelekos; Polyxeni Tsiotinou; Olga Adam; Eleni Vasilopoulou; Maria Kapritsou Journal: Asia Pac J Oncol Nurs Date: 2020-09-14
Authors: Sonja Kummer; Jo Waller; Mamta Ruparel; Stephen W Duffy; Samuel M Janes; Samantha L Quaife Journal: Thorax Date: 2020-10-21 Impact factor: 9.102