TY  - JOUR
A1  - Inhestern, Laura
A1  - Beierlein, Volker
A1  - Bultmann, Johanna Christine
A1  - Möller, Birgit
A1  - Romer, Georg
A1  - Koch, Uwe
A1  - Bergelt, Corinna
T1  - Anxiety and depression in working-age cancer survivors: a register-based study
T2  - BMC cancer
N2  - BACKGROUND Anxiety and depression can be a long-term strain in cancer survivors. Little is known about the emotional situation of cancer survivors who have to deal with work- and family-related issues. The purpose of this study was to investigate anxiety and depression in working-age cancer survivors and associated factors. METHODS A register-based sample of 3370 cancer survivors (25 to 55 years at time of diagnosis) diagnosed up to six years prior to the survey was recruited from two German cancer registries. Demographic and medical characteristics as well as self-reported measures were used. RESULTS Overall, approximately 40% of the survivors reported moderate to high anxiety scores and approximately 20% reported moderate to high depression scores. Compared to the general population, working-age cancer survivors were more anxious but less depressed (p < .001). Subgroups with regard to time since diagnosis did not differ in anxiety or depression. Anxiety and depression in cancer survivors were associated with various variables. Better social support, family functioning and physical health were associated with lower anxiety and depression. CONCLUSIONS Overall, we found higher anxiety levels in cancer survivors of working-age than in the general population. A considerable portion of cancer survivors reported moderate to high levels of anxiety and depression. The results indicate the need for psychosocial screening and psycho-oncological support e.g. in survivorship programs for working-age cancer survivors. Assessing the physical health, social support and family background might help to identify survivors at risk for higher emotional distress.
KW  - Adaptation
KW  - Psychological
KW  - Adult
KW  - Anxiety/epidemiology/etiology/pathology/psychology
KW  - Cancer Survivors/psychology
KW  - Depression/epidemiology/etiology/pathology/psychology
KW  - Female
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Neoplasms/complications/epidemiology/pathology/psychology
KW  - Quality of Life
KW  - Registries
KW  - Social Support
Y1  - 2017
UR  - https://www.hb.fh-muenster.de/opus4/frontdoor/index/index/docId/12700
VL  - 17
SP  - 347
ER  -