Levels of depression, anxiety, and stress among cancer patients in Ho Chi Minh City: Sociodemographic characteristics and cancer-related factors

Levels of depression, anxiety, and stress among cancer patients in Ho Chi Minh City: Sociodemographic characteristics and cancer-related factors

Authors

  • Lê Thị Dung Author

DOI:

https://doi.org/10.1243/n1t2vd13

Keywords:

Stress, Anxiety, Depression, Mental disorders, Mental health, Cancer

Abstract

Cancer is one of the leading causes of death in Vietnam. The prevalence of mental health issues among cancer patients in Vietnam is significantly higher than in many other countries. However, mental health care for this population has not received adequate attention due to the lack of evidence linking psychological well-being and cancer. Therefore, this study aimed to explore the factors affecting depression, anxiety, and stress among cancer patients in Ho Chi Minh City. The study was conducted on 230 voluntary patients through listening, reading, and responding to a questionnaire. The research results indicated that factors such as age, gender, disease stage, and current treatment methods do not significantly affect the rates of mental disorders. However, better financial stability, higher education levels, good health history, and awareness of avoiding pain relief medication during treatment were factors that could reduce the prevalence of depression, anxiety, and stress among cancer patients. The findings from this study provide meaningful scientific suggestions for preventing and caring for the mental health of cancer patients in Vietnam.

References

1. Lê Thị Dung (2021). Vấn đề sức khỏe tâm thần của bệnh nhân ung thư trong độ tuổi lao động ở Thành phố Hồ Chí Minh. Tạp chí Tâm lý học, 10, 81-93.

2. Ahmed, A. E., Albalawi, A. N., Qureshey, E. T., Yenugadhati N., Al-Jahdali H., Jazieh A.R. (2018). Psychological symptoms in adult Saudi Arabian cancer patients: Prevalence and association with self-rated oral health. Breast Cancer, 10, 153-159.

3. Akechi, T. (1999). Suicidal thoughts in cancer patients: clinical experience in psychooncology. Psychiatry Clinical Neuroscience, 53, 569-573.

4. Alquraan, L., Alzoubi, K. H., Rababa'h, S., Karasneh, R., Al-azzam, S., & Al-Azayzih, A. (2020). Prevalence of depression and the quality of life of breast cancer patients in Jordan. Journal of Multidisciplinary Healthcare, 13, 1455-1462. DOI: doi.org/10.2147/JMDH.S277243.

5. Boyle, P., & Levin, B. (2008). World Cancer report. Retrieved from https://www.scirp.org/reference/referencespapers?eferenceid=1622952&form=MG0AV3.

6. Breitbart, W. (1995). Identifying patients at risk for, and treatment of major psychiatric complications of cancer. Support Care Cancer, 3(1), 45-60.

7. Bultz, B. D., & Holland, J. C. (2006). Emotional distress in patients with cancer: the sixth vital sign. Community Oncology, 3(5), 311-314.

8. Chahl, P., & Bond, A. (2009). I'm sorry but you've got cancer: The role of psychooncology. British Journal of Hospital Medicine, 70(9), 514-517.

9. Ciaramella, A., & Poli, P. (2001). Assessment of depression among cancer patients: the role of pain, cancer type, and treatment. Psycho-Oncology, 10, 156-165.

10. De Leeuw, J., de Graeff, A., Ró, W., Blijham, G., Hordijk, G.-J., & Winnubst, J. (2001). Prediction of depression 6 months to 3 years after treatment of head and neck cancer. Head Neck, 23, 892-898.

11. Derogatis, L. R. (1983). SCL-90-R: Administration, Scoring and Procedures: Manual II. Baltimore, MD: Clinical Psychometric Research.

12. Derogatis, L. R., Morrow, G. R., & Fetting, J. (1983). The prevalence of psychiatric disorders among cancer patients. JAMA, 249(6), 751.

13. Hemmington, A. (2020). When mental illness and cancer collide: an investigation of the predictors of outcomes for cancer patients with a history of mental health problems. Psychological Oncology, 29, 525-531.

14. Hinz, A., Herzberg, P. Y., Lordick, F., Weis, J., Hermann, F., Brahler, E.,… Mehnert, A. (2019). Age and gender differences in anxiety and depression in cancer patients compared with the general population. European Journal of Cancer Care, 28(5). DOI: 10.1111/ecc.13129.

15. Holland, J. C., Andersen, B., & Breitbart, W. S. (2010). Distress management. Journal of National Cancer Network, 8(4), 448-485.

16. Hopwood, P., Stephens, R., & Party (2000). Depression in patients with lugn cancer: prevalence and risk factors derived from quality of life data. Journal of Clinical Oncology, 18, 893-903.

17. Jacobsen, P. B. (2007). screening for psychological distress in cancer patients: challenges and opportunities. Journal of Clinical Oncology, 25, 4526-4527.

18. Kissane, D. W., & Smith, G. C. (1996). Consultation-liaison psychatry in an Australian oncology unit. Australia and New Zealand Journal of Psychiatry, 30(3), 397-404.

19. Lederberg, M. S. (2005). Psychooncology. In B. J. Sadock & V. A. Sadock (Eds.), Kaplan & Sadock's Comprehensice Textbook of Psychiatry (8th ed., pp. 2196-2225). Philadelphia: Lippincott Williams & Wilkins.

20. Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scale. Sydney: Psychology Foundation.

21. Massie, M. J. (2004). Prevalence of depression in patients with cancer. JNCI Monographs, 2004(32), 57-71. https://doi.org/10.1093/jncimonographs/lgh014.

22. Mitchell, A. J., Chan, M., Bhatti, H., Halton, M., Grassi, L., Johansen, C., et. al. (2011). Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological and palliative-care settings: A meta-analysis of 94 interview-based studies. Lancet Oncol, 12, 160-174.

23. Nakash, O. (2014). Comorbidity of common mental disorders with cancer and their treatment gap: Findings from the World Mental Health Surveys. Psychological Oncology, 23, 40-51.

24. Ng., H. S., Roder, D., Koczwara, B., & Vitry, A. (2018). Comorbidity, physical and mental health among cancer patients and survivors: An Australian population-based study. Asia Pacific Journal of Clinical Oncology, 14, e181-e192.

25. O'Hea, E. (2020). Impact of the mental health and dynamic referral for oncology (MHADRO) program on oncology patient outcomes, health care ultilization, and health provider behaviors: A multi-site randomized control trial. Patient Educational Counselling, 103, 607-616.

26. Pitman, A., Suleman, S., Hyde, N., & Hodgkiss, A. (2018). A depression and anxiety in patients with cancer. BMJ, 361, k1415.

27. Razavi, D., & Stiefel, F. (1994). Common psychiatric disorders in cancer patients. Support Care Cancer, 2(4), 223-232.

28. Sarnam, L. (2002). Quality of life of long-term survivors of non-small-cell lung cancer. Journal of Clinical Oncology, 20, 2920-2929.

29. Singer, S., Das-Munshi, J., & Brahler, E. (2010). Prevalence of mental health conditions in cancer patients in acute care - a meta-analysis. Annual Oncology, 21, 921-930.

30. Timperi, A. W., Ergas, I. J., Rehkopf, D. H., Roh, J. M., Kwan, M. L., & Kushi, L. H. (2013). Employment status and quality of life in recently diagnosed breast cancer survivors. Psycho-Oncology, 22(6), 1411-1420.

31. Tran, D. T., Tuan, T., & Fisher, J. (2013). Validation of the depression anxiety stress scales (DASS) 21 as a screening instrument for depression and anxiety in a rural community-based cohort of northern Vietnamese women. BMC Psychiatry, 13(24). Retrieved from http://www.biomedcentral.com/1471-244X/13/24.

32. Vodermaier, A., Linden, W., & MacKenzie, R. (2011). Disease stage predicts postdiagnosis anxiety and depression only in some types of cancer. British Journal of Cancer, 105, 1814-1817.

33. Walsh, D., Donnelly, S., & Rybicki, L. (2000). The symptoms of advanced cancer: relationship to age, gender and performance status in 1000 patients. Support Care Cancer, 8, 175-179.

34. World Health Organisation (2004). The global burden of disease: 2004 update. Retrieved from https://iris.who.int/bitstream/handle/10665/43942/9789241563710_eng.pdf?utm_source.

35. World Health Organisation (2018). Suicide: Key facts. Retrieved from https://www.who.int/news-room/fact-sheets/detail/suicide.

36. Zabora, J., BrintzenhofeSzoc, K., Curbow, B., Hooker, C., & Piantadosi, S. (2001). The prevalence of psychological distress by cancer site. Psychooncology, 10(1), 19-28.

Published

2026-04-20

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