Prevalence of mental disorders in patients with cancer compared to matched controls – secondary analysis of two nationally representative surveys

Vehling, Sigrun; Mehnert‐Theuerkauf, Anja; Philipp, Robin; Härter, Martin; Kraywinkel, Klaus; Kuhnert, Ronny; Koch, Uwe

doi:10.1080/0284186x.2021.1992008

Cited by 25 publications

(19 citation statements)

References 32 publications

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“…Whilst we acknowledge that clinical interviews may produce more conservative estimates versus symptom measures, and might be onerous on research resources, the addition of clinical interviews to diagnose psychological disorders would be a valuable addition. For example, a recent study by Vehling et al 46 investigated cancer among a large well‐phenotyped sample of adults with age‐matched disease‐free controls. Participants were screened for psychological disorders and further assessed with a diagnostic clinical interview.…”

Section: Discussionmentioning

confidence: 99%

Co‐occurring chronic pain and primary psychological disorders in adolescents: A scoping review

Bateman

Caes

Eccleston

et al. 2023

Paediatric and Neonatal Pain

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Long‐term health conditions, whether mental or physical, often co‐occur in adolescents. For instance, adolescents with chronic pain may experience co‐occurring primary psychological disorders. In this scoping review, we determine the influence of co‐occurring chronic pain and primary psychological disorders on adolescents' functioning. A systematic search of six databases was conducted to identify articles if they were: (1) peer‐reviewed; (2) reported original findings; (3) included participants aged 11–19 years, who experienced chronic pain (i.e., pain lasting 3 months or more) and had a co‐occurring diagnosis of a primary psychological disorder; and (4) assessed functioning. Searches returned 9864 articles after the removal of duplicates. A two‐phase abstract and full‐text screening process identified two eligible articles which compared emotional functioning (n = 1) and social functioning (n = 2) between groups of adolescents with co‐occurring chronic pain and primary psychological disorders with adolescents only reporting chronic pain. Overall findings revealed no differences in social functioning, but adolescents with co‐occurring chronic pain and a primary psychological disorder (depression and anxiety) reported worse emotional functioning compared with adolescents with chronic pain alone. This review confirms the limited research on the co‐occurrence of primary psychological disorders and chronic pain in adolescents by only identifying two eligible articles exploring the co‐occurrence of chronic pain with depression, anxiety, and/or attentional disorders.

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Section: Discussionmentioning

confidence: 99%

Co‐occurring chronic pain and primary psychological disorders in adolescents: A scoping review

Bateman

Caes

Eccleston

et al. 2023

Paediatric and Neonatal Pain

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“…In comparison with a control group, depression prevalence rates among people with cancer are at least two times higher for unipolar mood disorders (major depression: OR, 2.07; 95% CI, 1.71 to 2.51; dysthymia: OR, 2.93; 95% CI, 2.13 to 4.02). 4 Using self-report instruments with specified cutoff points (eg, Patient Health Questionnaire-9 $ 10), moderate to severe depressive symptom rates between 13% and 27% have been reported. [32][33][34][35] When diagnostic criteria for MDD are used, the prevalence is 14.3%.…”

Section: Additional Resourcesmentioning

confidence: 99%

“…AFFILIATIONS 1 The Ohio State University, Columbus, OH 2 American Society of Clinical Oncology, Alexandria, VA 3 City of Hope, Duarte, CA 4 Stanford University School of Medicine, Palo Alto, CA 5 Florida Cancer Specialists, West Palm Beach, FL 6 Inova Health Foundation, Falls Church, VA 7 Legorreta Cancer Center at Brown University and Lifespan Cancer Institute, Providence, RI 8 Michigan State University, East Lansing, MI 9 Brigham and Women's Hospital, Boston, MA 10 Dana-Farber Cancer Institute, Boston, MA 11 University of California, Los Angeles, Los Angeles, CA 12 Smith Center for Healing and the Arts, Washington, DC…”

Section: Corresponding Authormentioning

confidence: 99%

“…The 12-month prevalence rate for any mental disorder is significantly higher in patients with cancer compared with general population controls (odds ratio [OR], 1.28; 95% CI, 1.14 to 1.45). 4 Psychological symptoms among patients with cancer are under-recognized and undertreated. 5,6 Symptoms may be trivialized as a normal reaction to cancer diagnosis, or interpreted as secondary to physical symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Management of Anxiety and Depression in Adult Survivors of Cancer: ASCO Guideline Update

Andersen

Lacchetti

Ashing

et al. 2023

JCO

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PURPOSE To update the American Society of Clinical Oncology guideline on the management of anxiety and depression in adult cancer survivors. METHODS A multidisciplinary expert panel convened to update the guideline. A systematic review of evidence published from 2013-2021 was conducted. RESULTS The evidence base consisted of 17 systematic reviews ± meta analyses (nine for psychosocial interventions, four for physical exercise, three for mindfulness-based stress reduction [MBSR], and one for pharmacologic interventions), and an additional 44 randomized controlled trials. Psychological, educational, and psychosocial interventions led to improvements in depression and anxiety. Evidence for pharmacologic management of depression and anxiety in cancer survivors was inconsistent. The lack of inclusion of survivors from minoritized groups was noted and identified as an important consideration to provide high-quality care for ethnic minority populations. RECOMMENDATIONS It is recommended to use a stepped-care model, that is, provide the most effective and least resource-intensive intervention based on symptom severity. All oncology patients should be offered education regarding depression and anxiety. For patients with moderate symptoms of depression, clinicians should offer cognitive behavior therapy (CBT), behavioral activation (BA), MBSR, structured physical activity, or empirically supported psychosocial interventions. For patients with moderate symptoms of anxiety, clinicians should offer CBT, BA, structured physical activity, acceptance and commitment therapy, or psychosocial interventions. For patients with severe symptoms of depression or anxiety, clinicians should offer cognitive therapy, BA, CBT, MBSR, or interpersonal therapy. Treating clinicians may offer a pharmacologic regimen for depression or anxiety for patients who do not have access to first-line treatment, prefer pharmacotherapy, have previously responded well to pharmacotherapy, or have not improved following first-line psychological or behavioral management. Additional information is available at www.asco.org/survivorship-guidelines .

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“…Untersuchungen berichten Häufigkei-ten zwischen 15 und 45 %, sowie, dass anhaltende Demoralisierung, Progredienz-und Todesängste mit einem höheren Risiko für psychische Störungen, Suizidgedanken und Schwierigkeiten in der Interaktion mit medizinischen Behandler*innen einhergehen können [3,4]. Affektive Störungen treten bei Krebspatient*innen knapp doppelt so häufig auf wie in der Allgemeinbevölkerung [5]. [15].…”

Section: Konzepte Und Häufigkeit Existenzieller Belastungenunclassified

Psychodynamische Psychotherapie bei existenzieller Belastung und schwerer Erkrankung

Vehling¹,

Walbaum²,

Philipp³

2023

PiD - Psychotherapie im Dialog

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Die Haushälterin Anna findet die schwerkranke Agnes erschüttert vor. Agnes ist verstört nach einer albtraumhaften Begegnung mit ihren scheinbar zu regungslosen Statuen erfrorenen Schwestern. Agnes: „Kann mir nicht irgendjemand helfen?“ Anna: „Es ist nur ein Traum, Agnes.“ Agnes: „Nein, es ist kein Traum. Vielleicht ist es ein Traum für dich, aber nicht für mich.“ (Szene aus „Schreie und Flüstern“)

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Prevalence of mental disorders in patients with cancer compared to matched controls – secondary analysis of two nationally representative surveys

Cited by 25 publications

References 32 publications

Co‐occurring chronic pain and primary psychological disorders in adolescents: A scoping review

Co‐occurring chronic pain and primary psychological disorders in adolescents: A scoping review

Management of Anxiety and Depression in Adult Survivors of Cancer: ASCO Guideline Update

Psychodynamische Psychotherapie bei existenzieller Belastung und schwerer Erkrankung

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