Screening Medical Patients for Depression: Lessons From a National Program in Cancer Clinics

Walker, Jane; Wanat, Marta; Fielding, Josephine; Martín, Paul; Petit, Ariane; Burke, Katy; Sharpe, Michael

doi:10.1016/j.psym.2017.01.002

Cited by 6 publications

(4 citation statements)

References 35 publications

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“…Screening for major depression was carried out as part of usual clinical care; 80% of patients attending the relevant cancer clinics completed depression screening (the main reason that patients did not complete screening was that their oncology appointment had begun before they could do so). The screening used a conventional two-stage procedure to ensure the efficiency of the diagnostic process; this procedure is described in detail in previous publications (27,28). In brief, the first stage of screening used the Hospital Anxiety and Depression Scale (HADS) self-rated questionnaire to identify those patients who required a diagnostic interview (those with a HADS total score ≥15) (29,30).…”

Section: Major Depressionmentioning

confidence: 99%

Major Depression and Survival in People With Cancer

et al. 2021

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Objective: The question of whether depression is associated with worse survival in people with cancer remains unanswered because of methodological criticism of the published research on the topic. We aimed to study the association in a large methodologically robust study. Methods: We analyzed data on 20,582 patients with breast, colorectal, gynecological, lung, and prostate cancers who had attended cancer outpatient clinics in Scotland, United Kingdom. Patients had completed two-stage screening for major depression as part of their cancer care. These data on depression status were linked to demographic, cancer, and subsequent mortality data from national databases. We estimated the association of major depression with survival for each cancer using Cox regression. We adjusted for potential confounders and interactions between potentially time-varying confounders and the interval between cancer diagnosis and depression screening, and used multiple imputation for missing depression and confounder data. We pooled the cancer-specific results using fixed-effects meta-analysis. Results: Major depression was associated with worse survival for all cancers, with similar adjusted hazard ratios (HRs): breast cancer (

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Section: Major Depressionmentioning

confidence: 99%

Major Depression and Survival in People With Cancer

et al. 2021

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“… 2 There is a significant overlap between psychiatric symptoms and cancer with somatic symptoms such as fatigue, pain, poor sleep, and concentration. 3 , 4 Breast cancer is the most common malignant disease in women, with 458,000 affected women in Europe for an age-standardized incidence of 71 per 100,000 women and high mortality (16 per 100,000 European women). In addition, the mortality from this malignancy is higher than that from any other cancer.…”

Section: Introductionmentioning

confidence: 99%

Concomitant psychiatric symptoms and impaired quality of life in women with cervical cancer: a critical review

Klügel¹,

Lücke²,

Meta³

et al. 2017

IJWH

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Our aim was to summarize the current relevant literature on concomitant psychiatric symptoms with a focus on anxiety/depression in a population with gynecologic cancer; to identify the predictors, associated factors, and prevention strategies of psychiatric disorders; to examine psychiatric disorders in a population with recurrent gynecologic cancer; and to describe the limitations of the literature and future research areas. Little is known about attending psychiatric disorders in patients with gynecologic and other malignant diseases like cervical or breast cancer. However, patients suffering from other types of gynecologic cancer (eg, genital/cervical cancer) may also have an increased risk of psychiatric symptoms. In this review, we identify the potential information deficits in this field. A two-rater independent literature search was conducted using the PubMed/Google Scholar search engines to systematically evaluate the literature on the research objectives, followed by a critical reflection on the results. Of the 77 screened studies, 15 met the criteria for inclusion in this review. Patients with gynecologic malignancies, especially cervical cancer, had a very high prevalence of psychiatric symptoms including depression (33%–52%). Additionally, the risk groups facing higher rates of concomitant reduced quality of life and increased psychiatric symptoms such as depression were identified. Specifically, low socioeconomic status, sexual inactivity, absence of a partner, and physical symptoms were correlated with an increased risk. Patients suffering from recurrent gynecologic cancer should receive particular attention because of their significantly increased risk of depressive symptoms. Screening programs are needed to detect psychiatric symptoms in cervical cancer patients and the associated high-risk groups. Regular screening should be implemented, and psychosocial care should be provided during follow-up.

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“…The screening program used a conventional two-stage procedure, which has been described in detail in previous publications (1,12). In brief, the first stage of screening used the Hospital Anxiety and Depression Scale (HADS) self-rated questionnaire to identify those patients who required a diagnostic interview (those with a HADS total score ≥ 15) (13,14).…”

Section: Settingmentioning

confidence: 99%

Suicidal Thoughts in Patients With Cancer and Comorbid Major Depression: Findings From a Depression Screening Program

Walker

Magill

Rosenstein

et al. 2022

Journal of the Academy of Consultation-Liaison Psychiatry

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Screening Medical Patients for Depression: Lessons From a National Program in Cancer Clinics

Abstract: Screening has the potential to offer a solution to the well-documented problem of missed depression and other psychiatric diagnoses, thereby improving patient care if closely linked to treatment provision.

Cited by 6 publications

References 35 publications

Major Depression and Survival in People With Cancer

Major Depression and Survival in People With Cancer

Concomitant psychiatric symptoms and impaired quality of life in women with cervical cancer: a critical review

Suicidal Thoughts in Patients With Cancer and Comorbid Major Depression: Findings From a Depression Screening Program

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