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Cancer and depression

¹Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, CA 94305-5544, USA.

The British Journal of Psychiatry. Supplement

|June 1, 1996

Summary

This summary is machine-generated.

Psychiatric disorders, particularly depression, are common in cancer patients. Effective psychotherapy can improve patient adjustment, reduce symptoms, and potentially extend cancer survival rates.

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Area of Science:

Oncology
Psychiatry
Psychosomatic Medicine

Background:

Psychiatric disorders, especially depression, affect up to 50% of cancer patients.
Illness-related anxiety can delay cancer diagnosis, negatively impacting survival by 10-20%.
While the link between depression and cancer incidence is debated, psychotherapy impacts cancer's course.

Purpose of the Study:

To examine the effects of psychotherapy on cancer patients' psychological well-being and disease course.
To explore potential mechanisms linking psychotherapy to improved physiological outcomes in cancer care.

Main Methods:

Review of studies on psychotherapy for medically ill patients, including randomized trials in cancer populations.
Analysis of potential physiological pathways: health behaviors, healthcare utilization, endocrine, and immune functions.

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Main Results:

Psychotherapy reduces anxiety, depression, and pain in medically ill patients.
Randomized studies show psychotherapy associated with longer survival in breast cancer, lymphoma, and melanoma patients.
Potential mechanisms include improved health maintenance, healthcare utilization, endocrine, and immune function.

Conclusions:

Effective depression treatment in cancer patients improves adjustment, reduces symptoms, and lowers care costs.
Psychotherapy for cancer patients can be considered integral to both medical and psychiatric treatment.
Psychotherapy may influence the disease course, potentially improving long-term cancer survival.