TY - JOUR
T1 - Comorbidity of common mental disorders with cancer and their treatment gap
T2 - findings from the World Mental Health Surveys
AU - Nakash, Ora
AU - Levav, Itzhak
AU - Aguilar-Gaxiola, Sergio
AU - Alonso, Jordi
AU - Andrade, Laura Helena
AU - Angermeyer, Matthias C.
AU - Bruffaerts, Ronny
AU - Caldas-de-Almeida, Jose Miguel
AU - Florescu, Slivia
AU - de Girolamo, Giovanni
AU - Gureje, Oye
AU - He, Yanling
AU - Hu, Chiyi
AU - de Jonge, Peter
AU - Karam, Elie G.
AU - Kovess-Masfety, Viviane
AU - Medina-Mora, Maria Elena
AU - Moskalewicz, Jacek
AU - Murphy, Sam
AU - Nakamura, Yosikazu
AU - Piazza, Marina
AU - Posada-Villa, Jose
AU - Stein, Dan J.
AU - Taib, Nezar Ismet
AU - Zarkov, Zahari
AU - Kessler, Ronald C.
AU - Scott, Kate M.
PY - 2014/1
Y1 - 2014/1
N2 - ObjectiveThis study aimed to study the comorbidity of common mental disorders (CMDs) and cancer, and the mental health treatment gap among community residents with active cancer, cancer survivors and cancer-free respondents in 13 high-income and 11 low-middle-income countries.MethodsData were derived from the World Mental Health Surveys (N=66,387; n=357 active cancer, n=1373 cancer survivors, n=64,657 cancer-free respondents). The World Health Organization/Composite International Diagnostic Interview was used in all surveys to estimate CMDs prevalence rates. Respondents were also asked about mental health service utilization in the preceding 12months. Cancer status was ascertained by self-report of physician's diagnosis.ResultsTwelve-month prevalence rates of CMDs were higher among active cancer (18.4%, SE=2.1) than cancer-free respondents (13.3%, SE=0.2) adjusted for sociodemographic confounders and other lifetime chronic conditions (adjusted odds ratio (AOR)=1.44, 95% CI 1.05-1.97). CMD rates among cancer survivors (14.6%, SE=0.9) compared with cancer-free respondents did not differ significantly (AOR=0.95, 95% CI 0.82-1.11). Similar patterns characterized high-income and low-middle-income countries. Of respondents with active cancer who had CMD in the preceding 12months, 59% sought services for mental health problems (SE=5.3). The pattern of service utilization among people with CMDs by cancer status (highest among persons with active cancer, lower among survivors and lowest among cancer-free respondents) was similar in high-income (64.0%, SE=6.0; 41.2%, SE=3.0; 35.6%, SE=0.6) and low-middle-income countries (46.4%, SE=11.0; 22.5%, SE=9.1; 17.4%, SE=0.7).ConclusionsCommunity respondents with active cancer have higher CMD rates and high treatment gap. Comprehensive cancer care should consider both factors. Copyright (c) 2013 John Wiley & Sons, Ltd.
AB - ObjectiveThis study aimed to study the comorbidity of common mental disorders (CMDs) and cancer, and the mental health treatment gap among community residents with active cancer, cancer survivors and cancer-free respondents in 13 high-income and 11 low-middle-income countries.MethodsData were derived from the World Mental Health Surveys (N=66,387; n=357 active cancer, n=1373 cancer survivors, n=64,657 cancer-free respondents). The World Health Organization/Composite International Diagnostic Interview was used in all surveys to estimate CMDs prevalence rates. Respondents were also asked about mental health service utilization in the preceding 12months. Cancer status was ascertained by self-report of physician's diagnosis.ResultsTwelve-month prevalence rates of CMDs were higher among active cancer (18.4%, SE=2.1) than cancer-free respondents (13.3%, SE=0.2) adjusted for sociodemographic confounders and other lifetime chronic conditions (adjusted odds ratio (AOR)=1.44, 95% CI 1.05-1.97). CMD rates among cancer survivors (14.6%, SE=0.9) compared with cancer-free respondents did not differ significantly (AOR=0.95, 95% CI 0.82-1.11). Similar patterns characterized high-income and low-middle-income countries. Of respondents with active cancer who had CMD in the preceding 12months, 59% sought services for mental health problems (SE=5.3). The pattern of service utilization among people with CMDs by cancer status (highest among persons with active cancer, lower among survivors and lowest among cancer-free respondents) was similar in high-income (64.0%, SE=6.0; 41.2%, SE=3.0; 35.6%, SE=0.6) and low-middle-income countries (46.4%, SE=11.0; 22.5%, SE=9.1; 17.4%, SE=0.7).ConclusionsCommunity respondents with active cancer have higher CMD rates and high treatment gap. Comprehensive cancer care should consider both factors. Copyright (c) 2013 John Wiley & Sons, Ltd.
KW - cancer
KW - epidemiology
KW - mental health
KW - oncology
KW - treatment gap
KW - World Mental Health Surveys
KW - MIDDLE-INCOME COUNTRIES
KW - QUALITY-OF-LIFE
KW - PSYCHOSOCIAL INTERVENTIONS
KW - PSYCHIATRIC-DISORDERS
KW - SERVICE USE
KW - DEPRESSION
KW - CARE
KW - DISTRESS
KW - PREVALENCE
KW - NEEDS
U2 - 10.1002/pon.3372
DO - 10.1002/pon.3372
M3 - Article
SN - 1057-9249
VL - 23
SP - 40
EP - 51
JO - Psycho-oncology
JF - Psycho-oncology
IS - 1
ER -