Exploration of depressive symptoms in African American cancer patients

Zhang, Amy Y.; Gary, Faye A.; Zhu, Hui

doi:10.3109/09638237.2014.998806

Cited by 12 publications

(7 citation statements)

References 13 publications

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“…Thirty-one articles were included in the final review [ 23 , 33 – 62 ], based on 28 independent studies from an original yield of 27,941 papers identified through searching, reference snowballing, related articles and expert recommendation. The full screening process is outlined in the PRISMA flowchart in the PRISMA flow diagram (Fig.…”

Section: Resultsmentioning

confidence: 99%

Living with and beyond cancer with comorbid illness: a qualitative systematic review and evidence synthesis

et al. 2019

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Purpose To identify the qualitative evidence on the experience of cancer and comorbid illness from the perspective of patients, carers and health care professionals to identify psycho-social support needs, experience of health care, and to highlight areas where more research is needed. Methods A qualitative systematic review following PRISMA guidance. Relevant research databases were searched using an exhaustive list of search terms. Two reviewers independently screened titles and abstracts and discussed variations. Included articles were subject to quality appraisal before data extraction of article characteristics and findings. Thomas and Harden’s thematic synthesis of extracted findings was undertaken. Results Thirty-one articles were included in the review, covering a range of cancer types and comorbid conditions; with varying time since cancer diagnosis and apparent severity of disease for both cancer and other conditions. The majority of studies were published after 2010 and in high income countries. Few studies focused exclusively on the experience of living with comorbid conditions alongside cancer; such that evidence was limited. Key themes identified included the interaction between cancer and comorbid conditions, symptom experience, illness identities and ageing, self-management and the role of primary and secondary care. Conclusions In addition to a better understanding of the complex experience of cancer and comorbidity, the review will combine with research prioritisation work with consumers to inform an interview study with the defined patient group. Implications for Cancer Survivors Expanding this evidence base will help to illuminate developing models of cancer patient-centred follow-up care for the large proportion of patients with comorbid conditions. Electronic supplementary material The online version of this article (10.1007/s11764-019-0734-z) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Living with and beyond cancer with comorbid illness: a qualitative systematic review and evidence synthesis

et al. 2019

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“…Outside of prostate cancer, African American men self‐report higher rates of depression than White men but have a lower likelihood of receiving a depression diagnosis or antidepressant treatment 11,12 . This raises the possibility of underrecognition and undertreatment of depression among African Americans 13‐15 . However, little is known about racial disparities in the incidence, treatment, and impact of depression on outcomes among men with prostate cancer.…”

Section: Introductionmentioning

confidence: 99%

Long‐term depression incidence and associated mortality among African American and White prostate cancer survivors

Parikh

Gallo

Wong

et al. 2021

Cancer

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Background Depression is common after a diagnosis of prostate cancer and may contribute to poor outcomes, particularly among African Americans. The authors assessed the incidence and management of depression and its impact on overall mortality among African American and White veterans with localized prostate cancer. Methods The authors used the Veterans Health Administration Corporate Data Warehouse to identify 40,412 African American and non‐Hispanic White men diagnosed with localized prostate cancer from 2001 to 2013. Patients were followed through 2019. Multivariable logistic regression was used to measure associations between race and incident depression, which were ascertained from administrative and depression screening data. Cox proportional hazards models were used to measure associations between incident depression and all‐cause mortality, with race‐by‐depression interactions used to assess disparities. Results Overall, 10,013 veterans (24.5%) were diagnosed with depression after a diagnosis of prostate cancer. Incident depression was associated with higher all‐cause mortality (adjusted hazard ratio [aHR], 1.27; 95% confidence interval [CI], 1.23‐1.32). African American veterans were more likely than White veterans to be diagnosed with depression (29.3% vs 23.2%; adjusted odds ratio [aOR], 1.15; 95% CI, 1.09‐1.21). Among those with depression, African Americans were less likely to be prescribed an antidepressant (30.4% vs 31.7%; aOR, 0.85; 95% CI, 0.77‐0.93). The hazard of all‐cause mortality associated with depression was greater for African American veterans than White veterans (aHR, 1.32 [95% CI, 1.26‐1.38] vs 1.15 [95% CI, 1.07‐1.24]; race‐by‐depression interaction P < .001). Conclusions Incident depression is common among prostate cancer survivors and is associated with higher mortality, particularly among African American men. Patient‐centered strategies to manage incident depression may be critical to reducing disparities in prostate cancer outcomes.

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“…37.9% of the Chinese population showing depressive symptoms and 4.1% of the population being diagnosed with clinical depression [ 13 ]. Evidence abounds as to the negative impact of depression on cardiovascular disease, memory performance, cognition and familial relationships [ 14 – 19 ]. However, less than 10% of depression patients in China were treated with antidepressant medications in 2016 [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

The relationship between depression, daytime napping, daytime dysfunction, and snoring in 0.5 million Chinese populations: exploring the effects of socio-economic status and age

et al. 2018

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BackgroundDaytime napping has been postulated as both a protective and a risk factor for depression in previous studies. In addition to these conflicting results, research gaps also exist with regard to controlling confounding bias between daytime napping and depression and examining the potential association within the Chinese population. To facilitate the prevention and diagnosis of depression, this study aims to provide insight into the association of daytime napping and depression in 0.5 million Chinese adults by fully controlling confounders, and further examine the modifying effects of socio-economic status (SES) and age.MethodsData were drawn from the baseline of a Chinese cohort study of 0.5 million adults. Depressive status was measured by the Composite International Diagnostic Inventory (CIDI). Logistic regression models were used to examine the association between depression and daytime napping adjusted for SES, sleep-related factors, lifestyle factors and related diseases. Further stratified analyses were conducted to identify the modifying effects of socio-economic status and age.ResultsThe odds ratio of depression by daytime napping was 1.15 (95% CI: 1.01–1.31) in females and 1.42 (95% CI: 1.18–1.71) in males. Factors including living in a rural area (OR = 1.31, 95% CI: 1.13–1.52), receiving less education (OR = 1.42, 95% CI: 1.22–1.66), getting married (OR = 1.24, 95% CI: 1.10–1.40) and being 45–65 years old (OR = 1.29, 95% CI: 1.12–1.49) had a modifying effect on daytime napping and depression that could strengthen the association.ConclusionsA significantly positive association was found between depression and daytime napping, as well as daytime dysfunction, snoring and both shorter and longer sleep duration. Lower SES and age could possibly modify the association. Further clinical or epidemiological studies are needed to investigate the mechanism and facilitate the prevention of depression.

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Exploration of depressive symptoms in African American cancer patients

Cited by 12 publications

References 13 publications

Living with and beyond cancer with comorbid illness: a qualitative systematic review and evidence synthesis

Living with and beyond cancer with comorbid illness: a qualitative systematic review and evidence synthesis

Long‐term depression incidence and associated mortality among African American and White prostate cancer survivors

The relationship between depression, daytime napping, daytime dysfunction, and snoring in 0.5 million Chinese populations: exploring the effects of socio-economic status and age

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