Predictive Value of Individual Behavioral Risk Factors for New Mood‐Related Psychiatric Disorder After Diagnosis of Cancer
2024

Behavioral Risk Factors and Mood Disorders in Cancer Patients

Sample size: 11712 publication Evidence: moderate

Author Information

Author(s): Seiichi Villalona, Carlos Chavez Perez, E. Paul Wileyto, Samuel Takvorian, Peter Gabriel, Abigail Doucette, Daniel Blumenthal, Robert Schnoll

Primary Institution: University of Pennsylvania Perelman School of Medicine

Hypothesis

Individuals with a history of smoking and/or HPV associated cancer experience higher odds of developing a new mood-related psychiatric disorder post-cancer diagnosis.

Conclusion

Individual behavioral risk factors increase the risk of new mood-related psychiatric disorders after being diagnosed with cancer.

Supporting Evidence

  • 3033 individuals (26%) developed a clinically significant mood-related psychiatric disorder after being diagnosed with cancer.
  • Females and younger patients were at a higher risk for developing new mood-related disorders.
  • Current smokers had a significantly higher risk of new mood-related psychiatric disorders post-cancer diagnosis.

Takeaway

This study found that people who smoke or have certain types of cancer are more likely to feel very sad or anxious after being diagnosed with cancer.

Methodology

Single-center retrospective cohort study using time-to-event analysis and Cox proportional hazards model.

Potential Biases

Selection bias may have occurred due to exclusion of cases with missing data.

Limitations

The study was conducted at a single cancer center, which may limit generalizability, and it did not molecularly verify HPV status.

Participant Demographics

The sample was predominantly female (58.5%), non-Hispanic White (71.7%), and included individuals aged over 18 diagnosed with various cancers.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1002/pon.70046

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