The purpose of this study was to determine the predictors of depression scores among newly diagnosed uterine cervix cancer patients before the hysterectomy or radiotherpy was done. A total of 55 patients from one university hospital in Kwang-ju city were interviewed from April 1996 to September 1996 with the aid of 6 structured instrument; Beck’s Depression Inventory, Mishel’s Uncertainty in Illness scale, Rosenberg’s Self-esteem Scale, Tai’s family support scale. Osgood’s Sementic Differential scale, and records on demographic and medical factors.
The data obtained were analyzed using percentage, t-test, ANOVA, Pearson correlation coefficients, and Stepwise Mutipie Regession.
The result were summarized as follows:
1. The mean scores of psychosocial variables were as follows: uncertainty was 36.1 self-esteem was 35.5, body image was 39.9, family support was 37.9.
2. The depression score was moderate degree in total subjects: the mean score of depression was 19.2±9.5.
3. The depression score was not significantly different by the level of domographic and medical factors; age(p = .16), the education level(p = .25), the type of religion(p = .19), cancer staging(p =.36), and the presence of absence of ovary at operation(p =.62)
4. The higher the depression score they have, the lower they perceived body image and self-esteem(r = -.477, p = .0002; r = -410, p = .002). But the scores between the depression and the uncertainty did not significantly correlate(r =.245, p = 0.072).
5. When self esteem was removed in the model because of multiple colliniarity, the stepwise procedure resulted in the body image, explaining 22.7(β = -.856, p = .0005), of the variance in the depression scores.
6. When body image was removed in model because of multiple colliniarity, the stepwise procedure resulted in the self-esteem, explaining 16.8%(β = -.675, p = .0005), of the variance in the depression scores, cancer staging, explaining 8.9%(β = 3.363, p = .0155), respectively. The amount of the total variance was 25.7%.
Based upon the above findings, it was concluded that the predictors of the score of depression was the body image, self esteem, and cancer staging.
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