Cited by 282Cancer survivorship and careChildhood Cancer Survivors' Quality of LifeCancer-related cognitive impairment studies

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Depression and anxiety in long-term survivors 5 and 10 years after cancer diagnosis

Götze, Heide, Friedrich, Michael, Taubenheim, Sabine, Dietz, Andreas, Lordick, Florian, Mehnert, Anja·2020·Supportive Care in Cancer

DOI 10.1007/s00520-019-04805-1

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Abstract

Purpose Our study provides data on depression and anxiety in long-term cancer survivors, in men, women and various age groups, as well as identifies associated factors and coping-related resources.Methods We present data obtained from 1002 cancer survivors across a large variety of tumour entities 5 years (cohort 1) and 10 years (cohort 2) after diagnosis, in a cross-sectional study. We analysed depression (PHQ-9) and anxiety (GAD-7) symptomatology in comparison with two large age- and sex-matched samples randomly selected from the general population.Results Moderate to severe depression and anxiety were reported in 17% and 9% of cancer survivors, respectively. There were no significant differences between the 5 years and 10 years after diagnosis cohorts (p = 0.232). In both cohorts, we found higher depression and anxiety in women than in men (p < 0.001), and lower depression and anxiety in elderly patients (p < 0.001). Cancer survivors younger than 60 years of age were more depressed and anxious than the general population (p < 0.001). The variables, financial problems (Beta = 0.16, p < 0.001), global quality of life (Beta = - 0.21, p < 0.001) and cognitive function (Beta = - 0.30, p < 0.001), had the strongest association with depression and anxiety.Conclusions For the prevention of depression and anxiety in long-term cancer survivors, individual treatment of physical and psychological symptoms is as important as social support and professional counselling. Post-treatment, cognitive limitations should be carefully assessed in long-term cancer survivorship to distinguish them from symptoms of a mental disorder, especially since younger cancer survivors of working age and female survivors seem to be more affected by depression and anxiety.

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Authors: Götze, H., Friedrich, M., Taubenheim, S., Dietz, A., Lordick, F., & Mehnert, A.
Affiliations: University Hospital Leipzig (DE)
Corresponding author: Götze, Heide
ORCID: Götze, Heide
Friedrich, Michael
Dietz, Andreas
Lordick, Florian
Mehnert, Anja
Venue: Supportive Care in Cancer
Publisher: Springer Science and Business Media LLC
Published: 2019-04-18
Volume: 28
Issue: 1
Pages: 211-220
ISSN: 0941-4355 (ISSN-L)
1433-7339
DOI: 10.1007/s00520-019-04805-1
OpenAlex: W2940210168
Cited by: 281
References: 40
Citations by year: 2026: 16 · 2025: 57 · 2024: 68 · 2023: 58 · 2022: 33 · 2021: 32 · 2020: 16 · 2019: 1
FWCI: 8.57
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Supportive Care in Cancer (publishedVersion)
PubMed (publishedVersion)
Funders: SWISS BRIDGE Foundation (Swiss Bridge Award 2013)
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 › Oncology › Cancer-related cognitive impairment studies
Keywords: cancer survivors, depression, anxiety, long-term survivorship, sex differences, age differences, financial problems, quality of life, cognitive function, coping resources, psychological symptoms
MeSH terms: Cancer Survivors, Adolescent, Adult, Aged, Aged, 80 and over, Anxiety, Anxiety Disorders, Cross-Sectional Studies, Depression, Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Middle Aged, Neoplasms, Quality of Life, Social Support, Cohort Studies, Case-Control Studies, Young Adult

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Depression and anxiety in long-term survivors 5 and 10 years after cancer diagnosis

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