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Depression and anxiety in long-term survivors 5 and 10 years after cancer diagnosis.
- Source :
-
Supportive Care in Cancer . Jan2020, Vol. 28 Issue 1, p211-220. 10p. - Publication Year :
- 2020
-
Abstract
- <bold>Purpose: </bold>Our study provides data on depression and anxiety in long-term cancer survivors, in men, women and various age groups, as well as identifies associated factors and coping-related resources.<bold>Methods: </bold>We present data obtained from 1002 cancer survivors across a large variety of tumour entities 5 years (cohort 1) and 10 years (cohort 2) after diagnosis, in a cross-sectional study. We analysed depression (PHQ-9) and anxiety (GAD-7) symptomatology in comparison with two large age- and sex-matched samples randomly selected from the general population.<bold>Results: </bold>Moderate to severe depression and anxiety were reported in 17% and 9% of cancer survivors, respectively. There were no significant differences between the 5 years and 10 years after diagnosis cohorts (p = 0.232). In both cohorts, we found higher depression and anxiety in women than in men (p < 0.001), and lower depression and anxiety in elderly patients (p < 0.001). Cancer survivors younger than 60 years of age were more depressed and anxious than the general population (p < 0.001). The variables, financial problems (Beta = 0.16, p < 0.001), global quality of life (Beta = - 0.21, p < 0.001) and cognitive function (Beta = - 0.30, p < 0.001), had the strongest association with depression and anxiety.<bold>Conclusions: </bold>For the prevention of depression and anxiety in long-term cancer survivors, individual treatment of physical and psychological symptoms is as important as social support and professional counselling. Post-treatment, cognitive limitations should be carefully assessed in long-term cancer survivorship to distinguish them from symptoms of a mental disorder, especially since younger cancer survivors of working age and female survivors seem to be more affected by depression and anxiety. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CANCER diagnosis
*ANXIETY
*CANCER patients
*AGE groups
*MENTAL illness
*ANXIETY in women
*QUALITY of life
*MENTAL health
*TUMOR diagnosis
*SOCIAL support
*CROSS-sectional method
*CASE-control method
*PSYCHOLOGICAL tests
*MENTAL depression
*QUESTIONNAIRES
*RESEARCH funding
*TUMORS
*ANXIETY disorders
*LONGITUDINAL method
TUMORS & psychology
Subjects
Details
- Language :
- English
- ISSN :
- 09414355
- Volume :
- 28
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Supportive Care in Cancer
- Publication Type :
- Academic Journal
- Accession number :
- 139902869
- Full Text :
- https://doi.org/10.1007/s00520-019-04805-1