A cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodules

Abstract Background Uncertainty after the detection of pulmonary nodules (PNs) can cause psychological burden. We designed this study to quantitatively evaluate the prevalence, severity and possible impact of this burden on the preference of patients for management of nodules. Methods The Hospital A...

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Autores principales:	Rongxin Xiao, Yuqing Huang, Shushi Meng, Xianping Liu, Xiaoyi Zhao, Jun Wang, Xiao Li
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	anxiety depression pulmonary nodules Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/8774ed329cae4553a1e10bf64fce19cc
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spelling	oai:doaj.org-article:8774ed329cae4553a1e10bf64fce19cc2021-12-02T02:34:55ZA cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodules1759-77141759-770610.1111/1759-7714.14165https://doaj.org/article/8774ed329cae4553a1e10bf64fce19cc2021-12-01T00:00:00Zhttps://doi.org/10.1111/1759-7714.14165https://doaj.org/toc/1759-7706https://doaj.org/toc/1759-7714Abstract Background Uncertainty after the detection of pulmonary nodules (PNs) can cause psychological burden. We designed this study to quantitatively evaluate the prevalence, severity and possible impact of this burden on the preference of patients for management of nodules. Methods The Hospital Anxiety and Depression Scale (HADS) was used to evaluate psychological burden in patients. An independent t‐test and a Mann–Whitney U test were used to determine the significance of differences between groups in continuous variables. A chi‐square test was used to determine the significance of difference between groups in categorical variables. Results A total of 334 inpatients diagnosed with PNs were included in the study. A total of 17.96% of the participates screened positive for anxiety and 14.67% for depression. Female patients had significantly higher positive rates of both anxiety and depression screenings than male patients (21.57% vs. 12.31%, p = 0.032 and 18.05% vs. 9.30%, p = 0.028, respectively). Among patients screened positive for anxiety, the proportion of those who chose more aggressive management was significantly higher (34/60 vs. 113/274, p = 0.029). The rate of benign or precursor disease resected was significantly higher in patients with more aggressive management (46.94% vs. 9.63%, p < 0.01). Conclusions Anxiety and depression are common in Chinese patients with PNs. Patients with positive HADS anxiety screening results are more likely to adopt more aggressive management that leads to a higher rate of benign or precursor disease resected/biopsied. This study alerts clinicians to the need to assess and possibly treat emotional responses.Rongxin XiaoYuqing HuangShushi MengXianping LiuXiaoyi ZhaoJun WangXiao LiWileyarticleanxietydepressionpulmonary nodulesNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENThoracic Cancer, Vol 12, Iss 23, Pp 3150-3156 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	anxiety depression pulmonary nodules Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	anxiety depression pulmonary nodules Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Rongxin Xiao Yuqing Huang Shushi Meng Xianping Liu Xiaoyi Zhao Jun Wang Xiao Li A cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodules
description	Abstract Background Uncertainty after the detection of pulmonary nodules (PNs) can cause psychological burden. We designed this study to quantitatively evaluate the prevalence, severity and possible impact of this burden on the preference of patients for management of nodules. Methods The Hospital Anxiety and Depression Scale (HADS) was used to evaluate psychological burden in patients. An independent t‐test and a Mann–Whitney U test were used to determine the significance of differences between groups in continuous variables. A chi‐square test was used to determine the significance of difference between groups in categorical variables. Results A total of 334 inpatients diagnosed with PNs were included in the study. A total of 17.96% of the participates screened positive for anxiety and 14.67% for depression. Female patients had significantly higher positive rates of both anxiety and depression screenings than male patients (21.57% vs. 12.31%, p = 0.032 and 18.05% vs. 9.30%, p = 0.028, respectively). Among patients screened positive for anxiety, the proportion of those who chose more aggressive management was significantly higher (34/60 vs. 113/274, p = 0.029). The rate of benign or precursor disease resected was significantly higher in patients with more aggressive management (46.94% vs. 9.63%, p < 0.01). Conclusions Anxiety and depression are common in Chinese patients with PNs. Patients with positive HADS anxiety screening results are more likely to adopt more aggressive management that leads to a higher rate of benign or precursor disease resected/biopsied. This study alerts clinicians to the need to assess and possibly treat emotional responses.
format	article
author	Rongxin Xiao Yuqing Huang Shushi Meng Xianping Liu Xiaoyi Zhao Jun Wang Xiao Li
author_facet	Rongxin Xiao Yuqing Huang Shushi Meng Xianping Liu Xiaoyi Zhao Jun Wang Xiao Li
author_sort	Rongxin Xiao
title	A cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodules
title_short	A cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodules
title_full	A cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodules
title_fullStr	A cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodules
title_full_unstemmed	A cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodules
title_sort	cross‐sectional study of psychological burden in chinese patients with pulmonary nodules: prevalence and impact on the management of nodules
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/8774ed329cae4553a1e10bf64fce19cc
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A cross‐sectional study of psychological burden in Chinese patients with pulmonary nodules: Prevalence and impact on the management of nodules

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