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Cancer, mental disorders, suicidal ideation and attempts in a large community sample.
Psychooncology. 2008 Jul; 17(7):660-7.P

Abstract

PURPOSE

To determine the association between cancer diagnosis, mental disorders and suicidal behavior among community dwelling adults.

METHODS

Data were drawn from the nationally representative Canadian Community Health Survey Cycle 1.2 (N=36 984, response rate 77%, age 15+). Respondents were grouped into three age groups (15-54, 55-74, and 75+ years), and multiple regression analyses were conducted to examine the relationship between cancer and mental disorders: unadjusted and adjusted for sociodemographics, social supports and other mental disorders.

RESULTS

Among respondents aged 15-54, cancer was associated with increased odds of major depression (odds ratio [OR]=3.18; 95% confidence interval [CI]: 1.69-5.96), panic attacks (OR=2.15; 95% CI: 1.22-3.77) and any mental disorder. Among respondents aged 55-75, cancer was associated with increased odds of agoraphobia (OR=5.94; 95% CI: 1.68-21.03) and decreased odds of social phobia (OR=0.22; 95% CI: 0.06-0.80). Cancer was not associated with any mental disorder in the 75+ age group. Results persisted after adjustments for the covariates. Suicidal ideation was associated with cancer in the 55-74 age group (OR=5.07; 95% CI: 1.25-20.47) in unadjusted models; however, this relationship became non-significant when adjusting for the other covariates.

CONCLUSION

Clinicians should consider screening for depression and panic disorder in young, community dwelling patients with cancer.

Authors+Show Affiliations

Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18050260

Citation

Rasic, Daniel T., et al. "Cancer, Mental Disorders, Suicidal Ideation and Attempts in a Large Community Sample." Psycho-oncology, vol. 17, no. 7, 2008, pp. 660-7.
Rasic DT, Belik SL, Bolton JM, et al. Cancer, mental disorders, suicidal ideation and attempts in a large community sample. Psychooncology. 2008;17(7):660-7.
Rasic, D. T., Belik, S. L., Bolton, J. M., Chochinov, H. M., & Sareen, J. (2008). Cancer, mental disorders, suicidal ideation and attempts in a large community sample. Psycho-oncology, 17(7), 660-7.
Rasic DT, et al. Cancer, Mental Disorders, Suicidal Ideation and Attempts in a Large Community Sample. Psychooncology. 2008;17(7):660-7. PubMed PMID: 18050260.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cancer, mental disorders, suicidal ideation and attempts in a large community sample. AU - Rasic,Daniel T, AU - Belik,Shay-Lee, AU - Bolton,James M, AU - Chochinov,Harvey M, AU - Sareen,Jitender, PY - 2007/12/1/pubmed PY - 2008/10/18/medline PY - 2007/12/1/entrez SP - 660 EP - 7 JF - Psycho-oncology JO - Psychooncology VL - 17 IS - 7 N2 - PURPOSE: To determine the association between cancer diagnosis, mental disorders and suicidal behavior among community dwelling adults. METHODS: Data were drawn from the nationally representative Canadian Community Health Survey Cycle 1.2 (N=36 984, response rate 77%, age 15+). Respondents were grouped into three age groups (15-54, 55-74, and 75+ years), and multiple regression analyses were conducted to examine the relationship between cancer and mental disorders: unadjusted and adjusted for sociodemographics, social supports and other mental disorders. RESULTS: Among respondents aged 15-54, cancer was associated with increased odds of major depression (odds ratio [OR]=3.18; 95% confidence interval [CI]: 1.69-5.96), panic attacks (OR=2.15; 95% CI: 1.22-3.77) and any mental disorder. Among respondents aged 55-75, cancer was associated with increased odds of agoraphobia (OR=5.94; 95% CI: 1.68-21.03) and decreased odds of social phobia (OR=0.22; 95% CI: 0.06-0.80). Cancer was not associated with any mental disorder in the 75+ age group. Results persisted after adjustments for the covariates. Suicidal ideation was associated with cancer in the 55-74 age group (OR=5.07; 95% CI: 1.25-20.47) in unadjusted models; however, this relationship became non-significant when adjusting for the other covariates. CONCLUSION: Clinicians should consider screening for depression and panic disorder in young, community dwelling patients with cancer. SN - 1099-1611 UR - https://www.unboundmedicine.com/medline/citation/18050260/Cancer_mental_disorders_suicidal_ideation_and_attempts_in_a_large_community_sample_ L2 - https://doi.org/10.1002/pon.1292 DB - PRIME DP - Unbound Medicine ER -