Oncology and Psychology

The increasing of the modern technologies requires the setting up of multiple factories and industries that produce smokes and chemicals, which polluted the air, water, and the environment resulting in putting lives in dreaded conditions. In fact, the coming of the modern era and the modern lifestyle gives birth to numerous deadly diseases like cancer and its related diseases, which increasingly takes the lives of many in the country. The cold-blooded killer 'cancer' becomes the major public health concern in India as a whole. Among all the problems existed across the world, the problems or the issues associated with cancer or terminal illness becomes the worldwide phenomenon that produces several unwanted worst experiences. Human polluting the water, soil, and the air continued, and the global burden of cancer affected populations rapidly increasing year after year. Unfortunately, India turns out to be the world most densely cancer populated regions and a cancer hub. The reason behind the rapidly increasing of cancer illness and its mortality rates in India is mainly due to people lack awareness on cancerous factors, no proper preventive measures, and the late detection of the symptoms at the advanced stages when cure is not possible.Thus, concerning the helplessness conditions of the cancer effected people of in general, the current analytical study has been forms with an aim to spread awareness on the cold-blooded killer cancer across the country.

Aim: There is an increased prevalence of anxiety and depression in Asian patients diagnosed with cancers; these are known to interfere with treatment, treatment adherence, and mortality. The present study sought to investigate the prevalence and predictors of subsyndromal anxiety and depression in first year Asian cancer patients.
Methods: 206 patients newly-diagnosed with cancer in Singapore completed the Hospital Anxiety and Depression Scale (HADS) at T1 (baseline; on average 2 months post-diagnosis), T2 (3 months post-baseline), and T3 (6 months post-baseline). Subsyndromal anxiety and depression were identified using locally-validated cut-offs (HADS-A≥5 and HADS-D≥7). Adjusted odds ratios were calculated using baseline predictors.
Results: Across the three time points, 68–69% of participants were identified as having subsyndromal anxiety and close to 27–38% participants were identified as having subsyndromal depression. Multivariate logistic regressions revealed a lack of predictors for T1 subsyndromal anxiety and depression. Participants with late/metastatic stages of cancer were almost four times as likely to suffer from subsyndromal anxiety at T2. Single participants had a 75% lowered odds, but those living in 3–4 room public housing were close to four times as likely to suffer from, subsyndromal depression at T2. Older patients and those who had undergone surgery were found to significantly suffer from subsyndromal depression at T3.
Conclusion: The significant levels of depression and anxiety coupled with the lack of consistent predictors across the first year following cancer diagnosis further underscore the importance of careful assessment and clinician-vigilance in recognizing and identifying Asian patients who may express these emotional sequelæ following the cancer diagnosis. A better understanding of patients’ pathophysiological and psychological responses and individual strengths and coping skills are thus essential.

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