Clinical Diagnosis of Mental Disorders Immediately Before and After Cancer Diagnosis

Lu, Donghao; Andersson, Therése; Fall, Katja; Hultman, Christina M.; Czene, Kamila; Valdimarsdóttir, Unnur; Fang, Fang

doi:10.1001/jamaoncol.2016.0483

Cited by 176 publications

(136 citation statements)

References 39 publications

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“…(2013) found that suicide occurred on average 5.6 years after cancer diagnosis . Notably, even 10 years after cancer diagnosis the patients still have elevated relative rates of mental disorder and suicide mortality …”

Section: Discussionmentioning

confidence: 99%

“…34 Notably, even 10 years after cancer diagnosis the patients still have elevated relative rates of mental disorder and suicide mortality. 37 The increased OR of suicide at the early phase of cancer diagnosis can be attributed to physical distress, functional limitation and the devastating effects of cancer treatment. 38 Korfage et al found that the mental health of patients with prostate cancer was most intensely affected within the first 6 months.…”

Section: Cancer Epidemiologymentioning

confidence: 99%

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Risk of suicide within 1 year of cancer diagnosis

Wang

Chang

Weng

et al. 2018

Intl Journal of Cancer

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The association of the risk of suicide with cancer at different time points after a new cancer diagnosis is unclear. This study explored the suicide hazard at different time points after a first cancer diagnosis during the 1-year period before suicide. This case-crossover study included 2,907 suicide cases from 2002 to 2012 in Taiwan and compared the odds of suicide risk at different time points during one year after any cancer diagnosis with self-matched periods. The 13th month preceding the suicide date was used as the control period, and the hazard period was the duration from the 1st to 12th month in the conditional logistic regression for case-crossover comparisons. Among major groups of cancers, group of lip, oral cavity and pharynx cancers tended to have higher risk of suicide than other groups of cancers. The first month of cancer diagnosis was associated with the highest risk of suicide compared with the 13th month before suicide. The odds ratio (OR) of suicide were significantly in the first six months after cancer diagnosis but declined afterwards. For example, the adjusted OR was 3.47 [95% confidence interval (CI) = 2.60-4.62] in the first month and 1.53 (95% CI = 1.11-2.12) in the sixth month following cancer diagnosis. These findings provide clinicians with a vital reference period during which sufficient support and necessary referral to mental health support should be provided to reduce the risk of suicide among patients with newly diagnosed cancer morbidity.

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Section: Discussionmentioning

confidence: 99%

Section: Cancer Epidemiologymentioning

confidence: 99%

Risk of suicide within 1 year of cancer diagnosis

Wang

Chang

Weng

et al. 2018

Intl Journal of Cancer

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“…However, for a subgroup of survivors, anxiety, depression, fears and distress can linger for up to 10 years after treatment. 107 For some of the issues discussed such as FOR, no standardized definitions exist, which makes comparing research results difficult. 108 More research is needed with diverse survivors on many levels: types and stages of cancer, racial/ethnic diversity, sexual minorities, and rural survivors to name a few groups.…”

Section: Future Considerations/summarymentioning

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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“…Stress levels seem to be elevated as soon as a suspicion of cancer is raised and the waiting time before a final diagnosis may be equally stressful as the post-diagnostic period [1,2]. We recently demonstrated a marked increase in risk for different psychiatric disorders during the six months before prostate cancer diagnosis, highlighting the potential impact of emotional stress experienced while waiting for the diagnosis [3].…”

mentioning

confidence: 99%

“…For self-reported stress symptoms, we assessed the levels of depression and anxiety with the Hospital Anxiety and Depression Scale (HADS), self-evaluated distress with the National Comprehensive Cancer Network (NCCN) distress thermometer, and sleep quality and disturbances with theÅkerstedts Karolinska Sleep Questionnaire. A self-rated sleep quality score (1)(2)(3)(4)(5) assessment scales, a higher value indicated a worse outcome. From randomization to first urologist visit, the depression score (HADS) was found to increase slightly in the usual care group while it decreased in the fast-track group (Table 1).…”

mentioning

confidence: 99%