Comorbidity of common mental disorders with cancer and their treatment gap: findings from the World Mental Health Surveys: Cancer, mental health and treatment gap
Open accessAbstract
OBJECTIVE: This study aimed to study the comorbidity of common mental disorders (CMDs) and cancer, and the mental health treatment gap among community residents with active cancer, cancer survivors and cancer-free respondents in 13 high-income and 11 low-middle-income countries. METHODS: Data were derived from the World Mental Health Surveys (N = 66,387; n = 357 active cancer, n = 1373 cancer survivors, n = 64,657 cancer-free respondents). The World Health Organization/Composite International Diagnostic Interview was used in all surveys to estimate CMDs prevalence rates. Respondents were also asked about mental health service utilization in the preceding 12 months. Cancer status was ascertained by self-report of physician's diagnosis. RESULTS: Twelve-month prevalence rates of CMDs were higher among active cancer (18.4%, SE = 2.1) than cancer-free respondents (13.3%, SE = 0.2) adjusted for sociodemographic confounders and other lifetime chronic conditions (adjusted odds ratio (AOR) = 1.44, 95% CI 1.05-1.97). CMD rates among cancer survivors (14.6%, SE = 0.9) compared with cancer-free respondents did not differ significantly (AOR = 0.95, 95% CI 0.82-1.11). Similar patterns characterized high-income and low-middle-income countries. Of respondents with active cancer who had CMD in the preceding 12 months, 59% sought services for mental health problems (SE = 5.3). The pattern of service utilization among people with CMDs by cancer status (highest among persons with active cancer, lower among survivors and lowest among cancer-free respondents) was similar in high-income (64.0%, SE = 6.0; 41.2%, SE = 3.0; 35.6%, SE = 0.6) and low-middle-income countries (46.4%, SE = 11.0; 22.5%, SE = 9.1; 17.4%, SE = 0.7). CONCLUSIONS: Community respondents with active cancer have higher CMD rates and high treatment gap. Comprehensive cancer care should consider both factors.
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Delivery of psychosocial interventions across survivorship is limited by physical, organizational, and attitudinal barriers, which contribute to a mental health care treatment gap in cancer settings.
“Despite the efficacy of psychosocial interventions in minimizing psychosocial morbidity in breast cancer survivors (BCSs), intervention delivery across survivorship is limited by physical, organizational, and attitudinal barriers, which contribute to a mental health care treatment gap in cancer settings.”
From Development and Evaluation of the Usefulness, Usability, and Feasibility of iNNOV Breast Cancer: Mixed Methods Study (2022) · cites this paper as [19]
The Introduction section on the treatment gap (page unavailable) says that service availability and accessibility and stigma may contribute to a mental health treatment gap among people with cancer; the Conclusion recommends addressing those barriers. The paper does not specifically establish that physical, organizational, and attitudinal barriers limit delivery of psychosocial interventions across survivorship, and it presents the barriers’ contribution as possible rather than certain. (LLM, conf=0.83)
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- Authors
- Nakash, O., Levav, I., Aguilar-Gaxiola, S., Alonso, J., Andrade, L. H., Angermeyer, M. C., Bruffaerts, R., Caldas-de-Almeida, J. M., Florescu, S., de Girolamo, G., Gureje, O., He, Y., Hu, C., de Jonge, P., Karam, E. G., Kovess-Masfety, V., Medina-Mora, M. E., Moskalewicz, J., Murphy, S., Nakamura, Y., Piazza, M., Posada-Villa, J., Stein, D. J., Taib, N. I., Zarkov, Z., Kessler, R. C., & Scott, K. M.
- Affiliations
- Reichman University (IL)
- University of Haifa (IL)
- Center for Reducing Health Disparities (CRHD), Community Engagement Program of the Clinical Translational Science Center (CTSC); University of California, Davis, School of Medicine; Sacramento CA USA
- Universitat Pompeu Fabra (ES)
- Universidade de São Paulo (BR)
- Center for Public Mental Health; Gosing am Wagram Austria
- KU Leuven (BE)
- Chronic Diseases Research Center (CEDOC) and Department of Mental Health; Faculdade de Ciências Médicas, Universidade Nova de Lisboa; Lisbon Portugal
- National School of Public Health, Management and Professional Development (RO)
- Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS); Centro S. Giovanni di Dio Fatebenefratelli; Brescia Italy
- University College Hospital, Ibadan (NG)
- Shantou University Mental Health Center (CN)
- Shenzhen KangNing Hospital (CN)
- University Medical Center Groningen; Groningen The Netherlands
- University of Balamand (LB)
- Directrice EA 4069, Department of Epidemiology and Biostatistics; Paris Descartes University Research Unit EHESP, School for Public Health; Paris France
- Instituto Nacional de Psiquiatria Ramon de la Fuente; Mexico City Mexico
- Institute of Psychiatry and Neurology (PL)
- University of Ulster (GB)
- Jichi Medical University (JP)
- Universidad Peruana Cayetano Heredia (PE)
- Universidad Colegio Mayor de Cundinamarca; Bogota Colombia
- University of Cape Town (ZA)
- Mental Health Center - Duhok; Kurdistan Region Iraq
- National Center of Public Health and Analyses (BG)
- Harvard University (US)
- University of Otago (NZ)
- Corresponding author
- Nakash, Ora
- ORCID
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2013-08-27
- Volume
- 23
- Issue
- 1
- Pages
- 40-51
- ISSN
- 1057-9249 (ISSN-L)
- PMC
- PMC3992888
- OpenAlex
- W2137178355
- Cited by
- 117
- References
- 59
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 9 · 2023: 13 · 2022: 12 · 2021: 14 · 2020: 8 · 2019: 11 · 2018: 14 · 2017: 8 · 2016: 8 · 2015: 7 · 2014: 3 · 2013: 1
- FWCI
- 3.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- RECERCAT (Consorci de Serveis Universitaris de Catalunya) (acceptedVersion)
- Smith ScholarWorks (Smith College) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Repositori digital de la UPF (Universitat Pompeu Fabra) (submittedVersion)
- Funders
- National Institutes of Health (5r13mh066849-04, 5r01mh069864-04, 5r01mh070884-05)
- National Institute of Mental Health (R13-MH-066849, R01‐MH070884, R01MH059575, U01MH060220, R01‐MH069864)
- National Institute on Drug Abuse (K05DA015799, R01DA016558)
- Fogarty International Center (R03TW006481)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Keywords
- common mental disorders, cancer, cancer survivors, mental health treatment gap, mental health service utilization, comorbidities, prevalence, high-income countries, low-middle income countries, comprehensive cancer care
- MeSH terms
- Adult, Mental Disorders, Developing Countries, Female, Health Surveys, Humans, Male, Mental Health Services, Neoplasms, Socioeconomic Factors, Global Health, Comorbidity, Survivors, Developed Countries
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