- Title
- Prevalence and predictors of the short-term trajectory of anxiety and depression in the first year after a cancer diagnosis: a population-based longitudinal study.
- Creator
- Boyes, Allison W.; Girgis, Afaf; D'Este, Catherine A.; Zucca, Alison C.; Lecathelinais, Christophe; Carey, Mariko L.
- Relation
- NHMRC.252418
- Relation
- Journal of Clinical Oncology Vol. 31, Issue 21, p. 2724-2729
- Publisher Link
- http://dx.doi.org/10.1200/JCO.2012.44.7540
- Publisher
- American Society of Clinical Oncology
- Resource Type
- journal article
- Date
- 2013
- Description
- Purpose: Few studies have examined psychological adjustment for cancer survivors in late treatment and early survivorship stages. Our study investigated the prevalence and short-term trajectories of anxiety, depression, and comorbid anxiety-depression among adult cancer survivors, and identified the individual, disease, health behavior, psychological, and social predictors of chronic and late psychological morbidity. Methods: A heterogeneous sample of adult cancer survivors was recruited from two state-based cancer registries. A total of 1,154 survivors completed self-report questionnaires at 6 (Time 1) and 12 months (Time 2) postdiagnosis. Anxiety and depression were assessed by the Hospital Anxiety and Depression Scale with cases identified by a subscale cutoff score ≥ 8. Logistic regression analyses identified Time 1 characteristics associated with anxiety and/or depression at Time. Results: The point prevalence of anxiety (Time 1, 22%; Time 2, 21%), depression (13% at both timepoints) and comorbid anxiety-depression (9% at both timepoints) was similar at 6 and 12 months postdiagnosis. The most prevalent Time 1 to Time 2 trajectory was noncase for anxiety (70%), depression (82%), and comorbid anxiety-depression (87%). While psychological morbidity at Time 1 was the strongest predictor of psychological morbidity at Time 2, being diagnosed with lung cancer and health risk behaviors (smoking, insufficient physical activity) were also strong predictors. Conclusion: Targeted psychological screening of vulnerable survivors and early intervention may prevent the onset and/or reduce the severity of psychological morbidity in early survivorship. Trials of risk reduction interventions targeting psychological functioning and health risk behaviors seem warranted.
- Subject
- cancer diagnosis; anxiety; depression; cancer survivors
- Identifier
- http://hdl.handle.net/1959.13/1058950
- Identifier
- uon:16494
- Identifier
- ISSN:1527-7755
- Language
- eng
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