Prevalence and Predictors of the Short-Term Trajectory of Anxiety and Depression in the First Year After a Cancer Diagnosis: A Population-Based Longitudinal Study

Boyes, Allison; Girgis, Afaf; DʼEste, Catherine; Zucca, Alison; Lecathelinais, Christophe; Carey, Mariko

doi:10.1200/jco.2012.44.7540

Cited by 121 publications

(122 citation statements)

References 26 publications

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“…5,41 Some patients experience transient symptoms as an initial reaction to their diagnosis, 42 whereas others experience persistent symptoms for years during survivorship. 19,20,43,44 Approximately half of the study cohort experienced depression symptoms at some point during the study and symptoms persisted in most patients. In other cancer populations, persistent symptoms are associated with poor adherence to anticancer treatments, 7,45 and significant cognitive 46 and functional impairment, 47,48 which may contribute to increased mortality.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Changes in Depression Symptoms and Survival Among Patients With Lung Cancer: A National Cohort Assessment

Sullivan

Forsberg

Ganzini

et al. 2016

JCO

113

104

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Purpose Depression symptoms are common among patients with lung cancer; however, longitudinal changes and their impact on survival are understudied. Methods This was a prospective, observational study from the Cancer Care Outcomes Research and Surveillance Consortium from five US geographically defined regions from September 2003 through December 2005. Patients enrolled within 3 months of their lung cancer diagnosis were eligible. The eight-item Center for Epidemiologic Studies Depression scale was administered at diagnosis and 12 months’ follow-up. The main outcome was survival, which was evaluated using Kaplan-Meyer curves and adjusted Cox proportional hazards modeling. Results Among 1,790 participants, 681 (38%) had depression symptoms at baseline and an additional 105 (14%) developed new-onset depression symptoms during treatment. At baseline, depression symptoms were associated with increased mortality (hazard ratio [HR], 1.17; 95% CI, 1.03 to 1.32; P = .01). Participants were classified into the following four groups based on longitudinal changes in depression symptoms from baseline to follow-up: never depression symptoms (n = 640), new-onset depression symptoms (n = 105), depression symptom remission (n = 156), and persistent depression symptoms (n = 254) and HRs were calculated. Using the never-depression symptoms group as a reference group, HRs were as follows: new-onset depression symptoms, 1.50 (95% CI, 1.12 to 2.01; P = .006); depression symptom remission, 1.02 (95% CI, 0.79 to 1.31; P = .89), and persistent depression symptoms, 1.42 (95% CI, 1.15 to 1.75; P = .001). At baseline, depression symptoms were associated with increased mortality among participants with early-stage disease (stages I and II; HR, 1.61; 95% CI, 1.26 to 2.04), but not late-stage disease (stages III and IV; HR, 1.05; 95% CI, 0.91 to 1.22). At follow-up, depression symptoms were associated with increased mortality among participants with early-stage disease (HR, 1.71; 95% CI, 1.27 to 2.31) and those with late-stage disease (HR, 1.32; 95% CI, 1.04 to 1.69). Conclusion Among patients with lung cancer, longitudinal changes in depression symptoms are associated with differences in mortality, particularly among patients with early-stage disease. Symptom remission is associated with a similar mortality rate as never having had depression.

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Section: Discussionmentioning

confidence: 99%

Longitudinal Changes in Depression Symptoms and Survival Among Patients With Lung Cancer: A National Cohort Assessment

Sullivan

Forsberg

Ganzini

et al. 2016

JCO

113

104

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“…Todavia, procedimentos cirúrgicos podem ser vistos pelo indivíduo como um ato agressivo, pois a incerteza e o medo de mudanças em sua imagem corporal e no cotidiano podem provocar alterações como o estresse e levar à vivência de situações de conflito (5) , pois tem sua integridade física e psicológica ameaçada diante do futuro incerto (8)(9) . Tal procedimento tende a gerar repercussões emocionais e implicações no bem-estar, na saúde e nos padrões fundamentais, tanto no âmbito individual quanto no familiar, produzindo mudanças de papéis, nas relações, nas identidades, nas capacidades e nos padrões de comportamento (9) .…”

Section: Introductionunclassified

“…Desde o diagnóstico, as alterações físicas e psicológicas causadas pelo câncer são evidentes e de grande impacto, com destaque para a ansiedade e a depressão (4,9) . A morbidade psicológica, ou seja, ansiedade somada à depressão, é a alteração psiquiátrica mais comumente associada às doenças clínicas (7) .…”

Section: Introductionunclassified

“…Alterações psicológicas não são de fácil identificação, na maior parte das vezes subdiagnosticadas e, portanto, não tratadas, mesmo sendo recorrentes em pessoas com neoplasia maligna (7,9) . Isso porque o indivíduo, por via de regra, não expressa verbalmente os sintomas psicológicos e o profissional de saúde tende a não questioná-los (4,6) .…”

Section: Introductionunclassified

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Morbidade Psicológica E Implicações Para a Recuperação De Adultos Após Cirurgia Oncológica

Mata¹,

Cunha²,

Ziviani³

et al. 2018

Cogitare Enferm.

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RESUMO:Objetivo: avaliar o constructo morbidade psicológica (ansiedade/depressão) em adultos submetidos à cirurgia oncológica no pós-operatório, bem como sua possível relação com a recuperação cirúrgica. Método: estudo correlacional, realizado com 96 adultos submetidos a cirurgia oncológica internados em hospital mineiro de grande porte, entre agosto e dezembro de 2015, mediante Resultados: las variables ansiedad y depresión presentaron relación negativa con la recuperación quirúrgica; hubo relación negativa entre la variable ansiedad con la edad. 59 (61,5%) participantes presentaron síntomas de ansiedad y 38 (39,6%) depresión. Las variables ansiedad y escolaridad evidenciaron relación positiva. Conclusión: la morbidad psicológica estuvo asociada a la cualidad de recuperación quirúrgica, por lo tanto es importante el planeamiento de las acciones de enfermería perioperatoria.

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“…Depressive symptoms may have a negative impact on health-related quality of life (Sellick & Crooks, 1999;Stanton, 2006), adherence to treatment (DiMatteo & Haskard-Zolnierek, 2011;Manning & Bettencourt, 2011), and disease progression and mortality (Lloyd-Williams, Shiels, Taylor, & Dennis, 2009;Pinquart & Duberstein, 2010;Satin, Linden, & Phillips, 2009;Schulz, Drayer, & Rollman, 2002). Although depression prevalence is highest during active treatment, it remains at 8% among patients who are at least 1 year after diagnosis when measured with diagnostic interviews (Krebber et al, 2014); the prevalence increases to 15%, if sub-syndromal symptoms of depression measured by self-report instruments are included (Boyes, Girgis, D'Este, Zucca, & Lecathelinais, 2013;Jones et al, 2012;Krebber et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Phase II trial of a depression self-care intervention for adult cancer survivors

et al. 2017

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Supported self-care interventions are a low-intensity treatment for depression that has received little research attention in the cancer population. This is a phase II intervention only study to test the feasibility, acceptability and preliminary effectiveness of a depression self-care intervention for cancer patients who have completed their primary treatment and have moderate depressive symptoms. The self-care intervention was adapted from a successful model for people with chronic physical conditions, following focus groups with cancer care professionals and patients. The support was delivered by telephone by a trained lay coach who provided up to 8 weekly coaching contacts. A variety of recruitment methods were tested; those with the highest yield of eligible subjects per research staff time were electronic mailings to community support group members and social media posting. Sixty-eight people were contacted about the study over an 11-month period, of whom 34 (49%) were eligible; 32 were enrolled (94% recruitment rate); and 25 completed 2-month follow-up (78% retention). The mean severity of PHQ-9 depression decreased significantly from screening to 2 months (12.8 to 7.0, p < .0001). The intervention is a promising treatment option for cancer survivors, demonstrating sufficient effectiveness and feasibility to proceed with a phase III clinical trial. K E Y W O R D Scancer survivorship, depression, feasibility, intervention, self-care, self-management

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Prevalence and Predictors of the Short-Term Trajectory of Anxiety and Depression in the First Year After a Cancer Diagnosis: A Population-Based Longitudinal Study

Cited by 121 publications

References 26 publications

Longitudinal Changes in Depression Symptoms and Survival Among Patients With Lung Cancer: A National Cohort Assessment

Longitudinal Changes in Depression Symptoms and Survival Among Patients With Lung Cancer: A National Cohort Assessment

Morbidade Psicológica E Implicações Para a Recuperação De Adultos Após Cirurgia Oncológica

Phase II trial of a depression self-care intervention for adult cancer survivors

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