Patient-reported psychosocial distress in adolescents and young adults with germ cell tumours

Soleimani, MA; Kollmannsberger, C.; Bates, Alan; Leung, Bonnie; Ho, Cheryl

doi:10.1007/s00520-020-05723-3

Cited by 9 publications

(17 citation statements)

References 8 publications

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“…The test for betweenstudy heterogeneity was significant (I The test for forest plot asymmetry indicated a possible publication bias (z = −2.0071, p = 0.0447). Excluding studies with unsatisfactory quality assessment yielded analogous findings (eFigure 26-29) 24,26,35,41,48,49,54,55,74 ; however, no publication bias was detected (z = −1.9239, p = 0.0544).…”

Section: Depression Prevalencementioning

confidence: 70%

“…The majority of the studies were conducted in North America (45.6%) and Europe (26.5%). [53][54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69][70] Fiftytwo studies [22][23][24][25]27,[30][31][32][33][34][35][36][38][39][40][41][42][43][44][46][47][48]50,51,54,[56][57][58][59]62,63,65,[67][68]…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Comparable results were seen when studies with unsatisfactory quality assessment were excluded (eFigure 22-25). 35,41,48,49,55,74 T A B L E 1 Summary of the main characteristics of the included studies (n = 68).…”

Section: Anxiety Prevalencementioning

confidence: 99%

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Prevalence and risk of psychological distress, anxiety and depression in adolescent and young adult (AYA) cancer survivors: A systematic review and meta‐analysis

Osmani,

Hörner,

Klug

et al. 2023

Cancer Medicine

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BackgroundAdolescent and young adult (AYA) cancer survivors (CS) face unique psychosocial challenges, which may affect their mental health. However, there are inconsistencies in AYA definitions and varying prevalence data on psychological distress, anxiety, and depression. We aimed to synthesize published literature on prevalence, risk, longitudinal changes, and predictors for these outcomes and estimate pooled prevalences.MethodsWe searched for observational studies published in English before June 1 2022, in PubMed, PsycINFO, Scopus, and Web of Science. Two researchers extracted independently information on study characteristics, prevalence, and risk. The pooled prevalence (PP) of psychological distress, anxiety, and depression was estimated using random‐effects models. Geographical region, treatment status, and assessment instruments were considered in stratified meta‐analyses.ResultsSixty‐eight studies were included in the systematic review and 57 in the meta‐analyses. We estimated an overall prevalence of 32% (n = 30; 4226/15,213 AYAs; 95% CI, 23%–42%; I2 = 99%) for psychological distress, 29% for anxiety (n = 24; 2828/8751 AYAs; 95% CI, 23%–36%; I2 = 98%), and 24% (n = 35; 3428/16,638 AYAs; 95% CI, 18%–31%; I2 = 98%) for depression. The range of PP of psychological distress varied across geographical regions, treatment status, and assessment instruments. The PP of anxiety varied significantly across continents, while no variations were seen for depression. Studies found higher risks for psychological distress, anxiety, and depression in AYAs compared to older cancer survivors or cancer‐free peers.ConclusionsOur research found that one in three AYA‐CS experience psychological distress or anxiety and one in four are affected by depression, highlighting the need for specialized psychological services for AYA‐CS in oncology settings and AYA‐focused interventions.

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Section: Depression Prevalencementioning

confidence: 70%

Section: Study Characteristicsmentioning

confidence: 99%

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Prevalence and risk of psychological distress, anxiety and depression in adolescent and young adult (AYA) cancer survivors: A systematic review and meta‐analysis

Osmani,

Hörner,

Klug

et al. 2023

Cancer Medicine

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“…The frequency of unmet supportive care needs varied within and between studies (see [15,23,36,37], anxiety [23,43,45,51,53,54,57], depression [23,39,43,45,54], fear of recurrence [23,37,38,41,59], and body image issues [15,32,37,38,52,58] were commonly experienced. Timely intervention for emotional support [23,32,37,59], coping with threats to masculinity [23,24,31] and counselling for issues about infertility were needed [32,33].…”

Section: Frequency Of Unmet Supportive Care Needsmentioning

confidence: 99%

“…Young men expressed needs in knowing how to support their partners or families [37], how to communicate with their young children [38], and concerns about being unable to have children due to fertility issues [38]. It was common for men to experience issues within their existing relationships which caused emotional strain [41,51].…”

Section: Family-related Needsmentioning

confidence: 99%

Identifying the unmet supportive care needs of individuals affected by testicular cancer: a systematic review

et al. 2022

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Purpose To critically appraise studies to identify experiences of unmet supportive care needs of individuals affected by testicular cancer. Methods A registered priori systematic review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. CINAHL, PsycINFO, and MEDLINE were searched for quantitative, qualitative, and mixed methods studies using a wide range of search terms. All articles were double screened according to a pre-determined eligibility criterion. Reference lists of the final included studies were checked for further eligible studies. The review process was managed using Covidence systematic review software. Data from the studies were extracted, methodological quality appraisal conducted, and a narrative synthesis conducted. Results Of the 72 papers identified, 36 studies were included. In descending order of frequency of need, psychological needs were identified in 26/36, physical needs 18/36, interpersonal/intimacy needs 19/36, health system/information needs 11/36, cognitive needs 9/36, social needs 7/36, and of equal frequencies counts of 4/36 for family, practical, and patient-clinician information needs. Only one study explored spiritual needs and no daily living needs were identified. Conclusions The experience of needs varied in terms of frequency and distress which were commonly influenced by the age of the individual across the cancer care continuum persisting after 1-year post-treatment. Implications for Cancer Survivors When caring for individuals affected by testicular cancer, clinicians are encouraged to take a holistic lens to cancer care, particularly to explore issue or concerns that young men affected by testicular cancer might be embarrassed or reticent to discuss.

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Character strength patterns, social support and psychological distress in adolescents and young adults with cancer: A multicenter cross-sectional study

Qin,

Duan,

Zhou

et al. 2024

Asia-Pacific Journal of Oncology Nursing

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Patient-reported psychosocial distress in adolescents and young adults with germ cell tumours

Cited by 9 publications

References 8 publications

Prevalence and risk of psychological distress, anxiety and depression in adolescent and young adult (AYA) cancer survivors: A systematic review and meta‐analysis

Prevalence and risk of psychological distress, anxiety and depression in adolescent and young adult (AYA) cancer survivors: A systematic review and meta‐analysis

Identifying the unmet supportive care needs of individuals affected by testicular cancer: a systematic review

Character strength patterns, social support and psychological distress in adolescents and young adults with cancer: A multicenter cross-sectional study

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