Cancer patients who develop a mental illness more likely to die

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US scientists say cancer patients who develop a mental health condition within a year of their diagnosis are more likely than those who do not to die within the next few years. The team looked at data on 371,189 US cancer patients, 39,687 (10.6%) of whom developed a mental health disorder within a year. Crunching the numbers, they found that, overall, 23.1% of the patients died during follow-up. Developing a mental illness in the year after a cancer diagnosis was linked with a 51% higher risk of death in the first three years after that diagnosis, dropping to a 17% higher risk three to five years afterwards. After five years, risk returned to normal. The findings highlight the importance of timely screening for and treatment of mental health problems following a cancer diagnosis, the authors conclude.

News release

From: Wiley

Does mental health affect mortality risk in adults with cancer?

Study finds a link between mental health diagnoses and early death.

In a study of adults with cancer, those who developed a mental health condition within the first year after their cancer diagnosis had a higher likelihood of dying over the next few years. The findings are published by Wiley online in CANCER, a peer-reviewed journal of the American Cancer Society.

In the analysis of data on all patients at University of California–affiliated hospitals, researchers identified all adult patients who were diagnosed with cancer in 2013–2023 but had no documented mental health disorder before their diagnosis.

Among 371,189 patients, 39,687 (10.6%) developed a mental health disorder within a year. After taking potentially influencing factors into account, a mental health disorder diagnosis was linked to a 51% higher risk of death in the initial 1–3 years after cancer diagnosis. This elevated risk diminished to a 17% higher risk after 3–5 years and then disappeared.

The findings support the importance of prompt screening and treatment of distress and mental health following a cancer diagnosis.

“Over the past several years, we’ve had an increasing appreciation for the important relationship between cancer, its treatment, and mental health,” said lead author Julian Hong, MD, MS, of the University of California, San Francisco. “This study reproduces our prior work by leveraging the shared experience across the University of California system, reinforcing a relationship between mental health conditions and mortality for patients with cancer and highlighting the need to prioritize and manage mental health.”

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