Quality of life, sexual satisfaction, anxiety and depression status in lymphoma survivors

Solmaz Serife, Cetintepe Tugba, Turkyilmaz Dogus, Asik Nuri, Demirkan Fatih, Ozcan Mehmet Ali, Ozsan Hayri Guner, Undar Bulent, Bilgir Oktay, Alacacioglu Ahmet, Alacacioglu Inci
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Abstract

Objective: The progressive development of lymphoma therapies has led to an important prolongation of patient survival. We aimed to investigate anxiety, depression, sexual satisfaction and health-related quality of life status in these lymphoma survivors. We examined the effects of depression, anxiety and sexual satisfaction on the quality of life. Materials and methods: In a prospective study, the data were collected from fifty lymphoma survivors. We used six forms. These forms consist of sociodemographic features, the Beck Depression Inventory (BDI), Beck Hopelessness Scala (BHS), State-Trait Anxiety Inventory (STAI I-II), Golombock-Rust Inventory of Sexual Satisfaction (GRISS) and European Organization for Research on the treatment of Cancer Questionnaires Quality of Life (QoL) - C30 questionnaires. Results: The mean age of the patients was 50,2 ± 14,8 (20 – 75) years, and 50% of them were females. In our study, we found that 26% of the patients had high depression values above the cutoff (≥ 17 of BDI score). The mean depression score of the patients was 10,6 ± 8 (0 - 32) and the mean hopelessness score was 5,7 ± 4,5 (0 - 19). The patients whose anxiety and depression scores were high role, cognitive and emotional functioning of EORTC-QLQ-C30 was found statistically significantly low. The mean STAI-I score of the patients was 35,6 ± 11,3 (22-73) and the mean STAI-II score was 41,4 ± 10,6 (23 - 67). Statistical significance in terms of emotional and social functioning was found in the patients with high anxiety scores. When all patients were evaluated with respect to GRISS, we found high scores (> 5) for frequency, communication, vaginusmus and premature ejaculation. We compared the EORTC-QoL-C30 scores and GRISS of the patients. There was an association between emotional dysfunction with high scores of frequency (p = 0.040). Also, there was an association between low scores of role functioning with high scores of avoidance and premature ejaculation (p = 0.015, p = 0.003). However, there was a significant correlation between low scores of global QoL with high scores of avoidance, communication, and touch. There was no statistically significant difference between the anxiety and depression levels of the patient according to gender. But, some functional scales including role function (p = 0.001), social function (p = 0.001) and cognitive function (p = 0.027) were lower in female patients. Conclusion: The lymphoma survivors had high anxiety and depression scores, reduced sexual functioning and low functioning scales of QoL. There was an association between sexual dysfunction low role, emotional functioning and global QoL scores in patients.
淋巴瘤幸存者的生活质量、性满足、焦虑和抑郁状况
目的:淋巴瘤治疗的进展性发展是延长患者生存期的重要因素。我们的目的是调查这些淋巴瘤幸存者的焦虑、抑郁、性满意度和健康相关的生活质量状况。我们研究了抑郁、焦虑和性满意度对生活质量的影响。材料和方法:在一项前瞻性研究中,数据来自50名淋巴瘤幸存者。我们用了六种形式。这些表格包括社会人口学特征、贝克抑郁量表(BDI)、贝克绝望量表(BHS)、状态-特质焦虑量表(STAI - ii)、Golombock-Rust性满意度量表(GRISS)和欧洲癌症治疗研究组织生活质量问卷(QoL) - C30问卷。结果:患者平均年龄50、2±14、8(20 ~ 75)岁,女性占50%。在我们的研究中,我们发现26%的患者抑郁值高于临界值(BDI评分≥17)。患者平均抑郁评分为10.6±8分(0 ~ 32分),平均绝望评分为5.7±4.5分(0 ~ 19分)。焦虑、抑郁得分高的患者角色、认知、情绪功能EORTC-QLQ-C30得分低,差异有统计学意义。患者的平均stai评分为35,6±11,3(22-73),平均STAI-II评分为41,44±10,6(23 - 67)。焦虑得分高的患者在情绪和社会功能方面有统计学意义。当对所有患者进行GRISS评估时,我们发现频率、沟通、阴道痉挛和早泄得分都很高(> 5)。我们比较了患者的EORTC-QoL-C30评分和GRISS。情绪障碍与高频率得分之间存在相关性(p = 0.040)。此外,角色功能得分低与回避和早泄得分高之间存在关联(p = 0.015, p = 0.003)。然而,整体生活质量得分低与回避、沟通和触摸得分高之间存在显著相关。不同性别患者的焦虑和抑郁水平无统计学差异。而女性患者的角色功能(p = 0.001)、社会功能(p = 0.001)和认知功能(p = 0.027)等功能量表较低。结论:淋巴瘤患者焦虑抑郁评分较高,性功能降低,生活质量低。患者的性功能障碍、低角色、情绪功能与总体生活质量评分存在相关性。
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