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Cited by 157Cancer survivorship and careMental Health Treatment and AccessCOVID-19 and Mental Health

Twelve-Month and Lifetime Prevalence of Mental Disorders in Cancer Patients

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Kuhnt, Susanne, Brähler, Elmar, Faller, Hermann, Härter, Martin, Keller, Monika, Schulz, Holger, Wegscheider, Karl, Weis, Joachim +8 more·2016·Psychotherapy and Psychosomatics
DOI 10.1159/000446991
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Abstract

Background: Psychological problems are common in cancer patients. For the purpose of planning psycho-oncological interventions and services tailored to the specific needs of different cancer patient populations, it is necessary to know to what extent psychological problems meet the criteria of mental disorders. The purpose of this study was to estimate the 12-month and lifetime prevalence rates of mental disorders in cancer patients. Methods: A representative sample of patients with different tumour entities and tumour stages (n = 2,141) in outpatient, inpatient and rehabilitation settings underwent the standardized computer-assisted Composite International Diagnostic Interview for mental disorders adapted for cancer patients (CIDI-O). Results: The overall 12-month prevalence for any mental disorder was 39.4% (95% CI: 37.3-41.5), that for anxiety disorders was 15.8% (95% CI: 14.4-17.4), 12.5% (95% CI: 11.3-14.0) for mood disorders, 9.5% (95% CI: 8.3-10.9) for somatoform disorders, 7.3% (95% CI: 6.2-8.5) for nicotine dependence, 3.7% (95% CI: 3.0-4.6) for disorders due to general medical condition, and 1.1% (95% CI: 0.7-1.6) for alcohol abuse or dependence. Lifetime prevalence for any mental disorder was 56.3% (95% CI 54.1-58.6), that for anxiety disorders was 24.1% (95% CI: 22.3-25.9), 20.5% (95% CI: 18.9-22.3) for mood disorders, 19.9% (95% CI: 18.3-21.7) for somatoform disorders, 18.2% (95% CI: 16.6-20.0) for nicotine dependence, 6.4% (95% CI: 5.4-7.6) for alcohol abuse or dependence, 4.6% (95% CI: 3.8-5.6) for disorders due to general medical condition, and 0.2% (95% CI: 0.1-0.6) for eating disorders. Conclusions: Mental disorders are highly prevalent in cancer patients, indicating the need for provision of continuous psycho-oncological support from inpatient to outpatient care, leading to an appropriate allocation of direct personnel and other resources.

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  • Adults with cancer commonly have physical and psychological symptoms during and after primary treatment.

    “People with cancer experience significant physical and psychological symptoms, during as well as after primary treatment.”

    From Acceptance and commitment therapy in adult cancer survivors: a systematic review and conceptual model (2021) · cites this paper as [3]

    The Introduction describes high psychological distress in cancer patients and mentions somatic side effects. It also says mental disorders could persist in survivors and increase the risk of later physical and psychological symptoms, but it does not establish that significant symptoms of both kinds commonly occur during and after primary treatment. (LLM, conf=0.83)

    Experimental — accuracy not yet measured

  • Physical and psychological symptoms often persist for more than 10 years after cancer treatment.

    “These symptoms often persist for more than 10 years’ post-treatment [3–11].”

    From Acceptance and commitment therapy in adult cancer survivors: a systematic review and conceptual model (2021) · cites this paper as [3]

    The Introduction says mental disorders could be a long-lasting problem for cancer survivors and could increase somatic and psychological symptom burden. It does not establish that physical and psychological symptoms often persist for more than 10 years after treatment; the Participants section reports time since diagnosis, not symptom duration after treatment. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

  • FCR persists over a number of years following treatment, if left untreated.

    “FCR persists over a number of years following treatment, if left untreated [28, 29].”

    From Real-world evaluation of an acceptance and commitment therapy–based group programme for breast cancer survivors with fear of cancer recurrence (2023) · cites this paper as [28]

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Research works printed but not linked: 3

  1. [17]17. Vehling S, Koch U, Ladehoff N, Schon G, Wegscheider K, Heckl U, Weis J, Mehnert A: Prevalence of affective and anxiety disorders in cancer: systematic literature review and me- ta-analysis. Psychother Psychosom Med Psy- chol 2012; 62: 249-258.
  2. [18]18. Mehnert A, Vehling S, Scheffold K, Ladehoff N, Schon G, Wegscheider K, Heckl U, Weis J, Koch U, Ladehoff N, Schon G, Wegscheider K, Heckl U, Weis J, Mehnert A: Prevalence of ad- justment disorder, acute and posttraumatic stress disorders as well as somatoform disor- ders in cancer patients -a systematic literature review. Psychother Psychosom Med Psychol 2013; 63: 466-472.
  3. [39]39. Meyer C, Rumpf H, Hapke U, Dilling H, John U: Lebenszeitprävalenz psychischer Störun- gen in der erwachsenen Allgemeinbevölker- ung. Nervenarzt 2000; 71: 535-542.

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Authors
Kuhnt, S., Brähler, E., Faller, H., Härter, M., Keller, M., Schulz, H., Wegscheider, K., Weis, J., Boehncke, A., Hund, B., Reuter, K., Richard, M., Sehner, S., Wittchen, H.-U., Koch, U., & Mehnert, A.
Affiliations
  • University Hospital Leipzig (DE)
  • University Medical Center of the Johannes Gutenberg University Mainz (DE)
  • University of Würzburg (DE)
  • University Medical Center Hamburg-Eppendorf (DE)
  • University Hospital Heidelberg (DE)
  • University Medical Center Freiburg (DE)
ORCID
Venue
Psychotherapy and Psychosomatics
Publisher
S. Karger AG
Published
2016
Volume
85
Issue
5
Pages
289-296
ISSN
  • 0033-3190 (ISSN-L)
  • 1423-0348
DOI
10.1159/000446991
OpenAlex
W2484765416
Cited by
157
References
41
Citations by year
2026: 13 · 2025: 17 · 2024: 16 · 2023: 21 · 2022: 21 · 2021: 15 · 2020: 15 · 2019: 15 · 2018: 15 · 2017: 8 · 2012: 1
FWCI
6.82
Type
journal article
Language
en
Open access
Licence
Locations
  • Psychotherapy and Psychosomatics (publishedVersion)
  • PubMed (publishedVersion)
  • Qucosa (Saxon State and University Library Dresden) (submittedVersion, other-oa)
Funders
Deutsche Krebshilfe (107465)
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
mental illness, cancer patients, prevalence, anxiety disorders, mood disorders, somatoform disorders, nicotine dependence, alcohol abuse, psycho-oncology, psychological distress, cancer rehabilitation, oncology inpatients, cancer outpatients, psychiatric comorbidity, tobacco use, alcohol consumption, post-traumatic stress disorder, obsessive-compulsive disorder
MeSH terms
Mental Disorders, Female, Humans, Male, Middle Aged, Neoplasms, Prevalence

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