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Cited by 161Cancer survivorship and careChildhood Cancer Survivors' Quality of LifePalliative and Oncologic Care

What goes up does not always come down: patterns of distress, physical and psychosocial morbidity in people with cancer over a one year period

Carlson, Linda E., Waller, Amy, Groff, Shannon L., Giese‐Davis, Janine, Bultz, Barry D.·2013·Psycho-Oncology
DOI 10.1002/pon.2068
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Abstract

Background: As the concept of distress as the 6th vital sign gains strength in cancer care, research on the experience of patients is critical. This study longitudinally examined patients' physical and psychosocial concerns over the year following diagnosis. Methods: Between July 2007 and February 2008, patients attending a large tertiary cancer centre were recruited to participate in a study examining their levels of distress, pain, fatigue, depression and anxiety over a year. Results: A total of 877 patients provided baseline data with 620, 589 and 505 retained at 3, 6 and 12 months, respectively. Overall, levels of distress, depression and anxiety decreased significantly over the study period. No significant changes were found in levels of pain or fatigue. Demographics (being unmarried) and medical interventions (particularly having radiation therapy) predicted persistent distress, anxiety and depression, whereas receiving psychosocial support predicted decreased levels of distress, anxiety and depression. Some patients reported continued clinical levels of distress (29%), pain (19%) and fatigue (40%) 12 months post diagnosis. Discussion: For some people, distress, depression, and anxiety may be transient and decrease over time, but for others they may be sustained. Pain and fatigue may remain present in many cancer patients. There is a need to modify current clinical practice to facilitate the appropriate assessment and management of distress. Copyright © 2011 John Wiley & Sons, Ltd.

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  • Time since treatment is evidenced to impact psychosocial symptom prevalence.

    “Time since treatment is evidenced to impact psychosocial symptom prevalence, 78”

    From Mindfulness and Psychosocial Symptoms in People with Cancer: Testing Rumination and Experiential Avoidance as Mediators, and Sex as a Moderator. (2025) · cites this paper as [78]

  • In many people, distress peaks after diagnosis and then wanes throughout treatment and follow-up, but a minority suffer ongoing symptoms that do not naturally remit.

    “In many people, distress peaks after diagnosis and then wanes throughout treatment and follow-up, but there are a minority of patients who suffer ongoing symptoms that do not naturally remit (Carlson et al. 2013), and certain transition points are associated with peaks in distress (see Table 1).”

    From Psychosocial and Integrative Oncology: Interventions Across the Disease Trajectory. (2023) · cites this paper as Carlson et al. 2013

  • Twelve months post-diagnosis, many patients continued to report significantly elevated levels of distress (29%), pain (19%), and fatigue (40%), while levels of anxiety and depression had decreased to below 10%.

    “Twelve months post-diagnosis, many patients continued to report significantly elevated levels of distress (29%), pain (19%), and fatigue (40%), while levels of anxiety and depression had decreased to below 10% (Carlson et al. 2013).”

    From Psychosocial and Integrative Oncology: Interventions Across the Disease Trajectory. (2023) · cites this paper as Carlson et al. 2013

  • In a longitudinal study following close to 900 patients from diagnosis through 1 year, levels of distress, depression, and anxiety decreased significantly over time, but no significant changes were found in levels of pain or fatigue.

    “In a study in which we followed close to 900 patients longitudinally from the time of diagnosis through 1 year, levels of distress, depression, and anxiety decreased significantly over time, but no significant changes were found in levels of pain or fatigue (Carlson et al. 2013).”

    From Psychosocial and Integrative Oncology: Interventions Across the Disease Trajectory. (2023) · cites this paper as Carlson et al. 2013

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Authors
Carlson, L. E., Waller, A., Groff, S. L., Giese‐Davis, J., & Bultz, B. D.
Affiliations
  • University of Calgary (CA)
  • Department of Psychosocial Resources Tom Baker Cancer Centre Calgary Alberta Canada
Corresponding author
Carlson, Linda E.
ORCID
Venue
Psycho-Oncology
Publisher
Wiley
Published
2011-10-04
Volume
22
Issue
1
Pages
168-176
ISSN
  • 1057-9249 (ISSN-L)
  • 1099-1611
DOI
10.1002/pon.2068
OpenAlex
W1543591108
Cited by
161
References
62
Citations by year
2026: 2 · 2025: 10 · 2024: 8 · 2023: 10 · 2022: 11 · 2021: 8 · 2020: 12 · 2019: 11 · 2018: 14 · 2017: 17 · 2016: 11 · 2015: 7 · 2014: 18 · 2013: 12 · 2012: 8
FWCI
6.14
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Psycho-Oncology (publishedVersion)
  • PubMed (publishedVersion)
Funders
International Business Machines Corporation
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
Keywords
cancer-related distress, depression, anxiety, cancer pain, cancer-related fatigue, psychosocial morbidity, psychosocial support, radiotherapy, marital status, distress assessment
MeSH terms
Adaptation, Psychological, Adult, Aged, Anxiety, Canada, Depression, Fatigue, Female, Humans, Longitudinal Studies, Male, Middle Aged, Morbidity, Neoplasms, Pain, Psychiatric Status Rating Scales, Regression Analysis, Risk Factors, Social Support, Socioeconomic Factors, Stress, Psychological, Prevalence

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