Recep ÖZTÜRK, İsmail Burak ATALAY, Aliekber YAPAR, Mehmet Akif ŞİMŞEK, Eray ERTÜRK ENGİN, Bedii Şafak GÜNGÖR

Prevalence and predictive factors of anxiety, depression and death anxiety in patients over 50-years of age at the tertiary care cancer center

Aim: This study was made to determine the frequency of the death anxiety, depression, and anxiety of the patients over the age of 50years at the tertiary care cancer center in Turkey.Material and Methods: Patients were divided into three groups as the ones with tumoral disease (group 1), the ones with fracture(group 2), and the ones who have not tumor or fracture. All the participants were evaluated with geriatric anxiety scale (GAS),geriatric depression scale (GDS), and death anxiety scale (DAS).Results: There are 16(%17) patients in group 1, 27(%29) patients in group 2 and 50(%53) patients in group 3. Moreover, It wasfound that GAS, GDS, and DAS points were found to be similar and there was no significant difference between groups according todepression levels (p>0.05).It was found that age (OR=1.09; %95GA=1.01-1.19), tumor presence (OR=8.7; %95GA=1.02-74.43), GDSpoint (OR=1.21; %95GA=1.01-1.45) and being single/divorced (OR=0.05; %95GA=0.01-0.08) had significant effect on death anxiety.Conclusion: Geriatric anxiety, death anxiety, and depression of patients over age of 50 years in our hospital’s orthopedics clinic aresimilar independent of the presence of tumor, other diseases, tumor or fracture. And death anxiety is increasing with age in all thegroups. Besides, old age, tumor presence, high level of GDS and being unmarried are the factors increasing the death anxiety.

PDF

___

1. Kocataş S ,Güler G, Güler N. 60 yaş ve üzeri bireylerde depresyon yaygınlığı. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2004;7:11-8.
2. Tekedere H, Arpacı F. Orta Yaş ve Yaşlı Bireylerin İnternet Ve Sosyal Medyaya Yönelik Görüşleri. Türkiye Sosyal Araştırmalar Dergisi 2016;2:377-92.
3. Kurt G, Beyaztaş FY, Erkol Z. Yaşlıların Sorunları ve Yaşam Memnuniyeti. Adli Tıp Dergisi 2010;24:32-9.
4. Kowal P, Dowd JE. Definition of an older person. Proposed working definition of an older person in Africa for the MDS Project. Geneva: World Health Organization; 2001.
5. Türkçapar H. Anksiyete Bozukluğu ve Depresyonu Tanısal İlişkileri. Klinik Psikiyatri Dergisi 2004;7:6-12.
6. Karahan FŞ, Hamarta E. The Effect of Chronic Diseases and Polypharmacy on Anxiety and Death Anxiety in Geriatric Patients. Aegean J Med Sci 2019;1:08-13.
http://dx.doi.org/10.33713/egetbd.463608 7. Tamam L, Öner S. Yaşlılık çağı depresyonları. Demans Dergisi 2001;1:50-60.
8. www.tuik.gov.tr/PdfGetir.do?id=24644 (indirilme ve alıntı yapılan tarih: 22.05.2019)
9. Forbes MA, Rosdahl DR. The final journey of life. J Hosp Palliat Nur 2003;5:213-20.
10. Segal DL, June A, Payne M, et al. Development and initial validation of a self-report assessment tool for anxiety amaong older adults: The geriatric anxiety scale. J Anxiety Disord 2010;24:709-14.
11. Karahan ŞF, Hamarta E, Karahan AY. The Turkish Adaptation and Psychometric Properties of the Geriatric Anxiety Scale. Ment Illn2018;10(1):1-5.
12. Yesavage JA, Brink TL, Rose TL. Development and validation of geriatric depression screening scale: a preliminary report. J Psychiatr Res 1983;17(1):37-49.
13. Ertan T, Eker E, Sar V. The validity and reliability of the Geriatric Depression Scale among the Turkish elderly population. Neuropsychiatr Arch1997;34:62-71.
14. Yochim BP, Mueller AE, Segal DL. Late life anxiety is associated with decreased memory and executive functioning in community dwelling older adults. J Anxiety Disord 2013;27(1):567- 75.
15. Sarıkaya Y, Baloğlu M. The development and psychometric properties of the Turkish Death Anxiety Scale (TDAS). Death Studies 2016;40:419-31.
16. Cohen J. Statistical power analysis for the behavioral sciences. 2 ed. New York: Lawrence Erlbaum Associates; 1988.
17. Uçku R, Küey L. Yaşlılarda depresyon epidemiyolojisi. Nöropsikiyatri Arşivi 1992;29:15-20.
18. Üstüner TF, Saraç A, Yaşar G. Huzurevinde Yaşayan Bireylerde Depresyon Düzeyi, Ölüm Kaygısı ve Günlük Yaşam İşlevlerinin Belirlenmesi. Klinik Psikiyatri 2010;13:14-22.
19. Celikel FC. Kronik ağrı, depresyon, anksiyete ve somatoform bozukluklar. Dahiliye ve Psikiyatri 2003;1:7-44.
20. Murphy JM, Horton NJ, et al. Anxiety and depression: a 40-year perspective on relationships regarding prevalence, distribution, and comorbidity. Acta Psychiatr Scand 2004;109:355-75.
21. Maral I, Aslan S, İlhan MN, et al. Depresyon yaygınlığı ve risk etkenleri: huzurevinde ve evde yaşayan yaşlılarda karşılaştırmalı bir çalışma. Türk Psikiyatri Dergisi 2001;12:251-59.
22. Mamurekli E, Dinç G, Özcan C. Manisa İsmail Cider Huzurevinde kalan yaşlıların sosyo-demografik, sağlık, demans ve depresyon durumları. İzmir Atatürk Eğitim Hastanesi Tıp Dergisi 1998;36:63-9.
23. Öztürk R, Arıkan ŞM, Bulut EK,et al. Distribution and evaluation of bone and soft tissue tumors operated in a tertiary care center. Acta Orthop Traumatol Turc 2019;53:189-94.
24. Sevimli R, Korkmaz MF. Analysis of orthopedic surgery of patients with metastatic bone tumors and pathological fractures. J Int Med Res.2018;46:3262-7.
25. Atalay IB, Güngör BŞ, Yılmaz S. Surgical treatment of primary humeral malignant tumours with total humeral endoprosthetic replacement: a single-center experience. Indian J of Applied Research 2018;8:53-4.
26. Öztürk R, Arıkan ŞM, Toğral G et al. Malignant tumors of the shoulder girdle: Surgical and functional outcomes. J Orthop Surg (Hong Kong). 2019;27:2309499019838355.
27. Sevimli R. Distribution and evaluation of primary bone and soft tissue tumors admitted from Malatya province and surrounding provinces.Med Sci 2017;6:546-50.
28. Şentürk İ, Daldal İ, Yapar A, et al. Solitary osteochondroma of pubic ramus. Cukurova Med J 2016;41:104-6.
29. Karakuş G, Öztürk Z, Tamam L. Ölüm ve Ölüm Kaygısı. Archives Medical Review Journal. 2012;21:42-79.
30. Pollack JM. Correlates of death anxiety: A review of empirical studies. Omega 1980;10:97-121.
31. Aday RH. Belief in afterlife and death Anxiety: correlates and comparisons. Omega 1985;15:67-75.
32. Galt CP, Hayslip B. Age differences in levels of overt and covert death anxiety. Omega 1998;37:187-202.