Anxiety and depression in long-term testicular germ cell tumor survivors

Vehling, Sigrun; Mehnert, Anja; Hartmann, Michael; Oing, Christoph; Bokemeyer, Carsten; Oechsle, Karin

doi:10.1016/j.genhosppsych.2015.09.001

Cited by 42 publications

(36 citation statements)

References 37 publications

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“…Prevalence estimates from 3 good studies (2 using the HADS) ranged from 17% (eg, Skoogh et al) to 20% (eg, Dahl et al) significantly higher (by ≥5%) than age‐ and gender‐adjusted normative data. The other good study found only 6% of TC survivors experienced anxiety. Three fair studies using the HADS‐A also found approximately 1 in 5 (17‐19%) TC survivors had anxiety, while prevalence estimates from other fair/poor studies were higher and more variable (27% [eg, Aass et al] to 62% [eg, Stuart et al]), likely because of the use of nonvalidated study‐specific questionnaires and/or small samples.…”

Section: Resultsmentioning

confidence: 90%

“…Consistently absent (ie, nonsignificant) associations were found between depression and treatment type (6 good and 6 of 7 fair/poor studies) and time since diagnosis/treatment (4 of 5 good studies), although a single good study found depression decreased slightly in the first year post‐orchidectomy then plateaued …”

Section: Resultsmentioning

confidence: 94%

“…Consistently absent (ie, nonsignificant) associations were found between depression and treatment type (6 good 12,21-25 and 6 of 7 fair/poor studies 13,14,16,[26][27][28] ) and time since diagnosis/treatment (4 of 5 good studies 12,21,23,29 ), although a single good study found depression decreased slightly in the first year postorchidectomy then plateaued. 25 Consistent significant associations were found between depression and being unmarried (3 good studies 22,23,25 ) and lower social support more generally, although Tuinman et al 25 found that higher rates of clinically significant depressive symptoms in single versus partnered TC survivors immediately post-orchidectomy resolved 1 year later.…”

Section: Correlates Of Depressionmentioning

confidence: 92%

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A systematic review of quantitative observational studies investigating psychological distress in testicular cancer survivors

et al. 2018

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Many TC survivors do not experience significant psychological morbidity, but anxiety and FCR are prevalent. Inadequate coping resources (eg, low socio-economic status and social support) and strategies (eg, avoidance) and greater symptoms/side effects were associated with poorer outcomes. Theoretically driven prospective studies would aid understanding of how outcomes change over time and how to screen for risk. Age and gender appropriate interventions that prevent and manage issues specific to TC survivors are also needed.

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Section: Resultsmentioning

confidence: 90%

Section: Resultsmentioning

confidence: 94%

Section: Correlates Of Depressionmentioning

confidence: 92%

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A systematic review of quantitative observational studies investigating psychological distress in testicular cancer survivors

et al. 2018

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“…69 As an example, oral cancer survivors who reported dental health, problems with smelling, and issues with range of motion were associated with both depressive and anxiety symptoms. 70 In prostate cancer survivors, men with higher levels of urinary and androgen deprivation therapy symptoms reported higher levels of depressive symptoms.…”

Section: Anxiety and Depression In Different Populations Of Survivorsmentioning

confidence: 99%

Anxiety and Depression in Cancer Survivors

Syrjala

2017

Medical Clinics of North America

254

146

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Synopsis Most cancer survivors adjust well to life after cancer but some experience persisting negative mood such as cancer-related fears, post-traumatic stress, anxiety, or depression. Mood fluctuations may not reach criteria for a clinical diagnosis but sub-clinical symptoms can interfere with quality of life. Females, and adolescents and young adults are particularly at risk for mood disturbances. Behavioral interventions such as cognitive behavioral therapy and pharmacological treatments can effectively treat these distressing emotions. Much of the research on managing emotional needs after cancer has been completed with breast cancer survivors and more work is needed with diverse groups of survivors.

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“…So far, in most studies on anxiety and depression the mean age of participants was 55 years or older [2–4, 7, 10]. Studies with younger cancer survivors have mainly focused on breast cancer patients [6, 8, 9, 11] or testicular cancer patients [12, 13]. …”

Section: Introductionmentioning

confidence: 99%

Anxiety and depression in working-age cancer survivors: a register-based study

et al. 2017

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BackgroundAnxiety and depression can be a long-term strain in cancer survivors. Little is known about the emotional situation of cancer survivors who have to deal with work- and family-related issues. The purpose of this study was to investigate anxiety and depression in working-age cancer survivors and associated factors.MethodsA register-based sample of 3370 cancer survivors (25 to 55 years at time of diagnosis) diagnosed up to six years prior to the survey was recruited from two German cancer registries. Demographic and medical characteristics as well as self-reported measures were used.ResultsOverall, approximately 40% of the survivors reported moderate to high anxiety scores and approximately 20% reported moderate to high depression scores. Compared to the general population, working-age cancer survivors were more anxious but less depressed (p < .001). Subgroups with regard to time since diagnosis did not differ in anxiety or depression. Anxiety and depression in cancer survivors were associated with various variables. Better social support, family functioning and physical health were associated with lower anxiety and depression.ConclusionsOverall, we found higher anxiety levels in cancer survivors of working-age than in the general population. A considerable portion of cancer survivors reported moderate to high levels of anxiety and depression. The results indicate the need for psychosocial screening and psycho-oncological support e.g. in survivorship programs for working-age cancer survivors. Assessing the physical health, social support and family background might help to identify survivors at risk for higher emotional distress.

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Anxiety and depression in long-term testicular germ cell tumor survivors

Cited by 42 publications

References 37 publications

A systematic review of quantitative observational studies investigating psychological distress in testicular cancer survivors

A systematic review of quantitative observational studies investigating psychological distress in testicular cancer survivors

Anxiety and Depression in Cancer Survivors

Anxiety and depression in working-age cancer survivors: a register-based study

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