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Depression screening for cancer patients too often falls between the cracks

Published on December 10, 2007 at 9:57 PM · No Comments

Depression is known to be associated with cancer yet too many cancer patients are not screened for this mental disorder, according to researchers from the Indiana University School of Medicine, the Regenstrief Institute and the Roudebush VA Medical Center.

In a study published in the November-December issue of General Hospital Psychiatry, Caroline Carney Doebbeling, M.D., M.Sc. and Laura Jones, Ph.D., looked at data from the Roudebush VA Medical Center, where 95 percent of veterans in primary care are screened for depression.

They report that depression screening in cancer patients was not done nearly as frequently with, for example, only slightly over half of veterans with lung cancer receiving screening. “In places without integrated care and mandated primary care depression screening like the VA, we speculate that screening rates are even worse,” said Dr. Carney Doebbeling, associate professor of medicine and of psychiatry at the Indiana University School of Medicine and a Regenstrief Institute research scientist.

Lung cancer has one of the highest associations with depression of any cancer, according to Dr. Doebbeling, who is an internist and a psychiatrist. Many lung cancer patients have a history of smoking which has a strong association with depression and anxiety disorders.

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