Physical Comorbidities and Depression in Recent and Long-Term Adult Cancer Survivors: NHANES 2007–2018
Metadatos
Afficher la notice complèteAuteur
Petrova, Dafina; Catena Martínez, Andrés; Rodríguez Barranco, Miguel; Redondo Sánchez, Daniel; Bayo Lozano, Eloísa; García Retamero Imedio, María Del Rocío; Jiménez Moleón, José Juan; Sánchez Pérez, María JoséEditorial
MDPI
Materia
Cancer Comorbidity Mental health Depressions Cancer survivor
Date
2021Referencia bibliográfica
Petrova, D.; Catena, A.; Rodríguez-Barranco, M.; Redondo-Sánchez, D.; Bayo-Lozano, E.; Garcia-Retamero, R.; Jiménez-Moleón, J.-J.; Sánchez, M.-J. Physical Comorbidities and Depression in Recent and Long-Term Adult Cancer Survivors: NHANES 2007–2018. Cancers 2021, 13, 3368. https://doi.org/10.3390/ cancers13133368
Patrocinador
Sara Borrell - the Health Institute Carlos III (Expde: CD19/00203)Résumé
Many adult cancer patients present one or more physical comorbidities. Besides interfering
with treatment and prognosis, physical comorbidities could also increase the already heightened
psychological risk of cancer patients. To test this possibility, we investigated the relationship between
physical comorbidities with depression symptoms in a sample of 2073 adult cancer survivors drawn
from the nationally representative National Health and Nutrition Examination Survey (NHANES)
(2007–2018) in the U.S. Based on information regarding 16 chronic conditions, the number of comorbidities diagnosed before and after the cancer diagnosis was calculated. The number of comorbidities
present at the moment of cancer diagnosis was significantly related to depression risk in recent but
not in long-term survivors. Recent survivors who suffered multimorbidity had 3.48 (95% CI 1.26–9.55)
times the odds of reporting significant depressive symptoms up to 5 years after the cancer diagnosis.
The effect of comorbidities was strongest among survivors of breast cancer. The comorbidities with
strongest influence on depression risk were stroke, kidney disease, hypertension, obesity, asthma,
and arthritis. Information about comorbidities is usually readily available and could be useful in
streamlining depression screening or targeting prevention efforts in cancer patients and survivors.
A multidimensional model of the interaction between cancer and other physical comorbidities on
mental health is proposed.