Anxiety and depression in adult cancer patients: ESMO Clinical Practice Guideline
Open accessAbstract
•Anxiety and depressive disorders are common in patients with cancer.•A higher prevalence seen in patients with cancer than the general population is often underrecognised.•Psychotherapy, cognitive behavioural therapy and mindfulness-based therapies are effective treatments.•Psychopharmacological treatments have been shown to be effective treatments of anxiety and depressive disorders.
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Uncertainty, fear of recurrence or progression, symptoms, functional disruption, and financial strain can contribute to distress, anxiety, depression, sleep disturbance, and unmet psychosocial needs.
“Uncertainty, fear of recurrence or progression, symptoms, functional disruption, and financial strain can contribute to distress, anxiety, depression, sleep disturbance, and unmet psychosocial needs”
From Mapping Technologies, Support Functions, Evaluation Outcomes, and Safety Governance Related to Conversational AI Agents for Psychological Support of Patients With Cancer: Scoping Review (2026) · cites this paper as [2]
The Incidence and prevalence > Anxiety section (page unavailable) says fear of recurrence or progression is a common unmet need and that intense fear can exacerbate anxiety, disturb sleep, and favour depression. The Risk factors sections also link physical symptoms and impaired functioning with anxiety, and lower socioeconomic status with depression. The Introduction describes uncertainty as a symptom rather than a contributor, and the passages found do not specifically establish financial strain as a cause of the listed outcomes. (LLM, conf=0.82)
Experimental — accuracy not yet measuredPsychological distress and unmet psychosocial needs are common across the cancer continuum.
“Psychological distress and unmet psychosocial needs are common across the cancer continuum.”
From Mapping Technologies, Support Functions, Evaluation Outcomes, and Safety Governance Related to Conversational AI Agents for Psychological Support of Patients With Cancer: Scoping Review (2026) · cites this paper as [2]
The Introduction says anxiety and depression are the most common psychological symptoms in patients with cancer, irrespective of disease stage or treatment phase. The Incidence and prevalence > Anxiety section identifies fear of recurrence as a common unmet need of cancer survivors, but does not establish that unmet psychosocial needs generally are common across the entire cancer continuum. Page numbers are not available in our copy. (LLM, conf=0.85)
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Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139 · see citing works
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910 · see citing works
A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.10.1092 · Cited by 31,765 · see citing works
Depression and quality of life in older persons: A review
Sivertsen, H., Bjørkløf, G. H., Engedal, K., Selbæk, G., & Helvik, A.-S. (2015) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000437299 · Cited by 14,152 · see citing works
Santomauro, D. F., Mantilla Herrera, A. M., Shadid, J., Zheng, P., Ashbaugh, C., Pigott, D. M., Abbafati, C., Adolph, C., Amlag, J. O., Aravkin, A. Y., et al. (2021) · The Lancet · doi:10.1016/s0140-6736(21)02143-7 · Cited by 5,444 · see citing works
Mitchell, 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
Self-citationAntidepressant Drug Effects and Depression Severity: A Patient-Level Meta-analysis
Fournier, J. C., DeRubeis, R. J., Hollon, S. D., Dimidjian, S., Amsterdam, J. D., Shelton, R. C., & Fawcett, J. (2010) · JAMA · doi:10.1001/jama.2009.1943 · Cited by 2,009 · see citing works
Case-finding instruments for depression: Two questions are as good as many
Whooley, M. A., Avins, A. L., Miranda, J., & Browner, W. S. (1997) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.1997.00076.x · Cited by 1,826 · see citing works
Fear of cancer recurrence in adult cancer survivors: a systematic review of quantitative studies
Simard, S., Thewes, B., Humphris, G., Dixon, M., Hayden, C., Mireskandari, S., & Ozakinci, G. (2013) · Journal of Cancer Survivorship · doi:10.1007/s11764-013-0272-z · Cited by 1,217 · see citing works
Faller, H., Schuler, M., Richard, M., Heckl, U., Weis, J., & Küffner, R. (2013) · Journal of Clinical Oncology · doi:10.1200/jco.2011.40.8922 · Cited by 912 · see citing works
Distress Management, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology
Riba, M. B., Donovan, K. A., Andersen, B., Braun, I., Breitbart, W. S., Brewer, B. W., Buchmann, L. O., Clark, M. M., Collins, M., Corbett, C., et al. (2019) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2019.0048 · Cited by 871 · see citing works
Self-citationNiedzwiedz, C. L., Knifton, L., Robb, K. A., Katikireddi, S. V., & Smith, D. J. (2019) · BMC Cancer · doi:10.1186/s12885-019-6181-4 · Cited by 756 · see citing works
Mitchell, A. J., Ferguson, D. W., Gill, J., Paul, J., & Symonds, P. (2013) · The Lancet Oncology · doi:10.1016/s1470-2045(13)70244-4 · Cited by 749 · 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
Simard, S., & Savard, J. (2009) · Supportive Care in Cancer · doi:10.1007/s00520-008-0444-y · Cited by 608 · see citing works
Wang, X., Wang, N., Zhong, L., Wang, S., Zheng, Y., Yang, B., Zhang, J., Lin, Y., & Wang, Z. (2020) · Molecular Psychiatry · doi:10.1038/s41380-020-00865-6 · Cited by 512 · cited 2× · see citing works
“Volume 8 - Issue 2 - 2023 treatment, more advanced disease and ChT have all been shown to be significant risk factors for depression.(1,2) Furthermore, there is increasing evidence that higher tumour cell burden and treatment-related tissue destruction are associated with increased release of proinflammatory cytokines…”
BackgroundMitchell, A. J. (2007) · Journal of Clinical Oncology · doi:10.1200/jco.2006.10.0438 · Cited by 468 · see citing works
Robinson, S., Kissane, D. W., Brooker, J., & Burney, S. (2015) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2014.07.008 · Cited by 401 · see citing works
Self-citationJacobsen, P. B., & Jim, H. S. (2008) · CA: A Cancer Journal for Clinicians · doi:10.3322/ca.2008.0003 · Cited by 382 · see citing works
Mixed anxiety/depression symptoms in a large cancer cohort: prevalence by cancer type
Brintzenhofe-Szoc, K. M., Levin, T. T., Li, Y., Kissane, D. W., & Zabora, J. R. (2009) · Psychosomatics · doi:10.1176/appi.psy.50.4.383 · Cited by 364 · see citing works
Self-citationRodin, G., Lo, C., Rydall, A., Shnall, J., Malfitano, C., Chiu, A., Panday, T., Watt, S., An, E., Nissim, R., et al. (2018) · Journal of Clinical Oncology · doi:10.1200/jco.2017.77.1097 · Cited by 338 · see citing works
Self-citationCillessen, L., Johannsen, M., Speckens, A. E. M., & Zachariae, R. (2019) · Psycho-Oncology · doi:10.1002/pon.5214 · Cited by 326 · see citing works
Self-citationRodin, G., Lo, C., Mikulincer, M., Donner, A., Gagliese, L., & Zimmermann, C. (2009) · Social Science & Medicine · doi:10.1016/j.socscimed.2008.10.037 · Cited by 323 · see citing works
Self-citationEmotional Distress: The Sixth Vital Sign in Cancer Care
Bultz, B. D., & Carlson, L. E. (2005) · Journal of Clinical Oncology · doi:10.1200/jco.2005.02.3259 · Cited by 287 · see citing works
The burden of psychosocial morbidity related to cancer: patient and family issues
Caruso, R., Nanni, M. G., Riba, M. B., Sabato, S., & Grassi, L. (2017) · International Review of Psychiatry · doi:10.1080/09540261.2017.1288090 · Cited by 244 · see citing works
Self-citationFirst, M. B., Gaebel, W., Maj, M., Stein, D. J., Kogan, C. S., Saunders, J. B., Poznyak, V. B., Gureje, O., Lewis‐Fernández, R., Maercker, A., et al. (2021) · World Psychiatry · doi:10.1002/wps.20825 · Cited by 236 · cited 1× · see citing works
“The ICD-11 and DSM-5-TR share diagnostic criteria but differ in duration requirement and manifestations of anxiety; the ICD-11 also includes sympathetic autonomic overactivity among its criteria.(47) Field studies with ICD-11 support its clinical utility for GAD and panic disorder.”
BackgroundDriessen, E., Cuijpers, P., Hollon, S. D., & Dekker, J. J. M. (2010) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0020570 · Cited by 208 · see citing works
Psychosocial interventions for advanced cancer patients: a systematic review
Teo, I., Krishnan, A., & Lee, G. L. (2019) · Psycho-Oncology · doi:10.1002/pon.5103 · Cited by 205 · see citing works
Esser, P., Hartung, T. J., Friedrich, M., Johansen, C., Wittchen, H., Faller, H., Koch, U., Härter, M., Keller, M., Schulz, H., et al. (2018) · Psycho-Oncology · doi:10.1002/pon.4681 · Cited by 185 · see citing works
Schimmers, N., Breeksema, J. J., Smith-Apeldoorn, S. Y., Veraart, J., van den Brink, W., & Schoevers, R. A. (2022) · Psychopharmacology · doi:10.1007/s00213-021-06027-y · Cited by 162 · see citing works
Antidepressants for the treatment of depression in people with cancer
Ostuzzi, G., Matcham, F., Dauchy, S., Barbui, C., & Hotopf, M. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011006.pub3 · Cited by 158 · 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
Fear of cancer recurrence and death anxiety
Sharpe, L., Curran, L., Butow, P., & Thewes, B. (2018) · Psycho-Oncology · doi:10.1002/pon.4783 · Cited by 149 · see citing works
Major Depression and Survival in People With Cancer
Walker, J., Mulick, A., Magill, N., Symeonides, S., Gourley, C., Burke, K., Belot, A., Quartagno, M., van Niekerk, M., Toynbee, M., et al. (2021) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000942 · Cited by 124 · see citing works
Trajectories of grief: Comparing symptoms from the <i>DSM‐5</i> and ICD‐11 diagnoses
Bonanno, G. A., & Malgaroli, M. (2020) · Depression and Anxiety · doi:10.1002/da.22902 · Cited by 112 · see citing works
Walker, Z. J., Xue, S., Jones, M. P., & Ravindran, A. V. (2021) · JCO Global Oncology · doi:10.1200/go.21.00056 · Cited by 103 · see citing works
Spotlight on the Fear of Cancer Recurrence Inventory (FCRI)
Smith, A. B., Costa, D., Galica, J., Lebel, S., Tauber, N., van Helmondt, S. J., & Zachariae, R. (2020) · Psychology Research and Behavior Management · doi:10.2147/prbm.s231577 · Cited by 98 · cited 4× · see citing works
“Data show that 40%-50% of cancer survivors report moderate to severe levels of FCR.24 While a certain level of worry may be adaptive, more intense episodes of FCR can compromise psychological functioning and QoL, exacerbate anxiety, cause sleep disturbances and favour the onset of depression.25 Death anxiety,26 which…”
MethodInfluentialSelf-citationStatus of psychological trials in breast cancer patients: a report of three meta-analyses
Naaman, S. C., Radwan, K., Fergusson, D., & Johnson, S. (2009) · Psychiatry: Interpersonal and Biological Processes · doi:10.1521/psyc.2009.72.1.50 · Cited by 87 · see citing works
Wu, Y., Levis, B., Sun, Y., Krishnan, A., He, C., Riehm, K. E., Rice, D. B., Azar, M., Yan, X. W., Neupane, D., et al. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2019.109892 · Cited by 48 · see citing works
Self-citationWillems, R. A., Bolman, C. A. W., Lechner, L., Mesters, I., Gunn, K. M., Skrabal Ross, X., & Olver, I. (2020) · Current Opinion in Supportive & Palliative Care · doi:10.1097/spc.0000000000000483 · Cited by 41 · see citing works
Arch, J. J., Genung, S. R., Ferris, M. C., Kirk, A., Slivjak, E. T., Fishbein, J. N., Schneider, R. L., & Stanton, A. L. (2020) · Supportive Care in Cancer · doi:10.1007/s00520-020-05297-0 · Cited by 22 · cited 1× · see citing works
“Although a precancer history of anxiety may be a risk factor for cancer-related anxiety, it should be noted that two-thirds of patients with cancer who report symptoms of anxiety have no history of precancer anxiety.(38) FCR is more common in patients who are female, younger, and in those who have received ChT or radi…”
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Flagged first, then by citations
Research works printed but not linked: 81
- [3]Wang Y.H. Li J.Q. Shi J.F. Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort studies Mol Psychiatry 25 7 2020 1487 1499 31745237
- [4]Caruso R. Nanni M.G. Riba M. Depressive spectrum disorders in cancer: prevalence, risk factors and screening for depression: a critical review Acta Oncol 56 2 2017 146 155 28140731
- [9]Herrman H. Kieling C. McGorry P. Reducing the global burden of depression: a Lancet-World Psychiatric Association Commission Lancet 393 10189 2019 e42 e43 30482607
- [10]Friedrich M.J. Depression is the leading cause of disability around the world JAMA 317 15 2017 1517 28418490
- [12]Grassi L. Caruso R. Mitchell A.J. Screening for emotional disorders in patients with cancer using the Brief Symptom Inventory (BSI) and the BSI-18 versus a standardized psychiatric interview (the World Health Organization Composite International Diagnostic Interview) Cancer 124 11 2018 2415 2426 29660109
- [13]Passik S.D. Dugan W. McDonald M.V. Oncologists’ recognition of depression in their patients with cancer J Clin Oncol 16 4 1998 1594 1600 9552071
- [14]Keller M. Sommerfeldt S. Fischer C. Recognition of distress and psychiatric morbidity in cancer patients: a multi-method approach Ann Oncol 15 8 2004 1243 1249 15277265
- [15]Kissane D.W. Unrecognised and untreated depression in cancer care Lancet Psychiatry 1 5 2014 320 321 26360982
- [16]Grassi L. Riba M. Cancer and severe mental illness: bi-directional problems and potential solutions Psychooncology 29 10 2020 1445 1451 32915468
- [17]Walker J. Hansen C.H. Martin P. Prevalence, associations, and adequacy of treatment of major depression in patients with cancer: a cross-sectional analysis of routinely collected clinical data Lancet Psychiatry 1 5 2014 343 350 26360998
- [19]Zabora J. BrintzenhofeSzoc K. Curbow B. The prevalence of psychological distress by cancer site Psychooncology 10 1 2001 19 28 11180574
- [20]Linden W. Vodermaier A. Mackenzie R. Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age J Affect Disord 141 2-3 2012 343 351 22727334
- [25]Lebel S. Ozakinci G. Humphris G. From normal response to clinical problem: definition and clinical features of fear of cancer recurrence Support Care Cancer 24 8 2016 3265 3268 27169703
- [27]Soleimani M.A. Bahrami N. Allen K.A. Death anxiety in patients with cancer: a systematic review and meta-analysis Eur J Oncol Nurs 48 2020 101803 32836000
- [28]Grossman C.H. Brooker J. Michael N. Death anxiety interventions in patients with advanced cancer: a systematic review Palliat Med 32 1 2018 172 184 28786328
- [29]Hartung T.J. Brahler E. Faller H. The risk of being depressed is significantly higher in cancer patients than in the general population: prevalence and severity of depressive symptoms across major cancer types Eur J Cancer 72 2017 46 53 28024266
- [31]Grassi L. Nanni M.G. Demoralization syndrome: new insights in psychosocial cancer care Cancer 122 14 2016 2130 2133 27171755
- [32]Tecuta L. Tomba E. Grandi S. Demoralization: a systematic review on its clinical characterization Psychol Med 45 4 2015 673 691 25032712
- [34]Tang P.L. Wang H.H. Chou F.H. A systematic review and meta-analysis of demoralization and depression in patients with cancer Psychosomatics 56 6 2015 634 643 26411374
- [35]Arrieta O. Angulo L.P. Núñez-Valencia C. Association of depression and anxiety on quality of life, treatment adherence, and prognosis in patients with advanced non-small cell lung cancer Ann Surg Oncol 20 6 2013 1941 1948 23263699
- [39]Lebel S. Ozakinci G. Humphris G. Current state and future prospects of research on fear of cancer recurrence Psychooncology 26 4 2017 424 427 26891602
- [40]Yang Y. Wen Y. Bedi C. The relationship between cancer patient’s fear of recurrence and chemotherapy: a systematic review and meta-analysis J Psychosom Res 98 2017 55 63 28554373
- [41]Yang Y. Cameron J. Humphris G. The relationship between cancer patient’s fear of recurrence and radiotherapy: a systematic review and meta-analysis Psychooncology 26 6 2017 738 746 27419668
- [44]Walker J. Holm Hansen C. Martin P. Prevalence of depression in adults with cancer: a systematic review Ann Oncol 24 4 2013 895 900 23175625
- [45]Ahmad M.H. Rizvi M.A. Fatima M. Pathophysiological implications of neuroinflammation mediated HPA axis dysregulation in the prognosis of cancer and depression Mol Cell Endocrinol 520 2021 111093 33253761
- [46]McFarland D.C. Riba M. Grassi L. Clinical implications of cancer related inflammation and depression: a critical review Clin Pract Epidemiol Ment Health 17 1 2021 287 294 35444703 PMC8985467
- [48]Rebello T.J. Keeley J.W. Kogan C.S. Anxiety and fear-related disorders in the ICD-11: results from a global case-controlled field study Arch Med Res 50 8 2019 490 501 32018071
- [50]Belvederi Murri M. Caruso R. Ounalli H. The relationship between demoralization and depressive symptoms among patients from the general hospital: network and exploratory graph analysis J Affect Disord 276 2020 137 146 32697691
- [52]Bruera E. Kuehn N. Miller M.J. The Edmonton Symptom Assessment System (ESAS): a simple method for the assessment of palliative care patients J Palliat Care 7 2 1991 6 9 1714502
- [54]Mitchell A.J. Short screening tools for cancer-related distress: a review and diagnostic validity meta-analysis J Natl Compr Canc Netw 8 4 2010 487 494 20410338
- [55]Mattsson S. Olsson E.M.G. Carlsson M. Identification of anxiety and depression symptoms in patients with cancer: comparison between short and long web-based questionnaires J Med Internet Res 21 4 2019 e11387 PMC6473214 30950804
- [57]Andersen B.L. DeRubeis R.J. Berman B.S. Screening, assessment, and care of anxiety and depressive symptoms in adults with cancer: an American Society of Clinical Oncology guideline adaptation J Clin Oncol 32 15 2014 1605 1619 24733793 PMC4090422
- [58]Butow P. Price M.A. Shaw J.M. Clinical pathway for the screening, assessment and management of anxiety and depression in adult cancer patients: Australian guidelines Psychooncology 24 9 2015 987 1001 26268799
- [62]Vodermaier A. Millman R.D. Accuracy of the Hospital Anxiety and Depression Scale as a screening tool in cancer patients: a systematic review and meta-analysis Support Care Cancer 19 12 2011 1899 1908 21898134
- [63]Ripamonti C.I. Bandieri E. Pessi M.A. The Edmonton Symptom Assessment System (ESAS) as a screening tool for depression and anxiety in non-advanced patients with solid or haematological malignancies on cure or follow-up Support Care Cancer 22 3 2014 783 793 24276952
- [68]Thewes B. Zachariae R. Christensen S. The Concerns About Recurrence Questionnaire: validation of a brief measure of fear of cancer recurrence amongst Danish and Australian breast cancer survivors J Cancer Surviv 9 1 2015 68 79 25135205
- [69]Hinz A. Mehnert A. Ernst J. Fear of progression in patients 6 months after cancer rehabilitation-a- validation study of the fear of progression questionnaire FoP-Q-12 Support Care Cancer 23 6 2015 1579 1587 25412727
- [70]Lloyd-Williams M. Shiels C. Dowrick C. Socio-economic deprivation and symptom burden in UK hospice patients with advanced cancer-findings from a longitudinal study Cancers (Basel) 13 11 2021 2537 34064172 PMC8196745
- [71]Ripamonti C.I. Chiesi F. Di Pede P. The validation of the Italian version of the COmprehensive Score for financial Toxicity (COST) Support Care Cancer 28 9 2020 4477 4485 31925533
- [73]Ryan D.A. Gallagher P. Wright S. Sensitivity and specificity of the Distress Thermometer and a two-item depression screen (Patient Health Questionnaire-2) with a ‘help’ question for psychological distress and psychiatric morbidity in patients with advanced cancer Psychooncology 21 12 2012 1275 1284 21919118
- [74]Warmenhoven F. van Rijswijk E. Engels Y. The Beck Depression Inventory (BDI-II) and a single screening question as screening tools for depressive disorder in Dutch advanced cancer patients Support Care Cancer 20 2 2012 319 324 21243377 PMC3244603
- [75]Christensen S. Zachariae R. Jensen A.B. Prevalence and risk of depressive symptoms 3-4 months post-surgery in a nationwide cohort study of Danish women treated for early stage breast-cancer Breast Cancer Res Treat 113 2 2009 339 355 18278553
- [76]Mitchell A.J. Meader N. Davies E. Meta-analysis of screening and case finding tools for depression in cancer: evidence based recommendations for clinical practice on behalf of the Depression in Cancer Care consensus group J Affect Disord 140 2 2012 149 160 22633127
- [77]Rayner L. Loge J.H. Wasteson E. The detection of depression in palliative care Curr Opin Support Palliat Care 3 1 2009 55 60 19365162
- [79]Thekkumpurath P. Walker J. Butcher I. Screening for major depression in cancer outpatients: the diagnostic accuracy of the 9-item patient health questionnaire Cancer 117 1 2011 218 227 20737537
- [80]National Institute for Health and Care Excellence Depression in adults with a chronic physical health problem: recognition and management (NICE clinical guideline CG91) Available at https://www.nice.org.uk/guidance/cg91 39808015
- [82]Lloyd-Williams M. Shiels C. Dowrick C. The development of the Brief Edinburgh Depression Scale (BEDS) to screen for depression in patients with advanced cancer J Affect Disord 99 1-3 2007 259 264 17055588
- [83]Rodriguez-Mayoral O. Pena-Nieves A. Allende-Perez S. Comparing the hospital anxiety and depression scale to the Brief Edinburgh Depression Scale for identifying cases of major depressive disorder in advanced cancer palliative patients Palliat Support Care 19 2 2021 170 174 32830630
- [84]Hartung T.J. Friedrich M. Johansen C. The Hospital Anxiety and Depression Scale (HADS) and the 9-item Patient Health Questionnaire (PHQ-9) as screening instruments for depression in patients with cancer Cancer 123 21 2017 4236 4243 28654189
- [85]Rankin N.M. Butow P.N. Thein T. Everybody wants it done but nobody wants to do it: an exploration of the barrier and enablers of critical components towards creating a clinical pathway for anxiety and depression in cancer BMC Health Serv Res 15 2015 28 25608947 PMC4307637
- [86]Caruso R. GiuliaNanni M. Riba M.B. Depressive spectrum disorders in cancer: diagnostic issues and intervention. A critical review Curr Psychiatry Rep 19 6 2017 33 28488207 PMC5423924
- [87]Trevino K.M. Abbott C.H. Fisch M.J. Patient-oncologist alliance as protection against suicidal ideation in young adults with advanced cancer Cancer 120 15 2014 2272 2281 24888503 PMC4356118
- [88]Trevino K.M. Fasciano K. Prigerson H.G. Patient-oncologist alliance, psychosocial well-being, and treatment adherence among young adults with advanced cancer J Clin Oncol 31 13 2013 1683 1689 23530105 PMC4878006
- [89]Grassi L. Riba M. Psychopharmacology in Oncology and Palliative Care. A Practical Manual 2014 Springer Berlin, Germany
- [90]Caruso R. Grassi L. Nanni M.G. Psychopharmacology in psycho-oncology Curr Psychiatry Rep 15 9 2013 393 23949568
- [92]Fitzgerald P. Lo C. Li M. The relationship between depression and physical symptom burden in advanced cancer BMJ Support Palliat Care 5 4 2015 381 388 24644172
- [95]Health Quality Ontario Psychotherapy for major depressive disorder and generalized anxiety disorder: a health technology assessment Ont Health Technol Assess Ser 17 15 2017 1 167 PMC5709536 29213344
- [98]Martinez M. Arantzamendi M. Belar A. ‘Dignity therapy’, a promising intervention in palliative care: a comprehensive systematic literature review Palliat Med 31 6 2017 492 509 27566756 PMC5405836
- [99]Breitbart W. Pessin H. Rosenfeld B. Individual meaning-centered psychotherapy for the treatment of psychological and existential distress: a randomized controlled trial in patients with advanced cancer Cancer 124 15 2018 3231 3239 29757459 PMC6097940
- [102]Grassi L. Caruso R. Hammelef K. Efficacy and safety of pharmacotherapy in cancer-related psychiatric disorders across the trajectory of cancer care: a review Int Rev Psychiatry 26 1 2014 44 62 24716500
- [103]Heron-Speirs H.A. Harvey S.T. Baken D.M. Moderators of psycho-oncology therapy effectiveness: meta-analysis of therapy characteristics J Psychosoc Oncol 31 6 2013 617 641 24175899
- [104]Tauber N.M. O’Toole M.S. Dinkel A. Effect of psychological intervention on fear of cancer recurrence: a systematic review and meta-analysis J Clin Oncol 37 31 2019 2899 2915 31532725 PMC6823887
- [107]Salt S. Mulvaney C.A. Preston N.J. Drug therapy for symptoms associated with anxiety in adult palliative care patients Cochrane Database Syst Rev 5 2017 CD004596 28521070 PMC6481598
- [108]Panjwani A.A. Li M. Recent trends in the management of depression in persons with cancer Curr Opin Psychiatry 34 5 2021 448 459 34224469
- [109]Thom R. Silbersweig D.A. Boland R.J. Major depressive disorder in medical illness: a review of assessment, prevalence, and treatment options Psychosom Med 81 3 2019 246 255 30720699
- [110]Ng C.G. Boks M.P. Roes K.C. Rapid response to methylphenidate as an add-on therapy to mirtazapine in the treatment of major depressive disorder in terminally ill cancer patients: a four-week, randomized, double-blinded, placebo-controlled study Eur Neuropsychopharmacol 24 4 2014 491 498 24503279
- [111]Grassi L. Nanni M.G. Rodin G. The use of antidepressants in oncology: a review and practical tips for oncologists Ann Oncol 29 1 2018 101 111 29272358
- [112]Bradbury M. Hutton B. Beltran-Bless A.A. Time to update evidence-based guideline recommendations about concurrent tamoxifen and antidepressant use? A systematic review Clin Breast Cancer 22 3 2022 e362 e373 34740542
- [114]Johnson R.J. 3rd. A research study review of effectiveness of treatments for psychiatric conditions common to end-stage cancer patients: needs assessment for future research and an impassioned plea BMC Psychiatry 18 1 2018 85 29614992 PMC5883872
- [116]Ostuzzi G. Benda L. Costa E. Efficacy and acceptability of antidepressants on the continuum of depressive experiences in patients with cancer: systematic review and meta-analysis Cancer Treat Rev 41 8 2015 714 724 26118318
- [117]Ziegler L. Hill K. Neilly L. Identifying psychological distress at key stages of the cancer illness trajectory: a systematic review of validated self-report measures J Pain Symptom Manage 41 3 2011 619 636 21310585
- [118]Bravery B. Loughnan S. Murphy M. Depression treatment research in people with cancer does not reflect cancer prevalence: findings from a systematic review Evid Based Ment Health 23 4 2020 155 160 32788165 PMC10231615
- [119]Donovan K.A. Grassi L. Deshields T.L. Advancing the science of distress screening and management in cancer care Epidemiol Psychiatr Sci 29 2020 e85 31915097 PMC7214715
- [120]Clover K.A. Mitchell A.J. Britton B. Why do oncology outpatients who report emotional distress decline help? Psychooncology 24 7 2015 812 818 25504987
- [121]Tondorf T. Grossert A. Rothschild S.I. Focusing on cancer patients’ intentions to use psychooncological support: a longitudinal, mixed-methods study Psychooncology 27 6 2018 1656 1663 29656415 PMC6001470
- [122]Meggiolaro E. De Padova S. Ruffilli F. From distress screening to uptake: an Italian multicenter study of cancer patients Cancers (Basel) 13 15 2021 3761 34359662 PMC8345103
- [123]Partridge A.H. Jacobsen P.B. Andersen B.L. Challenges to standardizing the care for adult cancer survivors: highlighting ASCO’s fatigue and anxiety and depression guidelines Am Soc Clin Oncol Educ Book 35 2015 188 194 25993156
- [124]Frey Nascimento A. Tondorf T. Rothschild S.I. Oncologist recommendation matters!-Predictors of psycho-oncological service uptake in oncology outpatients Psychooncology 28 2 2019 351 357 30466146
- [125]McCarter K. Britton B. Baker A.L. Interventions to improve screening and appropriate referral of patients with cancer for psychosocial distress: systematic review BMJ Open 8 1 2018 e017959 PMC5988073 29306881
- [126]Zebrack B. Kayser K. Sundstrom L. Psychosocial distress screening implementation in cancer care: an analysis of adherence, responsiveness, and acceptability J Clin Oncol 33 10 2015 1165 1170 25713427
- [127]Dykewicz C.A. Summary of the guidelines for preventing opportunistic infections among hematopoietic stem cell transplant recipients Clin Infect Dis 33 2 2001 139 144 (adapted from: Gross PA, Barrett TL, Dellinger EP et al. Purpose of quality standards for infectious diseases. Clin Infect Dis. 1994;18:421) 11418871
Cited by
Sorted by citations
Peterson, D. E., Koyfman, S. A., Yarom, N., Lynggaard, C. D., Ismaila, N., Forner, L. E., Fuller, C. D., Mowery, Y. M., Murphy, B. A., Watson, E. E., et al. (2024) · Journal of Clinical Oncology · doi:10.1200/jco.23.02750 · Cited by 147 · see citing works
Stiefel, F., Bourquin, C., Salmon, P., Jeanneret, L. A., Dauchy, S., Ernstmann, N., Grassi, L. G., Libert, Y., Vitinius, F., Santini, D., et al. (2024) · ESMO Open · doi:10.1016/j.esmoop.2024.103496 · Cited by 70 · see citing works
“29 The psychology of the clinician Psychological challenges for oncology clinicians arising from their practice can interfere with communication.”
Self-citationSchipper, S., Nigam, K. B., Schmid, Y., Piechotta, V., Ljuslin, M., Beaussant, Y., Schwarzer, G., & Boehlke, C. S. (2024) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd015383.pub2 · Cited by 44 · see citing works
Zhang, T., Ren, Z., Wakefield, C. E., Hui, B. P. H., Akechi, T., Shi, C., Du, X., Chen, W., Lai, L., Zhao, C., et al. (2024) · Clinical Psychology Review · doi:10.1016/j.cpr.2024.102520 · Cited by 41 · see citing works
Exploring the stigma experienced by people affected by Parkinson’s disease: a systematic review
Crooks, S., Mitchell, G., Wynne, L., & Carter, G. (2025) · BMC Public Health · doi:10.1186/s12889-024-21236-8 · Cited by 32 · see citing works
Hall, D. L., Wagner, L. I., Lebel, S., Smith, A. B., Bergerot, C., & Park, E. R. (2024) · Cancer · doi:10.1002/cncr.35326 · Cited by 31 · see citing works
“9 In Australia and Canada, guidelines are currently in preparation for managing FCR that will highlight these advances in FCR screening, treatment, and delivery pathways.”
Coppini, V., Ferraris, G., Monzani, D., Grasso, R., & Pravettoni, G. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1252843 · Cited by 30 · see citing works
“As reported in the ESMO guidelines (Grassi et al., 2023), “all patients with cancer should be regularly screened and assessed for anxiety in all phases of illness.”
Comorbid Depression in Patients With Head and Neck Cancer Compared With Other Cancers.
Martínez, M. C., Finegersh, A., Baik, F. M., Holsinger, F. C., Starmer, H. M., Orloff, L. A., Sunwoo, J. B., Sirjani, D. B., Divi, V., & Chen, M. M. (2024) · JAMA Otolaryngology - Head and Neck Surgery · doi:10.1001/jamaoto.2024.3233 · Cited by 28 · see citing works
Zhang, X., Sun, S., Jiangenuer, L., Zhao, P., Lei, H., Xu, Z. Q., & Wang, Z. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.01.016 · Cited by 26 · see citing works
Omari, M., Amaadour, L., Asri, A. E., Benbrahim, Z., Mellas, N., Rhazi, K. E., Ragala, M. E. A., Hilaly, J. E., Halim, K., & Zarrouq, B. (2024) · Women s Health · doi:10.1177/17455057241276232 · Cited by 16 · see citing works
“38 By referring to recent guidelines on the management of distress, depression, and anxiety, 17,98,99 we identified other interventions for patients with BC.”
BackgroundMicek, A., Błaszczyk-Bębenek, E., Cebula, A., Godos, J., Konopka, K., Wąż, A., & Grosso, G. (2025) · Aging Clinical and Experimental Research · doi:10.1007/s40520-025-03071-y · Cited by 18 · see citing works
Dissection of Progressive Disease Patterns for a Modified Classification for Immunotherapy.
Saal, J., Eckstein, M., Ritter, M., Brossart, P., Luetkens, J., Ellinger, J., Grünwald, V., Hölzel, M., & Klümper, N. (2024) · JAMA Oncology · doi:10.1001/jamaoncol.2024.5672 · Cited by 18 · see citing works
Duan, L., Zhang, S., Yan, Q., Chen, Y., Su, Y., & Hu, X. (2026) · Worldviews on Evidence-Based Nursing · doi:10.1111/wvn.70103 · Cited by 17 · see citing works
Tzikos, G., Chamalidou, E., Christopoulou, D., Apostolopoulou, A., Gkarmiri, S., Pertsikapa, M., Menni, A.-E., Theodorou, I. M., Stavrou, G., Doutsini, N.-D., et al. (2025) · Nutrients · doi:10.3390/nu17050857 · Cited by 14 · see citing works
“Anxiety in general is considered as a “normal” potentially adaptive psychological reaction in cases deemed to be life-threatening; but, it becomes a clinical issue when it is dominant and overarching and severity and/or duration surpass the normal expectations [2,24].”
Abu‐Odah, H., Sheffield, D., Hogan, S., Yorke, J., & Molassiotis, A. (2024) · Supportive Care in Cancer · doi:10.1007/s00520-024-08582-4 · Cited by 12 · see citing works
Egeler, M., Lai-Kwon, J. E., Tissier, R., Fraterman, I., Kuijpers, A. M. J., van Houdt, W. J., Wilgenhof, S., Rao, A. D., Sandhu, S. K., Lee, R. J., et al. (2024) · European Journal of Cancer · doi:10.1016/j.ejca.2024.113601 · Cited by 19 · see citing works
Wang, H., Xiu, M., Yang, F., Zhang, M.-J., Wang, C.-W., Wang, Q., Cheng, Y.-H., Liu, X., & Zhang, W.-Y. (2025) · BMC Cardiovascular Disorders · doi:10.1186/s12872-025-04996-y · Cited by 13 · see citing works
“This aligns with other studies [19, 20].”
Zhao, J.-G., Wu, M.-Y., Zhang, L., Han, X., Wu, J.-R., & Wang, C.-B. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.119785 · Cited by 13 · see citing works
Hu, G., Han, B., Gains, H., & Jia, Y. (2024) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2024.100520 · Cited by 13 · see citing works
Core‐curriculum in psycho‐oncology: Towards the certification of the psycho‐oncologist profession
Grassi, L., & Watson, M. (2024) · Psycho-Oncology · doi:10.1002/pon.6285 · Cited by 13 · see citing works
Self-citationNezenega, Z. S., Aychiluhm, S. B., Ross, A. G., Kassa, Z. Y., Bore, M. G., Leshargie, C. T., Allan, J., Thapa, S., Astawesegn, F. H., Mahmood, S., et al. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-02266-x · Cited by 13 · see citing works
“16, 17).”
Tian, L., Wen, Y., Li, T., Liu, C., & Fan, J. (2025) · Annals of Medicine · doi:10.1080/07853890.2025.2499027 · Cited by 17 · see citing works
“Research has shown that anxiety and depression not only seriously affect patients’ treat-ment compliance but are also closely associated with poor prognosis and decreased survival rates [8] while significantly reducing the quality of life of patients [6].”
Gascon, B., Elman, J., Macedo, A., Leung, Y. W., Rodin, G., & Li, M. (2024) · Current Oncology · doi:10.3390/curroncol31110481 · Cited by 12 · see citing works
Self-citationSmith, A. B., Girgis, A., Taylor, N. J., Pearce, A. M., Liu, J., Shepherd, H. L., Wu, V. S., Garvey, G., Kirsten, L. T., Zakhary, I., et al. (2024) · Journal of Cancer Survivorship · doi:10.1007/s11764-024-01685-1 · Cited by 17 · see citing works
“The Distress Thermometer and problem list, which is commonly used in the USA [28] and Europe [29], does not appear suitable for FCR screening [30].”
Impact of chronic stress on intestinal mucosal immunity in colorectal cancer progression
Yang, S., Li, Y., Zhang, Y., & Wang, Y. (2024) · Cytokine & Growth Factor Reviews · doi:10.1016/j.cytogfr.2024.10.007 · Cited by 12 · see citing works
Tu, Y., Su, Y., Yang, K., Jin, L., Li, B., Chen, W., Ye, Y., & Wu, D. (2025) · Current Psychology · doi:10.1007/s12144-024-07261-1 · Cited by 15 · see citing works
“There are differences in the impact of different anxiety emo - tion groups on the social function of adolescents (the combined anxiety group has a significantly higher impact on the social dimension of quality of life for cancer patients than the non anxiety group) (Grassi et al, 2023).”
Pu, J., Zhou, W., Zeng, W., & Shang, S. (2024) · Journal of Cancer Survivorship · doi:10.1007/s11764-024-01549-8 · Cited by 15 · see citing works
“Both cancer survivors and the elderly suffer high risks of anxiety and depression [3, 4], especially for younger older cancer survivors ( 80 years old) [5].”
Hirst, N., Solomon, M. J., McBride, K., Dhillon, H., Bai, Z.-R., Alexander, K., Jeon, S., & Steffens, D. (2025) · Supportive Care in Cancer · doi:10.1007/s00520-025-10118-3 · Cited by 10 · see citing works
Total pain, opioids, and immune checkpoint inhibitors in the survival of patients with cancer
Ripamonti, C. I., & Chelazzi, C. (2024) · ESMO Open · doi:10.1016/j.esmoop.2024.103688 · Cited by 8 · see citing works
“Depression, which can occur at any stage of illness, including among long-term cancer survivors, 11 is estimated to affect approximately one in four patients with cancer.”
BackgroundSelf-citationPepe, I., Petrelli, A. C., Fischetti, F., Minoia, C., Morsanuto, S., Talaba, L., Cataldi, S., & Greco, G. (2025) · Current Oncology · doi:10.3390/curroncol32050289 · Cited by 9 · see citing works
“In fact, according to recent studies, almost 50% of cancer survivors still feel exhausted [8,9], whereas 30% to 40% suffer from mental health conditions, including depression, anxiety, and various adjustment or psychosomatic disorders [10,11], even after completing treatment.”
Reduction of death anxiety in patients with advanced cancer in short-term psychotherapy
Oberth, P., Springer, F., Lehmann‐Laue, A., & Mehnert, A. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1491734 · Cited by 8 · see citing works
“…increased psychological distress (Mehnert et al., 2018; Huda et al., 2022; Pinto et al., 2019; Shin et al., 2020), clinically relevant anxiety or depression (Grassi et al., 2023; Ghamari et al., 2023; Walker et al., 2020) or the fear of a return or spread of the disease; i.e. fear of progression.”
Anderson, D., Vlachostergios, P. J., Simpson, L., Bruce, S. S., Fitzpatrick, N., Connell, J., Christodoulis, E., & Kamposioras, K. V. (2025) · Scientific Reports · doi:10.1038/s41598-025-94538-5 · Cited by 8 · see citing works
“This cohort consisted of patients diagnosed with colorectal cancer, yet the applicability of this clinical pathway could include patients of any other cancer primary in line to what international guidelines recommend 21,24 .”
Neuropsychiatric symptoms as early indicators of brain tumors
Moroșan, G. C., Moroșan, A. C., & Ionescu, C. (2024) · Archive of Clinical Cases · doi:10.22551/2024.45.1104.10302 · Cited by 8 · see citing works
Zhang, S., Song, H., Liu, Q., Zhao, M., Bai, X., Ding, Y., Chen, L., & Yin, H. (2024) · Journal of Clinical Nursing · doi:10.1111/jocn.17137 · Cited by 10 · see citing works
Obispo, B., Bailleux, C., Cantos, B., Zamora, M. P., Jhawar, S. R., Varghese, J. S., Cabal‐Hierro, L., Luz, P., Berrocal-Almanza, L. C., & Xu, X. (2025) · Cancers · doi:10.3390/cancers17152506 · Cited by 7 · see citing works
“To mitigate these effects, psychological support, psychiatric care, and cognitive– behavioral therapy are crucial for improving mental health outcomes during and after BC treatment [70,71].”
Kiefer, P., Lebherz, L., Freitag, J., Schulz, H., Bleich, C., Bokemeyer, C., & Bokemeyer, F. (2025) · Scientific Reports · doi:10.1038/s41598-025-04849-w · Cited by 7 · see citing works
“It was expected that by reducing symptoms of depression and helping patients develop healthier coping mechanisms, the psycho-oncology care may have positively impacted alcohol use and fostered healthy behaviors 50,54 .”
InfluentialRelationship between spiritual well-being with anxiety and depression among cancer patients
Sadeghi, M. V., Tehrani, M. A. H., Pasha, H., Hamidia, A., Nabipour, M., Khafri, S., & Yadollahpour, M. (2025) · PLoS ONE · doi:10.1371/journal.pone.0322923 · Cited by 8 · see citing works
“…feelings such as fatigue, ner-vousness, restlessness, fear, insomnia, tachycardia, irregular and rapid breathing, sweating, headache, dizziness, difficulty in concentration and memory [7,8], depression and death anxiety are common problems in cancer patients that can affect their mental health [8].”
Luo, T. L., Zhang, S., Zhao, M., Song, H., Wang, S., & Han, J. (2025) · Psycho-Oncology · doi:10.1002/pon.70165 · Cited by 8 · see citing works
Depression, non-medical pain prescriptions, and suicidal behavior in cancer survivors
Mwobobia, J. M., White, M., Osazuwa‐Peters, O. L., Boakye, E. A., Abouelella, D. K., Barnes, J. M., Viet, C. T., Ramos, K., Corbett, C. M., & Osazuwa‐Peters, N. (2025) · Journal of Cancer Survivorship · doi:10.1007/s11764-024-01740-x · Cited by 7 · see citing works
“While a recent depression episode may be reflective of the acuity of an individual’s distress [37], the fact that any previous diagnosis of depression increases odds of suicidal behavior suggests that screening for depression should not only be routine, especially in cancer care, irrespective of…”
Goh, C. C., Gan, X., & Klainin‐Yobas, P. (2024) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2024.151796 · Cited by 12 · see citing works
Radiologists’ Communicative Role in Breast Cancer Patient Management: Beyond Diagnosis
Mariano, L., Nicosia, L., Sorce, A., Pesapane, F., Coppini, V., Grasso, R., Monzani, D., Pravettoni, G., Mauri, G., Venturini, M., et al. (2024) · Healthcare · doi:10.3390/healthcare12111145 · Cited by 10 · see citing works
“…clear, empathetic, and culturally sensitive communication strategies, comprehending patients’ emotional needs, and engaging in open dialogue, not only enhances patient satisfaction and treatment adherence, but also contributes to improved overall outcomes and reduced legal complications [2,72,73].”
BackgroundSun, X.-Y., Jiang, S., Jiao, B., Wang, P., Wang, Q., He, L.-J., Yin, C.-L., Liu, L., & Wang, S.-H. (2024) · Depression and Anxiety · doi:10.1155/2024/6512073 · Cited by 8 · see citing works
“Depression, characterized by persistent sadness, a lack of interest in activities, and a variety of emotional and physical problems, has consistently been shown to negatively impact the quality of life, treatment adherence, and even survival rates among cancer patients [3, 4].”
Clinical practice guidelines for perioperative multimodality treatment of non-small cell lung cancer
Jiao, W., Zhao, L., Mei, J., Zhong, J., Yu, Y., Bi, N., Zhang, L., Wang, L., Fu, X., Wang, J., et al. (2025) · Chinese Medical Journal · doi:10.1097/cm9.0000000000003635 · Cited by 7 · see citing works
Eppingbroek, A., Lechner, L., Bakker, E., Nijkamp, M., de Witte, & Bolman, C. (2025) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2025.102855 · Cited by 7 · see citing works
Booker, R., Sawatzky, R. G., Sinnarajah, A., Qi, S., Link, C., Watson, L. C., & Stajduhar, K. (2025) · Current Oncology · doi:10.3390/curroncol32020062 · Cited by 7 · see citing works
Myint, O. W., Yoong, S. Q., Toh, E., Lei, F., & Jiang, Y. (2024) · Journal of Clinical Nursing · doi:10.1111/jocn.17547 · Cited by 11 · see citing works
Fugmann, D., Holsteg, S., Schäfer, R. B., Kreuznacht, L., Speer, D., Niegisch, G., Dinger, U., & Karger, A. (2024) · Oncology Research and Treatment · doi:10.1159/000542458 · Cited by 7 · see citing works
“Two-stage screening, as proposed by the ESMO [39], could help to make more targeted use of existing capacities.”
Košanski, T., & Neuberg, M. (2024) · Healthcare · doi:10.3390/healthcare12070725 · Cited by 7 · see citing works
van de Wal, D., den Hollander, D., Desar, I. M. E., Gelderblom, H. A. J., Oosten, A. W., Reyners, A. K. L., Steeghs, N., Husson, O., & van der Graaf, W. T. A. (2024) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2023.100434 · Cited by 9 · see citing works
“This year a European Society for Medical Oncology (ESMO) clinical practice guideline for anxiety and depression in adult cancer patients was published (Grassi et al., 2023).”
BackgroundChen, H.-Y., Zhang, L.-J., Liu, M.-Y., Li, Y.-W., & Rao, P.-J. (2025) · Cancer Pathogenesis and Therapy · doi:10.1016/j.cpt.2025.12.003 · Cited by 6 · see citing works
“8,9 In clinical practice, accompanying psychosomatic symptoms, such as depression, anxiety, and insomnia, will seriously affect the quality of life and even threaten the lives of cancer patients.”
Impact of Depression on Mortality in Patients with Pancreatic Cancer: A Systematic Review
Hein, M., & Bouchart, C. (2025) · Current Oncology · doi:10.3390/curroncol32090511 · Cited by 6 · see citing works
“…management, selective serotonin reuptake inhibitors (SSRIs) are generally considered the most suitable first-line option in the absence of specific comorbidities, due to their favorable efficacy-to-side-effect ratio and lower risk of interaction with oncological treatments [100–103].”
Evin, A., Huon, J., Thuaut, A. L., Jego, P., Nizet, P., Victorri‐Vigneau, C., Bourdon, M., & Palliative care team (2025) · BMC Palliative Care · doi:10.1186/s12904-025-01814-2 · Cited by 6 · see citing works
“Therefore, there is still a need to develop tools adapted to the assessment of anxiety [27].”
Vanlaer, N., Dirven, I., Neyns, B., & Rogiers, A. (2024) · Cancers · doi:10.3390/cancers16091638 · Cited by 6 · see citing works
“%) and specificity (75%), to detect clinical FCR [19,20].”
BackgroundAlqaisi, O., Tai, P., & Storme, G. (2026) · Medicina · doi:10.3390/medicina62010185 · Cited by 5 · see citing works
“…et al. developed the European Society of Medical Oncology (ESMO) clinical practice guidelines recommending cognitive behavioral therapy and mindfulness-based interventions for managing anxiety and depression in adult cancer patients, noting these conditions are common but under-recognized [40].”
Frailty and Oncology: An Increasingly Common Combination
Hernández-Aguiar, Y., Becerra-Bolaños, Á., & Rodríguez-Pérez, A. (2025) · Cancer Medicine · doi:10.1002/cam4.71499 · Cited by 5 · see citing works
“The presence of anxiety and depression can directly impact both treatment adherence and cancer prognosis [75].”
Pâslaru, A., Bounegru, I., Laurențiu, D., & Ciubara, A. (2025) · Diseases · doi:10.3390/diseases13100335 · Cited by 5
The pitfalls of “toughing it out”: mapping stoic attitudes in cancer patients. A scoping review
Harerimana, A., Pillay, J., & Mchunu, G. (2025) · Medicine, Health care and Philosophy · doi:10.1007/s11019-025-10293-4 · Cited by 5 · see citing works
“The literature shows that anxiety and depression are the most frequently experienced psychological symptoms in cancer patients, regardless of the stage of the disease, the type of cancer, or the treatment phase they are undergoing (Die Trill 2013; Goerling et al. 2023; Grassi et al. 2023).”
Network analysis of core symptom changes in lung cancer survivors: a longitudinal study
Zhang, J., Zhao, X.-J., Zhang, G.-L., Wu, J., Guan, Q.-Y., Tian, Z., & Zeng, Y.-C. (2025) · Journal of cancer survivorship · doi:10.1007/s11764-025-01844-y · Cited by 5 · see citing works
Koshimoto, S., Amano, K., Mori, N., Imai, A., Sasaki, M., Miyajima, M., & Takeuchi, T. (2025) · Current Oncology · doi:10.3390/curroncol32050275 · Cited by 5
Şahin, G., Yuksel, H. C., Acar, C., Açar, P., & Sertöz, Ö. Ö. (2025) · BMC Psychology · doi:10.1186/s40359-025-02650-y · Cited by 5 · see citing works
“While not a formal psychiatric diagnosis, FoP encapsulates the fear, worry, and concern that cancer may return or worsen [33].”
Psychological Resilience in Newly Diagnosed Prostate Cancer Survivors: A Longitudinal Study.
Chien, C.-H., Liu, K.-L., Chuang, C., Wu, C.-T., Pang, S., Yu, K.-J., & Lin, P. (2025) · Cancer Nursing · doi:10.1097/ncc.0000000000001491 · Cited by 5 · see citing works
Salama, M., Elamin, A., Youssif, M., & Mattar, N. A. (2025) · Ultrastructural Pathology · doi:10.1080/01913123.2025.2454691 · Cited by 5
Yoga in Cancer Care: A Bibliometric Analysis of Systematic Reviews
Giridharan, S., Soumian, S., & Kumar, N. V. (2024) · Cureus · doi:10.7759/cureus.71829 · Cited by 3 · see citing works
Preferred labels and language to discuss low-risk lesions that may be cancer precursors: A review.
Lyons, M., Dhakal, S., Baker, C., Chaput, G., Finelli, A., Kupets, R., Hong, N. L., & Gagliardi, A. R. (2024) · Patient Education and Counseling · doi:10.1016/j.pec.2024.108321 · Cited by 5 · see citing works
Zhang, Y., Meng, Y., Shi, H.-R., Li, L., Li, J.-X., & Shao, H. (2026) · Medicine · doi:10.1097/md.0000000000047023 · Cited by 4 · see citing works
“[49,50] These perceptions can translate into psychological stress, leading to the onset of emotional disorders.”
Liu, X., Yang, M., & Ma, Y. (2025) · International Journal of Nursing Studies Advances · doi:10.1016/j.ijnsa.2025.100462 · Cited by 4 · see citing works
Salabat, D., Toutounchian, S., Salabat, D., Babaei, A., Malekshahi, M., Barkhordar, M., & Salehi, Z. (2025) · BMC Cancer · doi:10.1186/s12885-025-15161-1 · Cited by 4 · see citing works
Leung, C. K., Yu, A. P., Bernal, J. D. K., Recchia, F., Fong, D., Wong, S. H., Chan, D. K. C., Capio, C. M., Yu, C. C.-W., Wong, S. W. S., et al. (2025) · British Journal of Sports Medicine · doi:10.1136/bjsports-2025-110371 · Cited by 4 · see citing works
Proportion and Correlates of Psychiatric Morbidity Among Psychiatry-Assessed Oncology Inpatients
Pâslaru, A., Bounegru, I., Pleșea-Condratovici, C., Marius, M., & Ciubara, A. (2025) · Diseases · doi:10.3390/diseases13110350 · Cited by 4 · see citing works
“A recent global review likewise cites ~39% 12-month prevalence of mental disorders among patients with cancer, further situating our inpatient cohort toward the upper end of expectations [2,4,31].”
InfluentialLi, X., Li, Q.-S., Jin, S.-H., Chen, X., Shen, J., Ma, H., & Zhou, J.-G. (2025) · Therapeutic Advances in Medical Oncology · doi:10.1177/17588359251371826 · Cited by 4 · see citing works
Depression and Cancer Pain: Mediating Roles of Anxiety and Pain Beliefs.
Shim, E.-J., Ha, H., Yeom, C.-W., Son, K.-L., Kim, W.-H., & Hahm, B. (2025) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2025.07.030 · Cited by 4 · see citing works
Clothier, Z., Harris, J., Kehinde, A., Mumford, V., Upshon, K., Williamson, C., MacArthur, R., Stevenson, R., Otter, S., Teoh, M., et al. (2025) · Cancer Control · doi:10.1177/10732748251356320 · Cited by 5 · see citing works
“25,65 Although many opinions shared by patients and HCPs were congruent, there were some discrepancies in the data.”
Bokemeyer, F., Gali, K., Kiefer, P., Bleich, C., Freitag, J., Bokemeyer, C., Abel, B., Schulz, H., & Lebherz, L. (2024) · Journal of Cancer Survivorship · doi:10.1007/s11764-024-01673-5 · Cited by 4 · see citing works
Clothier, Z., Armes, J., Kehinde, A., Mumford, V., Upshon, K., Williamson, C., MacAthur, R., Stevenson, R., Otter, S., Teoh, M., et al. (2024) · Measurement and Evaluations in Cancer Care · doi:10.1016/j.ymecc.2024.100007 · Cited by 3 · see citing works
Trojnar, A., Knetki-Wróblewska, M., Sobieraj, P., & Domagała-Kulawik, J. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13051450 · Cited by 4
“A series of recommendations have been distributed in cancer settings for routine active screening for distress among patients [51].”
BackgroundKim, M., Choi, Y., Cho, Y., Kim, S., Lee, H., & Park, S. H. (2026) · Supportive Care in Cancer · doi:10.1007/s00520-026-10584-3 · Cited by 3 · see citing works
García‐Torres, F., Gómez-Solís, Á., Castillo‐Mayén, R., Espejo‐Siles, R., Jurado-González, F. J., Jabłoński, M. J., Bernabé, D. G., Jaén-Moreno, M. J., & Aranda, E. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1768998 · Cited by 2 · see citing works
“This is the case for up to 28% of patients (Grassi et al., 2023).”
InfluentialChen, X.-M., Zhang, C., He, Y.-S., Liu, Y., Xiao, K., & Sun, F. (2026) · Geriatrics & Gerontology International · doi:10.1111/ggi.70340 · Cited by 3 · see citing works
Tolstrup, L. K., Vogsen, M., Hildebrandt, M. G., Sørensen, R. W., Maguire, R., & Dieperink, K. B. (2026) · Quality of Life Research · doi:10.1007/s11136-025-04148-x · Cited by 3 · see citing works
“…review that highlighted that care for women with MBC largely focused on life-prolonging treatments and managing physical symptoms and recommended that a comprehensive, holistic approach should also encompass psychological, social, and spiritual support through inter-disciplinary support [47, 48].”
Perioperative Depressive Symptoms in Surgical Cancer Patients: a Systematic Review and Meta-analysis
O'Callaghan, E., Andrade, K., Rivera, N., Rowe, D. G., Blasingame, M., Reitz, K., Dalton, T., Crowell, K.-A., Herndon, J. E., Kaplan, S., et al. (2026) · Annals of Surgical Oncology · doi:10.1245/s10434-025-17812-w · Cited by 3 · see citing works
“4,28 Our review notes that specific timepoints in the perioperative period should be prioritized for screening, contributing additional specificity to established cancer guidelines.”
Torres, S., Trudeau, M., Liu, G., Mitsakakis, N., & Bayoumi, A. M. (2025) · Current Oncology · doi:10.3390/curroncol32110598 · Cited by 2 · see citing works
“ESAS provides a brief, practical tool to screen symptoms such anxiety and depression during oncology visits, and to identify patients in need of further evaluation and support [39,40].”
Patterns of medication use following breast cancer diagnosis: an Australian population-based study
Ng, H.-A. S., Johansen, C., Li, M., Roder, D., Beckmann, K., & Koczwara, B. (2025) · Supportive Care in Cancer · doi:10.1007/s00520-025-09732-y · Cited by 3 · see citing works
Zhang, L., Zhang, Z.-X., & Wang, F. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-095926 · Cited by 3 · see citing works
Balachandran, R., Thaysen, H. V., Christensen, P., Nissen, E. R., O’Toole, M. S., Knutzen, S. M., Buskbjerg, C. R., Wu, L. M., Tauber, N. M., Amidi, A., et al. (2025) · Cancers · doi:10.3390/cancers17071127 · Cited by 4 · see citing works
“Indeed, recent guidelines published by the European Society for Medical Oncology (ESMO) recommended LE monitoring in cancer survivors [13,14], especially in patients with a high risk of recurrence and/or treatment-related side-effects [14].”
Self-citationEmpowering people affected by penile cancer: towards a model for supportive self-management
Paterson, C., Earle, W., Homewood, D. C., Chee, J., Yao, H. H., Sengupta, S., Agbejule, O. A., Knowles, R., Ee, C., Niyonsenga, T., et al. (2025) · International journal of impotence research · doi:10.1038/s41443-025-01042-5 · Cited by 3 · see citing works
Salmon, P. (2025) · Cambridge University Press eBooks · doi:10.1017/9781009343152 · Cited by 3 · see citing works
Pecci, F., & Tarantino, P. (2024) · Translational Lung Cancer Research · doi:10.21037/tlcr-24-904 · Cited by 3
“The European Society of Medical Oncology (ESMO) developed clinical practice guidelines for anxiety and depression in adult patients with cancer encouraging a regular screening and assessment of patients for psychological distress along with timely interventions when necessary (2).”
Virtual Waiting Room: The New Narrative of Waiting in Oncology Care
Světlák, M. (2024) · Journal of Cancer Education · doi:10.1007/s13187-024-02496-9 · Cited by 2 · see citing works
Artioli, G., Deiana, L., Bertuol, M., Casella, G., Guasconi, M., Foà, C., Simone, R. D., Sarli, L., & Bonacaro, A. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e31802 · Cited by 3 · see citing works
“Pervasive feelings of helplessness, disbelief, anger, high levels of stress and fighting spirit, high levels of fatalism or anxiety and minimization of the disease emerge [52,54].”
BackgroundAjele, K. W., & Idemudia, E. (2026) · Journal of psychosocial oncology · doi:10.1080/07347332.2026.2679584 · Cited by 2 · see citing works
Lin, J.-J., Zhou, R., He, Z., Wang, T.-L., Zhang, Z.-X., Zhu, Y.-J., He, Y.-H., Chang, X., Chen, Y., & ZHANG, H.-B. (2026) · Frontiers in Oncology · doi:10.3389/fonc.2026.1836242 · Cited by 1 · see citing works
“The National Comprehensive Cancer Network (NCCN) recommends integrating ED assessment into standard oncological care as the “ sixth vital sign ” (50, 51).”
Mental Health Screening Tools for Cancer Patients, and Their Caregivers: An Umbrella Review
Ciria-Suarez, L., Heifez, M., Martín-Parra, S., Durosini, I., Monzani, D., Coppini, V., Ferrari, M. V., Rutenkröger, M., Lange, M., Paillard-Brunet, G., et al. (2026) · Psycho-Oncology · doi:10.1002/pon.70465 · Cited by 2 · see citing works
Mind-Body Interventions for People With Cancer: Evidence, Innovation, and Implementation
Conradi, H., Petersson, J. N., Deleemans, J. M., Schuman, H. D. M., Savard, C., Irving, E., Marshall, N., & Carlson, L. E. (2026) · Seminars in Radiation Oncology · doi:10.1016/j.semradonc.2026.151009 · Cited by 2 · see citing works
Lambert, S., Moore, A., Belzile, É., Rosberger, Z., Pelland, M., Hijal, T., Haggerty, J. L., Brahim, L. O., Germeil, F., Alizadeh, M., et al. (2026) · Supportive Care in Cancer · doi:10.1007/s00520-026-10383-w · Cited by 1 · see citing works
Caramore, A., O'Leary, J. M., Baser, R., Gordon, J. N., Barton-Burke, M., Fessele, K., & Majumdar, J. R. (2026) · Clinical Journal of Oncology Nursing · doi:10.1188/26.cjon.s1.e17-e23 · Cited by 2 · see citing works
Barandouzi, Z. A., Bruner, D. W., Lin, Y., Choi, H., Zeki, L. R., Akangbe, T., Epari, A., & Li, H. (2025) · Microorganisms · doi:10.3390/microorganisms14010051 · Cited by 1 · see citing works
“…pharmacological treatments (e.g., S-ketamine and Escitalopram), psychotherapeutic approaches (e.g., cognitive behavioral therapy (CBT), mindfulness-based therapies), complementary modalities (e.g., acupressure) and lifestyle interventions (e.g., dietary and exercise interventions) [7,13–17].”
Major depression and mortality from cancer: A 10-year Italian study
Grassi, L., Stivanello, E., Murri, M. B., Cruciata, M., Muscettola, A., Perlangeli, V., Pandolfi, P., Zaccagnino, B., Meggiolaro, E., Ruffilli, F., et al. (2025) · European psychiatry · doi:10.1192/j.eurpsy.2025.10048 · Cited by 2
Self-citationCardio-oncology Rehabilitation and Mental Health: Current Evidence and Future Perspectives.
Vilela, E., Viamonte, S., Prata, J., Pimentel, J. S., Joaquim, A., & Fontes-Carvalho, R. (2025) · Cardiology Clinics · doi:10.1016/j.ccl.2025.11.003 · Cited by 2 · see citing works
Analysis of anticancer drug associated adverse reactions in depressive patients from vigibase
Chrétien, B., Dolladille, C., Nishida, K., Aleksic, B., Alexandre, J., & L'Orphelin, J. (2025) · Scientific Reports · doi:10.1038/s41598-025-28563-9 · Cited by 2 · see citing works
“Approximately one in four patients experiencing depressive symptomatology exhibit clinically significant symptoms such as insomnia, irritability or anxiety disorder 59 .”
Personalized Traditional Chinese Medicine in Oncology: Bridging the Macro State with Micro Targets.
Ji, J., Wen, Q., Yu, Y., Xiong, F., Zheng, X.-E., & Ruan, S. (2025) · The American Journal of Chinese Medicine · doi:10.1142/s0192415x25500867 · Cited by 2 · see citing works
- Authors
- Grassi, L., Caruso, R., Riba, M. B., Lloyd-Williams, M., Kissane, D., Rodin, G., McFarland, D., Campos-Ródenas, R., Zachariae, R., Santini, D., & Ripamonti, C. I.
- Affiliations
- University of Ferrara (IT)
- University of Michigan (US)
- Monash Medical Centre (AU)
- Princess Margaret Cancer Centre (CA)
- University of Rochester Medicine (US)
- Aarhus University (DK)
- Sapienza University of Rome (IT)
- Fondazione IRCCS Istituto Nazionale dei Tumori (IT)
- Venue
- ESMO Open
- Publisher
- Elsevier BV
- Published
- 2023-04
- Volume
- 8
- Issue
- 2
- Pages
- 101155
- ISSN
- 2059-7029 (ISSN-L)
- PMC
- PMC10163167
- OpenAlex
- W4324143593
- Cited by
- 316
- References
- 125
- Citations by year
- 2026: 128 · 2025: 106 · 2024: 76 · 2023: 6
- FWCI
- 38.54
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- ESMO Open (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Institutional Research Information System (Università degli Studi di Brescia) (submittedVersion, other-oa)
- Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion, cc-by-nc-nd)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion, cc-by-nc-nd)
- Liverpool John Moores University (submittedVersion)
- Zaguan (Universidad de Zaragoza) (submittedVersion, cc-by-nc-nd)
- Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion, other-oa)
- Funders
- European Society for Medical Oncology
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- anxiety, depression, cancer patients, psycho-oncology, cognitive behavioral therapy, mindfulness-based interventions, psychopharmacological treatment, prevalence of mental disorders
- MeSH terms
- Adult, Anxiety, Depression, Humans, Neoplasms
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