Depression and Anxiety States of Patients Followed in Pituitary Polyclinic

Objective: Individuals with pituitary disease are susceptible to the development of depression and anxiety because of interventional therapies, such as surgery and radiotherapy (RT), and long-term medical care (due to hyper or hypofunction). The aim of this study was to assess the quality of life, d...

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Main Authors: Afruz Babayeva, Mehmet Muhittin Yalçın, Atakan Tüm, Aydın Tuncer Sel, Alev Eroğlu Altınova, Müjde Aktürk, Mehmet Ayhan Karakoç, İlhan Yetkin, Füsun Törüner
Format: Article
Language:English
Published: Galenos Publishing House 2024-01-01
Series:Gazi Medical Journal
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Online Access:https://gazimedj.com/articles/depression-and-anxiety-states-of-patients-followed-in-pituitary-polyclinic/doi/gmj.galenos.2023.3724
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author Afruz Babayeva
Mehmet Muhittin Yalçın
Atakan Tüm
Aydın Tuncer Sel
Alev Eroğlu Altınova
Müjde Aktürk
Mehmet Ayhan Karakoç
İlhan Yetkin
Füsun Törüner
author_facet Afruz Babayeva
Mehmet Muhittin Yalçın
Atakan Tüm
Aydın Tuncer Sel
Alev Eroğlu Altınova
Müjde Aktürk
Mehmet Ayhan Karakoç
İlhan Yetkin
Füsun Törüner
author_sort Afruz Babayeva
collection DOAJ
description Objective: Individuals with pituitary disease are susceptible to the development of depression and anxiety because of interventional therapies, such as surgery and radiotherapy (RT), and long-term medical care (due to hyper or hypofunction). The aim of this study was to assess the quality of life, depression, and anxiety levels of patients in remission from different etiologies of pituitary pathology and to determine the impact of this condition on the disease, treatment approach, and other factors. Methods: The Beck Depression and Anxiety Inventory was administered to sixty patients and thirty healthy individuals. The parameters of the patient group, including the etiology of pituitary pathology, surgical and radiotherapeutic history, hormonal failure status, and replacement therapy, were recorded. Results: The patient group’s depression and anxiety scores were significantly higher than those of the control group. In the patient group, there was no significant difference in depression and anxiety levels between those who underwent surgery and those who did not, and between those who received RT and those who did not. Furthermore, depending on pituitary adenoma functionality [functional pituitary adenoma and non-functional pituitary adenoma], hormonal secretion type (growth hormone excess, prolactin hormone excess, cortisol hormone excess, etc.), and hormone replacement treatment. There was no significant difference between the levels of depression and anxiety. Conclusion: In our study, the presence of pituitary disease due to any etiology was associated with elevated levels of depression and anxiety. Our findings that patients with pituitary adenomas had increased levels of depression and anxiety may have implications for the long-term care of these patients. Although well-being in terms of pituitary illness is ensured in the follow-up of these patients, an effort should be made to reduce depression and anxiety. Comprehensive mental evaluation and psychotherapy should be incorporated into the treatment plan if necessary.
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issn 2147-2092
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publisher Galenos Publishing House
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series Gazi Medical Journal
spelling doaj-art-068729ae87744efbb4cf39994dde6b6b2025-01-17T11:38:13ZengGalenos Publishing HouseGazi Medical Journal2147-20922024-01-01351424610.12996/gmj.galenos.2023.3724Depression and Anxiety States of Patients Followed in Pituitary PolyclinicAfruz Babayeva0https://orcid.org/0000-0002-3482-541XMehmet Muhittin Yalçın1https://orcid.org/0000-0002-1041-6881Atakan Tüm2Aydın Tuncer Sel3https://orcid.org/0000-0003-4188-2823Alev Eroğlu Altınova4https://orcid.org/0000-0002-6707-7761Müjde Aktürk5https://orcid.org/0000-0003-0457-6560Mehmet Ayhan Karakoç6https://orcid.org/0000-0002-0601-6893İlhan Yetkin7Füsun Törüner8https://orcid.org/0000-0002-6168-937XGazi University Faculty of Medicine, Department of Endocrinology and Metabolism, Ankara, TürkiyeGazi University Faculty of Medicine, Department of Endocrinology and Metabolism, Ankara, TürkiyeGazi University Faculty of Medicine, Ankara, TürkiyeGazi University Faculty of Medicine, Department of Endocrinology and Metabolism, Ankara, TürkiyeGazi University Faculty of Medicine, Department of Endocrinology and Metabolism, Ankara, TürkiyeGazi University Faculty of Medicine, Department of Endocrinology and Metabolism, Ankara, TürkiyeGazi University Faculty of Medicine, Department of Endocrinology and Metabolism, Ankara, TürkiyeGazi University Faculty of Medicine, Department of Endocrinology and Metabolism, Ankara, TürkiyeGazi University Faculty of Medicine, Department of Endocrinology and Metabolism, Ankara, TürkiyeObjective: Individuals with pituitary disease are susceptible to the development of depression and anxiety because of interventional therapies, such as surgery and radiotherapy (RT), and long-term medical care (due to hyper or hypofunction). The aim of this study was to assess the quality of life, depression, and anxiety levels of patients in remission from different etiologies of pituitary pathology and to determine the impact of this condition on the disease, treatment approach, and other factors. Methods: The Beck Depression and Anxiety Inventory was administered to sixty patients and thirty healthy individuals. The parameters of the patient group, including the etiology of pituitary pathology, surgical and radiotherapeutic history, hormonal failure status, and replacement therapy, were recorded. Results: The patient group’s depression and anxiety scores were significantly higher than those of the control group. In the patient group, there was no significant difference in depression and anxiety levels between those who underwent surgery and those who did not, and between those who received RT and those who did not. Furthermore, depending on pituitary adenoma functionality [functional pituitary adenoma and non-functional pituitary adenoma], hormonal secretion type (growth hormone excess, prolactin hormone excess, cortisol hormone excess, etc.), and hormone replacement treatment. There was no significant difference between the levels of depression and anxiety. Conclusion: In our study, the presence of pituitary disease due to any etiology was associated with elevated levels of depression and anxiety. Our findings that patients with pituitary adenomas had increased levels of depression and anxiety may have implications for the long-term care of these patients. Although well-being in terms of pituitary illness is ensured in the follow-up of these patients, an effort should be made to reduce depression and anxiety. Comprehensive mental evaluation and psychotherapy should be incorporated into the treatment plan if necessary.https://gazimedj.com/articles/depression-and-anxiety-states-of-patients-followed-in-pituitary-polyclinic/doi/gmj.galenos.2023.3724pituitary diseasespituitary adenomahypopituarismquality of lifedepressionanxiety
spellingShingle Afruz Babayeva
Mehmet Muhittin Yalçın
Atakan Tüm
Aydın Tuncer Sel
Alev Eroğlu Altınova
Müjde Aktürk
Mehmet Ayhan Karakoç
İlhan Yetkin
Füsun Törüner
Depression and Anxiety States of Patients Followed in Pituitary Polyclinic
Gazi Medical Journal
pituitary diseases
pituitary adenoma
hypopituarism
quality of life
depression
anxiety
title Depression and Anxiety States of Patients Followed in Pituitary Polyclinic
title_full Depression and Anxiety States of Patients Followed in Pituitary Polyclinic
title_fullStr Depression and Anxiety States of Patients Followed in Pituitary Polyclinic
title_full_unstemmed Depression and Anxiety States of Patients Followed in Pituitary Polyclinic
title_short Depression and Anxiety States of Patients Followed in Pituitary Polyclinic
title_sort depression and anxiety states of patients followed in pituitary polyclinic
topic pituitary diseases
pituitary adenoma
hypopituarism
quality of life
depression
anxiety
url https://gazimedj.com/articles/depression-and-anxiety-states-of-patients-followed-in-pituitary-polyclinic/doi/gmj.galenos.2023.3724
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