Symptoms Depression Among Elderly Women with Cervical Cancer: A Psychological Profile Study
DOI:
https://doi.org/10.37287/ijghr.v8i1.949Keywords:
cancer, cervical, depression, elderlyAbstract
Depression is a psychological problem that often occurs in cancer patients due to an imbalance of neurotransmitters such as serotonin, norepinephrine, and dopamine that affect mood, anxiety, and cognition. This study aims to determine the relationship between elderly characteristics and depressive symptoms in cervical cancer patients. Method: The study used a descriptive design with a cross-sectional approach on 76 elderly respondents from a total population of 102 people, who were selected using purposive sampling based on inclusion and exclusion criteria. The research instrument used the Geriatric Depression Scale (GDS) with 15 questions, and the data were analyzed descriptively using a crosstab test. The results showed that most respondents were in the pre-elderly age (73.7%), unemployed (68.4%), married (82.9%), had suffered from cancer for more than six months (65.8%), and were in stage III (47.4%). Based on GDS measurements, the majority of respondents experienced mild depression (51.3%). The analysis showed a tendency that age, occupation, marital status, duration of illness, and cancer stage were related to the level of depression. Most elderly women with cervical cancer experience mild depression, so early screening and psychological intervention with a bio-psycho-social approach are needed to improve quality of life and treatment success.
References
Andinata, A., Marni, E., & Erianti, S. (2020). The Relationship Between Coping Mechanisms and Anxiety Levels in Cancer Patients Undergoing Chemotherapy. Jurnal Cakrawala Promkes, 2(2), 45. https://doi.org/10.12928/promkes.v2i2.1719
Azizi, A., Achak, D., Boutib, A., Chergaoui, S., Saad, E., Hilali, A., Soliman, A. S., Youlyouz-Marfak, I., & Marfak, A. (2023). Association between cervical cancer-related anxiety and depression symptoms and health-related quality of life: A Moroccan cross-sectional study. Clinical Epidemiology and Global Health, 22(April), 101328. https://doi.org/10.1016/j.cegh.2023.101328
Bao, L., Zhang, W., Zhang, Y., Wang, M., Chen, Y., Shan, X., & Xing, Y. (2025). The relationships between multimorbidity , depressive symptoms , health service utilization , and activities of daily living among the elderly in China. Polos One, 1–11. https://doi.org/10.1371/journal.pone.0333923
Bray, F., Laversanne, M., Sung, H., Ferlay, J., Siegel, R. L., Soerjomataram, I., & Jemal, A. (2024). Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 74(3), 229–263. https://doi.org/10.3322/caac.21834
Cotter, D. L., Walters, S. M., Fonseca, C., Wolf, A., Cobigo, Y., Fox, E. C., You, M. Y., Altendahl, M., Djukic, N., Staffaroni, A. M., Elahi, F. M., Kramer, J. H., & Casaletto, K. B. (2020). Aging and Positive Mood: Longitudinal Neurobiological and Cognitive Correlates. American Journal of Geriatric Psychiatry, 28(9), 946–956. https://doi.org/10.1016/j.jagp.2020.05.002
Elis, A., & Daeli, V. A. (2018). The Relationship Between Coping Mechanisms and Quality of Life in Terminally Ill Patients with Cervical Cancer at Vina Estetica Hospital, Medan 2016. Jumantik, 3(1), 29–43. http://jurnal.uinsu.ac.id/index.php/kesmas/article/view/1215
Fidecki, W., Przylepa, K., Wytrzyszczewski, M., & Wysokiński, M. (2025). Evaluation of functional capacity and risk of depression in older patients with cancer as part of the comprehensive geriatric assessment. Frontiers in Aging Neuroscience, 17(May), 1–9. https://doi.org/10.3389/fnagi.2025.1595336
Gontijo Garcia, G. S., Meira, K. C., de Souza, A. H., & Guimarães, N. S. (2023). Anxiety and depression disorders in oncological patients under palliative care at a hospital service: a cross-sectional study. BMC Palliative Care, 22(1), 1–10. https://doi.org/10.1186/s12904-023-01233-1
Gu, D., Morgan, R. O., Li, R., Weber, E. S., & Shen, C. (2020). Association between depression and healthcare expenditures among elderly cancer patients. BMC Psychiatry, 20(1), 1–10. https://doi.org/10.1186/s12888-020-02527-x
Hermanto, A., Sinawang, G. W., Alfaqih, M. R., & Faizah, R. (2019). The Impacts of Depression Treatment on Health-Related Quality of Life in Cancer Patients: A Systematic Review. Jurnal Ners, 14(3 Special Issue), 209–212. https://doi.org/10.20473/jn.v14i3.17060
Li, K., Tang, F., Albert, S. M., Rauktis, M. E., & Ohmer, M. L. (2024). Social Isolation, Loneliness, and Depressive Symptoms Among Older Adults: The Moderating Effect of Resilience. Gerontologist, 64(7). https://doi.org/10.1093/geront/gnae056
Malhi, G. ., & Mann, J. . (2018a). Depression. 24(394), 2299–2312. https://doi.org/https://doi.org/10.1016/s0140-6736(18)31948-2
Malhi, G. S., & Mann, J. J. (2018b). Depression. Lancet, 392(18), 2299–2312. https://doi.org/https://doi.org/10.1016/S0140-6736(18)31948-2
Nadatien, I., & Mulayyinah, M. (2019). The Relationship between Coping Mechanisms and Stress Levels in Cancer Patients at the East Java Branch of the Indonesian Cancer Foundation. JI-KES (Journal of Health Sciences), 2(2), 68–71. https://doi.org/10.33006/ji-kes.v2i2.121
Pilleron, S., Soto-Perez-de-Celis, E., Vignat, J., Ferlay, J., Soerjomataram, I., Bray, F., & Sarfati, D. (2021). Estimated global cancer incidence in the oldest adults in 2018 and projections to 2050. International Journal of Cancer, 148(3), 601–608. https://doi.org/10.1002/ijc.33232
Prajuli, J., Berish, D., K.G, V., & Jao. Y.L. (2021). Prevalence and predictors of depressive symptoms in older adults with cancer. Journal Geriatric Oncology, 12(4), 618–622. https://doi.org/10.1016/j.jgo.2020.12.009.
Utami, N. (2020). Validity and Reliability of the Indonesian Version of the Geriatric Depression Scale-15 [University of North Sumatra]. https://repositori.usu.ac.id/handle/123456789/24058
Widiyanti, D. A., Sovianti, V., & Puspitasari, E. (2022). Hubungan Mekanisme Koping Dengan Tingkat Kecemasan Pasien Kanker Yang Menjalani Kemoterapi. STIKES Telogorejo Semarang.
World Health Organization. (2023). Depressive disorder (depression). 31 March 2023. https://www.who.int/news-room/fact-sheets/detail/depression
Yogi, P., Trifuaningsih, D., & Agustina, D. M. (2018). The Relationship between Optimism and Levels of Anxiety and Depression in Breast Cancer Patients Undergoing Chemotherapy at a Regional General Hospital. Health Sciences, 15, 9.
Yoshida, Y., & Inoue, D. (2021). Clinical management of chemotherapy for elderly gynecological cancer patients. Journal of Obstetrics and Gynaecology Research, 47(7), 2261–2270. https://doi.org/10.1111/jog.14804
Zhang, Y., Kuang, J., Xin, Z., Fang, J., Song, R., Yang, Y., Song, P., Wang, Y., & Wang, J. (2023). Loneliness, social isolation, depression and anxiety among the elderly in Shanghai: Findings from a longitudinal study. Archives of Gerontology and Geriatrics, 110(January), 104980. https://doi.org/10.1016/j.archger.2023.104980
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.








