Anxiety and Depression in Adult Survivors of Cancer

Publication Date: April 19, 2023

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

Medical
  • 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

...anagemen...

...eneral Management Principle...

....1All patients with cancer and any patient-i...

...ndation 1.2Clinicians should use a step...

...endation 1.3Psychological and psychos...

...tion 1.4When making a referral for f...

...ation 1.5For patients who have sympto...

...ecommendation 1.6For patients referred to and re...

...dation 1.7If pharmacologic treatment is use...

...ommendation 1.8After 8 weeks of treatment fo...


...eatment and Care Options for Depressive...

...commendation 2.1For patients with moderate...

...2.2For a patient with moderate symptoms of depr...

...tion 2.3For a patient with severe...

...mendation 2.4Treating clinicians may...


...tment and Care Options for Anxiety Symptoms...

...ion 3.1For patients with moderate to...

...ecommendation 3.2For a patient with...

...endation 3.3For a patient with severe symptoms...

...mmendation 3.4Treating clinicians may offer...


...eening and Assessment — Depression in Adults Wi...


...re 2. Care Map — Depression in Adults With...


...ning and Assessment — Anxiety in Adult...


...gure 4. Care Map — Generalized Anxiety...


...that cancer clinical trials are vital to inform...