Anxio-depressive symptoms in Moroccan women with gynecological cancer: Relief factors

Bull Cancer. 2021 May;108(5):472-480. doi: 10.1016/j.bulcan.2020.12.011. Epub 2021 Mar 19.

Abstract

Introduction: Psychosocial determinants can affect the mental health of women who have been diagnosed with gynecological cancer. The aim of this study was to examine how social support and self-esteem are associated with anxiety and depression symptoms in women with gynecological cancer, and who are treated by radical surgery.

Methods: A cross-sectional study was performed, within the oncology department of Ibn Rochd University Hospital, Casablanca, on 100 Moroccan women. They all had undergone radical surgery for gynecological cancer, hysterectomy and/or oophorectomy.

Results: Our results showed that patients with gynecological cancer treated by radical surgery exhibited high prevalence rates of anxiety (66%) and depression symptoms (59%). Associations showed that age, having children, medical coverage system, area of residence, working status and socioeconomic status were significantly related to the prevalence of anxiety and depression symptoms (P<0.05). The general social support, family support and significant other support besides high self-esteem reduce significantly the risk of getting anxiety and depression symptoms (P-values<0.05).

Discussion: Among patients with gynecological cancer treated by radical surgery, high prevalence of anxiety and depression symptoms was found. Social support and high self-esteem could help improve mental health issues related to this type of cancer.

Keywords: Anxiety; Depression; Gynecological cancer; Self-esteem; Social support.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Anxiety / epidemiology*
  • Cross-Sectional Studies
  • Depression / epidemiology*
  • Employment
  • Family
  • Female
  • Genital Neoplasms, Female / psychology*
  • Genital Neoplasms, Female / surgery
  • Humans
  • Hysterectomy
  • Insurance Coverage
  • Marital Status
  • Middle Aged
  • Morocco / epidemiology
  • Ovariectomy
  • Prevalence
  • Residence Characteristics
  • Self Concept*
  • Social Class
  • Social Support