title: Factors associated with depression in disease-free stomach cancer survivors.
abstract: BACKGROUND
  Depression in cancer survivors affects the rest of their lives in many ways.
  
  
  OBJECTIVE
  To estimate the prevalence of depression and identify associated factors in disease-free stomach cancer survivors.
  
  
  METHODS
  We enrolled 391 stomach cancer survivors who had been disease-free for at least one year after surgery from the cancer registries of two hospitals in Korea. Stomach cancer survivors were mailed a survey that included the Beck Depression Inventory, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30, and the associated stomach module, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Stomach Cancer Module 22.
  
  
  RESULTS
  Forty-four percent of survivors suffered from depression, and more women (49%) than men (42%) had high depression scores (Beck Depression Inventory >13). In multiple logistic regression analysis, lower income (odds ratio [OR] 2.49; 95% CI 1.64-3.78), problems with care before treatment (OR 1.92; 95% CI 1.23-2.98), body image change (OR 2.23; 95% CI 1.41-3.53), and symptoms of fatigue (OR 3.11; 95% CI 1.49-6.52), dyspnea (OR 2.57; 95% CI 1.48-4.45), or insomnia (OR 4.51; 95% CI 1.88-10.83) were associated with depression.
  
  
  CONCLUSIONS
  The prevalence of depression was high in stomach cancer survivors even after the completion of treatment, especially among those with problems amenable to treatment, and we identified the associated factors. We suggest that stomach cancer survivors should be screened for depression after the end of treatment.
authors.affiliation: Division of Cancer Control and Hospital, National Cancer Center, Goyang, Korea.
authors.forename: Kyung Hee
authors.initials: KH
authors.lastname: Han
authors.forename: In Cheol
authors.initials: IC
authors.lastname: Hwang
authors.forename: Sung
authors.initials: S
authors.lastname: Kim
authors.forename: Jae-Moon
authors.initials: JM
authors.lastname: Bae
authors.forename: Young-Woo
authors.initials: YW
authors.lastname: Kim
authors.forename: Keun Won
authors.initials: KW
authors.lastname: Ryu
authors.forename: Jun Ho
authors.initials: JH
authors.lastname: Lee
authors.forename: Jae-Hyung
authors.initials: JH
authors.lastname: Noh
authors.forename: Tae-Sung
authors.initials: TS
authors.lastname: Sohn
authors.forename: Dong Wook
authors.initials: DW
authors.lastname: Shin
authors.forename: Young Ho
authors.initials: YH
authors.lastname: Yun
mesh_terms: D015897:Comorbidity; D003863:Depression; D018572:Disease-Free Survival; D004417:Dyspnea / Q000453:epidemiology* / Q000523:psychology; D005221:Fatigue / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D016016:Proportional Hazards Models; D011788:Quality of Life / Q000523:psychology; D056910:Republic of Korea / Q000453:epidemiology; D012307:Risk Factors; D007319:Sleep Initiation and Maintenance Disorders / Q000453:epidemiology* / Q000523:psychology; D013274:Stomach Neoplasms / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy*; D017741:Survivors / Q000523:psychology / Q000706:statistics & numerical data*; D063189:Symptom Assessment / Q000379:methods
keywords: Depression; disease-free cancer survivors; stomach cancer