# Meta-analysis of factors influencing depression in cervical cancer patients

**Authors:** Rong Wang, Bang Liu, Si-Wen Wei, Yi-Ran Liu, Yi Zhong, Li Han, Huai-Qing Luo

PMC · DOI: 10.3389/fpubh.2025.1657690 · Frontiers in Public Health · 2025-11-03

## TL;DR

This study identifies key factors that increase the risk of depression in cervical cancer patients, such as low education and advanced tumor stage, to help improve their psychological well-being.

## Contribution

This paper provides a meta-analysis of global factors influencing depression in cervical cancer patients, resolving discrepancies in prior studies.

## Key findings

- Low educational attainment significantly increases depression risk in cervical cancer patients.
- Advanced tumor stage and moderate to severe pain are strongly associated with depression.
- Social support and income disparity are critical socioeconomic factors linked to depression.

## Abstract

Depression in cervical cancer (CC) patients concurrently compromises disease management and quality of life. However, significant discrepancies persist among existing studies regarding the determinants of depression in this population worldwide. To address this gap, this study employs meta-analysis to systematically identify and synthesize the contributing factors to depression among cervical cancer patients.

To provide evidence-based references for mitigating depression risk among cervical cancer patients.

Literature was searched in databases including CNKI, Wanfang, VIP, CBM, Web of Science, PubMed, and EMBASE from their inception until March 2025. The literature was screened, selected, quality assessed, and data extracted and analyzed. Meta-analysis was conducted using Revman 5.4 and Stata 18 software, with odds ratios (OR) and their 95% confidence intervals (CI) as the observed indicators.

A total of 1,108 articles were retrieved, with 15 articles ultimately included in the analysis. The results indicate that low educational attainment (OR = 3.25, 95% CI: 2.02–5.22), age ≥45 years (OR = 1.67, 95% CI: 1.09–2.55), inter-household monthly income disparity (OR = 3.06, 95% CI: 1.87–5.00), advanced tumor stage (OR = 1.99, 95% CI: 1.28–3.11), low social support (OR = 2.48, 95% CI: 1.95–3.16), moderate to severe pain (OR = 2.86, 95% CI: 1.76–4.65), limited disease awareness (OR = 2.58, 95% CI: 1.88–3.55), and undergoing hysterectomy (OR = 4.69, 95% CI: 3.03–7.24) are significant risk factors for depression in cervical cancer patients.

The occurrence of depression in cervical cancer patients is influenced by multiple factors. Healthcare professionals and family members should conduct comprehensive assessments of patients' conditions to implement targeted prevention and intervention measures, thereby enhancing the psychological wellbeing of patients.

https://inplasy.com/, identifier: INPLASY202560039.

## Linked entities

- **Diseases:** cervical cancer (MONDO:0002974), depression (MONDO:0002050)

## Full-text entities

- **Diseases:** Depression (MESH:D003866), CC (MESH:D002583), pain (MESH:D010146), tumor (MESH:D009369)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

9 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12620220/full.md

## References

49 references — full list in the complete paper: https://tomesphere.com/paper/PMC12620220/full.md

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Source: https://tomesphere.com/paper/PMC12620220