Cited by 316Cancer survivorship and careMental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Anxiety and depression in adult cancer patients: ESMO Clinical Practice Guideline

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Grassi, L., Caruso, R., Riba, M.B., Lloyd-Williams, M., Kissane, D., Rodin, G., McFarland, D., Campos-Ródenas, R. +3 more·2023·ESMO Open

Abstract

•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)

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  • Psychological 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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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)
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
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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