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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Veröffentlicht in:	European journal of cancer care Jg. 28; H. 3; S. e13086 - n/a
Hauptverfasser:	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
Sprache:	Englisch
Veröffentlicht:	England John Wiley & Sons, Inc 01.05.2019 John Wiley and Sons Inc
Schlagworte:	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
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Abstract	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.
AbstractList	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. 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. 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%). 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. 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.INTRODUCTIONSymptoms 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.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.METHODSWe 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.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%).RESULTSA 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%).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.CONCLUSIONPrevalences 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. 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. IntroductionSymptoms 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.MethodsWe 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.ResultsA 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%).ConclusionPrevalences 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.
Author	Stegmann, Mariken E. Schroevers, Maya J. Duijts, Saskia F. A. Handberg, Charlotte Brandenbarg, Daan Maass, Saskia W. M. C. Geerse, Olaf P.
AuthorAffiliation	1 Department of General Practice and Elderly Care Medicine, University Medical Center Groningen University of Groningen Groningen The Netherlands 3 Department of Public Health, Faculty of Health Aarhus University Aarhus Denmark 4 The Danish National Rehabilitation Center for Neuromuscular Diseases Aarhus Denmark 6 Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC Vrije Universiteit Amsterdam Amsterdam The Netherlands 2 Department of Pulmonary Diseases and Tuberculosis, University Medical Center Groningen University of Groningen Groningen The Netherlands 5 Department of Health Psychology, University Medical Center Groningen University of Groningen Groningen The Netherlands
AuthorAffiliation_xml	– name: 4 The Danish National Rehabilitation Center for Neuromuscular Diseases Aarhus Denmark – name: 6 Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC Vrije Universiteit Amsterdam Amsterdam The Netherlands – name: 3 Department of Public Health, Faculty of Health Aarhus University Aarhus Denmark – name: 1 Department of General Practice and Elderly Care Medicine, University Medical Center Groningen University of Groningen Groningen The Netherlands – name: 2 Department of Pulmonary Diseases and Tuberculosis, University Medical Center Groningen University of Groningen Groningen The Netherlands – name: 5 Department of Health Psychology, University Medical Center Groningen University of Groningen Groningen The Netherlands
Author_xml	– sequence: 1 givenname: Daan surname: Brandenbarg fullname: Brandenbarg, Daan organization: University of Groningen – sequence: 2 givenname: Saskia W. M. C. surname: Maass fullname: Maass, Saskia W. M. C. organization: University of Groningen – sequence: 3 givenname: Olaf P. surname: Geerse fullname: Geerse, Olaf P. organization: University of Groningen – sequence: 4 givenname: Mariken E. orcidid: 0000-0001-8491-1407 surname: Stegmann fullname: Stegmann, Mariken E. organization: University of Groningen – sequence: 5 givenname: Charlotte orcidid: 0000-0002-1378-2449 surname: Handberg fullname: Handberg, Charlotte organization: The Danish National Rehabilitation Center for Neuromuscular Diseases – sequence: 6 givenname: Maya J. surname: Schroevers fullname: Schroevers, Maya J. organization: University of Groningen – sequence: 7 givenname: Saskia F. A. surname: Duijts fullname: Duijts, Saskia F. A. email: s.f.a.duijts@umcg.nl organization: Vrije Universiteit Amsterdam
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Copyright	2019 The Authors. Published by John Wiley & Sons Ltd. 2019 The Authors. European Journal of Cancer Care Published by John Wiley & Sons Ltd. Copyright © 2019 John Wiley & Sons Ltd
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Snippet	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... 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... IntroductionSymptoms of depression, anxiety and distress are common in the first years after a cancer diagnosis, but little is known about the prevalence of...
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SubjectTerms	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
Title	A systematic review on the prevalence of symptoms of depression, anxiety and distress in long‐term cancer survivors: Implications for primary care
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