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10 - Cancer and depression

from Part 2 - Depression and specific health problems

Published online by Cambridge University Press:  17 September 2009

By
Alice E. Simon ,
Steven C. Palmer  and
James C. Coyne
Edited by
Andrew Steptoe
Alice E. Simon
Affiliation:
Health Behaviour Unit, Department of Epidemiology and Public Health, University College London, London, UK
Steven C. Palmer
Affiliation:
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadephia, PA, USA
James C. Coyne
Affiliation:
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadephia, PA, USA
Andrew Steptoe
Affiliation:
University College London
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Summary

Introduction

Recent advances in the detection [1] and treatment [2] of cancer have led to longer survival times [3]; for example, the five-year survival rate of localised breast cancer is now 97% [4]. As a result of this lengthened life expectancy, greater attention is being paid to quality of life and psychosocial care for cancer patients. In the short term, this means ensuring that patients maintain their quality of life during diagnostic and treatment phases. In the longer term, the aim is to ensure that psychological problems are prevented or ameliorated so that cancer patients can rehabilitate and resume functioning at the level they maintained before their cancer.

Cancer remains a life-threatening illness linked by many authors with fears about incapacity, disfigurement and death [5, 6]. Unsurprisingly, many individuals diagnosed with cancer experience at least transient psychological distress. This recognition, however, can lead to a dismissal of depression as a normative response to cancer and missed opportunities to address a highly impairing, but readily treatable, psychiatric disorder when depression does occur. On the other hand, overestimation of the extent to which cancer results in depression can misguide allocation of resources, leading to an emphasis on strategies for aggressively detecting psychiatric disorders at the expense of follow-up care for patients who have already been identified, as well as attention to more common problems and basic supportive needs that affect quality of life among cancer patients more generally.

Keywords

cancer patientscancer progressiondepressionquality of life
Type
Chapter
Information
Depression and Physical Illness , pp. 211 - 237
Publisher: Cambridge University Press
Print publication year: 2006

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  • Cancer and depression
    • By Alice E. Simon, Health Behaviour Unit, Department of Epidemiology and Public Health, University College London, London, UK, Steven C. Palmer, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadephia, PA, USA, James C. Coyne, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadephia, PA, USA
  • Edited by Andrew Steptoe, University College London
  • Book: Depression and Physical Illness
  • Online publication: 17 September 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544293.011
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  • Cancer and depression
    • By Alice E. Simon, Health Behaviour Unit, Department of Epidemiology and Public Health, University College London, London, UK, Steven C. Palmer, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadephia, PA, USA, James C. Coyne, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadephia, PA, USA
  • Edited by Andrew Steptoe, University College London
  • Book: Depression and Physical Illness
  • Online publication: 17 September 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544293.011
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Cancer and depression
    • By Alice E. Simon, Health Behaviour Unit, Department of Epidemiology and Public Health, University College London, London, UK, Steven C. Palmer, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadephia, PA, USA, James C. Coyne, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadephia, PA, USA
  • Edited by Andrew Steptoe, University College London
  • Book: Depression and Physical Illness
  • Online publication: 17 September 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544293.011
Available formats
×