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1335 Depression and anxiety among women treated for cervical cancer
  1. Rym Zanzouri,
  2. Nadia Bouzid,
  3. Rihab Ben Jaafer,
  4. Rihem Fayala,
  5. Sabrine Tbessi,
  6. Samia Kanoun and
  7. Sameh Tebra
  1. Chu Farhat Hached, Sousse Ville, Tunisia


Introduction/Background Cervical cancer is the fourth-ranked cancer among women. In recent years, therapy advances improved survival rates. However, it remains a traumatic experience for women which may lead to psychiatric morbidities such as depression and anxiety.

Purpose Assess the prevalence and associated factors of depression and anxiety in cervical cancer patients.

Methodology Descriptive cross-sectional study of 40 women treated for cervical cancer in complete remission, in the Medical-Oncology and Radiotherapy department of Farhat-Hached Hospital in Sousse, Tunisia. The psychological distress was measured through the Hospital Anxiety and Depression Scale (HADS) and the Distress thermometer scale (DTS).

Results The average age was 51 [30–66]. 60% were urban residents. The majority (75%) were married. 57,5% of women had never gone to school. About half of the patients had more than three children (45%). It was observed that a great share of women was unemployed (62,5%).

The FIGO stageIII (47,5%) was the most frequent. 35% of patients were operated on. Most patients (72,5%) were treated with pelvic radiotherapy followed by brachytherapy with concomitant chemotherapy in 93,1% of cases. 17,5% received exclusive adjuvant brachytherapy.

An anxiety score greater than 11 was found in 60% of cases (average=11,22±5,02), a depression score greater than 11 was found in 57,5% of cases (average=10,8±3.04), the overall average score was 21.28±8.06. The results of the DTS scale show psychological distress in 45% of cases. The average DTS score was 7,3 (>5) and 17,5% of patients showed a score of 10.

Moderate to severe anxiety, depression, and stress were more prevalent among patients who were married, who had an advanced disease stage and were treated with hysterectomy or external radiotherapy. The score of DTS positively correlated with the HADS (p<0.001).

Conclusion Depressive disorders,anxiety, and perceived stress are prevalent among cervical cancer survivors in Tunisia. Understanding these common psychiatric disorders is important in order to improve their management.

Disclosures The authors declare that they do not have a conflict of interest.

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