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Prevalence of Depression in Patients With Cancer
Open accessAbstract
Depression is the psychiatric syndrome that has received the most attention in individuals with cancer. The study of depression has been a challenge because symptoms occur on a broad spectrum that ranges from sadness to major affective disorder and because mood change is often difficult to evaluate when a patient is confronted by repeated threats to life, is receiving cancer treatments, is fatigued, or is experiencing pain. Although many research groups have assessed depression in cancer patients since the 1960s, the reported prevalence (major depression, 0%-38%; depression spectrum syndromes, 0%-58%) varies significantly because of varying conceptualizations of depression, different criteria used to define depression, differences in methodological approaches to the measurement of depression, and different populations studied. Depression is highly associated with oropharyngeal (22%-57%), pancreatic (33%-50%), breast (1.5%-46%), and lung (11%-44%) cancers. A less high prevalence of depression is reported in patients with other cancers, such as colon (13%-25%), gynecological (12%-23%), and lymphoma (8%-19%). This report reviews the prevalence of depression in cancer patients throughout the course of cancer.
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“Some studies have found that head and neck cancer is associated with the highest documented rates of depression and anxiety compared with other cancer types [5].”
From Acceptance and commitment therapy versus mindfulness-based stress reduction for newly diagnosed head and neck cancer patients: A randomized controlled trial assessing efficacy for positive psychology, depression, anxiety, and quality of life (2022) · cites this paper as [5]
Experimental — accuracy not yet measuredIn the citing paper
“For example, cancer patients exhibit elevated circulating proinflammatory cytokines and develop depression and fatigue at rates approaching 50% (Musselman et al., 2001b, Massie, 2004, Jehn et al., 2006).”
From Inflammatory cytokines in depression: neurobiological mechanisms and therapeutic implications (2013) · cites this paper as Massie, 2004
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Baijens, L. W. J., Walshe, M., Aaltonen, L., Arens, C., Cordier, R., Cras, P. P., Crevier‐Buchman, L., Curtis, C., Golusiński, W., Govender, R., et al. (2020) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-020-06507-5 · Cited by 191
Relationship between physical activity and general mental health
Kim, Y. S., Park, Y. S., Allegrante, J. P., Marks, R., Ok, H., Ok Cho, K., & Garber, C. E. (2012) · Preventive Medicine · doi:10.1016/j.ypmed.2012.08.021 · Cited by 169
“Physical health conditions are associated with depressive disorders (and vice-versa), with the magnitude of association depending on the disease condition (Massie, 2004;McDaniel et al., 1995; Scott et al., 2007).”
Yang, Y., Liu, L., Wang, Y., Wu, H. L., Yang, X., Wang, J., & Wang, L. (2013) · BMC Cancer · doi:10.1186/1471-2407-13-393 · Cited by 172
Hope in the Context of Lung Cancer: Relationships of Hope to Symptoms and Psychological Distress
Berendes, D. M., Keefe, F. J., Somers, T. J., Kothadia, S. M., Porter, L. S., & Cheavens, J. S. (2010) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2010.01.014 · Cited by 166
Managing the adverse effects of radiation therapy.
Berkey, F. J. (2010) · PubMed · Cited by 166
Depression and Insomnia in Cancer: Prevalence, Risk Factors, and Effects on Cancer Outcomes
Irwin, M. R. (2013) · Current Psychiatry Reports · doi:10.1007/s11920-013-0404-1 · Cited by 166
Management of distress in cancer patients.
Holland, J. C., & Alici, Y. (2010) · PubMed · Cited by 164
Assessment of Depression in Cancer Patients
Trask, P. C. (2004) · JNCI Monographs · doi:10.1093/jncimonographs/lgh013 · Cited by 158
Receipt of Psychosocial Care Among Cancer Survivors in the United States
Forsythe, L. P., Kent, E. E., Weaver, K. E., Buchanan, N., Hawkins, N. A., Rodriguez, J. L., Ryerson, A. B., & Rowland, J. H. (2013) · Journal of Clinical Oncology · doi:10.1200/jco.2012.46.2101 · Cited by 157
Health status and suicide in the second half of life
Conwell, Y., Duberstein, P. R., Hirsch, J. K., Conner, K. R., Eberly, S., & Caine, E. D. (2010) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.2348 · Cited by 159
“…of the CNS with suicide may be indicative of the strong relationship of these diseases to depression (Musselman et al., 1998; Lyness et al., 2000; Massie, 2004); indeed, the hypothesis that depression serves as a moderator or mediator of the association between disease and suicide should be…”
Carlson, L. E., Rouleau, C. R., & Garland, S. N. (2015) · Cancer Management and Research · doi:10.2147/cmar.s64165 · Cited by 160
Psychological Health in Cancer Survivors
Andrykowski, M. A., Lykins, E., & Floyd, A. (2008) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2008.05.007 · Cited by 203
Jefford, M., Karahalios, E., Pollard, A. C., Baravelli, C. M., Carey, M. L., Franklin, J., Aranda, S. K., & Schofield, P. E. (2008) · Journal of Cancer Survivorship · doi:10.1007/s11764-008-0043-4 · Cited by 152
“While estimates vary [2], a sizeable minority of cancer survivors will experience clinically significant depression, anxiety or adjustment disorders [5, 11 ], and many more cancer survivors experience periods of psychological distress [10].”
Effects of paclitaxel on the development of neuropathy and affective behaviors in the mouse
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“For example, approximately 58% of cancer patients suffer from depression, while anxiety is prevalent in approximately 11.5% of the cancer patient population (Massie, 2004; Mehnert et al., 2014).”
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“Major depressive disorder (MDD) is common in outpatients attending cancer services [1].”
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Outcomes of music therapy interventions in cancer patients—A review of the literature
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Andrykowski, M. A., Schmidt, J. E., Salsman, J. M., Beacham, A. O., & Jacobsen, P. B. (2005) · Journal of Clinical Oncology · doi:10.1200/jco.2005.07.024 · Cited by 157
Singh, B., Spence, R. R., Steele, M. L., Sandler, C. X., Peake, J. M., & Hayes, S. C. (2018) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2018.03.026 · Cited by 146
Trachsel, M., Irwin, S. A., Biller-Andorno, N., Hoff, P., & Riese, F. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-0970-y · Cited by 148
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Psychological distress among male patients and male spouses: what do oncologists need to know?
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Sullivan, D. R., Forsberg, C., Ganzini, L., Au, D., Gould, M., Provenzale, D., & Slatore, C. (2016) · Journal of Clinical Oncology · doi:10.1200/jco.2016.66.8459 · Cited by 137
Metadata
- Authors
- Massie, M. J.
- Affiliations
- Memorial Sloan Kettering Cancer Center (US)
- Corresponding author
- Massie, M. J.
- Venue
- Journal of the National Cancer Institute Monographs
- Publisher
- Oxford University Press (OUP)
- Published
- 2004-07-01
- Volume
- 2004
- Issue
- 32
- Pages
- 57-71
- ISSN
- 1052-6773 (ISSN-L)
- OpenAlex
- W2111457041
- Cited by
- 1,408
- References
- 117
- Citations by year
- 2026: 34 · 2025: 33 · 2024: 35 · 2023: 62 · 2022: 102 · 2021: 74 · 2020: 65 · 2019: 79 · 2018: 62 · 2017: 63 · 2016: 82 · 2015: 76 · 2014: 81 · 2013: 119 · 2012: 104
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- JNCI Monographs (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Health Sciences › Medicine › Oncology › Cancer-related cognitive impairment studies
- Keywords
- depression, cancer patients, prevalence, major depressive disorder, oropharyngeal cancer, pancreatic cancer, breast cancer, lung cancer, cancer-related depression, mood assessment
- MeSH terms
- Depressive Disorder, Fatigue, Humans, Neoplasms, Pain, Risk Factors, Sex Factors, Prevalence
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