title: Distress, anxiety, and depression in cancer patients undergoing chemotherapy.
abstract: BACKGROUND
  Chemotherapy for cancer is an intense and cyclic treatment associated with number of side-effects. The present study evaluated the effect of chemotherapy on distress, anxiety and depression.
  
  
  METHODS
  A total of 117 patients were evaluated by using distress inventory for cancer (DIC2) and hospital anxiety and depression scale (HADS). Majority of the patients were taking chemotherapy for solid tumors (52; 44.4%).
  
  
  RESULTS
  The mean distress score was 24, 18 (15.38%) were found to have anxiety while 19 (16.23%) had depression. High social status was the only factor found to influence distress while female gender was the only factor found to influence depression in the present study.
  
  
  CONCLUSIONS
  The study highlights high psychological morbidity of cancer patients and influence of gender on depression. Construct of distress as evaluated by DIC 2 may have a possible overlap with anxiety.
authors.affiliation: Department of Surgical Oncology, Regional Cancer Centre, Trivandrum, India. manojpandey@vsnl.com
authors.forename: Manoj
authors.initials: M
authors.lastname: Pandey
authors.forename: Gangadharan P
authors.initials: GP
authors.lastname: Sarita
authors.forename: Nandkumar
authors.initials: N
authors.lastname: Devi
authors.forename: Bejoy C
authors.initials: BC
authors.lastname: Thomas
authors.forename: Badridien M
authors.initials: BM
authors.lastname: Hussain
authors.forename: Rita
authors.initials: R
authors.lastname: Krishnan