Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

RAPID SCREENING FOR DEPRESSION AND ANXIETY IN CANCER USING ECOG PERFORMANCE STATUS

Author

Chan CMH, Azman WA, Mastura MY

Institution

University of Malaya

Abstract

Objectives: There is a need for a rapid means of screening and identifying depression and anxiety in patients with cancer. The present study examines the discrepancy between patient- and oncologist- rated performance status scores on the ECOG, and how this potential discrepancy is associated with anxiety and depression in cancer patients.

Methods: This is a prospective evaluation of 365 ambulatory adult cancer patients from a large academic medical centre. Participants were interviewed using the Hospital Anxiety and Depression Scale (HADS), and rated themselves on the ECOG Performance Status scale which was compared to ECOG scores as rated by their oncologists. Ethics approval for this study was secured from the institutional ethics board.

Results: Preliminary results show that overall there is a slight female predominance observed for anxiety and depression among cancer patients. However while females are more likely to be anxious, males report greater depression. Discrepancy in ECOG performance status was found to be linked to psychological distress (r = 0.865, p < 0.001).

Conclusion: Findings of this study hold practical significance for rapid screening of anxiety and depression in the cancer clinic through use of the ECOG, and will further generate greater insight into the association between psychosomatic complaints and psychological distress.