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Depression and Anxiety Disorders among Hospitalized Women with Breast Cancer.

Publication ,  Journal Article
Vin-Raviv, N; Akinyemiju, TF; Galea, S; Bovbjerg, DH
Published in: PLoS One
2015

PURPOSE: To document the prevalence of depression and anxiety disorders, and their associations with mortality among hospitalized breast cancer patients. METHODS: We examined the associations between breast cancer diagnosis and the diagnoses of anxiety or depression among 4,164 hospitalized breast cancer cases matched with 4,164 non-breast cancer controls using 2006-2009 inpatient data obtained from the Nationwide Inpatient Sample database. Conditional logistic regression models were used to compute odds ratios (ORs) and 95% confidence intervals (CI) for the associations between breast cancer diagnosis and diagnoses of anxiety or depression. We also used binary logistic regression models to examine the association between diagnoses of depression or anxiety, and in-hospital mortality among breast cancer patients. RESULTS: We observed that breast cancer cases were less likely to have a diagnosis of depression (OR=0.63, 95% CI: 0.52-0.77), and less likely to have a diagnosis of anxiety (OR=0.68, 95% CI: 0.52-0.90) compared with controls. This association remained after controlling for race/ethnicity, residential income, insurance and residential region. Breast cancer patients with a depression diagnosis also had lower mortality (OR=0.69, 95% CI: 0.52-0.89) compared with those without a depression diagnosis, but there was no significant difference in mortality among those with and without anxiety diagnoses. CONCLUSION: Diagnoses of depression and anxiety in breast cancer patients were less prevalent than expected based on our analysis of hospitalized breast cancer patients and matched non-breast cancer controls identified in the NIS dataset using ICD-9 diagnostic codes. Results suggest that under-diagnosis of mental health problems may be common among hospitalized women with a primary diagnosis of breast cancer. Future work may fruitfully explore reasons for, and consequences of, inappropriate identification of the mental health needs of breast cancer patients.

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Published In

PLoS One

DOI

EISSN

1932-6203

Publication Date

2015

Volume

10

Issue

6

Start / End Page

e0129169

Location

United States

Related Subject Headings

  • Middle Aged
  • Length of Stay
  • Humans
  • Hospitalization
  • General Science & Technology
  • Female
  • Depressive Disorder
  • Cross-Sectional Studies
  • Cohort Studies
  • Case-Control Studies
 

Citation

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Vin-Raviv, N., Akinyemiju, T. F., Galea, S., & Bovbjerg, D. H. (2015). Depression and Anxiety Disorders among Hospitalized Women with Breast Cancer. PLoS One, 10(6), e0129169. https://doi.org/10.1371/journal.pone.0129169
Vin-Raviv, Neomi, Tomi F. Akinyemiju, Sandro Galea, and Dana H. Bovbjerg. “Depression and Anxiety Disorders among Hospitalized Women with Breast Cancer.PLoS One 10, no. 6 (2015): e0129169. https://doi.org/10.1371/journal.pone.0129169.
Vin-Raviv N, Akinyemiju TF, Galea S, Bovbjerg DH. Depression and Anxiety Disorders among Hospitalized Women with Breast Cancer. PLoS One. 2015;10(6):e0129169.
Vin-Raviv, Neomi, et al. “Depression and Anxiety Disorders among Hospitalized Women with Breast Cancer.PLoS One, vol. 10, no. 6, 2015, p. e0129169. Pubmed, doi:10.1371/journal.pone.0129169.
Vin-Raviv N, Akinyemiju TF, Galea S, Bovbjerg DH. Depression and Anxiety Disorders among Hospitalized Women with Breast Cancer. PLoS One. 2015;10(6):e0129169.

Published In

PLoS One

DOI

EISSN

1932-6203

Publication Date

2015

Volume

10

Issue

6

Start / End Page

e0129169

Location

United States

Related Subject Headings

  • Middle Aged
  • Length of Stay
  • Humans
  • Hospitalization
  • General Science & Technology
  • Female
  • Depressive Disorder
  • Cross-Sectional Studies
  • Cohort Studies
  • Case-Control Studies