A systematic review on the prevalence of symptoms of depression, anxiety and distress in long‐term cancer survivors: Implications for primary care

Introduction Symptoms of depression, anxiety and distress are common in the first years after a cancer diagnosis, but little is known about the prevalence of these symptoms at the long term. The aim of this review was to describe the prevalence of symptoms of depression, anxiety and distress in long...

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Bibliographic Details
Published in:European journal of cancer care Vol. 28; no. 3; pp. e13086 - n/a
Main Authors: Brandenbarg, Daan, Maass, Saskia W. M. C., Geerse, Olaf P., Stegmann, Mariken E., Handberg, Charlotte, Schroevers, Maya J., Duijts, Saskia F. A.
Format: Journal Article
Language:English
Published: England John Wiley & Sons, Inc 01.05.2019
John Wiley and Sons Inc
Subjects:
Anxiety
Anxiety - epidemiology
Anxiety - psychology
Cancer
cancer survivors
Cancer Survivors - psychology
Cancer Survivors - statistics & numerical data
Contemporary Reviews in Cancer Care
depression
Depression - epidemiology
Depression - psychology
Diagnosis
distress
Evidence-based medicine
Health care
Humans
long term
Mental depression
Physicians
Prevalence
Primary care
Primary Health Care
Psychological Distress
psychological problems
Schedules
Signs and symptoms
Survival
Systematic review
distress
anxiety
depression
long term
psychological problems
cancer survivors
ISSN:0961-5423, 1365-2354, 1365-2354
Online Access:Get full text
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Summary:Introduction Symptoms of depression, anxiety and distress are common in the first years after a cancer diagnosis, but little is known about the prevalence of these symptoms at the long term. The aim of this review was to describe the prevalence of symptoms of depression, anxiety and distress in long‐term cancer survivors, five or more years after diagnosis, and to provide implications for primary care. Methods We performed a systematic literature search in the PubMed, PsycINFO and CINAHL databases. Studies were eligible when reporting on the prevalence of symptoms of depression, anxiety and/or distress in long‐term cancer survivors (≥5 years after diagnosis), treated with curative intent. Results A total of 20 studies were included. The reported prevalence of depressive symptoms (N = 18) varied from 5.4% to 49.0% (pooled prevalence: 21.0%). For anxiety (N = 7), the prevalence ranged from 3.4% to 43.0% (pooled prevalence: 21.0%). For distress (N = 4), the prevalence ranged from 4.3% to 11.6% (pooled prevalence: 7.0%). Conclusion Prevalences of symptoms of depression, anxiety and distress among long‐term survivors of cancer do not fundamentally differ from the general population. This is reassuring for primary care physicians, as they frequently act as the primary physician for long‐term survivors whose follow‐up schedules in the hospital have been completed.
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ISSN:0961-5423
1365-2354
1365-2354
DOI:10.1111/ecc.13086