Cancer and Mental Disorders in a National Community Sample: Findings from the National Comorbidity Survey

Honda, Keiko; Goodwin, Renée D.

doi:10.1159/000077742

Cited by 97 publications

(85 citation statements)

References 34 publications

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“…However, the results also highlight an increased prevalence rate of comorbid mental disorders in obese patients from the general population that is comparable with that of other somatic diseases. [1][2][3][4][5][6] The differences in overall prevalence rates between obese individuals and healthy probands are mainly because of significantly higher frequencies of mood, anxiety and somatoform disorders during all three time periods. In accordance with most previous studies, 7-9,11,12 mood disorders are frequent in obese individuals and significantly increased in comparison with healthy probands.…”

Section: Discussionmentioning

confidence: 99%

“…Again, the increased prevalence rates of mood, anxiety and somatoform disorders in obese individuals are in line with prevalence rates of the corresponding comorbid mental disorders in patients with other physical diseases. [1][2][3][4][5][6] Substance use disorders are more frequent in obese individuals from the general population than in obese rehabilitation inpatients, and are also increased in comparison with healthy probands, albeit not significantly. An explanation for the lower prevalence rates in obese rehabilitation inpatients may be that inpatients tend to dissimulate their substance-related symptoms in a more distinct manner than community dwellers because of the less anonymous setting.…”

Section: Discussionmentioning

confidence: 99%

“…Several representative, epidemiological surveys have reported increased prevalence rates of mental disorders in patients with somatic diseases like musculoskeletal, [1][2][3][4] cardiovascular, 1,2,4,5 cancer 2,6 and respiratory tract diseases 2,4 in comparison with somatically healthy probands or probands without the examined disease. The findings concerning the association of obesity and mental disorders are more inconsistent.…”

Section: Introductionmentioning

confidence: 99%

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Mental disorders in patients with obesity in comparison with healthy probands

2007

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Objective: Findings concerning the association of obesity and mental disorders are inconsistent. The present epidemiological study investigates adjusted 4-week, 12-month, and lifetime prevalence rates of mental disorders in obese individuals compared with physically healthy probands and overweight individuals. Correlates of the associations are examined. Methods: Prevalence rates were calculated from two large epidemiological surveys from both the general population of Germany and inpatient centers. The surveys investigated subjects with obesity (n ¼ 910) and overweight (n ¼ 1550), as well as physically healthy probands (n ¼ 495). The prevalence rates were based on the Munich-composite international diagnostic interview, a standardized interview for the assessment of mental disorders. Correlates of mental disorders in obese individuals were assessed using self-report questionnaires and medical examinations. Results: The adjusted odds ratios (OR) of obese inpatients and obese patients from the general population were significantly elevated in comparison with healthy probands for the 4-week (OR: 2.2; 2.3), 12-month (OR: 1.8; 2.7) and lifetime (OR: 1.4; 2.0) periods. Prevalence rates of overweight individuals were below those of obese individuals. Mood, anxiety and somatoform disorders were most frequent. In particular, sex, marital status and comorbid musculoskeletal diseases proved to be correlates of an increased risk for mental disorders in obese individuals. The presence of comorbid mental disorders was associated with significantly increased health care use and lower quality of life. Conclusions: There is a strong relationship between obesity and mental disorders. A future task is to improve care of mental disorders in patients with obesity.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mental disorders in patients with obesity in comparison with healthy probands

2007

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“…Major depressive disorder and depressive symptoms are prevalent in patients with cancer [1][2], with significant differences in prevalence by site [3]. Variable and relatively high rates (up to 48%, depending on the criteria used in assessments) are found among women with breast or gynecological cancer [4][5][6][7], with some evidence that depression can worsen over the course of cancer treatment, and persist long after cancer therapy [8].…”

Section: Introductionmentioning

confidence: 99%

Depression, Correlates of Depression, and Receipt of Depression Care Among Low-Income Women With Breast or Gynecologic Cancer

Ell

Sanchez

Vourlekis

et al. 2005

JCO

277

209

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Purpose-To assess the prevalence of depression among low-income, ethnic minority women with breast or gynecological cancer, receipt of antidepressant medications or counseling services, and correlates of depression.Patients and Methods-Study patients were 472 women receiving cancer care in an urban public medical center. Women had a primary diagnosis of breast (Stage 0-III) or gynecological cancer (FIGO 0-3B). A diagnostic depression screen and baseline questionnaire was administered prior to or during active treatment or during active follow-up. Self-report data was collected on receipt of depression treatment, use of supportive counseling, pain and receipt of pain medication, functional status and well-being, and perceived barriers to cancer care.Results-Twenty-four percent of women reported moderate to severe levels of depressive disorder, 30% of breast cancer patients and 17% of gynecological cancer patients. Only 12% of women meeting criteria for major depression reported currently receiving medications for depression and only 5% of women reported seeing a counselor or participating in a cancer support group. Neither cancer stage or treatment status was correlated with depression. Primary diagnosis of breast cancer, younger age, greater functional impairment, poorer social/family well-being, anxiety, comorbid arthritis, and fears about treatment side effects were correlated with depression.Conclusion-Findings indicate that depressive disorder among ethnic minority, low-income women with breast or gynecological cancer is prevalent and is correlated with pain, anxiety and health-related quality of life (HRQL). Because these women are unlikely to receive depression treatment or supportive counseling, there is a need for routine screening, evaluation and treatment in this population.

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“…Accordingly, psychological conditions such as depression and hyperarousal might be predisposing factors for sleep problems in cancer patients. However, no published study has examined whether mood disturbances influence sleep quality in cancer patients, despite that cancer diagnosis and treatment have been associated with depression and psychological distress [15,16]. Given that sleep problems often co-occur with depressive symptoms and general distress [17], research is needed to characterize these relationships in cancer patients.…”

Section: Introductionmentioning

confidence: 99%

Coping Style and Sleep Quality in Men with Cancer

Hoyt

Ph.D.²,

Epstein

et al. 2009

ann. behav. med.

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Background Few studies have characterized the effects of cancer diagnosis and treatment on sleep quality in men with cancer, and even fewer have identified mediators between psychosocial factors and physical symptoms. It has been debated whether active, approach-oriented, coping behaviors or more passive, avoidance-oriented, coping behaviors are more important to the preservation of sleep quality. Purpose This study tested the impact of coping style (i.e., approach vs. avoidance) on sleep quality and depressive symptoms and intrusive thoughts as putative mediators. Methods Utilizing a longitudinal design, men with cancer (N=55) were assessed at study entry (T1) and again 6 months later (T2). Two indicators of sleep quality were assessed: severity of sleep disturbance symptoms and resulting interference with daily functioning from sleep problems. Results Higher use of avoidance coping at T1 was related to greater severity in sleep-related symptoms (p<0.01) and more interference with daily functioning (p<0.001) at T2. Approach coping at T1 was unrelated to indicators of sleep quality. Depressive symptoms and not intrusive thoughts mediated the relationship between avoidance coping and sleep symptom interference and partially mediated the effect on sleep symptom severity based on examination of bootstrapped standard errors for indirect paths. Conclusions Avoidance of cancer-related stressors and circumstances likely contributes to declines in mood states and in turn compromises sleep. An individual's coping style may be an important consideration in the assessment and treatment of sleep problems in men with cancer.

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Cancer and Mental Disorders in a National Community Sample: Findings from the National Comorbidity Survey

Cited by 97 publications

References 34 publications

Mental disorders in patients with obesity in comparison with healthy probands

Mental disorders in patients with obesity in comparison with healthy probands

Depression, Correlates of Depression, and Receipt of Depression Care Among Low-Income Women With Breast or Gynecologic Cancer

Coping Style and Sleep Quality in Men with Cancer

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