[Prevalence of adjustment disorder, acute and posttraumatic stress disorders as well as somatoform disorders in cancer patients].

We aimed to systematically summarize the empirical evidence on the 4-week-, 12-month-, and lifetime prevalence of adjustment disorders, acute and posttraumatic stress disorders as well as somatoform disorders in cancer patients. We evaluated 64 English or German language original papers and systematic reviews that assessed the prevalence of affective and anxiety disorders using structured clinical interviews published between 1995 and 2010. Adjusted prevalence rates were calculated using a random-intercept model. We found the following pooled adjusted 4-week prevalence rates: For adjustment disorder 12.5% (95% CI 9.9-15.7), for posttraumatic stress disorder 2.6% (95% CI 1.7-4.0), for acute stress disorder 4.8% (95% CI 2.2-10.0) and for somatoform disorders 3.1% (95% CI 1.6-5.8). Our findings show the need for further research on representative studies that take into account the range of psychosocial stressors and supportive care needs.

[1]  U. Koch,et al.  Prävalenz affektiver und Angststörungen bei Krebs: Systematischer Literaturreview und Metaanalyse , 2012, Psychotherapie Psychosomatik Medizinische Psychologie.

[2]  Fotios Anagnostopoulos,et al.  Posttraumatic Stress Disorder and Posttraumatic Growth in Breast Cancer Patients: A Systematic Review , 2012, Women & health.

[3]  James K. Rustad,et al.  Cancer and post-traumatic stress disorder: Diagnosis, pathogenesis and treatment considerations , 2012, Palliative and Supportive Care.

[4]  N. Meader,et al.  Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. , 2011, The Lancet. Oncology.

[5]  J. Das-Munshi,et al.  Prevalence of mental health conditions in cancer patients in acute care--a meta-analysis. , 2010, Annals of oncology : official journal of the European Society for Medical Oncology.

[6]  Andreas Maercker,et al.  Traumatic experiences and post-traumatic stress disorder among elderly Germans: results of a representative population-based survey , 2010, International Psychogeriatrics.

[7]  D. Moher,et al.  Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement , 2009, BMJ.

[8]  H. Baumeister Anpassungsstörungen im Sinne einer reaktiven Depression , 2008 .

[9]  J. Stolzenburg,et al.  Long-term course of psychiatric disorders in cancer patients: a pilot study , 2008, Psycho-social medicine.

[10]  A. Mehnert,et al.  Prevalence of acute and post‐traumatic stress disorder and comorbid mental disorders in breast cancer patients during primary cancer care: a prospective study , 2007, Psycho-oncology.

[11]  H. Chochinov,et al.  Measurement of psychological distress in palliative care , 2006, Palliative medicine.

[12]  M. Höfler,et al.  Prevalence, co-morbidity and correlates of mental disorders in the general population: results from the German Health Interview and Examination Survey (GHS) , 2004, Psychological Medicine.

[13]  R. McNally,et al.  Progress and controversy in the study of posttraumatic stress disorder. , 2003, Annual review of psychology.

[14]  C. Spahn,et al.  Psychosomatic liaison service in hematological oncology: need for psychotherapeutic interventions and their realization , 2003, Hematological oncology.

[15]  G. Rodŕıguez,et al.  Intra-class Correlation in Random-effects Models for Binary Data , 2003 .

[16]  P. Jacobsen,et al.  Posttraumatic Stress Disorder Symptoms After Bone Marrow Transplantation for Breast Cancer , 1998, Psychosomatic medicine.

[17]  J. Hsu Depression in cancer patients: an overview. , 1986, Hawaii medical journal.

[18]  R Core Team,et al.  R: A language and environment for statistical computing. , 2014 .

[19]  R. Hu Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) , 2003 .