Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age
- PMID: 22727334
- DOI: 10.1016/j.jad.2012.03.025
Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age
Abstract
Background: Reported prevalence of emotional distress in cancer patients varies widely across studies. The present study determined prevalence of anxiety and depression (separated for presence of symptoms versus clinical levels) in a large, representative sample of cancer patients after diagnosis.
Method: During the years 2004-2009, 10,153 consecutive patients were routinely screened with the Psychosocial Screen for Cancer questionnaire at two major cancer centers.
Results: Patients' mean age was 59 years and 45% were men. Across cancer types, 19.0% of patients showed clinical levels of anxiety and another 22.6% had subclinical symptoms. Further, 12.9% of patients reported clinical symptoms of depression and an additional 16.5% described subclinical symptoms. Analyses by cancer type revealed significant differences such that patients with lung, gynecological, or hematological cancer reported the highest levels of distress at the time point of cancer diagnosis. As expected, women showed higher rates of anxiety and depression, and for some cancer types the prevalence was two to three times higher than that seen for men. In some cancer types emotional distress was inversely related to age. Patients younger than 50 and women across all cancer types revealed either subclinical or clinical levels of anxiety in over 50% of cases.
Limitations: Findings describe levels of emotional distress after diagnosis but cannot inform about trajectories of anxiety and depression over time.
Conclusion: Given that levels of anxiety and depression varied widely by cancer type, gender, and age, these results inform which cancer patients are most likely in need of psychosocial support.
Copyright © 2012 Elsevier B.V. All rights reserved.
Similar articles
-
Depression and anxiety among left-behind children in China: a systematic review.Child Care Health Dev. 2015 Jul;41(4):515-23. doi: 10.1111/cch.12221. Epub 2014 Dec 14. Child Care Health Dev. 2015. PMID: 25495395 Review.
-
Depression and anxiety in cancer patients in a Tertiary General Hospital in Singapore.Asian J Psychiatr. 2014 Apr;8:33-7. doi: 10.1016/j.ajp.2013.10.002. Epub 2013 Oct 14. Asian J Psychiatr. 2014. PMID: 24655623
-
Higher emotional distress in female partners of cancer patients: prevalence and patient-partner interdependencies in a 3-year cohort.Psychooncology. 2013 Dec;22(12):2693-701. doi: 10.1002/pon.3331. Epub 2013 Jul 3. Psychooncology. 2013. PMID: 23825026
-
The prevalence of anxiety and depression in adults with implantable cardioverter defibrillators: a systematic review.J Psychosom Res. 2011 Oct;71(4):223-31. doi: 10.1016/j.jpsychores.2011.02.014. Epub 2011 Apr 20. J Psychosom Res. 2011. PMID: 21911099 Review.
-
Flourishing or floundering? Prevalence and correlates of anxiety and depression among a population-based sample of adult cancer survivors 6months after diagnosis.J Affect Disord. 2011 Dec;135(1-3):184-92. doi: 10.1016/j.jad.2011.07.016. Epub 2011 Aug 23. J Affect Disord. 2011. PMID: 21864913
Cited by
-
12-Month Trajectories of Health-Related Quality of Life Following Hospitalization in German Cancer Centers-A Secondary Data Analysis.Curr Oncol. 2024 Apr 23;31(5):2376-2392. doi: 10.3390/curroncol31050177. Curr Oncol. 2024. PMID: 38785458 Free PMC article.
-
For the Long Haul: Management of Long-Term Survivors after Melanoma Systemic Therapy.Curr Oncol Rep. 2024 Jul;26(7):804-817. doi: 10.1007/s11912-024-01541-6. Epub 2024 May 23. Curr Oncol Rep. 2024. PMID: 38780676 Review.
-
Comparing symptom clusters in cancer survivors by cancer diagnosis: A latent class profile analysis.Support Care Cancer. 2024 Apr 25;32(5):308. doi: 10.1007/s00520-024-08489-0. Support Care Cancer. 2024. PMID: 38662054 Free PMC article.
-
Cancer Care Supportive Text Messaging Program (Text4Hope) for People Living With Cancer and Their Caregivers During the COVID-19 Pandemic: Longitudinal Observational Study.JMIR Form Res. 2024 Apr 24;8:e53668. doi: 10.2196/53668. JMIR Form Res. 2024. PMID: 38657234 Free PMC article.
-
Emotional and functional well-being in long-term breast cancer survivorship.Cancer Causes Control. 2024 Apr 20. doi: 10.1007/s10552-024-01877-1. Online ahead of print. Cancer Causes Control. 2024. PMID: 38642278
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical
Research Materials