| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Psychosomatic Medicine, Vol 59, Issue 3 280-293, Copyright © 1997 by American Psychosomatic Society
ORIGINAL ARTICLES |
A van't Spijker, RW Trijsburg and HJ Duivenvoorden
Department of Medical Psychology and Psychotherapy, Erasmus University Rotterdam, The Netherlands.
OBJECTIVE: In a review of the literature from 1980 to 1994 on psychological and psychiatric problems in patients with cancer, the prevalence, severity, and the course of these problems (i.e., depression, anxiety, and general psychological distress) were studied with the help of meta-analyses and qualitative analyses. Apart from this, qualitative analyses were also applied with respect to other relevant variables. METHOD: A literature search in MEDLINE was conducted and cross-references of articles identified via MEDLINE. Meta-analysis was applied when possible. RESULTS: There seemed to be a wide variation across studies in psychological and psychiatric problems. Meta-analysis showed no significant differences between cancer patients and the normal population with respect to anxiety and psychological distress. However, cancer patients seemed to be significantly more depressed than normals. Compared with psychiatric patients, cancer patients were significantly less depressed, anxious, or distressed. Compared with a sample of other medical patients, cancer patients showed significantly less anxiety. With respect to course, a significant decrease was found in the meta-analysis for anxiety, but not for depression. Further meta-analyses showed significant differences among groups of cancer patients with regard to tumor site, sex, age, design of the study, and year of publication. From the qualitative analyses, it seemed that medical, sociodemographic, and psychological variables were related inconsistently to psychological and psychiatric problems. CONCLUSION: With the exception of depression, the amount of psychological and psychiatric problems in patients with cancer does not differ from the normal population. The amount of psychological and psychiatric problems is significantly less in cancer patients than in psychiatric patients. The amount of anxiety is significantly less in cancer patients than in other groups of medical patients with mixed diagnoses, whereas depression is not. Future studies should aim at exploring possible causes for the sometimes impressive differences in psychological or psychiatric problems among patients with cancer.
This article has been cited by other articles:
 |
|
 |
|
  S. Manne, C. Rini, S. Rubin, N. Rosenblum, C. Bergman, M. Edelson, E. Hernandez, J. Carlson, and T. Rocereto Long-Term Trajectories of Psychological Adaptation Among Women Diagnosed With Gynecological Cancers Psychosom Med, July 1, 2008; 70(6): 677 - 687. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Pinquart, C. Frohlich, and R. K. Silbereisen Cancer Patients' Perceptions of Positive and Negative Illness-related Changes J Health Psychol, November 1, 2007; 12(6): 907 - 921. [Abstract] [PDF]
|
|
|
|
 |
|
 A. J. Mitchell Pooled Results From 38 Analyses of the Accuracy of Distress Thermometer and Other Ultra-Short Methods of Detecting Cancer-Related Mood Disorders J. Clin. Oncol., October 10, 2007; 25(29): 4670 - 4681. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. L. Stanton Psychosocial Concerns and Interventions for Cancer Survivors J. Clin. Oncol., November 10, 2006; 24(32): 5132 - 5137. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Z. Ayanian and P. B. Jacobsen Enhancing Research on Cancer Survivors J. Clin. Oncol., November 10, 2006; 24(32): 5149 - 5153. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. H. Antoni, S. R. Wimberly, S. C. Lechner, A. Kazi, T. Sifre, K. R. Urcuyo, K. Phillips, R. G. Smith, V. M. Petronis, S. Guellati, et al. Reduction of Cancer-Specific Thought Intrusions and Anxiety Symptoms With a Stress Management Intervention Among Women Undergoing Treatment for Breast Cancer Am J Psychiatry, October 1, 2006; 163(10): 1791 - 1797. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y.M. Chan, P. W.H. Lee, D. Y.T. Fong, A. S.M. Fung, L. Y.F. Wu, A. Y.Y. Choi, T.Y. Ng, H. Y.S. Ngan, and L.C. Wong Effect of Individual Psychological Intervention in Chinese Women With Gynecologic Malignancy: A Randomized Controlled Trial J. Clin. Oncol., August 1, 2005; 23(22): 4913 - 4924. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Svedlund, M. Sullivan, B. Liedman, and L. Lundell Relationship of Tumor Burden and Patients' Minimization of Distress in Facing Surgery for Gastric Cancer Psychosomatics, June 1, 2005; 46(3): 233 - 243. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. S. Shannahoff-Khalsa Patient Perspectives: Kundalini Yoga Meditation Techniques for Psycho-oncology and as Potential Therapies for Cancer Integr Cancer Ther, March 1, 2005; 4(1): 87 - 100. [Abstract] [PDF]
|
|
|
|
|
|
K. J. Petrie and T. A. Revenson Editorial: New Psychological Interventions in Chronic Illness: Towards Examining Mechanisms of Action and Improved Targeting J Health Psychol, March 1, 2005; 10(2): 179 - 184. [PDF]
|
|
|
|
|
|
B. L. Andersen, W. B. Farrar, D. M. Golden-Kreutz, R. Glaser, C. F. Emery, T. R. Crespin, C. L. Shapiro, and W. E. Carson III Psychological, Behavioral, and Immune Changes After a Psychological Intervention: A Clinical Trial J. Clin. Oncol., September 1, 2004; 22(17): 3570 - 3580. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. J. Massie Prevalence of Depression in Patients With Cancer J Natl Cancer Inst Monographs, July 1, 2004; 2004(32): 57 - 71. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. S. Gottlieb, M. Khatta, E. Friedmann, L. Einbinder, S. Katzen, B. Baker, J. Marshall, S. Minshall, S. Robinson, M. L. Fisher, et al. The influence of age, gender, and race on the prevalence of depression in heart failure patients J. Am. Coll. Cardiol., May 5, 2004; 43(9): 1542 - 1549. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Manne, J. Ostroff, G. Winkel, L. Goldstein, K. Fox, and G. Grana Posttraumatic Growth After Breast Cancer: Patient, Partner, and Couple Perspectives Psychosom Med, May 1, 2004; 66(3): 442 - 454. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. R. Norton, S. L. Manne, S. Rubin, J. Carlson, E. Hernandez, M. I. Edelson, N. Rosenblum, D. Warshal, and C. Bergman Prevalence and Predictors of Psychological Distress Among Women With Ovarian Cancer J. Clin. Oncol., March 1, 2004; 22(5): 919 - 926. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Glover, J. Byrne, J. L. Mills, L. L. Robison, H. S. Nicholson, A. Meadows, and L. K. Zeltzer Impact of CNS Treatment on Mood in Adult Survivors of Childhood Leukemia: A Report From the Children's Cancer Group J. Clin. Oncol., December 1, 2003; 21(23): 4395 - 4401. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. G Glinder and J. B Persons Review: psychoeducational interventions reduce depressive symptoms in cancer Evid. Based Ment. Health, November 1, 2002; 5(4): 105 - 105. [Full Text] [PDF]
|
|
|
|
|
|
M. Gurevich, G. M. Devins, and G. M. Rodin Stress Response Syndromes and Cancer: Conceptual and Assessment Issues Psychosomatics, August 1, 2002; 43(4): 259 - 281. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Stark, M. Kiely, A. Smith, G. Velikova, A. House, and P. Selby Anxiety Disorders in Cancer Patients: Their Nature, Associations, and Relation to Quality of Life J. Clin. Oncol., July 15, 2002; 20(14): 3137 - 3148. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Savard and C. M. Morin Insomnia in the Context of Cancer: A Review of a Neglected Problem J. Clin. Oncol., February 1, 2001; 19(3): 895 - 908. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. F. Ybema, R. G. Kuijer, B. P. Buunk, G. M. DeJong, and R. Sanderman Depression and Perceptions of Inequity among Couples Facing Cancer Pers Soc Psychol Bull, January 1, 2001; 27(1): 3 - 13. [Abstract] [PDF]
|
|
|
|
 |
|
 P. Le Fevre, J. Devereux, S. Smith, S. M Lawrie, and M. Cornbleet Screening for psychiatric illness in the palliative care inpatient setting: a comparison between the Hospital Anxiety and Depression Scale and the General Health Questionnaire-12 Palliative Medicine, July 1, 1999; 13(5): 399 - 407. [Abstract] [PDF]
|
|
|
|
|
|
B. L. Green, J. H. Rowland, J. L. Krupnick, S. A. Epstein, P. Stockton, N. M. Stern, I. L. Spertus, and C. Steakley Prevalence of Posttraumatic Stress Disorder in Women With Breast Cancer Psychosomatics, April 1, 1998; 39(2): 102 - 111. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
