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Gepubliceerd in: Quality of Life Research 9/2016

01-09-2016

Anxiety and depression analyses of patients undergoing diagnostic cystoscopy

Auteurs: Stephan Seklehner, Paul Friedrich Engelhardt, Mesut Remzi, Harun Fajkovic, Zana Saratlija-Novakovic, Matthias Skopek, Irene Resch, Mario Duvnjak, Stephan Hruby, Clemens Wehrberger, Davor Librenjak, Wilhelm Hübner, Eckart Breinl, Claus Riedl

Gepubliceerd in: Quality of Life Research | Uitgave 9/2016

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Abstract

Purpose

To prospectively assess anxiety and depression in patients undergoing diagnostic cystoscopy.

Methods

Patients presenting for outpatient diagnostic cystoscopy were recruited from four European urological departments. Anxiety and depression were assessed with the ‘Hospital Anxiety and Depression Scale’ (HADS) before cystoscopy and after 1 week. Statistical analyses, including the Chi-square test, univariate, and multivariate logistic regression analyses, were carried out with SPSS v. 21 (IBM Corp., Armonk, NY).

Results

Prior to cystoscopy, 30.2 % of patients were anxious and 24.8 % depressive (n = 442). In the post-examination period, anxiety declined to 24.5 %, while depression was unchanged (24.4 %). Pre-cystoscopy anxiety was significantly more common in women (41.8 vs. 24.5 %, p < 0.0001), patients aged <65 years (34.9 vs. 25.9 %, p = 0.04), and in those being examined with rigid cystoscopes (35.7 vs. 23.9 %, p = 0.007). In multivariate regression analyses, female gender (OR 2.6, p < 0.0001), <65 years of age (OR 1.7, p = 0.03), and coexistence of depression (OR 7.8, p < 0.0001) were independently associated with elevated pre-cystoscopy anxiety. Anxious (OR 2.1, p = 0.03) and depressive (OR 2.1, p = 0.01) patients had higher odds of experiencing moderate or severe pain during cystoscopy. Bladder cancer diagnosis did not significantly change patient’s anxiety (p = 0.23) or depression (p = 0.7) during the 1 week of follow-up.

Conclusions

Women, patients aged <65 years, depressive patients and those being examined with rigid devices had higher rates of anxiety prior to cystoscopy. Anxious and depressive patients experienced more pain during cystoscopy. Bladder cancer diagnosis seems to have a minor effect on anxiety and depression during the first week after diagnosis.
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Metagegevens
Titel
Anxiety and depression analyses of patients undergoing diagnostic cystoscopy
Auteurs
Stephan Seklehner
Paul Friedrich Engelhardt
Mesut Remzi
Harun Fajkovic
Zana Saratlija-Novakovic
Matthias Skopek
Irene Resch
Mario Duvnjak
Stephan Hruby
Clemens Wehrberger
Davor Librenjak
Wilhelm Hübner
Eckart Breinl
Claus Riedl
Publicatiedatum
01-09-2016
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 9/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1264-z