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...
....0 General Management Princ...
...endation 1.1All patients with cancer and...
...1.2Clinicians should use a stepped-care...
...mendation 1.3Psychological and psychosocial i...
Recommendation 1.4When making a referr...
...tion 1.5For patients who have sympt...
...ndation 1.6For patients referred to and receivin...
...mendation 1.7If pharmacologic treatment is...
...tion 1.8After 8 weeks of treatment for...
...reatment and Care Options for Depr...
...tion 2.1For patients with moderate to severe...
....2For a patient with moderate symptoms of de...
...mmendation 2.3For a patient with severe sym...
...2.4Treating clinicians may offer a pharmacologic r...
...and Care Options for Anxiety Symp...
...ecommendation 3.1For patients with moderate t...
...ndation 3.2For a patient with moderate symptom...
...n 3.3For a patient with severe symptoms of an...
...n 3.4Treating clinicians may offer a p...
...1. Screening and Assessment — Depress...
...Map — Depression in Adults With Cancer...
...ning and Assessment — Anxiety in Adu...
...re Map — Generalized Anxiety in Adults Wit...
...es that cancer clinical trials are vital to in...