Health Behaviors and Depressive Symptoms in Testicular Cancer Survivors
Open accessAbstract
Objectives Testicular cancer has one of the highest 5-year survival rates of all cancer sites. The survival period is marked by an increased risk of secondary cancer and cardiovascular events owing to treatment-related toxicities. The purposes of this cross-sectional study were to determine the prevalence of health behaviors and depressive symptoms and to assess the relationship between depression and health behaviors in survivors of testicular cancer.Methods A total of 162 survivors of testicular cancer 2 to 10 years after their diagnosis completed a one-time telephone interview. The interview included a battery of questions from the Behavioral Risk Factor Surveillance System assessing health behaviors (smoking, physical activity, cholesterol screening, colorectal cancer screening, alcohol consumption, and fruit and vegetable intake) and the Centers for Epidemiological Studies-Depression (CES-D) questionnaire assessing depressive symptoms.Results The interviews revealed a low prevalence of positive health behaviors among survivors of testicular cancer. The percentage (17.5%) of survivors of testicular cancer who scored above the cutoff on the CES-D was greater than that (11%) of large-scale population-based estimates in men aged 19 to 44 years. Smoking was significantly related to depression. Depressive symptoms (CES-D score) differed significantly depending on smoking status (current smokers, mean = 15.2; former smokers, mean = 6.2, P <0.001; and never smokers, mean = 8.7, P <0.001).Conclusions Given the increased risk of cancer and treatment-related morbidities of these survivors, the findings of this study suggest that healthcare professionals should encourage survivors of testicular cancer to engage in positive health behaviors and check for depressive symptoms.
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Depression has sometimes been found to be elevated among testicular cancer survivors compared with the general population.
“anxiety (Dahl et al., 2005;Fossa, Dahl, & Loge, 2003;Smith et al., 2016) and sometimes depression (Shinn et al., 2007;Smith et al., 2016), have been found to be elevated among TC survivors compared with the general population.”
From e-TC: Development and pilot testing of a web-based intervention to reduce anxiety and depression in survivors of testicular cancer (2017) · cites this paper as Shinn et al., 2007
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- Authors
- Shinn, E. H., Basen-Engquist, K., Thornton, B., Spiess, P. E., & Pisters, L.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- Corresponding author
- Shinn, E. Huh
- Venue
- Urology
- Publisher
- Elsevier BV
- Published
- 2007-04
- Volume
- 69
- Issue
- 4
- Pages
- 748-753
- ISSN
- 0090-4295 (ISSN-L)
- PMC
- PMC2674069
- OpenAlex
- W2057783828
- Cited by
- 59
- References
- 29
- Citations by year
- 2026: 1 · 2023: 2 · 2021: 5 · 2020: 2 · 2019: 5 · 2018: 6 · 2017: 5 · 2016: 5 · 2015: 7 · 2014: 3 · 2013: 1 · 2012: 4
- FWCI
- 1.18
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Urology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (K07-CA-093512, R03-CA-3348)
- 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 › Global Cancer Incidence and Screening
- Keywords
- testicular cancer survivors, depressive symptoms, health behavior, smoking, physical activity, cholesterol screening, colorectal cancer screening, alcohol consumption, fruit and vegetable intake, cancer survivorship, treatment toxicity, cardiovascular risk
- MeSH terms
- Adult, Cross-Sectional Studies, Depression, Humans, Male, Middle Aged, Risk Factors, Testicular Neoplasms, Health Behavior, Prevalence, Survivors
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Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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