Prevalence of mental health conditions in cancer patients in acute care—a meta-analysis
Open accessAbstract
Background To what extent is professional psychosocial care of cancer patients in acute hospitals necessary? In a previous meta-analysis, prevalence of psychological sequelae was found to be the same as in the general population. New studies with advanced methodology have been published since; therefore, an updated meta-analysis was needed.Methods We systematically reviewed studies assessing the prevalence of mental health conditions in acute care hospitals with comprehensive structured clinical interviews.Results Of 46 retrieved manuscripts, eight were deemed eligible for this meta-analysis. Within the studies, 1448 cancer patients had been assessed, whereby 456 were diagnosed having a mental health disorder. The prevalence rates ranged from 23% (breast cancer patients in Turkey) to 53% (elderly cancer patients in Uganda). The combined prevalence estimate is 32% (95% confidence interval 27% to 37%).Conclusion One-third of the cancer patients in acute care hospitals is suffering from mental health disorders and need appropriate treatment.
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In patients with cancer, distress strongly affects all aspects of their lives (eg, work-life, family life).
“In patients with cancer, distress strongly affects all aspects of their lives (eg, work–life, family life)”
From Web-based mindfulness and skills-based distress reduction for patients with cancer: study protocol of the multicentre, randomised, controlled confirmatory intervention trial Reduct (2022) · cites this paper as [6]
The introduction and objectives (page not provided) say that untreated psychiatric comorbidities in cancer patients significantly affect disability and quality of life. That supports an impact on patients’ lives, but the paper does not establish that distress strongly affects all aspects of life, including family life. (LLM, conf=0.85)
Experimental — accuracy not yet measuredDistress leads to decreased quality of life in patients with cancer.
“leads to decreased quality of life”
From Web-based mindfulness and skills-based distress reduction for patients with cancer: study protocol of the multicentre, randomised, controlled confirmatory intervention trial Reduct (2022) · cites this paper as [6]
The Introduction and objectives (page unavailable) says untreated psychiatric comorbidities in patients with cancer significantly affect quality of life. That supports the general link, but the paper does not make the same claim about distress broadly; its Discussion distinguishes subthreshold psychological distress from the diagnosed conditions reviewed. (LLM, conf=0.86)
Experimental — accuracy not yet measuredDistress results in a 4.4-fold higher risk of suicide compared with the general population in patients with cancer.
“results in a 4.4-fold higher risk of suicide compared with the general population.”
From Web-based mindfulness and skills-based distress reduction for patients with cancer: study protocol of the multicentre, randomised, controlled confirmatory intervention trial Reduct (2022) · cites this paper as [6]
The discussion compares the prevalence of mental disorders in acute-care cancer patients with the general population, and Table 2 estimates mental-disorder prevalence. Neither addresses suicide risk or a 4.4-fold increase; searches for those terms and for distress-related suicide risk found no supporting passage in our copy. (LLM, conf=0.76)
Experimental — accuracy not yet measuredDistress causes financial problems in patients with cancer.
“causes financial problems”
From Web-based mindfulness and skills-based distress reduction for patients with cancer: study protocol of the multicentre, randomised, controlled confirmatory intervention trial Reduct (2022) · cites this paper as [6]
The introduction and objectives discuss the effects of untreated psychiatric conditions on disability and quality of life, but not financial problems. Searches for financial and economic problems found no passage in our copy stating that distress causes financial problems in patients with cancer. (LLM, conf=0.74)
Experimental — accuracy not yet measured
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- Authors
- Singer, S., Das-Munshi, J., & Brähler, E.
- Affiliations
- London School of Hygiene & Tropical Medicine (GB)
- Leipzig University (DE)
- Corresponding author
- Singer, S.
- Venue
- Annals of Oncology
- Publisher
- Elsevier BV
- Published
- 2010-05
- Volume
- 21
- Issue
- 5
- Pages
- 925-930
- ISSN
- 0923-7534 (ISSN-L)
- OpenAlex
- W2169004900
- Cited by
- 392
- References
- 39
- Citations by year
- 2026: 12 · 2025: 22 · 2024: 22 · 2023: 17 · 2022: 39 · 2021: 28 · 2020: 32 · 2019: 30 · 2018: 35 · 2017: 33 · 2016: 27 · 2015: 25 · 2014: 21 · 2013: 26 · 2012: 9
- FWCI
- 0.61
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Annals of Oncology (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (publishedVersion, other-oa)
- HighWire Press Open Archive (submittedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (submittedVersion)
- Funders
- Medizinische Universität Wien
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- cancer patients, mental illness, prevalence, acute care hospitals, psychosocial care, psychological sequelae, depression, anxiety, breast cancer, elderly cancer patients
- MeSH terms
- Mental Disorders, Depressive Disorder, Humans, Mental Health, Neoplasms, Comorbidity, Prevalence
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