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
Managemen...
....0 General Management Principl...
...dation 1.1All patients with cancer and...
...mendation 1.2Clinicians should use a steppe...
Recommendation 1.3Psychological and p...
...n 1.4When making a referral for furth...
...commendation 1.5For patients who have sym...
...mmendation 1.6For patients referred to and re...
...mendation 1.7If pharmacologic treatment is us...
...tion 1.8After 8 weeks of treatment for...
...0 Treatment and Care Options for Depre...
...2.1For patients with moderate to severe depressive...
...ation 2.2For a patient with moderate sympt...
...mmendation 2.3For a patient with severe...
...tion 2.4Treating clinicians may offer a pharma...
...Treatment and Care Options for Anxie...
...commendation 3.1For patients with mod...
...mendation 3.2For a patient with moderate symptoms...
Recommendation 3.3For a patient with se...
...tion 3.4Treating clinicians may offer a pharmaco...
...ure 1. Screening and Assessment — Depressi...
Figure 2. Care Map — Depression in Adult...
...ure 3. Screening and Assessment — Anxie...
...ap — Generalized Anxiety in Adults With Cancer...
...s that cancer clinical trials are vital to infor...