Friday, January 21, 2011 (Last Updated: 01/24/2011)
FRIDAY, Jan. 21 (HealthDay News) -- Depression and anxiety may be less common in cancer patients than previously thought, but mood disorders still occur in a substantial number of patients in various hospital settings, according to research published online Jan. 19 in The Lancet Oncology.
Alex J. Mitchell, M.R.C.Psych, of Leicester General Hospital and the Leicester Partnership Trust in the United Kingdom, and colleagues conducted a review and analysis of 24 studies involving 4,007 subjects in palliative care settings and 70 studies with 10,071 subjects in oncological or hematological settings to assess the prevalence of depression, anxiety, and adjustment disorders in these settings. They restricted studies to those using psychiatric interviews.
In the palliative care settings, they found the prevalence of all types of depression, depression or adjustment disorders, and all types of mood disorders to be 24.6, 24.7, and 29 percent, respectively. In the other two settings, the prevalence of all types of depression, depression or adjustment disorders, and all types of mood disorders was 20.7, 31.6, and 38.2 percent, respectively. The authors note that interview-defined anxiety and depression is less common in cancer patients than was previously believed.
"Interview-defined depression and anxiety is less common in patients with cancer than previously thought, although some combination of mood disorders occurs in 30 to 40 percent of patients in hospital settings without a significant difference between palliative-care and non-palliative-care settings. Clinicians should remain vigilant for mood complications, not just depression," the authors write.
Hematology & Oncology
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