title: Anxiety and Depression among Breast Cancer Patients in an Urban Setting in Malaysia.
abstract: BACKGROUND
  Breast cancer is one of the most feared diseases among women and it could induce the development of psychological disorders like anxiety and depression. An assessment was here performed of the status and to determine contributory factors.
  
  
  METHODS
  A cross-sectional study was conducted among breast cancer patients at University Kebangsaan Malaysia Medical Center (UKMMC), Kuala Lumpur. A total of 205 patients who were diagnosed between 2007 until 2010 were interviewed using the questionnaires of Hospital Anxiety and Depression (HADS). The associated factors investigated concerned socio-demographics, socio economic background and the cancer status. Descriptive analysis, chi-squared tests and logistic regression were used for the statistical test analysis.
  
  
  RESULTS
  The prevalence of anxiety was 31.7% (n=65 ) and of depression was 22.0% (n=45) among the breast cancer patients. Age group (p= 0.032), monthly income (p=0.015) and number of visits per month (p=0.007) were significantly associated with anxiety. For depression, marital status (p=0.012), accompanying person (p=0.041), financial support (p-0.007) and felt burden (p=0.038) were significantly associated. In binary logistic regression, those in the younger age group were low monthly income were 2 times more likely to be associated with anxiety. Having less financial support and being single were 3 and 4 times more likely to be associated with depression.
  
  
  CONCLUSIONS
  In management of breast cancer patients, more care or support should be given to the young and low socio economic status as they are at high risk of anxiety and depression.
authors.affiliation: Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia E-mail : dr.hasanainhabasha@gmail.com.
authors.forename: Mohd Rohaizat
authors.initials: MR
authors.lastname: Hassan
authors.forename: Shamsul Azhar
authors.initials: SA
authors.lastname: Shah
authors.forename: Hasanain Faisal
authors.initials: HF
authors.lastname: Ghazi
authors.forename: Noor Mastura
authors.initials: NM
authors.lastname: Mohd Mujar
authors.forename: Mohd Fadhli
authors.initials: MF
authors.lastname: Samsuri
authors.forename: Nizam
authors.initials: N
authors.lastname: Baharom
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001008:Anxiety Disorders / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology; D001943:Breast Neoplasms / Q000150:complications / Q000453:epidemiology / Q000523:psychology*; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008296:Malaysia / Q000453:epidemiology; D017533:Marital Status; D008875:Middle Aged; D015995:Prevalence; D011379:Prognosis; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014505:Urban Population; D055815:Young Adult