STRESSORS, SYMPTOM PROFILE, AND PREDICTORS OF ADJUSTMENT DISORDER IN CANCER PATIENTS. RESULTS FROM AN EPIDEMIOLOGICAL STUDY WITH THE COMPOSITE INTERNATIONAL DIAGNOSTIC INTERVIEW, ADAPTATION FOR ONCOLOGY (CIDI-O)
Open accessAbstract
BACKGROUND: We aimed to investigate type and frequency of stressors, predominant symptom profiles, and predictors of adjustment disorders (AD) in cancer patients across major tumor entities. METHODS: In this epidemiological study, we examined 2,141 cancer patients out of 4,020 screened with the Composite International Diagnostic Interview, adaptation for oncology (CIDI-O). AD were operationalized as subthreshold disorders according to DSM-IV criteria. RESULTS: In our sample, 265 out of 2,141 patients (12.4%) met all criteria for AD (unweighted 4-week prevalence). The disclosure of the cancer diagnosis, relapse or metastases, and cancer treatments were most frequently described as stressors associated with depressive or anxious symptoms. With regard to AD symptom profiles, patients showed high prevalence rates of affective symptoms according to the DSM-IV criteria of Major Depression: The highest prevalence rates were found for cognitive disturbances (concentration and memory problems) (88%), sleeping disturbances (86%), and depressive mood (83%). We found sex, education, and metastasis as significant predictors for AD. Higher education was the most influential predictor. Men were half as likely to report symptoms fulfilling the AD criteria as women. Patients with metastasized tumors had a more than 80% higher risk of AD than those without metastasis. However, the explained variance of our model is very small (Nagelkerke's R² = 0.08). CONCLUSIONS: Patients with AD can be identified using a standardized instrument and deserve clinical attention, as they often show severe clinical symptoms and impairments. Improving the clinical conceptualization of AD by the adding-on of potential stress-response-symptoms is necessary to identify severe psychological strain.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The prevalence rate of 13-15% is in line with two previous studies reporting prevalence rates of 12%.
“The prevalence rate of 13–15% is in line with two previous studies reporting prevalence rates of 12% [4, 5].”
From Adjustment disorder in cancer patients after treatment: prevalence and acceptance of psychological treatment (2022) · cites this paper as [5]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369 · see citing works
Causal Relationship Between Stressful Life Events and the Onset of Major Depression
Kendler, K. S., Karkowski, L. M., & Prescott, C. A. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.6.837 · Cited by 2,486 · cited 1× · see citing works
“Analyzing the duration of AD is necessary to understand underlying etiological mechanisms, particularly concerning the question raised by several authors,[32, 33] whether AD can be regarded as (only) a transient diagnosis or as a disorder that should be treated to prevent a chronification or a shift to a more severe a…”
BackgroundMitchell, A. J., Chan, M., Bhatti, H., Halton, M., Grassi, L., Johansen, C., & Meader, N. (2011) · The Lancet Oncology · doi:10.1016/s1470-2045(11)70002-x · Cited by 2,449 · see citing works
Wittchen, H.-U. (1994) · Journal of Psychiatric Research · doi:10.1016/0022-3956(94)90036-1 · Cited by 2,348 · see citing works
Löwe, B., Kroenke, K., Herzog, W., & Gräfe, K. (2004) · Journal of Affective Disorders · doi:10.1016/s0165-0327(03)00198-8 · Cited by 1,558 · cited 1× · see citing works
“We used the Patient Health Questionnaire (PHQ-9),[22] a patient self-report measure for depressive symptoms based on the DSM-IV diagnostic criteria for major depressive disorder, as a screening measure.”
MethodJACOBI, F., WITTCHEN, H.-U., HÖLTING, C., HÖFLER, M., PFISTER, H., MÜLLER, N., & LIEB, R. (2004) · Psychological Medicine · doi:10.1017/s0033291703001399 · Cited by 1,097 · see citing works
International Statistical Classification of Diseases and Related Health Problems (ICD-10)
Schrader, K. (2023) · Springer eBooks · doi:10.1007/978-3-662-61452-5_49 · Cited by 688 · see citing works
Four-Week Prevalence of Mental Disorders in Patients With Cancer Across Major Tumor Entities
Mehnert, A., Brähler, E., Faller, H., Härter, M., Keller, M., Schulz, H., Wegscheider, K., Weis, J., Boehncke, A., Hund, B., et al. (2014) · Journal of Clinical Oncology · doi:10.1200/jco.2014.56.0086 · Cited by 649 · see citing works
Self-citationAkechi, T., Okuyama, T., Sugawara, Y., Nakano, T., Shima, Y., & Uchitomi, Y. (2004) · Journal of Clinical Oncology · doi:10.1200/jco.2004.08.149 · Cited by 537 · see citing works
Mehnert, A., & Koch, U. (2007) · Psycho-Oncology · doi:10.1002/pon.1057 · Cited by 402 · see citing works
Self-citationPrevalence of mental health conditions in cancer patients in acute care—a meta-analysis
Singer, S., Das-Munshi, J., & Brähler, E. (2010) · Annals of Oncology · doi:10.1093/annonc/mdp515 · Cited by 392 · see citing works
Self-citationPosttraumatic Stress and Posttraumatic Growth in Cancer Survivorship: A Review
Jim, H., & Jacobsen, P. B. (2008) · The Cancer Journal · doi:10.1097/ppo.0b013e31818d8963 · Cited by 236 · see citing works
Stress Response Syndromes and Cancer: Conceptual and Assessment Issues
Gurevich, M., Devins, G. M., & Rodin, G. (2002) · Psychosomatics · doi:10.1176/appi.psy.43.4.259 · Cited by 234 · see citing works
Maercker, A., Einsle, F., & Köllner, V. (2007) · Psychopathology · doi:10.1159/000099290 · Cited by 202 · see citing works
Keller, G. H. M. (1999) · Acta Oncologica · doi:10.1080/028418699432905 · Cited by 97 · see citing works
Mehnert, A., Koch, U., Schulz, H., Wegscheider, K., Weis, J., Faller, H., Keller, M., Brähler, E., & Härter, M. C. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-70 · Cited by 93 · see citing works
Self-citationPrevalence and 12-month outcome of threshold and subthreshold mental disorders in primary care
Pini, S., Perkonnig, A., Tansella, M., & Wïttchen, H. (1999) · Journal of Affective Disorders · doi:10.1016/s0165-0327(99)00141-x · Cited by 90 · see citing works
Mehnert, A., Vehling, S., Scheffold, K., Ladehoff, N., Schön, G., Wegscheider, K., Heckl, U., Weis, J., & Koch, U. (2013) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/s-0033-1347197 · Cited by 68 · see citing works
Self-citationImproving the Recognition and Treatment of Cancer-Related Posttraumatic Stress Disorder
French-Rosas, L. N., Moye, J., & Naik, A. D. (2011) · Journal of Psychiatric Practice · doi:10.1097/01.pra.0000400264.30043.ae · Cited by 61 · see citing works
Cancer and post-traumatic stress disorder: Diagnosis, pathogenesis and treatment considerations
Rustad, J. K., David, D., & Currier, M. B. (2012) · Palliative and Supportive Care · doi:10.1017/s1478951511000897 · Cited by 48 · see citing works
Adult Adjustment Disorder: A Review of Its Current Diagnostic Status
Casey, P. (2001) · Journal of Psychiatric Practice · doi:10.1097/00131746-200101000-00004 · Cited by 47 · see citing works
The impact of clinical significance criteria on subthreshold depression prevalence rates
Baumeister, H., & Morar, V. (2008) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2008.01287.x · Cited by 40 · see citing works
Bley, S., Einsle, F., Maercker, A. R. A., Weidner, K., & Joraschky, P. (2007) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/s-2007-986294 · Cited by 37 · see citing works
Meyer, C., Rumpf, H., Hapke, U., & John, U. (2000) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.78 · Cited by 29 · see citing works
Hund, B., Reuter, K., Jacobi, F., Siegert, J., Wïttchen, H., Härter, M. C., & Mehnert, A. (2013) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/s-0033-1357174 · Cited by 26 · see citing works
Self-citationTakei, N., & Sugihara, G. (2006) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2006.00802.x · Cited by 16 · see citing works
Adjustment disorder: a review of diagnostic pitfalls.
Gur, S., Hermesh, H., Laufer, N., Gogol, M., & Gross‐Isseroff, R. (2005) · PubMed · Cited by 12 · see citing works
Anpassungsstörungen im Sinne einer reaktiven Depression
Baumeister, H. (2008) · Psychosomatik und Konsiliarpsychiatrie · doi:10.1007/s11800-008-0098-0 · Cited by 7 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Mehnert A, Vehling S, Scheffold K, et al. Prävalenz von Anpas- sungsst örung, Akuter und Posttraumatischer Belastungsst örung sowie somatoformen St örungen bei Krebspatienten. Psychother Psychosom Med Psychol 2013;63:466-472.
- Baumeister H. Anpassungsst örungen im Sinne einer reaktiven De- pression. Psychosom Konsiliarpsychiatr 2008;2:92-97.
Cited by
Sorted by citations
Posttraumatic stress disorder after cancer diagnosis in adults: A meta-analysis
Swartzman, S., Booth, J. N., Munro, A., & Sani, F. (2016) · Depression and Anxiety · doi:10.1002/da.22542 · Cited by 205 · see citing works
“However, many studies reported a raw proportion of the total sample with PTSD; these are the figures that we have synthesized in our review and the types of papers that we included.”
BackgroundInfluentialVehling, S., Kissane, D. W., Lo, C., Glaesmer, H., Hartung, T. J., Rodin, G., & Mehnert, A. (2017) · Cancer · doi:10.1002/cncr.30749 · Cited by 182 · see citing works
“The CIDI-O enables the diagnosis of adjustment disorders in response to specific cancer-related stressors.(29) In accordance with Diagnostic and Statistical Manual of Mental Disorders, 4th ed (DSM-IV) criteria, an adjustment disorder was diagnosed when distress was problematic, out of proportion to the clinical settin…”
MethodSelf-citationAdjustment disorder: A diagnosis whose time has come
Bachem, R., & Casey, P. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.10.034 · Cited by 157 · see citing works
Twelve-Month and Lifetime Prevalence of Mental Disorders in Cancer Patients
Kuhnt, S., Brähler, E., Faller, H., Härter, M., Keller, M., Schulz, H., Wegscheider, K., Weis, J., Boehncke, A., Hund, B., et al. (2016) · Psychotherapy and Psychosomatics · doi:10.1159/000446991 · Cited by 157 · see citing works
Self-citationWalshe, C., Roberts, D., Appleton, L., Calman, L. A., Large, P., Lloyd‐Williams, M., & Grande, G. (2017) · PLoS ONE · doi:10.1371/journal.pone.0169071 · Cited by 108 · see citing works
Hernández Blázquez, M., & Cruzado, J. A. (2016) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2016.05.010 · Cited by 70 · see citing works
Perkonigg, A., Lorenz, L., & Maercker, A. R. A. (2018) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2018.05.001 · Cited by 59 · see citing works
“Although based on the proposed ICD-11 concept, the prevalence estimate is in line with findings from other high-risk populations (Gradus et al., 2010; Hund et al., 2016; Mitchell et al., 2011).”
BackgroundMethodResultInfluentialGibson, A. W., & Graber, J. J. (2020) · Annals of Palliative Medicine · doi:10.21037/apm-20-509 · Cited by 57 · see citing works
“Additionally, patients with metastatic disease have an 80% higher risk of developing AD compared to those with nonmetastatic cancer (57).”
BackgroundBobevski, I., Kissane, D. W., Vehling, S., Mehnert, A., Murri, M. B., & Grassi, L. G. (2021) · Cancer Medicine · doi:10.1002/cam4.4406 · Cited by 57 · see citing works
Self-citationEffects of the teach-back method among cancer patients: a systematic review of the literature
Choi, S., & Choi, J. (2021) · Supportive Care in Cancer · doi:10.1007/s00520-021-06445-w · Cited by 43 · see citing works
(2018) · doi:10.1002/pon.4488 · Cited by 42 · see citing works
“We included those with relapsed disease in our sample because disease recurrence has been shown to be a stressor contributing to anxiety in individuals with cancer.(15) Participants were recruited between January 30, 2008, and October 31, 2013, from the Princess Margaret Cancer Centre, University Health Network; a com…”
BackgroundA socio-interpersonal approach to adjustment disorder: the example of involuntary job loss
Lorenz, L., Perkonigg, A., & Maercker, A. R. A. (2018) · European Journal of Psychotraumatology · doi:10.1080/20008198.2018.1425576 · Cited by 35 · see citing works
“Studies found that female gender was a risk factor for adjustment problems in cancer patients (e.g. Hund et al., 2016).”
BackgroundAderhold, C., Morawa, E., Paslakis, G., & Erim, Y. (2019) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2019.1631931 · Cited by 26 · see citing works
“patients.(25,43,58) Both constructs, PTG and SOC, seem to play a protective role against depressive symptoms.”
BackgroundVan Beek, F. E., Wijnhoven, L. M. A., Custers, J. A. E., Holtmaat, K., De Rooij, B. H., Horevoorts, N. J. E., Aukema, E. J., Verheul, S., Eerenstein, S. E. J., Strobbe, L., et al. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-021-06530-0 · Cited by 26 · see citing works
Vehling, S., Mehnert, A., Glaesmer, H., Bokemeyer, C., Oechsle, K., Härter, M. C., & Koch, U. (2021) · Psycho-Oncology · doi:10.1002/pon.5706 · Cited by 24 · see citing works
“The CIDI‐Oncology further enables diagnosis of adjustment disorders in response to specific cancer‐related stressors.(22) In accordance with DSM‐IV criteria, an adjustment disorder was diagnosed where distress was problematic, out of proportion to the clinical setting, causing impairment, no other axis I disorder was…”
MethodSelf-citationSystematic review and meta-analysis of predictors of adjustment disorders in adults
Kelber, M. S., Morgan, M. A., Beech, E. H., Smolenski, D. J., Bellanti, D. M., Galloway, L., Ojha, S., Otto, J. L., Wilson, A. L. G., Bush, N. E., et al. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.02.038 · Cited by 21 · see citing works
Springer, F., Friedrich, M., Kuba, K., Ernst, J., Glaesmer, H., Platzbecker, U., Vučinić, V., Heyne, S., Mehnert, A., & Esser, P. (2023) · Psycho-Oncology · doi:10.1002/pon.6213 · Cited by 15 · see citing works
“that receiving the diagnosis is the most frequent cancer‐related stressor.(1,9,28) Previous research based on DSM‐IV found that 59%(1) and 92%(12) of cancer‐related stressors met trauma‐criteria, which is considerably higher than in our sample.”
BackgroundSelf-citationICD-11 Adjustment Disorder among Organ Transplant Patients and Their Relatives
Bachem, R., Baumann, J., & Köllner, V. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16173030 · Cited by 14 · see citing works
“, PTSD) in organ transplant patients [29] and with the literature on AD after other stressevents such as job loss [59,60].”
BackgroundAdjustment Disorder in Female Breast Cancer Patients: Prevalence and Its Accessory Symptoms
Tang, H., Xiong, H., Deng, L.-C., Fang, Y.-X., Zhang, J., & Meng, H. (2020) · Current Medical Science · doi:10.1007/s11596-020-2205-1 · Cited by 14 · see citing works
Zou, W., Zhang, Y., Gong, L., Zhang, M., Wu, X., Xie, J., & Zhang, M. (2022) · Asia-Pacific Journal of Oncology Nursing · doi:10.1016/j.apjon.2022.03.009 · Cited by 12 · see citing works
Trajectories of adjustment disorder symptoms in post-treatment breast cancer survivors
Wijnhoven, L. M. A., Custers, J. A. E., Kwakkenbos, L., & Prins, J. B. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-022-06806-z · Cited by 9 · see citing works
Validation of the brief Adjustment Disorder New Modules with Australian oncology patients
Harris, B. E., Rice, K., Murray, C., & Thorsteinsson, E. (2023) · BioPsychoSocial Medicine · doi:10.1186/s13030-022-00259-w · Cited by 9 · see citing works
“AjD is associated with significant functional impairment and reduced quality of life [6], and an increased relational risk [7].”
BackgroundEsser, P., Kuba, K., Ernst, J., & Mehnert-Theuerkauf, A. (2019) · BMC Cancer · doi:10.1186/s12885-019-6047-9 · Cited by 8 · see citing works
Self-citationVancappel, A., Chkili, R., Eberle, D. J., Maercker, A. R. A., El‐Hage, W., & Bachem, R. (2024) · Clinical Psychology in Europe · doi:10.32872/cpe.11565 · Cited by 8 · see citing works
“Moreover, a recent large-scale study among cancer patients also found a prevalence of 12.4% of AjD (Hund et al., 2016).”
BackgroundInfluentialTaghadosi, M., Tajamoli, Z., & Aghajani, M. (2017) · Biomedical Research and Therapy · doi:10.15419/bmrat.v4i12.392 · Cited by 8 · see citing works
What are the pharmacotherapeutic options for adjustment disorder?
Hoffman, J., & Stein, D. J. (2022) · Expert Opinion on Pharmacotherapy · doi:10.1080/14656566.2022.2033209 · Cited by 7 · see citing works
“Younger age, higher education, female sex, and being single may increase the risk for AD [2,3].”
BackgroundLi, H., Lin, Y., Ji, C., Wang, X., Wu, Q., Li, Q., & Chen, Z. (2017) · Japanese Journal of Radiology · doi:10.1007/s11604-017-0614-2 · Cited by 5 · see citing works
“There have been some studies focusing on the pathways between the cerebellum and the neocortex [46].”
BackgroundTang, H., Xiong, H., Deng, L.-C., Maercker, A. R. A., Zhang, J., & Meng, H. (2020) · BMC Psychology · doi:10.1186/s40359-020-00494-2 · Cited by 5 · see citing works
Ernst, J., Friedrich, M., Vehling, S., Koch, U., & Mehnert, A. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.660588 · Cited by 5 · see citing works
Self-citationVancappel, A., Eberle, D. J., Chkili, R., Kerbage, H., Shevlin, M. E., Maercker, A. R. A., El‐Hage, W., & Bachem, R. (2025) · Psychological Test Adaptation and Development · doi:10.1027/2698-1866/a000094 · Cited by 4 · see citing works
Tumortherapie – Psychoonkologie: Qualitätsmerkmal in der Krebstherapie
Zeiss, T., & Reuter, K. (2017) · Geburtshilfe und Frauenheilkunde · doi:10.1055/s-0042-113077 · Cited by 4 · see citing works
Self-citationJuszczyk-Kalina, A., Holas, P., Bachem, R., & Roczon, P. (2026) · Journal of American College Health · doi:10.1080/07448481.2025.2593313 · Cited by 2 · see citing works
“With respect to stressors associated with AjD, the beginning of university was the most commonly mentioned stressor (55.3%).”
InfluentialWijnhoven, L. M. A., Kwakkenbos, L., Leeuw, I. M. V., Prins, J. B., & Custers, J. A. E. (2023) · Journal of Psychosocial Oncology Research and Practice · doi:10.1097/or9.0000000000000105 · Cited by 2 · see citing works
Diagnóstico y tratamiento del trastorno de adaptación en Atención Primaria
Ospina, J. P. Z., Sierra-Muñoz, J. S., & Cardeño-Castro, C. (2020) · Medicina de Familia SEMERGEN · doi:10.1016/j.semerg.2020.09.010 · Cited by 2 · see citing works
Petralia, A., Bisso, E., Concas, I., Maglitto, A., Bucolo, N., Alaimo, S., Cataldo, A. D., Signorelli, M. S., Pulvirenti, A., & Aguglia, E. (2021) · General Psychiatry · doi:10.1136/gpsych-2020-100307 · Cited by 2 · see citing works
Almaghrebi, A. H., AlHajjar, L. M., Alkusayer, A., Zahrani, S. A., & Jumah, M. A. (2023) · Research Square · doi:10.21203/rs.3.rs-3705219/v1 · Cited by 2 · see citing works
El-Gabalawy, R. M., Stoycos, S. A., Schumann, N., O’Garo, K.-G. N., & McBain, S. A. (2026) · Journal of Traumatic Stress · doi:10.1002/jts.70107 · Cited by 1 · see citing works
Genetic determinants of psychic resilience after a diagnosis of cancer
Christensen, M., & Drago, A. (2016) · Integrative Cancer Science and Therapeutics · doi:10.15761/icst.1000201 · Cited by 1 · see citing works
Bachem, R. (2022) · Springer eBooks · doi:10.1007/978-3-662-64057-9_5 · Cited by 1 · see citing works
Bachem, R. (2019) · Springer eBooks · doi:10.1007/978-3-662-58470-5_5 · Cited by 1 · see citing works
Kaba, D., Sarı, B. A., & Taner, H. A. (2023) · Pediatric Transplantation · doi:10.1111/petr.14613 · Cited by 1 · see citing works
“29 Another study examining AD in patients seeking treatment at a psychiatric outpatient clinic found that factors including young age, low education level, being single, and residing in an urban area increased the risk of AD, but gender was not identified as a significant risk factor in that…”
BackgroundWijnhoven, L. M. A., van Zutphen, L., Custers, J. A. E., van Beek, F. E., Holtmaat, K., Jansen, F., Leeuw, I. M. V., Kwakkenbos, L., & Prins, J. B. (2024) · Journal of Psychosocial Oncology Research and Practice · doi:10.1097/or9.0000000000000127 · Cited by 1 · see citing works
Diagnostik und Risikofaktoren der ICD-11 Anpassungsstörung
Lorenz, L., Makowski, L., & Maercker, A. R. A. (2019) · Trauma und Gewalt · doi:10.21706/tg-13-1-6 · Cited by 1 · see citing works
Indications for Psychotherapy in Adults in Later Life
Durns, T. A., Tolton, D., Nguyen, S. A., & Jain, N. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108693905.004
Bachem, R., & Maercker, A. R. A. (2021) · Elsevier eBooks · doi:10.1016/b978-3-437-22601-4.00010-3
(2016) · Elsevier eBooks · doi:10.1016/b978-3-437-21833-0.16001-2
Özel, F., Topuzoǧlu, A., Işık, A., Büke, B., Özarslan, N., & Hashemi, N. (2023) · Çocuk ve Gençlik Ruh Sağlığı Dergisi / Turkish Journal of Child and Adolescent Mental Health · doi:10.4274/tjcamh.galenos.2022.52244
Predictors and diagnosis of adjustment disorder in a middle-aged patient with cholangiocarcinoma
Gurm, Z., & Bauer, A. R. (2024) · Clinical Research in Practice The Journal of Team Hippocrates · doi:10.22237/crp/1724284860
Grundlagen der Diagnostik und Therapie
(2024) · Elsevier eBooks · doi:10.1016/b978-3-437-22487-4.16001-0
(2025) · Elsevier eBooks · doi:10.1016/b978-3-437-21835-4.00116-5
Vancappel, A., & Leroy, A. (2025) · Annales Médico-psychologiques revue psychiatrique · doi:10.1016/j.amp.2025.06.004
Harris, B. E., Murray, C., Rice, K., & Thorsteinsson, E. (2025) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2025.102979
Spezifisch Belastungs-assoziierte Störungen
Kapfhammer, H., Eberle, D. J., & Maercker, A. (2026) · Springer Reference Medizin · doi:10.1007/978-3-642-45028-0_71-2
Almaghrebi, A. H., AlHajjar, L. M., Alkusayer, A., Zahrani, S. A., & Jumah, M. A. (2026) · The Egyptian Journal of Neurology Psychiatry and Neurosurgery · doi:10.1186/s41983-026-01232-y
“In our study, women were significantly more likely to have probable AjD than men, consistent with previous reports [7, 10, 39, 40].”
- Authors
- Hund, B., Reuter, K., Härter, M., Brähler, E., Faller, H., Keller, M., Schulz, H., Wegscheider, K., Weis, J., Wittchen, H.-U., Koch, U., Friedrich, M., & Mehnert, A.
- Affiliations
- University Medical Center Freiburg (DE)
- University Medical Center Hamburg-Eppendorf (DE)
- University Hospital Leipzig (DE)
- University of Würzburg (DE)
- University Hospital Heidelberg (DE)
- University of Freiburg (DE)
- Institute of Clinical Psychology and Psychotherapy and Center of Clinical Epidemiology and Longitudinal Studies (CELOS); Technical University Dresden; Dresden Germany
- Corresponding author
- Mehnert, Anja
- ORCID
- Venue
- Depression and Anxiety
- Publisher
- Hindawi Limited
- Published
- 2015-10-16
- Volume
- 33
- Issue
- 2
- Pages
- 153-161
- ISSN
- 1091-4269 (ISSN-L)
- OpenAlex
- W2154222677
- Cited by
- 54
- References
- 28
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 4 · 2023: 6 · 2022: 5 · 2021: 7 · 2020: 5 · 2019: 5 · 2018: 2 · 2017: 7 · 2016: 5
- FWCI
- 2.04
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Deutsche Krebshilfe (107465)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- adjustment disorder, cancer patients, psychological stressors, symptom profiles, depressive symptoms, anxiety symptoms, cognitive disorders, sleep disorders, metastasis, sex differences, educational attainment, psychological strain
- MeSH terms
- Adjustment Disorders, Adolescent, Adult, Aged, Cross-Sectional Studies, Female, Germany, Humans, Male, Middle Aged, Neoplasms, Psychiatric Status Rating Scales, Prevalence, Epidemiologic Studies, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
