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Palliative Medicine
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Do pain and disability differ in depressed cancer patients?

Frank Kai-hoi Sze

Palliative Care Unit, Shatin Hospital

Eric Wong

Centre for Clinical Trials and Epidemiological Research, The Chinese University of Hong Kong

Raymond Lo

Palliative Care Unit, Shatin Hospital

Jean Woo

Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong

Seventy consecutively admitted Chinese patients with advanced cancer and pain (mean age 62 years) were evaluated with the Chinese version of the Hospital Anxiety and Depression Scale (HADS), and with the Geriatric Depression Scale (GDS) Short Form (for patients 65 years old or over) in a prospective study. The HADS and GDS had good concordance (kappa = 0.53). By these depression screening tests, the prevalence of probable depression was 41–49%, and the prevalence of definite depression (HADS [.greaterequal] 11) was 29%. There was no difference in age, gender and educational level; no difference in nature and severity of pain; and no difference in the level of disability between depressed (using HADS [.greaterequal] 11) and nondepressed patients with advanced cancer. The study suggests that depression does not correlate with the severity of pain in patients with advanced cancer. It also suggests that impaired activity of daily living (ADL) in these patients is not related to depression.

Key Words: activities of daily living • China • depression • neoplasms • pain

Palliative Medicine, Vol. 14, No. 1, 11-17 (2000)
DOI: 10.1191/026921600676190366
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M Hotopf, J Chidgey, J Addington-Hall, and K L. Ly
Depression in advanced disease: a systematic review Part 1. Prevalence and case finding
Palliative Medicine, March 1, 2002; 16(2): 81 - 97.
[Abstract] [PDF]