Anxiety and Depression in Adult Survivors of Cancer
Key Points
Key Points
- The psychological toll cancer takes on the growing population of survivors is often overlooked.
- Identification and treatment of cancer patients with comorbid psychiatric disorders, either pre existing or newly arising, remains imperative.
- Along with depression, anxiety is common among this population and continues to be an under addressed condition.
Table 1. Risk Factors for Anxiety and Depression in Cancer
- Advanced disease
- Intense or aggressive treatment(s); multiple treatments
- Higher symptom/side effect, adverse event burden
- Co-morbid medical conditions
- Few rehabilitative options
- Poor patient/doctor relationship
Personal
- Prior psychiatric history
- Past trauma history
- Helpless/hopeless outlook
- Low education level
- Low income
- Marital/interpersonal relationship conflict
- Younger age (<40)
Social
- Singleton (without marital or other partner)
- Limited social contacts
- Insufficient social support
- Limited access to service resources
- Socioenvironmental stressors
- Social stigma
Management
...anagement...
...l Management Principles...
....1All patients with cancer and any patient-id...
...1.2Clinicians should use a stepped-care model,...
...mendation 1.3Psychological and psychosocial interv...
...on 1.4When making a referral for fu...
...dation 1.5For patients who have symptoms of both...
...ommendation 1.6For patients referred to...
...dation 1.7If pharmacologic treatment i...
...n 1.8After 8 weeks of treatment for depression...
...eatment and Care Options for Depress...
...ation 2.1For patients with moderate to severe dep...
...commendation 2.2For a patient with moderat...
...on 2.3For a patient with severe symptoms of depres...
...on 2.4Treating clinicians may offer...
...Treatment and Care Options for Anxiety Sy...
...dation 3.1For patients with moderate to sev...
...ecommendation 3.2For a patient with moderate...
...on 3.3For a patient with severe symptoms of...
...endation 3.4Treating clinicians may offer...
...ning and Assessment — Depression in Adult...
...e 2. Care Map — Depression in Adults...
...ening and Assessment — Anxiety in Adults With...
...ap — Generalized Anxiety in Adults With Cancer...
...eves that cancer clinical trials are vital t...