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the role of melancholia in prostate cancer patients' depression忧郁症的角色在前列腺癌患者的抑郁
Sharpley et al. BMC Psychiatry 2011, 11:201
/1471-244X/11/201
RESEARCH ARTICLE Open Access
The role of Melancholia in Prostate Cancer
Patients’ Depression
Christopher F Sharpley1*, Vicki Bitsika2 and David R Christie3
Abstract
Background: Although it is well established that prostate cancer (PCa) patients are more likely to experience
clinical depression than their age-matched non-prostate cancer peers, and that such depression can have negative
effects upon survival, little is known about the underlying nature of the depressive symptomatology that these
men experience. In particular, the incidence of melancholic symptoms of depression, which are signs of increased
risk of suicide and resistance to treatment, has not previously been reported in PCa patients. The present study
aimed to measure the incidence and nature of Melancholia in PCa depression.
Method: A sample of 507 PCa patients in Queensland, Australia, completed anonymous and confidential
questionnaires about their background, treatment status, and depression. Data were analysed to select depressive
symptoms that were part of the definition of Melancholia vs those which were not. Regression was used to
determine the links between Melancholia and overall depressive status, and factor analysis revealed the underlying
components of Melancholia, which were mapped over time since diagnosis for 3 years.
Results: Psychometric data were satisfactory. Melancholia significantly predicted depressive status for the most
depressed subset of patients, but not for the total sample. Melancholia was factored into its components of
Anhedonia and Agitation, and the first of these was more powerful in predicting Melancholia. Variability over the 3
years following diagnosis was noted for each of these two components of Melancholia.
Conclusions: The strong presence of M
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