The unseen struggle-depression and associated factors in geriatric cancer patients

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dc.contributor.authorDoğan, Özlem
dc.contributor.authorŞahinli, Hayriye
dc.contributor.authorYazılıtaş, Doğan
dc.contributor.authorKantarcı, Selen
dc.date.accessioned2025-08-22T13:16:27Z
dc.date.available2025-08-22T13:16:27Z
dc.date.issued2025
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalı
dc.descriptionArticle number : 1603515
dc.description.abstractBackground: The objective of this study was to investigate the frequency of depression and its associations, rather than causal relationships, in patients aged 65 years and older receiving chemotherapy, using the Geriatric Depression Scale (GDS). Methods: This prospective study was conducted between January 2023 and December 2023 at Ankara Etlik City Hospital, including 501 chemotherapy patients aged 65 years and older. Patients receiving only oral therapy, those under palliative care, those with brain metastases, or those with insufficient cognitive functionality were excluded. Demographic and clinical data were collected from medical records. Depression was assessed using the 15-item Yesavage Geriatric Depression Scale (GDS), with scores ≥5 indicating high depression symptoms. Results: Among the 501 patients included in the study, 204 (40.7%) were female, with a median age of 69 years (range: 65–84 years). A total of 214 patients (42.7%) had high depressive symptom scores (GDS ≥ 5). A multivariable logistic regression analysis identified the following as independent predictors of depression: being female (odds ratio (OR): 1.481, 95% confidence interval (CI): 1.011–2.168, p = 0.04), body mass index (BMI) ≥ 21 (OR: 1.665, 95% CI: 1.081–2.564, p = 0.02), higher pain scores (OR: 1.269, 95% CI: 1.122–1.436, p < 0.001), insomnia (OR: 1.626, 95% CI: 1.109–2.384, p = 0.01), and weak social support (OR: 2.004, 95% CI: 1.046–3.839, p = 0.03). Conclusion: Our study highlights the high prevalence of depressive symptoms among geriatric cancer patients. In this population, early diagnosis and management of depression, with particular attention to independent risk factors such as pain and insomnia, as well as strengthening social support mechanisms, may be crucial for enhancing quality of life and improving treatment adherence.
dc.identifier.citationDogan, O., Şahinli, H., YAZILITAŞ, D., & Kantarci, S. (2025). The Unseen Struggle: Depression and Associated Factors in Geriatric Cancer Patients. Frontiers in Medicine, 12, 1603515.
dc.identifier.doi10.3389/fmed.2025.1603515
dc.identifier.issn2296-858X
dc.identifier.scopus2-s2.0-105012583326
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://hdl.handle.net/20.500.12939/5937
dc.identifier.volume12
dc.identifier.wosWOS:001546314500001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.institutionauthorDoğan, Özlem
dc.language.isoen
dc.publisherFrontiers Media
dc.relation.ispartofFrontiers in Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectcancer
dc.subjectdepression
dc.subjectgeriatrics
dc.subjectinsomnia
dc.subjectolder adult
dc.titleThe unseen struggle-depression and associated factors in geriatric cancer patients
dc.typeArticle

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