Age and gender differences in anxiety and depression in cancer patients compared with the general population

Objective The aim of this study was to compare the levels of anxiety and depression in cancer patients with those of the general population, to examine age and gender differences in anxiety and depression, to analyse the impact of several socio‐demographic and clinical parameters on anxiety and depr...

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Veröffentlicht in:	European journal of cancer care Jg. 28; H. 5; S. e13129 - n/a
Hauptverfasser:	Hinz, Andreas, Herzberg, Philipp Yorck, Lordick, Florian, Weis, Joachim, Faller, Hermann, Brähler, Elmar, Härter, Martin, Wegscheider, Karl, Geue, Kristina, Mehnert, Anja
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	England John Wiley & Sons, Inc 01.09.2019
Schlagworte:	Adolescent Adult Age Age Factors Aged Anxiety Anxiety - epidemiology Anxiety - psychology Anxiety Disorders - epidemiology Anxiety Disorders - psychology Cancer Case-Control Studies Demographics depression Depression - epidemiology Depression - psychology Depressive Disorder - epidemiology Depressive Disorder - psychology Female Gender Gender aspects Gender differences Germany - epidemiology Hospital Anxiety and Depression Scale Humans Impact analysis Invariance Male measurement invariance Mental depression Metastases Middle Aged Neoplasm Staging Neoplasms - pathology Neoplasms - psychology Oncology Patients Population Sex differences Sex Factors Subgroups Tumors Young Adult Germany Hospital Anxiety and Depression Scale anxiety cancer depression measurement invariance gender differences
ISSN:	0961-5423, 1365-2354, 1365-2354
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Abstract	Objective The aim of this study was to compare the levels of anxiety and depression in cancer patients with those of the general population, to examine age and gender differences in anxiety and depression, to analyse the impact of several socio‐demographic and clinical parameters on anxiety and depression, and to test the age and gender measurement invariance of the Hospital Anxiety and Depression Scale (HADS). Methods A sample of 3,785 German patients with cancer and a sample of 2,747 people of the German general population were examined using the HADS. Results Patients with cancer were more anxious but slightly less depressed than age‐ and gender‐matched individuals of the general population. Young patients with cancer were particularly affected by anxiety. Measurement invariance across gender and age could be established. For all analysed clinical variables, including tumour site, tumour stage, metastases, setting and Eastern Cooperative Oncology Group (ECOG) performance status we found no significant interaction effects with gender that exceeded the 5% significance criterion. Conclusion The HADS provides fair comparisons between age and gender groups. Gender differences in anxiety and depression can be generalised across the cancer sites and clinical subgroups. Young patients with cancer deserve special attention by the healthcare system.
AbstractList	ObjectiveThe aim of this study was to compare the levels of anxiety and depression in cancer patients with those of the general population, to examine age and gender differences in anxiety and depression, to analyse the impact of several socio‐demographic and clinical parameters on anxiety and depression, and to test the age and gender measurement invariance of the Hospital Anxiety and Depression Scale (HADS).MethodsA sample of 3,785 German patients with cancer and a sample of 2,747 people of the German general population were examined using the HADS.ResultsPatients with cancer were more anxious but slightly less depressed than age‐ and gender‐matched individuals of the general population. Young patients with cancer were particularly affected by anxiety. Measurement invariance across gender and age could be established. For all analysed clinical variables, including tumour site, tumour stage, metastases, setting and Eastern Cooperative Oncology Group (ECOG) performance status we found no significant interaction effects with gender that exceeded the 5% significance criterion.ConclusionThe HADS provides fair comparisons between age and gender groups. Gender differences in anxiety and depression can be generalised across the cancer sites and clinical subgroups. Young patients with cancer deserve special attention by the healthcare system. The aim of this study was to compare the levels of anxiety and depression in cancer patients with those of the general population, to examine age and gender differences in anxiety and depression, to analyse the impact of several socio-demographic and clinical parameters on anxiety and depression, and to test the age and gender measurement invariance of the Hospital Anxiety and Depression Scale (HADS).OBJECTIVEThe aim of this study was to compare the levels of anxiety and depression in cancer patients with those of the general population, to examine age and gender differences in anxiety and depression, to analyse the impact of several socio-demographic and clinical parameters on anxiety and depression, and to test the age and gender measurement invariance of the Hospital Anxiety and Depression Scale (HADS).A sample of 3,785 German patients with cancer and a sample of 2,747 people of the German general population were examined using the HADS.METHODSA sample of 3,785 German patients with cancer and a sample of 2,747 people of the German general population were examined using the HADS.Patients with cancer were more anxious but slightly less depressed than age- and gender-matched individuals of the general population. Young patients with cancer were particularly affected by anxiety. Measurement invariance across gender and age could be established. For all analysed clinical variables, including tumour site, tumour stage, metastases, setting and Eastern Cooperative Oncology Group (ECOG) performance status we found no significant interaction effects with gender that exceeded the 5% significance criterion.RESULTSPatients with cancer were more anxious but slightly less depressed than age- and gender-matched individuals of the general population. Young patients with cancer were particularly affected by anxiety. Measurement invariance across gender and age could be established. For all analysed clinical variables, including tumour site, tumour stage, metastases, setting and Eastern Cooperative Oncology Group (ECOG) performance status we found no significant interaction effects with gender that exceeded the 5% significance criterion.The HADS provides fair comparisons between age and gender groups. Gender differences in anxiety and depression can be generalised across the cancer sites and clinical subgroups. Young patients with cancer deserve special attention by the healthcare system.CONCLUSIONThe HADS provides fair comparisons between age and gender groups. Gender differences in anxiety and depression can be generalised across the cancer sites and clinical subgroups. Young patients with cancer deserve special attention by the healthcare system. The aim of this study was to compare the levels of anxiety and depression in cancer patients with those of the general population, to examine age and gender differences in anxiety and depression, to analyse the impact of several socio-demographic and clinical parameters on anxiety and depression, and to test the age and gender measurement invariance of the Hospital Anxiety and Depression Scale (HADS). A sample of 3,785 German patients with cancer and a sample of 2,747 people of the German general population were examined using the HADS. Patients with cancer were more anxious but slightly less depressed than age- and gender-matched individuals of the general population. Young patients with cancer were particularly affected by anxiety. Measurement invariance across gender and age could be established. For all analysed clinical variables, including tumour site, tumour stage, metastases, setting and Eastern Cooperative Oncology Group (ECOG) performance status we found no significant interaction effects with gender that exceeded the 5% significance criterion. The HADS provides fair comparisons between age and gender groups. Gender differences in anxiety and depression can be generalised across the cancer sites and clinical subgroups. Young patients with cancer deserve special attention by the healthcare system. Objective The aim of this study was to compare the levels of anxiety and depression in cancer patients with those of the general population, to examine age and gender differences in anxiety and depression, to analyse the impact of several socio‐demographic and clinical parameters on anxiety and depression, and to test the age and gender measurement invariance of the Hospital Anxiety and Depression Scale (HADS). Methods A sample of 3,785 German patients with cancer and a sample of 2,747 people of the German general population were examined using the HADS. Results Patients with cancer were more anxious but slightly less depressed than age‐ and gender‐matched individuals of the general population. Young patients with cancer were particularly affected by anxiety. Measurement invariance across gender and age could be established. For all analysed clinical variables, including tumour site, tumour stage, metastases, setting and Eastern Cooperative Oncology Group (ECOG) performance status we found no significant interaction effects with gender that exceeded the 5% significance criterion. Conclusion The HADS provides fair comparisons between age and gender groups. Gender differences in anxiety and depression can be generalised across the cancer sites and clinical subgroups. Young patients with cancer deserve special attention by the healthcare system.
Author	Lordick, Florian Faller, Hermann Weis, Joachim Härter, Martin Wegscheider, Karl Mehnert, Anja Geue, Kristina Brähler, Elmar Herzberg, Philipp Yorck Hinz, Andreas
Author_xml	– sequence: 1 givenname: Andreas orcidid: 0000-0002-6986-8145 surname: Hinz fullname: Hinz, Andreas email: andreas.hinz@medizin.uni-leipzig.de organization: University of Leipzig – sequence: 2 givenname: Philipp Yorck surname: Herzberg fullname: Herzberg, Philipp Yorck organization: Helmut Schmidt University of the Federal Armed Forces – sequence: 3 givenname: Florian surname: Lordick fullname: Lordick, Florian organization: University Medical Center Leipzig – sequence: 4 givenname: Joachim surname: Weis fullname: Weis, Joachim organization: University Clinic Centre Freiburg – sequence: 5 givenname: Hermann surname: Faller fullname: Faller, Hermann organization: University of Würzburg – sequence: 6 givenname: Elmar surname: Brähler fullname: Brähler, Elmar organization: University Medical Center Mainz – sequence: 7 givenname: Martin surname: Härter fullname: Härter, Martin organization: University Medical Center Hamburg‐Eppendorf – sequence: 8 givenname: Karl surname: Wegscheider fullname: Wegscheider, Karl organization: University Medical Center Hamburg‐Eppendorf – sequence: 9 givenname: Kristina surname: Geue fullname: Geue, Kristina organization: University of Leipzig – sequence: 10 givenname: Anja surname: Mehnert fullname: Mehnert, Anja organization: University of Leipzig
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Snippet	Objective The aim of this study was to compare the levels of anxiety and depression in cancer patients with those of the general population, to examine age and... The aim of this study was to compare the levels of anxiety and depression in cancer patients with those of the general population, to examine age and gender... ObjectiveThe aim of this study was to compare the levels of anxiety and depression in cancer patients with those of the general population, to examine age and...
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SubjectTerms	Adolescent Adult Age Age Factors Aged Anxiety Anxiety - epidemiology Anxiety - psychology Anxiety Disorders - epidemiology Anxiety Disorders - psychology Cancer Case-Control Studies Demographics depression Depression - epidemiology Depression - psychology Depressive Disorder - epidemiology Depressive Disorder - psychology Female Gender Gender aspects Gender differences Germany - epidemiology Hospital Anxiety and Depression Scale Humans Impact analysis Invariance Male measurement invariance Mental depression Metastases Middle Aged Neoplasm Staging Neoplasms - pathology Neoplasms - psychology Oncology Patients Population Sex differences Sex Factors Subgroups Tumors Young Adult
Title	Age and gender differences in anxiety and depression in cancer patients compared with the general population
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