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Revista da Escola de Enfermagem da USP
On-line version ISSN 1980-220X
SANTOS, Juliano dos; MOTA, Dálete Delalibera Corrêa de Faria and PIMENTA, Cibele Andrucioli de Mattos. Comorbidities between fatigue and depression in patients with colorectal cancer. Rev. esc. enferm. USP [online]. 2009, vol.43, n.4, pp. 909-914. ISSN 1980-220X. http://dx.doi.org/10.1590/S0080-62342009000400024.
The objective of this study was to identify and characterize the comorbidities of fatigue and depression in colorectal cancer patients. A non-probabilistic sample of 154 outpatients (53% men; mean age 49.6±11.7 years; mean education 8.9±5.4 years). Fatigue was evaluated using the Revised Piper Fatigue Scale (min:0; max:10) and depression was evaluated using the Beck Depression Inventory (BDI) (min:0; max: 63). Fatigue was identified by 76 (49.4%) patients, and was intense (total score > 6) for 19.7% . Scores compatible with depression (BDI> 20) were found in 11 (7.1%) patients. Fatigue and depression were correlated (r= 0.395, p<0.001). Comorbidities of moderate/severe fatigue and dysphoria/depression occurred in 12.3%. Fatigue was present in all patients with depression (100%) and depression occurred in 18% of patients with fatigue. Fatigue and depression are related phenomena. Comorbidities can be deleterious to the patient. Depression had a stronger effect on the occurrence of fatigue than the effect of fatigue on depression.
Keywords : Colorectal neoplasms; Fatigue; Depression; Palliative care.