Anxiety,depression,and coping styles among cervical cancer patients during radiotherapy and their correlations with uncertainty in illness  

作　　者：Chen-Ying Ma Jing Shang Lu Zhang Jie Chen Ke-Yan Qian Ju-Ying Zhou 

机构地区：[1]Department of Radiation Oncology,The First Affiliated Hospital of Soochow University,Suzhou 215123,Jiangsu Province,China [2]Department of Psychiatry,The First Affiliated Hospital of Soochow University,Suzhou 215123,Jiangsu Province,China

出　　处：《World Journal of Psychiatry》2025年第4期141-148,共8页世界精神病学杂志(英文)

基　　金：Supported by National Natural Science Foundation of China,No.81602792;The Natural Science Foundation of the Jiangsu Higher Education Institutions of China,No.23KJB310023;Jiangsu Provincial Medical Key Discipline,No.ZDXK202235;The Maternal and Child Health Research Project of Jiangsu Province,No.F202210;The Project of State Key Laboratory of Radiation Medicine and Protection,Soochow University,No.GZK1202101;Suzhou Science and Technology Development Plan Project,No.KJXW2020008;BOXI Natural Science Cultivation Foundation of China of The First Affiliated Hospital of Soochow University,No.BXQN202107;Clinical Diagnosis and Treatment Technology Innovation Project Youth Characteristic Technology Project of The First Affiliated Hospital of Soochow University,No.2100201.

摘　　要：BACKGROUND Currently,there is limited research examining the relationship between anxiety,depression,coping styles,and illness uncertainty in patients with cervical cancer(CC)undergoing radiotherapy.Addressing this gap could provide valuable insights and more reliable evidence for clinical practice targeting this patient population.AIM To analyze the anxiety,depression,and coping styles of patients with CC undergoing radiotherapy and explore their correlations with illness uncertainty.METHODS A total of 200 patients with CC undergoing radiotherapy at The First Affiliated Hospital of Soochow University between June 2018 and June 2022 were enrolled.Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale(HADS),comprising subscales for anxiety(HADS-A)and depression(HADS-D).Coping styles were evaluated using the Jalowiec Coping Scale(JCS-60),comprising dimensions such as confrontive,evasive,optimistic,fatalistic,emotive,palliative,supportive,and self-reliant.Illness uncertainty was measured using the Mishel Uncertainty in Illness Scale(MUIS),encompassing ambiguity,complexity,information deficit,and unpredictability.Correlations among anxiety,depression,coping styles,and illness uncertainty were analyzed.RESULTS During radiotherapy,the mean scores were 7.12±3.39 for HADS-A,6.68±3.49 for HADS-D,1.52±0.23 for JCS-60,and 93.40±7.44 for MUIS.Anxiety(HADS-A≥8)was present in 39.5%of patients,depression(HADS-D≥8)in 41.0%,and both in 14.0%.Anxiety was significantly positively correlated with ambiguity,unpredictability,and total MUIS score(P<0.05).Depression was significantly positively correlated with ambiguity,information deficit,unpredictability,and total MUIS score(P<0.05).Most patients adopted an optimistic coping style,whereas the emotive style was least utilized.Evasive,fatalistic,and emotive coping styles were significantly positively correlated with illness uncertainty,whereas the self-reliant style was significantly negatively correlated with unpredictability(P<0.05).CONCLUSION Anx

关 键 词：Cervical cancer RADIOTHERAPY ANXIETY DEPRESSION Coping styles Uncertainty in illness 

分 类 号：R73[医药卫生—肿瘤]