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Review
.2016 Nov;25(11):1261-1270.
doi: 10.1002/pon.3954. Epub 2015 Aug 27.

Mental health outcomes during colorectal cancer survivorship: a review of the literature

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Review

Mental health outcomes during colorectal cancer survivorship: a review of the literature

Catherine E Mosher et al. Psychooncology.2016 Nov.

Abstract

Objective: This article reviews literature on adults' mental health outcomes during acute and long-term colorectal cancer (CRC) survivorship.

Methods: We identified articles that included at least one measure of psychological symptoms or mental quality of life or well-being through a search of databases (CINAHL, MEDLINE, PsycINFO, and PsycARTICLES). Articles were published between January 2004 and April 2015.

Results: A significant proportion of CRC survivors experience clinically meaningful levels of anxiety and depressive symptoms or reduced mental well-being across the trajectory of the illness. Demographic, medical, and psychosocial predictors of mental health outcomes were identified. However, few studies were theory-driven, and gaps remain in our understanding of risk and protective factors with respect to mental health outcomes, especially during long-term CRC survivorship.

Conclusions: Theory-driven longitudinal research with larger samples is required to identify subgroups of CRC survivors with different trajectories of psychological adjustment. Such research would assess adjustment as a function of internal resources (e.g., personality and coping) and external resources (e.g., finances and social support) to inform future interventions for CRC survivors. Copyright © 2015 John Wiley & Sons, Ltd.

Copyright © 2015 John Wiley & Sons, Ltd.

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Conflict of interest statement

Authors’ Disclosures of Potential Conflicts of Interest The authors indicated no potential conflicts of interest.

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