title: Prevalence rate and influencing factors of preoperative anxiety and depression in gastric cancer patients in China: Preliminary study.
abstract: OBJECTIVE
  To investigate the prevalence rate and influencing factors of preoperative anxiety and depression in patients with gastric cancer, in China.
  
  
  METHODS
  Patients with gastric cancer who were diagnosed by gastroscopy and would accept laparoscopic surgery were eligible for the study. Each participant completed self-administered questionnaires, including the Hospital Anxiety and Depression Scale (HADS), Medical Coping Modes Questionnaire (MCMQ), Social Support Rating Scale, and Type D personality scale before surgery. Routine blood tests were undertaken within 7 days before surgery, to calculate the neutrophil-to-lymphocyte ratio (NLR). Based on HADS, patients were divided into an anxiety/depression group and a nonanxiety/depression group.
  
  
  RESULTS
  Fifty-three patients with gastric cancer were included in the study. The prevalence of preoperative anxiety and/or depression was 20.75% (11/53). Factors influencing preoperative anxiety and depression were a resigned dimension of coping style, type D personality and NLR. Logistic regression analysis showed that a higher score for the resigned dimension of coping style on the MCMQ and a higher NLR were significantly associated with preoperative anxiety and depression.
  
  
  CONCLUSIONS
  The prevalence of preoperative anxiety and depression in Chinese patients with gastric cancer may be influenced by both the coping mode and NLR.
authors: Department of Nursing, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China Fujian Medical University Union Clinical Medical Institute, Fuzhou, Fujian Province, China xl_8332@126.com.
authors: Le
authors: L
authors: Xu
authors: Fujian Medical University Union Clinical Medical Institute, Fuzhou, Fujian Province, China.
authors: Qiong
authors: Q
authors: Pan
authors: Fujian Medical University Union Clinical Medical Institute, Fuzhou, Fujian Province, China.
authors: Renqin
authors: R
authors: Lin
mesh_terms: D000368:Aged; D001007:Anxiety / Q000150:complications / Q000175:diagnosis / Q000276:immunology / Q000523:psychology*; D000067290:Behavior Rating Scale; D002681:China; D003430:Cross-Sectional Studies; D003863:Depression / Q000150:complications / Q000175:diagnosis / Q000276:immunology / Q000523:psychology*; D005260:Female; D005773:Gastroscopy; D006801:Humans; D007958:Leukocyte Count; D016015:Logistic Models; D008214:Lymphocytes / Q000276:immunology*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009504:Neutrophils / Q000276:immunology*; D010555:Personality Inventory; D057234:Preoperative Period; D013274:Stomach Neoplasms / Q000150:complications / Q000175:diagnosis / Q000276:immunology / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Gastric cancer; anxiety; depression; influencing factors; prevalence