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Depression among cancer patients

T Hosaka1, T Aoki

  • 1Department of Psychiatry and Behavioral Science, Tokai University School of Medicine, Kanagawa, Japan.

Psychiatry and Clinical Neurosciences
|December 1, 1996
PubMed
Summary

Assessing depression in cancer patients is crucial. The Hospital Anxiety and Depression Scale-Depression (HADS-D) effectively distinguishes depressed cancer patients from others, unlike many other psychological tests.

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Area of Science:

  • Oncology
  • Psychiatry
  • Clinical Psychology

Background:

  • Co-morbidity of mental disorders, particularly depression, is common in cancer patients.
  • Accurate assessment of depression in cancer patients is challenging due to overlapping symptoms with physical illness.
  • Existing psychological tests may not effectively differentiate depression from physical symptoms in this population.

Purpose of the Study:

  • To investigate the frequency of co-morbidity in cancer patients.
  • To identify the most effective method for assessing depression in cancer patients.
  • To compare depression assessment in cancer patients versus medically ill patients.

Main Methods:

  • A comparative study involving 50 cancer patients and 50 medically ill patients.
  • Psychiatric interviews and administration of psychological tests including SAS, SDS, POMS, HADS, and DRP.
  • Analysis of diagnostic criteria according to DSM-IV and statistical comparison of test results.

Main Results:

  • 44% of cancer patients and 38% of medically ill patients exhibited mental disorders (DSM-IV).
  • Depression was the most frequent disorder (28% in cancer patients, 30% in medically ill patients).
  • The Hospital Anxiety and Depression Scale-Depression (HADS-D) effectively discriminated between depressed and non-depressed subjects, unlike other tested instruments.

Conclusions:

  • Depression is a significant co-morbidity in cancer patients.
  • The HADS-D is a reliable tool for assessing depression in cancer patients, as it avoids items related to physical illness.
  • Further research on tailored depression assessment tools for cancer patients is warranted.

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