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Journal of Clinical Psychology in Medical Settings

Open Access 05-05-2024 | Mood Disorders

A Systematic Review of Trajectories of Clinically Relevant Distress Amongst Adults with Cancer: Course and Predictors

Authors: Leah Curran, Alison Mahoney, Bradley Hastings

Published in: Journal of Clinical Psychology in Medical Settings

Abstract

To improve interventions for people with cancer who experience clinically relevant distress, it is important to understand how distress evolves over time and why. This review synthesizes the literature on trajectories of distress in adult patients with cancer. Databases were searched for longitudinal studies using a validated clinical tool to group patients into distress trajectories. Twelve studies were identified reporting trajectories of depression, anxiety, adjustment disorder or post-traumatic stress disorder. Heterogeneity between studies was high, including the timing of baseline assessments and follow-up intervals. Up to 1 in 5 people experienced persistent depression or anxiety. Eight studies examined predictors of trajectories; the most consistent predictor was physical symptoms or functioning. Due to study methodology and heterogeneity, limited conclusions could be drawn about why distress is maintained or emerges for some patients. Future research should use valid clinical measures and assess theoretically driven predictors amendable to interventions.

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Title: A Systematic Review of Trajectories of Clinically Relevant Distress Amongst Adults with Cancer: Course and Predictors
Authors: Leah Curran
Alison Mahoney
Bradley Hastings
Publication date: 05-05-2024
Publisher: Springer US
Keywords: Mood Disorders
Affective Disorder
Anxiety
Adjustment Disorder
Post Traumatic Stress Disorder
Published in: Journal of Clinical Psychology in Medical Settings
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-024-10011-x

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A Systematic Review of Trajectories of Clinically Relevant Distress Amongst Adults with Cancer: Course and Predictors

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