Category: Health Psychology / Behavioral Medicine - Adult

PS5- #B51 - Anxiety and Depression Prevalence With Social Problem Solving in Mexican Patient Candidates for Hematopoietic Stem Cell Transplantation

Friday, Nov 17
1:30 PM – 2:30 PM
Location: Indigo Ballroom CDGH, Level 2, Indigo Level

Keywords: Behavioral Medicine | Health Psychology | Hispanic American/ Latinx

BACKGROUND: Hematopoietic stem cell transplant (HSCT) is an intensive consolidation therapy for multiple hematological malignances. HSCT typically involves a long (up to 6 weeks) hospital stay during which patients may experience social isolation and both physical and psychiatric morbidity. AIM: To identify prevalence of anxiety and depression (HADS) symptoms and their association with problem solving style [SPS] (SPSI-R). METHOD: 50 consecutive patients were enrolled during their pre-transplant psychological evaluation for autologous or allogeneic HSCT at public Hospital in Mexico. RESULTS: The 50 participants had a mean age of 42+15.64 years; 54% were male, 56% were married and 26% had elementary school education or less, 26% had junior high school, 20% reported high school and 28% reported Bachelor’s or postgraduate degree. 62% were candidates for an autologous HSCT and 38% for an allogeneic HSCT. Of these, 6% were considered cases of anxiety (cut-off score of 7) and 14% of depression (cut-off score of 4) and one patient was consider case of anxiety and depression. The most common problem-solving style was rational (mean=67.64; range 38.46 to 100) and the least common style was avoidant (mean=33.71; range 20 to 83.33). Depression was associated with more frequent use of difficult problem-solving styles (avoidant [.535, p < 0.01] and negative orientatio [.440, p < 0.01]). CONCLUSION: In comparison with samples from other countries, Mexican patients showed similar prevalence of anxiety (10 to 13% vs 6%) and depression (10% to 35% vs 14%); differences could be partially explained by the specific instrument used in each study. The association between psychological symptoms and the use of avoidant and negative orientation problem-solving styles suggest these could be two important components in all psychological assessment to identify symptomatology and probably a susceptible modification factor through psychological intervention.

Liliana MEY LEN.. Rivera-Fong

Ph D. Student
Universidad Nacional Autónoma de México / Instituto Nacional de Cancerología
Mexico, City, Mexico

Angélica Riveros Rosas

Full time professor / Health Psychology Investigator
Universidad Nacional Autónoma de México, Distrito Federal, Mexico

Corina Benjet

Epidemiology Investigator
Instituto Nacional de Psiquiatría, Distrito Federal, Mexico

Rebeca Robles García

Health Psychology Investigator
Instituto Nacional de Psiquiatría, Distrito Federal, Mexico

Lara Traeger

Clinical Psychology / Medical Professor
Harvard Medical School / Massachussetts General Hospital, Distrito Federal, Mexico

Brenda Lizeth Acosta-Maldonado

Hematologist
Instituto Nacional de Cancerología, Distrito Federal, Mexico

Luis Manuel Valero Saldaña

Hematologist
Instituto Nacional de Cancerología, Distrito Federal, Mexico

Silvia Rivas-Vera

Hematologist
Instituto Nacional de Cancerología, Distrito Federal, Mexico

Oscar Galindo Vázquez

Psychologist
Instituto Nacional de Cancerologia, Distrito Federal, Mexico

José Luis Aguilar Ponce

Medical Oncologist
Instituto Nacional de Cancerología, Distrito Federal, Mexico