The Impact of Cancer on Mental Health and the Importance of Supportive Services

Mental Health and Supportive Services For Patients With Cancer


  • Zhila Fereidouni Department of Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran
  • Samaneh Dehghan Abnavi Department of Operating Room, Community-Oriented Nursing Midwifery Research Center, Nursing and Midwifery School, Shahrekord University of Medical Sciences, Shahrekord, Iran
  • Zeinab Ghanbari Department of Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  • Roqayeh Gashmard Department of Nursing, Faculty of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
  • Fatemeh Zarepour Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  • Neda Khalili Samani Department of Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  • Abraham Rajesh Sharma Department of Community Medicine, BJ Government Medical College, Pune, Maharashtra, India
  • Afsaneh Ghasemi Department of Public Health, School of Health, Fasa University of Medical Sciences, Fasa, Iran


Cancer; Mental Health; Suportive Services; Caregiver; Depression; Anaxity


Cancer is a complex disease that affects the physical and psychological well-being of the patient, their families, and caregivers. Indeed, cancer-related mental health disorders could impact treatment adherence, quality of life, and overall health outcomes. In addition, approximately 30% of patients may experience cancer-related psychological disorders, including anxiety, depression, and post-traumatic stress. Also, caregivers of patients with cancer can experience significant emotional, physical, and financial stress, which can have a negative impact on their health. Therefore, to address these issues, mental health resources should be integrated into cancer care settings to identify and intervene early for individuals with psychological distress. Hence, providing psychological support, counseling, and education about coping strategies could create a safe and supportive environment where individuals can express their emotions, reducing feelings of isolation and depression. However, there are some important barriers to accessing mental health support for individuals with cancer, including stigma, cultural attitudes, and financial and logistical challenges. Hence, strategies to overcome these barriers include increasing awareness and education about the importance of mental health care, providing integrated care that addresses both physical and mental health needs, and utilizing telehealth services. So, healthcare providers should continue to develop and implement innovative approaches to mental health care that are tailored to the essential requirements of individuals with cancer and to enhance knowledge regarding the key roles of mental health care for individuals with cancer.


Tamaddon M, Azimzadeh M, Gifani P, Tavangar SM. Single-cell transcriptome analysis for cancer and biology of the pancreas: A review on recent progress. Front Genet. 2023; 14: 1029758.

PMid:37091793 PMCid:PMC10115972

El-Jawahri A, Greer JA, Pirl WF, Park ER, Jackson VA, Back AL, et al. Effects of early integrated palliative care on caregivers of patients with lung and gastrointestinal cancer: a randomized clinical trial. Oncologist. 2017; 22(12): 1528-34.

PMid:28894017 PMCid:PMC5728034

Maheu C, Singh M, Tock WL, Eyrenci A, Galica J, Hébert M, et al. Fear of cancer recurrence, health anxiety, worry, and uncertainty: A scoping review about their conceptualization and measurement within breast cancer survivorship research. Front Psychol. 2021; 12: 644932.

PMid:33912113 PMCid:PMC8072115

Simonelli LE, Siegel SD, Duffy NM. Fear of cancer recurrence: a theoretical review and its relevance for clinical presentation and management. Psychooncology. 2017;26(10):1444-54.


Ernst J, Mehnert A, Dietz A, Hornemann B, Esser P. Perceived stigmatization and its impact on quality of life-results from a large register-based study including breast, colon, prostate and lung cancer patients. BMC Cancer. 2017;17(1):741.

PMid:29121876 PMCid:PMC5680772

Ye M, Du K, Zhou J, Zhou Q, Shou M, Hu B, et al. A meta-analysis of the efficacy of cognitive behavior therapy on quality of life and psychological health of breast cancer survivors and patients. Psychooncology. 2018;27(7):1695-703.


Annunziata MA, Muzzatti B, Flaiban C, Gipponi K, Carnaghi C, Tralongo P, et al. Long-term quality of life profile in oncology: a comparison between cancer survivors and the general population. Support Care Cancer. 2018;26(2):651-6.


Boatemaa Benson R, Cobbold B, Opoku Boamah E, Akuoko CP, Boateng D. Challenges, coping strategies, and social support among breast cancer patients in Ghana. Advances in Public Health. 2020;2020:1-1.

Lovelace DL, McDaniel LR, Golden D. Long-term effects of breast cancer surgery, treatment, and survivor care. J Midwifery Womens Health. 2019;64(6):713-24.


Vehling S, Mehnert-Theuerkauf A, Philipp R, Härter M, Kraywinkel K, Kuhnert R, et al. Prevalence of mental disorders in patients with cancer compared to matched controls-secondary analysis of two nationally representative surveys. Acta Oncol. 2022;61(1):7-13.


Abd El Aleem EM, Selim NF, Abdallah AM, Amin SI. Assessment of Depression and Anxiety in Colorectal Cancer Patients. The Egyptian Journal of Hospital Medicine. 2023;92(1):2630-3.

Unseld M, Zeilinger EL, Fellinger M, Lubowitzki S, Krammer K, Nader IW, et al. Prevalence of pain and its association with symptoms of post-traumatic stress disorder, depression, anxiety and distress in 846 cancer patients: A cross sectional study. Psychooncology. 2021; 30(4): 504-10.

PMid:33210393 PMCid:PMC8049050

De Padova S, Grassi L, Vagheggini A, Belvederi Murri M, Folesani F, Rossi L, et al. Post-traumatic stress symptoms in long-term disease-free cancer survivors and their family caregivers. Cancer Med. 2021; 10(12): 3974-85.

PMid:34061453 PMCid:PMC8209622

Hashemi SM, Rafiemanesh H, Aghamohammadi T, Badakhsh M, Amirshahi M, Sari M, et al. Prevalence of anxiety among breast cancer patients: a systematic review and meta-analysis. Breast Cancer. 2020;27(2):166-78.


Bandani-Susan B, Montazeri A, Haghighizadeh MH, Araban M. The effect of mobile health educational intervention on body image and fatigue in breast cancer survivors: a randomized controlled trial. Ir J Med Sci. 2022;191(4):1599-605.


van Warmerdam J, Zabih V, Kurdyak P, Sutradhar R, Nathan PC, Gupta S. Prevalence of anxiety, depression, and posttraumatic stress disorder in parents of children with cancer: A meta-analysis. Pediatr Blood Cancer. 2019;66(6):e27677.


Park S, Sato Y, Takita Y, Tamura N, Ninomiya A, Kosugi T, et al. Mindfulness-based cognitive therapy for psychological distress, fear of cancer recurrence, fatigue, spiritual well-being, and quality of life in patients with breast cancer-a randomized controlled trial. J Pain Symptom Manage. 2020;60(2):381-9.


Davis LE, Bogner E, Coburn NG, Hanna TP, Kurdyak P, Groome PA, et al. Stage at diagnosis and survival in patients with cancer and a pre-existing mental illness: a meta-analysis. J Epidemiol Community Health. 2020;74(1):84-94.


Logan S, Perz J, Ussher JM, Peate M, Anazodo A. Systematic review of fertility-related psychological distress in cancer patients: Informing on an improved model of care. Psychooncology. 2019;28(1):22-30.


Brinkman TM, Zhu L, Zeltzer LK, Recklitis CJ, Kimberg C, Zhang N, et al. Longitudinal patterns of psychological distress in adult survivors of childhood cancer. Br J Cancer. 2013;109(5):1373-81.

PMid:23880828 PMCid:PMC3778287

Marthick M, McGregor D, Alison J, Cheema B, Dhillon H, Shaw T. Supportive care interventions for people with cancer assisted by digital technology: systematic review. J Med Internet Res. 2021;23(10):e24722.

PMid:34714246 PMCid:PMC8590193

Litzelman K, Choi H, Maher ME, Harnish A. Role of cancer survivor health and health service use in spouses' use of mental health-related care. Cancer. 2021;127(7):1146-53.


Soleimani MA, Bahrami N, Allen KA, Alimoradi Z. Death anxiety in patients with cancer: A systematic review and meta-analysis. Eur J Oncol Nurs. 2020:48:101803.


Wang YH, Li JQ, Shi JF, Que JY, Liu JJ, Lappin JM, et al. Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort studies. Mol Psychiatry. 2020;25(7):1487-99.


Wang X, Wang N, Zhong L, Wang S, Zheng Y, Yang B, et al. Prognostic value of depression and anxiety on breast cancer recurrence and mortality: a systematic review and meta-analysis of 282,203 patients. Mol Psychiatry. 2020;25(12):3186-97.

PMid:32820237 PMCid:PMC7714689

Niedzwiedz CL, Knifton L, Robb KA, Katikireddi SV, Smith DJ. Depression and anxiety among people living with and beyond cancer: a growing clinical and research priority. BMC Cancer. 2019;19(1):943.

PMid:31604468 PMCid:PMC6788022

Loughan AR, Lanoye A, Aslanzadeh FJ, Villanueva AA, Boutte R, Husain M, et al. Fear of cancer recurrence and death anxiety: unaddressed concerns for adult neuro-oncology patients. J Clin Psychol Med Settings. 2021;28(1):16-30.

PMid:31848927 PMCid:PMC7461618

Chen W, Chen Y, Xiao H. Existential distress in cancer patients: A concept analysis. Cancer Nurs. 2022;45(2):E471-E86.


Tuominen L, Stolt M, Meretoja R, Leino-Kilpi H. Effectiveness of nursing interventions among patients with cancer: an overview of systematic reviews. J Clin Nurs. 2019;28(13-14):2401-19.


Chayadi E, Baes N, Kiropoulos L. The effects of mindfulness-based interventions on symptoms of depression, anxiety, and cancer-related fatigue in oncology patients: A systematic review and meta-analysis. PLoS One. 2022;17(7):e0269519.

PMid:35834503 PMCid:PMC9282451

Grusdat NP, Stäuber A, Tolkmitt M, Schnabel J, Schubotz B, Wright PR, et al. Routine cancer treatments and their impact on physical function, symptoms of cancer-related fatigue, anxiety, and depression. Support Care Cancer. 2022;30(5):3733-44.

PMid:35018519 PMCid:PMC8942936

Esser P, Glaesmer H, Faller H, Koch U, Härter M, Schulz H, et al. Posttraumatic stress disorder among cancer patients-Findings from a large and representative interview-based study in Germany. Psychooncology. 2019;28(6):1278-85.


Foster C, Wright D, Hill H, Hopkinson J, Roffe L. Psychosocial implications of living 5 years or more following a cancer diagnosis: a systematic review of the research evidence. Eur J Cancer Care (Engl). 2009;18(3):223-47.


Anderson D, Jones V. Psychological interventions for cancer-related post-traumatic stress disorder: narrative review. BJPsych Bull. 2023:1-10.

PMid:37288666 PMCid:PMC10985725

Unseld M, Krammer K, Lubowitzki S, Jachs M, Baumann L, Vyssoki B, et al. Screening for post-traumatic stress disorders in 1017 cancer patients and correlation with anxiety, depression, and distress. Psychooncology. 2019;28(12):2382-8.

PMid:31679172 PMCid:PMC6916606

Shen A, Qiang W, Wang Y, Chen Y. Quality of life among breast cancer survivors with triple negative breast cancer--role of hope, self-efficacy and social support. Eur J Oncol Nurs. 2020:46:101771.


Calderon C, Gomez D, Carmona-Bayonas A, Hernandez R, Ghanem I, Raga MG, et al. Social support, coping strategies and sociodemographic factors in women with breast cancer. Clin Transl Oncol. 2021;23(9):1955-60.


Fancourt D, Warran K, Finn S, Wiseman T. Psychosocial singing interventions for the mental health and well-being of family carers of patients with cancer: results from a longitudinal controlled study. BMJ Open. 2019;9(8):e026995.

PMid:31401592 PMCid:PMC6701813

Gabriel I, Creedy D, Coyne E. A systematic review of psychosocial interventions to improve quality of life of people with cancer and their family caregivers. Nurs Open. 2020;7(5):1299-312.

PMid:32802350 PMCid:PMC7424465

Cai T, Huang Q, Yuan C. Emotional, informational and instrumental support needs in patients with breast cancer who have undergone surgery: a cross-sectional study. BMJ Open. 2021;11(8):e048515.

PMid:34373305 PMCid:PMC8354258

Islind AS, Johansson V, Vallo Hult H, Alsén P, Andreasson E, Angenete E, et al. Individualized blended care for patients with colorectal cancer: the patient's view on informational support. Support Care Cancer. 2021;29(6):3061-7.

PMid:33044626 PMCid:PMC8062320

Nayak MG, George A, Shashidhara YN, Nayak BS. Symptom interference and relation between the domains of quality of life among cancer patients of tertiary care hospital. Indian J Palliat Care. 2019;25(4):575-9.

PMid:31673215 PMCid:PMC6812431

Ruiz-Rodríguez I, Hombrados-Mendieta I, Melguizo-Garín A, Martos-Méndez MJ. The association of sources of support, types of support and satisfaction with support received on perceived stress and quality of life of cancer patients. Integr Cancer Ther. 2021:20:1534735421994905.

PMid:33736509 PMCid:PMC7983427

Lichtenthal WG, Nilsson M, Zhang B, Trice ED, Kissane DW, Breitbart W, et al. Do rates of mental disorders and existential distress among advanced stage cancer patients increase as death approaches?. Psychooncology. 2009;18(1):50-61.

PMid:18523933 PMCid:PMC3375836

Soubeyran P, Bellera C, Goyard J, Heitz D, Curé H, Rousselot H, et al. Screening for vulnerability in older cancer patients: the ONCODAGE Prospective Multicenter Cohort Study. PLoS One. 2014;9(12):e115060.

PMid:25503576 PMCid:PMC4263738

Frederiksen LE, Erdmann F, Mader L, Mogensen H, Pedersen C, Kenborg L, et al. Psychiatric disorders in childhood cancer survivors in Denmark, Finland, and Sweden: A register-based cohort study from the SALiCCS research programme. Lancet Psychiatry. 2022;9(1):35-45.


Nathan PC, Nachman A, Sutradhar R, Kurdyak P, Pole JD, Lau C, et al. Adverse mental health outcomes in a population-based cohort of survivors of childhood cancer. Cancer. 2018;124(9):2045-57.


Keating NL, Nørredam M, Landrum MB, Huskamp HA, Meara E. Physical and mental health status of older long-term cancer survivors. J Am Geriatr Soc. 2005;53(12):2145-52.


Harris JP, Kashyap M, Humphreys JN, Chang DT, Pollom EL. Longitudinal analysis of mental disorder burden among elderly patients with gastrointestinal malignancies. J Natl Compr Canc Netw. 2021;19(2):163-71.


Aziz NM, Rowland JH. Cancer survivorship research among ethnic minority and medically underserved groups. Oncol Nurs Forum. 2002;29(5):789-801.


Segrin C, Badger T, Sikorskii A. Psychological distress and social support availability in different family caregivers of Latinas with breast cancer. J Transcult Nurs. 2021;32(2):103-10.


Ketcher D, Otto AK, Vadaparampil ST, Heyman RE, Ellington L, Reblin M. The psychosocial impact of spouse-caregiver chronic health conditions and personal history of cancer on well-being in patients with advanced cancer and their caregivers. J Pain Symptom Manage. 2021;62(2):303-11.

PMid:33348028 PMCid:PMC8213866

Suarez-Almazor M, Pinnix C, Bhoo-Pathy N, Lu Q, Sedhom R, Parikh RB. Quality of life in cancer care. Med. 2021;2(8):885-8.


Solvik E, Ytrehus S, Utne I, Grov EK. Pain, fatigue, anxiety and depression in older home-dwelling people with cancer. Nurs Open. 2019;7(1):430-8.

PMid:31871728 PMCid:PMC6918018

Arensberg MB, Richards J, Benjamin J, Kerr K, Hegazi R. Opportunities for quality improvement programs (QIPs) in the nutrition support of patients with cancer. Healthcare (Basel). 2020;8(3):227.

PMid:32722026 PMCid:PMC7551760

Kim DH. Nutritional issues in patients with cancer. Intest Res. 2019;17(4):455-62.

PMid:31597414 PMCid:PMC6821944

Hall CC, Cook J, Maddocks M, Skipworth RJ, Fallon M, Laird BJ. Combined exercise and nutritional rehabilitation in outpatients with incurable cancer: a systematic review. Support Care Cancer. 2019;27(7):2371-84.

PMid:30944994 PMCid:PMC6541700

Coumoundouros C, Ould Brahim L, Lambert SD, McCusker J. The direct and indirect financial costs of informal cancer care: a scoping review. Health Soc Care Community. 2019;27(5):e622-e36.


Croarkin E, Tripken JL. Reducing Financial Impact: Community Services to Prevent Falls and Support Older Cancer Survivors. Rehabilitation Oncology. 2020;38(3):137-9.

Mercadante S, Aielli F, Adile C, Bonanno G, Casuccio A. Financial distress and its impact on symptom expression in advanced cancer patients. Support Care Cancer. 2021;29(1):485-90.


Li Q, Lin Y, Zhou H, Xu Y, Xu Y. Supportive care needs and associated factors among Chinese cancer survivors: a cross-sectional study. Support Care Cancer. 2019;27(1):287-95.


Sodergren SC, Wheelwright SJ, Permyakova NV, Patel M, Calman L, Smith PW, et al. Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life-results from the ColoREctal Wellbeing (CREW) study. J Cancer Surviv. 2019;13(6):899-909.

PMid:31512164 PMCid:PMC6881415

Olver I, Keefe D, Herrstedt J, Warr D, Roila F, Ripamonti CI. Supportive care in cancer-a MASCC perspective. Support Care Cancer. 2020;28(8):3467-75.


Aubin M, Vézina L, Verreault R, Simard S, Desbiens JF, Tremblay L, et al. Effectiveness of an intervention to improve supportive care for family caregivers of patients with lung cancer: study protocol for a randomized controlled trial. Trials. 2017;18(1):304.

PMid:28676071 PMCid:PMC5496252

Elimimian EB, Elson L, Stone E, Butler RS, Doll M, Roshon S, et al. A pilot study of improved psychological distress with art therapy in patients with cancer undergoing chemotherapy. BMC Cancer. 2020;20(1):899.

PMid:32962660 PMCid:PMC7510066

Serfaty M, King M, Nazareth I, Moorey S, Aspden T, Mannix K, et al. Effectiveness of cognitive-behavioural therapy for depression in advanced cancer: CanTalk randomised controlled trial. Br J Psychiatry. 2020;216(4):213-21.


Zahid JA, Grummedal O, Madsen MT, Gögenur I. Prevention of depression in patients with cancer: A systematic review and meta-analysis of randomized controlled trials. J Psychiatr Res. 2020:120:113-23.


Bosman JT, Bood ZM, Scherer-Rath M, Dörr H, Christophe N, Sprangers MA, et al. The effects of art therapy on anxiety, depression, and quality of life in adults with cancer: a systematic literature review. Support Care Cancer. 2021;29(5):2289-98.

PMid:33188476 PMCid:PMC7981299

Hu J, Wang X, Guo S, Chen F, Wu YY, Ji FJ, et al. Peer support interventions for breast cancer patients: a systematic review. Breast Cancer Res Treat. 2019;174(2):325-41.


Shalaby RA, Agyapong VI. Peer support in mental health: literature review. JMIR Ment Health. 2020;7(6):e15572.

PMid:32357127 PMCid:PMC7312261

Gupta T, Schapira L. Online communities as sources of peer support for people living with cancer: a commentary. J Oncol Pract. 2018:JOP1800261.


Boyes A, Turon H, Hall A, Watson R, Proietto A, Sanson-Fisher R. Preferences for models of peer support in the digital era: A cross-sectional survey of people with cancer. Psychooncology. 2018;27(9):2148-54.


Bender JL, Katz J, Ferris LE, Jadad AR. What is the role of online support from the perspective of facilitators of face-to-face support groups A multi-method study of the use of breast cancer online communities. Patient Educ Couns. 2013;93(3):472-9.


Von Ah D, Storey S, Jansen CE, Allen DH. Coping strategies and interventions for cognitive changes in patients with cancer. Semin Oncol Nurs. 2013;29(4):288-99.


Azadmanjir Z, Safdari R, Ghazisaeidi M. From self-care for healthy people to self-management for cancer patients with cancer portals. Asian Pac J Cancer Prev. 2015;16(4):1321-5.


Belkora J, Miller M, Crawford B, Coyne K, Stauffer M, Buzaglo J, et al. Evaluation of question-listing at the Cancer Support Community. Transl Behav Med. 2013;3(2):162-71.

PMid:24073167 PMCid:PMC3717975

Fallon EA, Driscoll D, Smith TS, Richardson K, Portier K. Cancer Society's Cancer Survivors Network®. J Cancer Surviv. 2018;12(5):691-701.


Klemm P, Bunnell D, Cullen M, Soneji R, Gibbons P, Holecek A. Online cancer support groups: a review of the research literature. Comput Inform Nurs. 2003;21(3):136-42.


Buckwalter MR, Srivastava PK. "It is the antigen(s), stupid" and other lessons from over a decade of vaccitherapy of human cancer. Semin Immunol. 2008;20(5):296-300.

PMid:18715801 PMCid:PMC6731373

Costello RE, Anand A, Evans MJ, Dixon WG. Associations Between Engagement With an Online Health Community and Changes in Patient Activation and Health Care Utilization: Longitudinal Web-Based Survey. J Med Internet Res. 2019;21(8):e13477.

PMid:31469082 PMCid:PMC6740167

Skalla KA, Smith EM, Li Z, Gates C. Multidimensional needs of caregivers for patients with cancer. Clin J Oncol Nurs. 2013;17(5):500-6.


Sklenarova H, Krümpelmann A, Haun MW, Friederich HC, Huber J, Thomas M, et al. When do we need to care about the caregiver Supportive care needs, anxiety, and depression among informal caregivers of patients with cancer and cancer survivors. Cancer. 2015;121(9):1513-9.


Northouse L, Williams AL, Given B, McCorkle R. Psychosocial care for family caregivers of patients with cancer. J Clin Oncol. 2012;30(11):1227-34.


Merckaert I, Libert Y, Lieutenant F, Moucheux A, Farvacques C, Slachmuylder JL, et al. Desire for formal psychological support among caregivers of patients with cancer: prevalence and implications for screening their needs. Psychooncology. 2013;22(6):1389-95.


Goren A, Gilloteau I, Lees M, DaCosta Dibonaventura M. Quantifying the burden of informal caregiving for patients with cancer in Europe. Support Care Cancer. 2014;22(6):1637-46.


Unsar S, Erol O, Ozdemir O. Caregiving burden, depression, and anxiety in family caregivers of patients with cancer. Eur J Oncol Nurs. 2021:50:101882.


Mosher CE, Given BA, Ostroff JS. Barriers to mental health service use among distressed family caregivers of lung cancer patients. Eur J Cancer Care (Engl). 2015;24(1):50-9.

PMid:24761985 PMCid:PMC4209195

Idemudia ES, Matamela NA. The role of stigmas in mental health: A comparative study. Curationis. 2012;35(1):30.


Shiri FH, Mohtashami J, Manoochehri H, Nasiri M, Rohani C. Care Plan for Reducing Stigma in Cancer Disease. Open Journal of Nursing. 2020;10(11):1142.

Cheon BK, Chiao JY. Cultural Variation in Implicit Mental Illness Stigma. J Cross Cult Psychol. 2012;43(7):1058-62.

PMid:24311820 PMCid:PMC3848905

Warmoth K, Wong CC, Chen L, Ivy S, Lu Q. The role of acculturation in the relationship between self-stigma and psychological distress among Chinese American breast cancer survivors. Psychol Health Med. 2020;25(10):1278-92.


Tang PL, Mayer DK, Chou FH, Hsiao KY. The experience of cancer stigma in Taiwan: a qualitative study of female cancer patients. Arch Psychiatr Nurs. 2016;30(2):204-9.


Kale HP, Carroll NV. Self-reported financial burden of cancer care and its effect on physical and mental health-related quality of life among US cancer survivors. Cancer. 2016;122(8):283-9.


Sharp L, Carsin AE, Timmons A. Associations between cancer-related financial stress and strain and psychological well-being among individuals living with cancer. Psychooncology. 2013;22(4):745-55.


Kent EE, Forsythe LP, Yabroff KR, Weaver KE, de Moor JS, Rodriguez JL, et al. Are survivors who report cancer-related financial problems more likely to forgo or delay medical care?. Cancer. 2013;119(20):3710-7.

PMid:23907958 PMCid:PMC4552354

Lunders C, Dillon EC, Mitchell D, Cantril C, Jones JB. The Unmet Needs of Breast Cancer Navigation Services: Reconciling Clinical Care With the Emotional and Logistical Challenges Experienced by Younger Women with Breast Cancer in a Healthcare Delivery System. J Patient Exp. 2023;10:23743735231171126.

PMid:37323760 PMCid:PMC10265349

Butt Z, Kirsten L, Beatty L, Kelly B, Dhillon H, Shaw JM. Barriers and enablers to implementing telehealth consultations in psycho-oncology. Psychooncology. 2022;31(8):1365-73.

PMid:35460322 PMCid:PMC9545227

Balboni TA, Balboni M, Enzinger AC, Gallivan K, Paulk ME, Wright A, et al. Provision of spiritual support to patients with advanced cancer by religious communities and associations with medical care at the end of life. JAMA Intern Med. 2013;173(12):1109-17.

PMid:23649656 PMCid:PMC3791610

Breitbart W. Spirituality and meaning in supportive care: spirituality-and meaning-centered group psychotherapy interventions in advanced cancer. Support Care Cancer. 2002;10(4):272-80.


Alcorn SR, Balboni MJ, Prigerson HG, Reynolds A, Phelps AC, Wright AA, et al. "If God wanted me yesterday, I wouldn't be here today": Religious and spiritual themes in patients' experiences of advanced cancer. J Palliat Med. 2010;13(5):581-8.


Grant E, Murray SA, Kendall M, Boyd K, Tilley S, Ryan D. Spiritual issues and needs: perspectives from patients with advanced cancer and nonmalignant disease A qualitative study. Palliat Support Care. 2004;2(4):371-8.


Kelly EP, Paredes AZ, Tsilimigras DI, Hyer JM, Pawlik TM. The role of religion and spirituality in cancer care: An umbrella review of the literature. Surg Oncol. 2022:42:101389.


Tao Y, Yu H, Liu S, Wang C, Yan M, Sun L, et al. Hope and depression: the mediating role of social support and spiritual coping in advanced cancer patients. BMC Psychiatry. 2022;22(1):345.

PMid:35585529 PMCid:PMC9118659

Rossato L, Benfato JC, Ullán AM, Scorsolini-Comin F. Religious-spiritual experiences of family members and caregivers of children and adolescents with cancer. Palliat Support Care. 2022;20(5):711-9.

Cannon AJ, Dokucu ME, Loberiza FR. Interplay between spirituality and religiosity on the physical and mental well-being of cancer survivors. Support Care Cancer. 2022;30(2):1407-17.


Eilami O, Moslemirad M, Naimi E, Babuei A, Rezaei K. The effect of religious psychotherapy emphasizing the importance of prayers on mental health and pain in cancer patients. J Relig Health. 2019;58(2):444-51.


Mao JJ, Pillai GG, Andrade CJ, Ligibel JA, Basu P, Cohen L, et al. Integrative oncology: Addressing the global challenges of cancer prevention and treatment. CA Cancer J Clin. 2022;72(2):144-64.


Cardoso F, Bese N, Distelhorst SR, Bevilacqua JL, Ginsburg O, Grunberg SM, et al. Supportive care during treatment for breast cancer: resource allocations in low-and middle-income countries A Breast Health Global Initiative 2013 consensus statement. Breast. 2013;22(5):593-605.

PMid:24001709 PMCid:PMC7442957

Wiener L, McConnell DG, Latella L, Ludi E. Cultural and religious considerations in pediatric palliative care. Palliat Support Care. 2013;11(1):47-67.

PMid:22617619 PMCid:PMC3437238

Rivest J, Jodoin VD, Fitch M, Martineau JT, Levenson JA. Screening for distress in cancer care: How to overcome barriers after unsuccessful implementation?. Palliat Support Care. 2022;20(1):1-3.


Kiani R, Vahabzadeh A, Hepplewhite EA, Abbas M, Finnamore T, Bhaumik S, et al. Overcoming challenges in diagnosing and treating cancers in people with intellectual disability: a case analysis. Tizard Learning Disability Review. 2014;19(2):51-8.

Lemmens LC, Molema CC, Versnel N, Baan CA, de Bruin SR. Integrated care programs for patients with psychological comorbidity: a systematic review and meta-analysis. J Psychosom Res. 2015;79(6):580-94.


Jacobsen PB, Wagner LI. A new quality standard: the integration of psychosocial care into routine cancer care. J Clin Oncol. 2012;30(11):1154-9.


Ouwens M, Hulscher M, Hermens R, Faber M, Marres H, Wollersheim H, et al. Implementation of integrated care for patients with cancer: a systematic review of interventions and effects. Int J Qual Health Care. 2009;21(2):137-44.


Pang NQ, Lau J, Fong SY, Wong CY, Tan KK. Telemedicine acceptance among older adult patients with cancer: scoping review. J Med Internet Res. 2022;24(3):e28724.

PMid:35348462 PMCid:PMC9006130

Mausbach BT, Bos T, Irwin SA. Mental health treatment dose and annual healthcare costs in patients with cancer and major depressive disorder. Health Psychol. 2018;37(11):1035-40.

PMid:30265046 PMCid:PMC6188821

Saimaldaher ZA, Wazqar DY. Relationships between caregiving stress, mental health and physical health in family caregivers of adult patients with cancer: implications for nursing practice. Scand J Caring Sci. 2020;34(4):889-98.


Fernando A. Mental health and cancer: Why it is time to innovate and integrate-A call to action. Eur Urol Focus. 2020;6(6):1165-7.

PMid:32680828 PMCid:PMC9972363

Edgcomb JB, Zima B. Machine learning, natural language processing, and the electronic health record: innovations in mental health services research. Psychiatr Serv. 2019;70(4):346-9.


Rutkowski S, Czech O, Wrzeciono A, Kiper P, Szczepańska-Gieracha J, Malicka I. Virtual reality as a chemotherapy support in treatment of anxiety and fatigue in patients with cancer: a systematic review and meta-analysis and future research directions. Complement Ther Med. 2021:61:102767.


Alcalá HE. Differential mental health impact of cancer across racial/ethnic groups: findings from a population-based study in California. BMC Public Health. 2014:14:930.

PMid:25200245 PMCid:PMC4175189

Anuk D, Özkan M, Kizir A, Özkan S. The characteristics and risk factors for common psychiatric disorders in patients with cancer seeking help for mental health. BMC Psychiatry

. 2019;19(1):269.

Vitek L, Rosenzweig MQ, Stollings S. Distress in patients with cancer: definition, assessment, and suggested interventions. Clin J Oncol Nurs. 2007;11(3):413-8.


Zhu P, Chen C, Liu X, Gu W, Shang X. Factors associated with benefit finding and mental health of patients with cancer: a systematic review. Support Care Cancer. 2022;30(8):6483-96.


Kadan-Lottick NS, Vanderwerker LC, Block SD, Zhang B, Prigerson HG. Psychiatric disorders and mental health service use in patients with advanced cancer: a report from the coping with cancer study. Cancer. 2005;104(12):2872-81.a

PMid:16284994 PMCid:PMC1459283






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