Cargando…

Depression and anxiety among people living with and beyond cancer: a growing clinical and research priority

BACKGROUND: A cancer diagnosis can have a substantial impact on mental health and wellbeing. Depression and anxiety may hinder cancer treatment and recovery, as well as quality of life and survival. We argue that more research is needed to prevent and treat co-morbid depression and anxiety among peo...

Descripción completa

Detalles Bibliográficos
Autores principales: Niedzwiedz, Claire L., Knifton, Lee, Robb, Kathryn A., Katikireddi, Srinivasa Vittal, Smith, Daniel J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6788022/
https://www.ncbi.nlm.nih.gov/pubmed/31604468
http://dx.doi.org/10.1186/s12885-019-6181-4
_version_ 1783458406156206080
author Niedzwiedz, Claire L.
Knifton, Lee
Robb, Kathryn A.
Katikireddi, Srinivasa Vittal
Smith, Daniel J.
author_facet Niedzwiedz, Claire L.
Knifton, Lee
Robb, Kathryn A.
Katikireddi, Srinivasa Vittal
Smith, Daniel J.
author_sort Niedzwiedz, Claire L.
collection PubMed
description BACKGROUND: A cancer diagnosis can have a substantial impact on mental health and wellbeing. Depression and anxiety may hinder cancer treatment and recovery, as well as quality of life and survival. We argue that more research is needed to prevent and treat co-morbid depression and anxiety among people with cancer and that it requires greater clinical priority. For background and to support our argument, we synthesise existing systematic reviews relating to cancer and common mental disorders, focusing on depression and anxiety. We searched several electronic databases for relevant reviews on cancer, depression and anxiety from 2012 to 2019. Several areas are covered: factors that may contribute to the development of common mental disorders among people with cancer; the prevalence of depression and anxiety; and potential care and treatment options. We also make several recommendations for future research. Numerous individual, psychological, social and contextual factors potentially contribute to the development of depression and anxiety among people with cancer, as well as characteristics related to the cancer and treatment received. Compared to the general population, the prevalence of depression and anxiety is often found to be higher among people with cancer, but estimates vary due to several factors, such as the treatment setting, type of cancer and time since diagnosis. Overall, there are a lack of high-quality studies into the mental health of people with cancer following treatment and among long-term survivors, particularly for the less prevalent cancer types and younger people. Studies that focus on prevention are minimal and research covering low- and middle-income populations is limited. CONCLUSION: Research is urgently needed into the possible impacts of long-term and late effects of cancer treatment on mental health and how these may be prevented, as increasing numbers of people live with and beyond cancer.
format Online
Article
Text
id pubmed-6788022
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-67880222019-10-18 Depression and anxiety among people living with and beyond cancer: a growing clinical and research priority Niedzwiedz, Claire L. Knifton, Lee Robb, Kathryn A. Katikireddi, Srinivasa Vittal Smith, Daniel J. BMC Cancer Debate BACKGROUND: A cancer diagnosis can have a substantial impact on mental health and wellbeing. Depression and anxiety may hinder cancer treatment and recovery, as well as quality of life and survival. We argue that more research is needed to prevent and treat co-morbid depression and anxiety among people with cancer and that it requires greater clinical priority. For background and to support our argument, we synthesise existing systematic reviews relating to cancer and common mental disorders, focusing on depression and anxiety. We searched several electronic databases for relevant reviews on cancer, depression and anxiety from 2012 to 2019. Several areas are covered: factors that may contribute to the development of common mental disorders among people with cancer; the prevalence of depression and anxiety; and potential care and treatment options. We also make several recommendations for future research. Numerous individual, psychological, social and contextual factors potentially contribute to the development of depression and anxiety among people with cancer, as well as characteristics related to the cancer and treatment received. Compared to the general population, the prevalence of depression and anxiety is often found to be higher among people with cancer, but estimates vary due to several factors, such as the treatment setting, type of cancer and time since diagnosis. Overall, there are a lack of high-quality studies into the mental health of people with cancer following treatment and among long-term survivors, particularly for the less prevalent cancer types and younger people. Studies that focus on prevention are minimal and research covering low- and middle-income populations is limited. CONCLUSION: Research is urgently needed into the possible impacts of long-term and late effects of cancer treatment on mental health and how these may be prevented, as increasing numbers of people live with and beyond cancer. BioMed Central 2019-10-11 /pmc/articles/PMC6788022/ /pubmed/31604468 http://dx.doi.org/10.1186/s12885-019-6181-4 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Debate
Niedzwiedz, Claire L.
Knifton, Lee
Robb, Kathryn A.
Katikireddi, Srinivasa Vittal
Smith, Daniel J.
Depression and anxiety among people living with and beyond cancer: a growing clinical and research priority
title Depression and anxiety among people living with and beyond cancer: a growing clinical and research priority
title_full Depression and anxiety among people living with and beyond cancer: a growing clinical and research priority
title_fullStr Depression and anxiety among people living with and beyond cancer: a growing clinical and research priority
title_full_unstemmed Depression and anxiety among people living with and beyond cancer: a growing clinical and research priority
title_short Depression and anxiety among people living with and beyond cancer: a growing clinical and research priority
title_sort depression and anxiety among people living with and beyond cancer: a growing clinical and research priority
topic Debate
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6788022/
https://www.ncbi.nlm.nih.gov/pubmed/31604468
http://dx.doi.org/10.1186/s12885-019-6181-4
work_keys_str_mv AT niedzwiedzclairel depressionandanxietyamongpeoplelivingwithandbeyondcanceragrowingclinicalandresearchpriority
AT kniftonlee depressionandanxietyamongpeoplelivingwithandbeyondcanceragrowingclinicalandresearchpriority
AT robbkathryna depressionandanxietyamongpeoplelivingwithandbeyondcanceragrowingclinicalandresearchpriority
AT katikireddisrinivasavittal depressionandanxietyamongpeoplelivingwithandbeyondcanceragrowingclinicalandresearchpriority
AT smithdanielj depressionandanxietyamongpeoplelivingwithandbeyondcanceragrowingclinicalandresearchpriority