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Title: The course of anxiety, depression and unmet needs in survivors of diffuse large B cell lymphoma and multiple myeloma in the early survivorship period
Austin Authors: Oberoi, Devesh;White, Victoria;Seymour, John F;Prince, H Miles;Harrison, Simon J;Jefford, Michael;Winship, Ingrid;Hill, David;Bolton, Damien M ;Kay, Anne;Millar, Jeremy L;Doo, Nicole Wong;Giles, Graham G
Affiliation: Cancer Council Victoria, Melbourne, Victoria, Australia
The University of Melbourne, Parkville, Victoria, Australia
Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
Royal Melbourne Hospital Familial Cancer Centre, Parkville, Victoria, Australia
Austin Health, Heidelberg, Victoria, Australia
North Eastern Melbourne Integrated Cancer Service, Heidelberg, Victoria, Australia
AlfredHealth, The Alfred, Melbourne, Victoria, Australia
Concord Hospital, Concord, NSW, Australia
Issue Date: Jun-2017
Publication information: Journal of Cancer Survivorship 2017; 11(3): 329-338
Abstract: PURPOSE: The purpose of the study is to examine the course of anxiety, depression and unmet needs in diffuse large B cell lymphoma (DLBCL) and multiple myeloma (MM) survivors in the first 2 years post diagnosis. METHODS: DLBCL and MM survivors, recruited through the Victorian Cancer Registry, completed two interviews approximately 7 and 15 months post diagnosis. Hospital Anxiety and Depression Scale (HADS) and Supportive Care Needs Survey (SCNS-SF34) were completed at both interviews. Primary outcomes were prevalence of anxiety, depression and unmet needs (any or moderate-high). Generalized estimating equation examined whether course of anxiety, depression and unmet needs differed between the two cancers. RESULTS: Overall, 236 DLBCL and 178 MM survivors completed both telephone interviews. Course of anxiety differed (p < 0.01) with rate increasing in DLBCL (14 to 22%) while remaining stable for MM (15 to 12%). Course of depression also differed (p < 0.01), decreasing for MM (22 to 12%) and remaining stable for DLBCL (15 to 16%) survivors. Change in unmet needs was generally similar for the two cancer groups, except for moderate to high psychological needs (p < 0.05). CONCLUSIONS: Patterns of change in anxiety and depression in first 2 years post diagnosis differ for DLBCL and MM survivors. IMPLICATIONS FOR CANCER SURVIVORS: Studying psychological outcomes in mixed haematological cancer samples may be inappropriate, at least in the early survivorship phase. Separate studies of the experiences of people with the different haematological cancer subtypes are needed to ensure psychosocial and supportive care interventions are appropriate to the needs of individuals with different haematological cancers.
DOI: 10.1007/s11764-016-0591-y
ORCID: 0000-0002-5145-6783
PubMed URL:
Type: Journal Article
Subjects: Cancer survivorship
Diffuse large B cell lymphoma
Haematological cancer
Multiple myeloma
Psychosocial oncology
Appears in Collections:Journal articles

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