Facteurs associés à la symptomatologie anxiodépressive chez des femmes tunisiennes atteintes d’un cancer du sein
Associated Factors with Anxiety and Depression Symptoms in Tunisian Women Affected by Breast Cancer
Abstract
Aim: The objective of this study is to investigate the prevalence of depression and anxiety in women Tunisian population followed for breast cancer and to identify the socio-demographic, clinical, and of couple relationship factors associated with them.
Procedure: Cross-sectional study on 100 patients followed for confirmed breast cancer. A questionnaire on the sociodemographic, clinical, therapeutic, conjugal, and sexual characteristics of the couple was completed. The HADS (Hospital Anxiety and Depression Scale) was used for the detection of anxiety and depressive symptoms.
Results: A clinical score was found in 48% of cases for anxiety and 37% of cases for depression. Patients who experienced a negative spouses’ reaction for their illness and whose marital relationship and sexual relationship were impaired showed significantly more anxiety and depressive symptoms. Undisturbed sexual function was found to be protective against depression and anxiety.
Conclusion: The results of this study highlight the importance of developing specific measures to improve communication and promote sexual health within the couple in Tunisia.
Résumé
Objectifs: L’étude avait pour objectif d’estimer la prévalence de la dépression et de l’anxiété dans une population de femmes tunisiennes suivies pour un cancer du sein et de relever les données sociodémographiques, cliniques et de vie de couple qui leur sont associées.
Matériels et méthodes: Une étude transversale auprès de 100 patientes suivies pour un cancer du sein a été réalisée. Un questionnaire portant sur les caractéristiques sociodémographiques, cliniques, thérapeutiques, sur la vie conjugale et sur la sexualité du couple a été administré. L’échelle HADS (Hospital Anxiety and Depression Scale) a été utilisée pour le dépistage des symptômes anxieux et dépressifs.
Résultats: Un score clinique a été retrouvé dans 48 % des cas pour l’anxiété et 37 % des cas pour la dépression. Les patientes qui ont vécu une réaction négative de leur conjoint face à leur maladie et dont la relation de couple et la relation sexuelle ont été altérées présentaient des scores significativement plus élevés de symptomatologie anxieuse et dépressive. Une relation sexuelle non altérée était retrouvée comme facteur protecteur de l’anxiété et de la dépression.
Conclusion: Les résultats de cette étude mettent en évidence l’importance de développer des mesures spécifiques pour améliorer la communication et promouvoir la santé sexuelle au sein du couple en Tunisie.
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