OJEpi  Vol.7 No.1 , February 2017
Coping Styles and Depression among Patients with Solid Organ Cancers Attending Two Tertiary Care Hospitals of Karachi: A Cross Sectional Study
Abstract: Cancer undoubtedly affects patients in all aspects. Cancer diagnosis is a stressful event and coping is the primary mechanism used to adjust and counteract the stress. This study aims to assess the coping s and prevalence of depression among solid organ cancer patients during treatment phase, attending two tertiary care hospitals of Karachi. A cross-sectional survey was conducted among solid organ cancer patients at Aga Khan University Hospital and Jinnah Post Graduate Medical Center. Coping and depression were assessed by Brief COPE and Self Reporting Questionnaire (SRQ) 20 respectively. Purposive sampling technique was used to recruit 488 patients. Coping s are reported as mean ± SD. Prevalence has been computed for depression and Chi-square test is used to assess the relationship of depression with different variables. Correlation was assessed for coping s and depression. The frequently used coping s were active coping, acceptance, religion and self-distraction. 48.4% depression was estimated among patients. The significantly positive correlation of depression was found with active coping, planning, self-blame, venting, use of emotional support and substance use. While depression correlated negatively with acceptance, religion, self-distraction and humor. Depression was significantly associated with study sites, age, socioeconomic quintiles, past history of hospitalization and substance use. Our research addressed the missing element of mental health in oncology. Depression is a common mental ailment and often the initial manifestation towards deterioration of mental health. Each cancer patient copes differently which either promotes or hinders their fighting spirit. Hence, mental health screening and counseling are recommended in the treatment protocol of cancer patients. Also, support group interventions can help cancer patients to cope effectively.
Cite this paper: Vadsaria, K. , Jabbar, A. , Azam, I. , Rizvi, S. , Haider, G. and Naqvi, H. (2017) Coping Styles and Depression among Patients with Solid Organ Cancers Attending Two Tertiary Care Hospitals of Karachi: A Cross Sectional Study. Open Journal of Epidemiology, 7, 69-83. doi: 10.4236/ojepi.2017.71007.

[1]   International Agency for Research on C. GLOBOCAN 2012: Estimated Cancer Incidence, Mortality and Prevalence Worldwide in 2012. World Health Organization.

[2]   Hanif, M., Zaidi, P., Kamal, S. and Hameed, A. (2009) Institution-Based Cancer Incidence in Alocal Population in Pakistan: Nine Year Data Analysis. Asian Pacific Journal of Cancer Prevention, 10, 227-230.

[3]   Rashid, Y.A., Ghafoor, Z.A., Masood, N., Mehmood, T., Awan, S., Ansar, T., et al. (2012) Psychosocial Impact of Cancer on Adult Patients. The Journal of the Pakistan Medical Association, 62, 905-909.

[4]   Chen, P.Y. and Chang, H.-C. (2012) The Coping Process of Patients with Cancer. European Journal of Oncology Nursing, 16, 10-16.

[5]   Krohne, H.W. (2001) Stress and Coping Theories. The International Encyclopedia of the Social and Behavioral Sciences, 22, 15163-15170.

[6]   Cooper, C., Katona, C., et al. (2008) Validity and Reliability of the Brief COPE in Carers of People with Dementia: The LASER-AD Study. The Journal of Nervous and Mental Disease, 196, 838-843.

[7]   Carver, C.S. and Connor-Smith, J. (2010) Personality and Coping. Annual Review of Psychology, 61, 679-704.

[8]   Kasi, P.M., Naqvi, H.A., Afghan, A.K., Khawar, T., Khan, F.H., Khan, U.Z., et al. (2012) Coping Styles in Patients with Anxiety and Depression. ISRN Psychiatry, 2012, Article ID: 128672.

[9]   Elsheshtawy, E.A., Abo-Elez, W.F., Ashour, H.S. and Farouk, O. (2014) Coping Strategies in Egyptian Ladies with Breast Cancer. Breast Cancer: Basic and Clinical Research, 8, 97.

[10]   Harpham, T., Reichenheim, M., et al. (2003) Measuring Mental Health in a Cost-Effective Manner. Health Policy and Planning, 18, 344-349.

[11]   Sattar, A., Salih, M., et al. (2010) Burden of Common Mental Disorders in Patients with Functional Dyspepsia. JPMA-Journal of the Pakistan Medical Association, 60, 995.

[12]   Valvano, A. and Stepleman, L. (2013) Critical Synthesis Package: Brief COPE Questionnaire. MedEdPORTAL Publications, 9, 9453.

[13]   Carver, C.S. (1997) You Want to Measure Coping But Your Protocol Is Too Long: Consider the Brief Cope. International Journal of Behavioral Medicine, 4, 92-100.

[14]   Grande, G.E., Myers, L.B. and Sutton, S.R. (2006) How Do Patients Who Participate in Cancer Support Groups Differ from Those Who Do Not? Psycho-Oncology, 15, 321-334.

[15]   Bardwell, W.A., Ancoli-Israel, S. and Dimsdale, J.E. (2001) Types of Coping Strategies Are Associated with Increased Depressive Symptoms in Patients with Obstructive Sleep Apnea. Sleep: Journal of Sleep and Sleep Disorders Research, 24, 905-909.

[16]   American Cancer Society (2016) Anxiety, Fear and Depression.

[17]   Dogar, I.A., Azeem, M.W., Kiran, M., Hussain, I., Mehmood, K. and Hina, I. (2009) Depression and Anxiety in Cancer Patients in Outpatient Department of a Tertiary Care Hospital in Pakistan. Pakistan Journal of Medical Sciences, 25, 734-737.