Evidence map›Paper›PMID 39780021›Full record

Observational studyPsycho-oncology2025

Course of Mental Disorders in Early Cancer Survivorship in Relation to Socioeconomic Status: A Multi-Center Prospective Longitudinal Study (LUPE).

Franziska Springer, Ute Goerling, Tanja Zimmermann, Jochen Ernst, Christoph Engel, Myriel Hermann, Peter Esser, Beate Hornemann, Ulrich Keilholz, Florian Lordick and 3 more

Abstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Psycho-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Social inequalities in cancer in Germany: a call to action.Journal of cancer research and clinical oncology · 2026
    Review
  5. Article
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

13 authors.

Franziska SpringerDepartment of Medical Psychology and Medical Sociology, Comprehensive Cancer Center Central Germany (CCCG), University Medical Center Leipzig, Leipzig, Germany.ORCID https://orcid.org/0000-0002-1586-4050
Ute GoerlingCharité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Charité Comprehensive Cancer Center, Berlin, CharitGermany, Germany.ORCID https://orcid.org/0000-0001-8157-3836
Tanja ZimmermannDepartment of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0002-5069-7278
Jochen ErnstDepartment of Medical Psychology and Medical Sociology, Comprehensive Cancer Center Central Germany (CCCG), University Medical Center Leipzig, Leipzig, Germany.ORCID https://orcid.org/0000-0002-2374-3232
Christoph EngelInstitute for Medical Informatics, Statistics, and Epidemiology (IMISE), Leipzig University, Medical Faculty, Leipzig, Germany.
Myriel HermannCharité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Charité Comprehensive Cancer Center, Berlin, CharitGermany, Germany.ORCID https://orcid.org/0000-0003-3579-4085
Peter EsserDepartment of Medical Psychology and Medical Sociology, Comprehensive Cancer Center Central Germany (CCCG), University Medical Center Leipzig, Leipzig, Germany.
Beate HornemannComprehensive Cancer Center, University Clinic Centre Dresden, Dresden, Germany.
Ulrich KeilholzCharité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Charité Comprehensive Cancer Center, Berlin, CharitGermany, Germany.
Florian LordickDepartment of Medicine II (Oncology, Gastroenterology, Hepatology, and Pulmonology), Comprehensive Cancer Center Central Germany (CCCG), University of Leipzig Medical Center, Leipzig, Germany.
Olaf von dem KnesebeckInstitute of Medical Sociology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
David KissaneSchool of Medicine, University of Notre Dame Australia, Sydney, Australia.
Anja Mehnert-TheuerkaufDepartment of Medical Psychology and Medical Sociology, Comprehensive Cancer Center Central Germany (CCCG), University Medical Center Leipzig, Leipzig, Germany.ORCID https://orcid.org/0000-0002-6872-9805

Funding

Deutsche Krebshilfe 70113544Deutsche Krebshilfe 70113611Deutsche Krebshilfe 70113613German Cancer Aid Foundation
6 · The paper itself

Abstract

objectiveIndividuals with low socioeconomic status (SES) exhibit higher rates of mental disorders; however, data in oncological populations are insufficient. This study investigated the course of DSM-5 mental disorders in cancer patients, stratified by SES, over a period of 1.5 years following initial cancer diagnosis.

methodsThis multi-center prospective longitudinal study assessed cancer patients within two months of cancer diagnosis (t1), and at 6-, 12-, and 18-month follow-up (t2-t4) using the SCID-5 interview for mental disorders based on DSM-5 criteria. Chi-square-tests were tested for frequency changes over time. A generalized linear mixed model (GLMM) was applied with fixed effects for SES and time on mental disorders.

resultsOut of 1030 patients with a SCID-5 at baseline (53.2% men, 60 years), 821, 719 and 654 participated at respective follow-ups. The most common diagnoses were skin and prostate cancer. Point prevalence of mental disorders was 20.9% at baseline, decreasing to 18.2%, 14.6%, and 15.0% (t2-t4; χ

conclusionsCancer patients with low SES exhibit impaired coping with cancer-related stressors, increasing their risk for mental disorders. Social disparities affect physical and mental health, possibly via health behavior or health literacy, and need to be addressed by tailored survivorship care planning.

Indexed as

Cancer SurvivorsMental DisordersNeoplasmsSocial ClassAdultAgedFemaleHumansLongitudinal StudiesMaleMiddle AgedPrevalenceProspective Studiescancerhealth disparitiesmental disorderoncologysocioeconomic status

Identifiers

PMID39780021
PMCPMC11711303

What OpenQuestion holds

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Registered trials

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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.