title: Symptom Frequencies and Intensities in Hospitalized Patients With Advanced Cancer Having Depressive Disorder.
abstract: OBJECTIVE
  To explore the frequencies and intensities of depressive symptoms associated with hospitalized patients with advanced cancer.
  
  
  METHODS
  A total of 196 hospitalized patients with advanced cancer were surveyed with the Edmonton Symptom Assessment System and Self-Rating Depression Scale (SDS). The χ2test and Wilcoxon rank-sum test were used to compare the frequency and intensity of symptoms between patients with and without depressive disorders. Spearman rank correlation was used to test the correlation between depression and symptoms.
  
  
  RESULTS
  Of the 196 enrolled patients, 115 (59%) were males. The median age of the patients was 58 (19-80) years. Seventy-six (39%) patients were diagnosed with depression (SDS ≥ 53). Patients with depressive disorders exhibited pain, drowsiness, and nausea along with a higher frequency and intensity of poor self-perception, appetite loss, anxiety, dyspnea, and fatigue. Depressive symptoms were positively correlated with the symptoms.
  
  
  CONCLUSIONS
  Depressive disorders are very common and severe in hospitalized patients with advanced cancer. Identifying the frequencies and intensities of the symptoms enables early intervention to improve patients' quality of life.
authors.affiliation: 1 Department of Medical Oncology, Xuzhou Hospital Affiliated to Medical College of Southeast University and Xuzhou Central Hospital, Xuzhou, China.
authors.forename: Yong
authors.initials: Y
authors.lastname: Liu
authors.affiliation: 2 Outpatient Department, Beihai Navy Fleet, Qingdao, China.
authors.forename: Fei
authors.initials: F
authors.lastname: Liu
authors.affiliation: 1 Department of Medical Oncology, Xuzhou Hospital Affiliated to Medical College of Southeast University and Xuzhou Central Hospital, Xuzhou, China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Yu
authors.affiliation: 1 Department of Medical Oncology, Xuzhou Hospital Affiliated to Medical College of Southeast University and Xuzhou Central Hospital, Xuzhou, China.
authors.forename: Qing
authors.initials: Q
authors.lastname: Li
authors.affiliation: 1 Department of Medical Oncology, Xuzhou Hospital Affiliated to Medical College of Southeast University and Xuzhou Central Hospital, Xuzhou, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Jin
authors.affiliation: 3 Department of Surgical Oncology, Xuzhou Hospital Affiliated to Medical College of Southeast University and Xuzhou Central Hospital, Xuzhou, China.
authors.forename: Jin
authors.initials: J
authors.lastname: Li
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003866:Depressive Disorder / Q000150:complications* / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009369:Neoplasms / Q000150:complications / Q000453:epidemiology* / Q000523:psychology*; D010166:Palliative Care; D011788:Quality of Life; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D055815:Young Adult
keywords: Edmonton Symptom Assessment System; Self-Rating Depression Scale; advanced cancer; depressive disorder; symptom