# Psychosocial impact of cervical cancer diagnosis: a study conducted in the Radiotherapy Department at CHU Hassan II, Fez, Morocco

## TL;DR

This study explores the emotional and social effects of cervical cancer diagnosis on women in Morocco and highlights the need for comprehensive support programs.

## Contribution

The study provides insights into the psychosocial impact of cervical cancer in a Moroccan context, emphasizing culturally relevant coping strategies.

## Key findings

- 38% of participants experienced significant anxiety and 25% reported symptoms of depression.
- Religious practices and family support were key coping strategies linked to better emotional outcomes.
- Quality of life scores showed moderate levels with notable deficits in physical and psychological health.

## Abstract

Cervical cancer is a major public health issue in Morocco, ranking as the second most common cancer among women. Beyond its physical burden, a diagnosis of cervical cancer significantly affects patients emotionally and socially, often leading to anxiety, depression and social isolation. Despite the high prevalence of this cancer, limited research has explored its psychosocial impact within the Moroccan context.

This study assessed the psychosocial impact of cervical cancer diagnosis among women treated at the Radiotherapy Department of Hassan II University Hospital in Fez. Emotional distress was evaluated using the Hospital Anxiety and Depression Scale (HADS), while quality of life (QoL) was measured using the WHOQOL-BREF tool. Coping strategies were analysed using the Brief Cope Inventory. All tools were validated in Moroccan Arabic dialect for cultural relevance.

A total of 100 patients were enrolled. Emotional distress was notable, with 38% of participants experiencing significant anxiety (HADS score >8) and 25% reporting symptoms of depression. QoL scores (WHOQOL-BREF) were moderate, with significant deficits in physical and psychological health domains. Coping strategies predominantly included religious practices and family support, which correlated with better management of emotional distress. Social consequences, such as marital tension and isolation, were frequently reported but were mitigated by robust familial support.

The study highlights the profound psychosocial burden of cervical cancer diagnosis in Moroccan women. Integrated support programs encompassing physical, emotional, social and spiritual care are urgently needed to improve patient outcomes. Future research should focus on culturally tailored interventions to enhance coping mechanisms and overall QoL.