Evidence map›Paper›PMID 36907588›Full record

ArticleAging & mental health

On taking up space: a qualitative inquiry of depression in older adults with cancer.

Rebecca M Saracino, Kristen G Tobias, Elyse Shuk, Isabelle Avildsen, Jessica Emanu, Caraline Demirjian, Barry Rosenfeld, Andrew J Roth, Yesne Alici, Christian J Nelson

Abstract read
In one paragraph

Article in Aging & mental health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Rebecca M SaracinoDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-1093-7676
Kristen G TobiasDepartment of Psychology, Fordham University, The Bronx, NY, USA.
Elyse ShukDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Isabelle AvildsenDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jessica EmanuDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Caraline DemirjianDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Barry RosenfeldDepartment of Psychology, Fordham University, The Bronx, NY, USA.ORCID 0000-0003-1399-2777
Andrew J RothDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Yesne AliciDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Christian J NelsonDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Psychosocial Palliative & Community Research in CancerT32CA009461 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI JENNIFER L HAY, Jamie S. Ostroff · 1985 to 2026
$10.1M
Behavioral Activation for Depression in Older Adult Cancer Survivors: Pilot Randomized Control Trial and Implementation OutcomesK08CA252633 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI SARACINO, REBECCA · 2021 to 2025
$902k
Identifying and Measuring Depression in Older Cancer PatientsR21CA164350 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI NELSON, CHRISTIAN J · 2012 to 2013
$404k
NCI NIH HHS K08 CA252633NCI NIH HHS L30 CA242702NCI NIH HHS P30 CA008748NCI NIH HHS R21 CA164350NCI NIH HHS T32 CA009461
6 · The paper itself

Abstract

objectiveTo identify the phenomenology of depression in older adults with cancer (OACs) in order to improve the accuracy of depression screening for this population.

methodInclusion criteria were: ≥70 years old, history of cancer, no cognitive impairment or severe psychopathology. Participants completed a demographic questionnaire, a diagnostic interview, and a qualitative interview. Using a Thematic Content Analysis framework, critical themes, passages, and phrases used by patients to describe their perceptions of depression and how it is experienced were identified. Particular attention was paid to divergences between depressed and non-depressed participants.

resultsAmong 26 OACs (13 depressed, 13 non-depressed), qualitative analyses revealed four major themes indicative of depression (i.e. anhedonia, reduction in social relationships/loneliness, lack of meaning and purpose, lack of usefulness/feeling like a burden) and four minor themes (i.e. attitude towards treatment, mood, regret/guilt, physical symptoms/limitations). Themes of adaptation and acceptance of symptoms also emerged.

conclusionsOf the eight themes identified, only two overlap with DSM criteria. This supports the need to develop assessment methods of depression in OACs that are less reliant on DSM criteria and distinct from existing measures. This may improve the ability to identify depression in this population.

Indexed as

DepressionNeoplasmsAgedGuiltHumansLonelinessAgingdepressiongeriatric assessmentmeaningoncologypsycho-oncologyquality of life

Identifiers

PMID36907588
PMCPMC10495533

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.