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Cited by 376Cancer survivorship and carePalliative and Oncologic CarePalliative Care and End-of-Life Issues

The DOI matches its Crossref record; 118 of the 118 references it cites were found in a registry or an index.

Psychiatric disorders in advanced cancer

Open access
Miovic, Michael, Block, Susan·2007·Cancer
DOI 10.1002/cncr.22980
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Abstract

BACKGROUND.: Emotional distress and psychiatric disorders are common among patients with advanced cancer. Oncologists play an important role in screening for these conditions, providing first‐line treatment and referring patients for further evaluation and treatment when indicated. METHODS.: The literature on psycho‐oncology was reviewed, focusing on the epidemiology, assessment, and treatment of psychiatric disorders (adjustment disorders, major depression, anxiety and post‐traumatic stress, personality disorders, substance abuse, and major mental disorders such as schizophrenia and bipolar disorder) in patients with advanced cancer. Communication skills and the role of the oncologist in dealing with end‐of‐life issues were also reviewed. Relevant data were summarized from the most recent systematic reviews, epidemiological studies, and intervention trials. Clinical recommendations are provided. RESULTS.: About 50% of patients with advanced cancer meet criteria for a psychiatric disorder, the most common being adjustment disorders (11%–35%) and major depression (5%–26%). Both psychosocial and pharmacological treatments are effective for anxiety and depression, although existing studies have methodological limitations. Collaboration with mental health specialists is recommended for patients with personality disorders, major mental illness, and substance abuse problems. Effective communication involves active listening, exploring emotion and meaning, addressing prognosis, and discussing end‐of‐life issues when relevant. CONCLUSIONS.: Treating psychiatric conditions improves quality of life in patients with advanced cancer. Oncologists play a key role in screening for psychiatric disorders, initiating first‐line treatments for depression and anxiety, and communicating with patients and caregivers about prognosis and end‐of‐life issues. Cancer 2007. © 2007 American Cancer Society.

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  1. 10.1111/j.1440-1614.2004.01358.x · DOI · Paper page
  2. 2000, Diagnostic and Statistical Manual of Mental Disorders: DSM‐IV

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Metadata

Authors
Miovic, M., & Block, S.
Affiliations
Brigham and Women's Hospital (US)
Corresponding author
Miovic, Michael
ORCID
Venue
Cancer
Publisher
Wiley
Published
2007-09-19
Volume
110
Issue
8
Pages
1665-1676
ISSN
  • 0008-543X (ISSN-L)
  • 1097-0142
DOI
10.1002/cncr.22980
OpenAlex
W1983640879
Cited by
376
References
118
Citations by year
2026: 15 · 2025: 14 · 2024: 21 · 2023: 12 · 2022: 13 · 2021: 19 · 2020: 11 · 2019: 24 · 2018: 24 · 2017: 20 · 2016: 16 · 2015: 27 · 2014: 26 · 2013: 28 · 2012: 30
FWCI
1.58
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Cancer (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
Keywords
advanced cancer, mental illness, psycho-oncology, depression, anxiety, post-traumatic stress, adjustment disorder, personality disorders, substance abuse, schizophrenia, bipolar disorder, end-of-life communication, screening, psychosocial interventions, pharmacotherapy, quality of life
MeSH terms
Mental Disorders, Humans, Neoplasms, Psychotropic Drugs

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