Study of Anxiety and Depression among Breast Cancer Patents from North India Vivek Srivastava 1 , Mumtaz Ahmad Ansari 1 , Anand Kumar 1 , Agni Gautam Shah 1 , Rakesh Kumar Meena 1 , Prasant Sevach 1 and Om Prakash Singh 2 1 Department of General Surgery, Insttute of Medial Sciences, Banaras Hindu University, Varanasi, India 2 Department of Medicine, Insttute of Medial Sciences, Banaras Hindu University, Varanasi, India Corresponding Author: Vivek Srivastava, Department of General Surgery, Insttute of Medical Sciences, Banaras Hindu University, Varanasi, India, Tel: 0542-2312856; E-mail: vivekims97@gmail.com Om Prakash Singh, Department of Medicine, Insttute of Medical Sciences, Banaras Hindu University, Varanasi, India, Tel: 9453109844; E-mail: opbhu07@gmail.com Rec date: Jan 18, 2016; Acc date: Feb 15, 2016; Pub date: Feb18, 2016 Copyright: © 2016 Srivastava V et al. This is an open-access artcle distributed under the terms of the Creatve Commons Atributon License, which permits unrestricted use, distributon, and reproducton in any medium, provided the original author and source are credited. Abstract Background: The prevalence of psychological distress among breast cancer patents is high, and they are at higher risk of developing severe anxiety, depression and potental mood disorders. In the present study, we conducted prospectve study to determine the socio- economic factors associated with anxiety and depression among breast cancer patents and to access the changes of psychological distress afer the completon of treatment at 1 year of follow-up. Methods: This study was conducted among breast cancer patents enrolled in the Department of General Surgery, Sir Sunderlal Hospital, Banaras Hindu University, Varanasi, India. A total of 200 patents who were diagnosed from January, 2013 to December, 2014 were interviewed using the questonnaires of Hospital Anxiety and Depression (HADS). The HADS was administered at two tme points: at tme of diagnosis and 12 months afer completon of treatment. The associated factors investgated concerned socio-demographics, socio-economic background and the cancer stage. Results: Prevalence of anxiety and depression among the breast cancer patents was 37.0% (n=74) and 28.0% (n=56) respectvely. We found strong associaton of anxiety with age group (p=0.014), educatonal level (p=0.034), monthly income (p=0.001) and fnancial support (p=0.041). However, marital status (p=0.014), monthly income (p=0.017), accompanying person (p=0.005) and fnancial support (p=0.002) were signifcantly associated with depression. Binary logistc regression analysis shows age younger than 50 years old, those earned less income, illiterate or low level of educaton, being single and receiving less fnancial support are more likely to have anxiety. For depression, those earned less income, being single and receiving less fnancial support are more likely to have depression. At the 12 month follow-up, 184 breast cancer patents were re-interviewed. We found signifcant improvement (P<0.001) afer 12 month follow-up in both anxiety and depression level (mean anxiety level improved from 11.14 ± 4.23 to 8.64 ± 3.63 and mean depression score improved from 6.87 ± 3.11 to 5.13 ± 4.51. Conclusion: Study clearly shows that younger age group, low monthly income, having less fnancial support, low educaton level and being single were associated with anxiety and depression. For managing breast cancer patents, more care or support should be given to this type of patents as they are at high risk of anxiety and depression. Keywords: Breast cancer; Anxiety; Depression; Hospital Anxiety; Depression score Introducton Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer death in females worldwide, accountng for 23% (1.38 million) of the total new cancer cases and 14% (458,400) of the total cancer deaths in 2008. In Asia, breast cancer incidence peaks among women at the age of 40 year whereas in the United States and Europe, it peaks among women at the age of 60 year. In India pre-menopausal patents consttute about 50% of all patents. Over 100,000 new breast cancer patents are estmated to be diagnosed annually in India. As per the ICMR-PBCR (Indian Council of Medical Research- Populaton Based Cancer Registries) data, breast cancer is the commonest cancer among women in urban registries of Delhi, Mumbai, Ahmedabad, Kolkata, and Trivandrum where it consttutes >30% of all cancers in females. In the rural PBCR of Barshi, breast cancer is the second commonest cancer in women afer cancer of the uterine cervix. The age standardized incidence rates (AARs) range from 6.2-39.5 per 100,000 Indian women. The AARs vary from Research iMedPub Journals http://www.imedpub.com/ Clinical Psychiatry Vol.2 No.1: 2016 © Copyright iMedPub | This article is available from: http://clinical-psychiatry.imedpub.com/ 1 4