Indian Journal of Palliative Care
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Year : 2019  |  Volume : 25  |  Issue : 4  |  Page : 562--566

Cancer pain, anxiety, and depression in admitted patients at a tertiary care hospital: A prospective observational study

1 Department of Surgery, Cancer Research Institute, SRHU, Dehradun, Uttarakhand, India
2 Department of Radiotherapy, Cancer Research Institute, SRHU, Dehradun, Uttarakhand, India
3 Department of Medicine, Cancer Research Institute, SRHU, Dehradun, Uttarakhand, India
4 Department of Paediatrics, Cancer Research Institute, SRHU, Dehradun, Uttarakhand, India

Correspondence Address:
Dr. Anshika Arora
Cancer Research Institute, Himalayan Institute of Medical Sciences, Swami Rama Nagar, Dehradun, Uttarakhand
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJPC.IJPC_4_19

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Context: Pain is the most common symptom in admitted cancer patients. The association between the severity of cancer pain and distress symptoms such as depression and anxiety is a subject of research. Aims: The aim is to study the prevalence of pain, anxiety, and depression in admitted cancer patients and determine the association between pain and anxiety and depression at a tertiary cancer care institute. Settings and Design: This was prospective observational study. Subjects and Methods: We enrolled 393 cancer inpatients prospectively after written informed consent. Their disease details, presence, severity, and character of pain were recorded. Numerical Pain Scale was used for pain scores, self-reporting Hospital Anxiety and Depression Scale for anxiety and depression. Statistical Analysis Used: Normal data were analyzed with parametric, nonnormal with nonparametric methods, and categorical with the Chi-square test. Results: The prevalence of moderate-to-severe pain was 41.5%, anxiety 20.3%, and depression 24.8%. Proportion of patients with anxiety and depression was 9.2% and 17.7% in patients with no pain; about 32.8% and 36.7% with severe pain, respectively (P < 0.000). In patients with no depression 6% had anxiety; with depression 44.9% had anxiety (P < 0.000). Odd's ratio to have anxiety and depression was 4.44 (95% confidence interval [CI] 2.0318–9.7024) and 2.92 (95% CI 1.5739–5.4186), respectively, in patients with pain as compared to no pain (P < 0.00). There was a positive correlation between pain, anxiety, and depression scores. Conclusions: There is strong association between the presence and severity of pain and distress symptoms such as anxiety and depression in admitted cancer patients.


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