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
...nagemen...
...General Management Princip...
...1.1All patients with cancer and any patient-i...
...1.2Clinicians should use a stepped-care model, i...
....3Psychological and psychosocial intervent...
...ommendation 1.4When making a referral f...
...mendation 1.5For patients who have symptoms of bo...
...endation 1.6For patients referred to and receiv...
...commendation 1.7If pharmacologic tre...
Recommendation 1.8After 8 weeks of...
...reatment and Care Options for Depressive Sy...
...2.1For patients with moderate to severe depres...
...n 2.2For a patient with moderate symptoms of depr...
...dation 2.3For a patient with severe symptoms o...
...ndation 2.4Treating clinicians may o...
...and Care Options for Anxiety Symptoms...
...3.1For patients with moderate to severe an...
...ation 3.2For a patient with moderate symptoms of a...
...tion 3.3For a patient with severe sym...
...3.4Treating clinicians may offer a pharmacol...
...igure 1. Screening and Assessment — Depr...
...re 2. Care Map — Depression in Adults With Can...
...Screening and Assessment — Anxiety in...
...Care Map — Generalized Anxiety in Adul...
...believes that cancer clinical trials are vita...