Unveiling Anxiety and Depression Symptoms in Patients With Cancer: A Cross-Cultural Comparison Between Brazil and Mexico.

IF 3.3 2区医学 Q2 ONCOLOGY

Psycho‐Oncology Pub Date : 2025-06-01 DOI:10.1002/pon.70209

Cristiane Decat Bergerot, Marcos Espinoza Bello, Joel Flores Juárez, Mónica Ramírez Orozco, Sebastian Hadaegh, Jazmín Hernández Marín, Renata Lemos Ferrari, Errol J Philip, Oscar Galindo Vázquez

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引用次数: 0

Abstract

Background: Distress, including symptoms of anxiety and depression, is a common issue for patients with cancer. However, the prevalence and contributing factors can vary across regions due to cultural and systemic differences. This study aimed to assess distress prevalence among patients with cancer in Brazil and Mexico and explore the key factors influencing emotional well-being in these populations.

Methods: A cross-sectional study was conducted involving patients from Brazil and Mexico. Participants completed standardized distress screening tools to assess symptoms of anxiety and depression, including the Generalized Anxiety Disorder 7-item scale (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9). Logistic regression analysis was performed to identify associations between distress symptoms and patient characteristics such as age, gender, cancer type, disease stage, and country of origin.

Results: A total of 1105 patients with cancer were included in the final analysis. The majority of patients were female (64.8%), married (54.4%), and held at least a college degree (53.0%). The most common diagnosis was breast cancer (32.7%), and most patients were diagnosed at an advanced stage of disease (62.6%). Significant differences in distress prevalence between the two countries were found. Brazilian patients reported higher levels of anxiety symptoms, while Mexican patients exhibited more depressive symptoms (p < 0.001). Multivariate logistic regression showed that gender, age and disease stage were significantly associated with symptoms of anxiety (p < 0.01) and gender with symptoms of depression in both countries.

Conclusion: Distress prevalence and its determinants vary across patients in Brazil and Mexico, influenced by cultural, systemic, and healthcare-related factors. Notably, these distress levels are greater than those reported in high-income countries. These findings highlight the need for culturally tailored screening and interventions to address region-specific distress patterns. Targeted psychosocial care can improve emotional well-being and quality of life for patients with cancer in Latin America.

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揭示癌症患者的焦虑和抑郁症状：巴西和墨西哥的跨文化比较

背景：痛苦，包括焦虑和抑郁的症状，是癌症患者的一个共同问题。然而，由于文化和制度差异，不同地区的患病率和影响因素可能有所不同。本研究旨在评估巴西和墨西哥癌症患者的痛苦患病率，并探讨影响这些人群情绪健康的关键因素。方法：对来自巴西和墨西哥的患者进行横断面研究。参与者完成了标准化的痛苦筛查工具来评估焦虑和抑郁症状，包括广泛性焦虑障碍7项量表（GAD-7）和患者健康问卷-9 （PHQ-9）。进行Logistic回归分析以确定痛苦症状与患者特征（如年龄、性别、癌症类型、疾病分期和原籍国）之间的关联。结果：最终分析共纳入1105例肿瘤患者。大多数患者为女性（64.8%），已婚（54.4%），大专以上学历（53.0%）。最常见的诊断是乳腺癌（32.7%），大多数患者被诊断为疾病晚期（62.6%）。研究发现，两国在抑郁患病率方面存在显著差异。巴西患者报告了更高水平的焦虑症状，而墨西哥患者表现出更多的抑郁症状(p结论：受文化、系统和医疗保健相关因素的影响，巴西和墨西哥患者的焦虑患病率及其决定因素各不相同。值得注意的是，这些痛苦程度高于高收入国家的报告。这些发现强调需要针对不同文化进行筛查和干预，以解决特定地区的痛苦模式。在拉丁美洲，有针对性的社会心理护理可以改善癌症患者的情绪健康和生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.