Anxiety in Cancer Survivors
Downloads
Published
DOI:
https://doi.org/10.54169/ijocp.v5i02.12Keywords:
Anxiety, Cancer patients, survivorship careDimensions Badge
Issue
Section
License
Copyright (c) 2025 Simhachalam Gurugubelli, Prasad Rao, Nitesh Mutyala, Arvind Kunadi, Uma Devi Avasarala, Shivangini Singh

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
People suffering from cancer often suffer from anxiety, which is fuelled by worries about the future, side effects from therapy, and fear of recurrence. Through molecular mechanisms linked to stress, these psychological difficulties may affect cancer outcomes and lower quality of life. Although overlapping physical symptoms might make diagnosing anxiety difficult, validated instruments like the HADS and GAD-7 help in early detection. Younger age, unemployment, comorbidities, adverse effects from therapy, a lack of social support, financial distress and type of cancer are important risk factors. Effective strategies for reducing anxiety and enhancing emotional health include mindfulness-based exercises, cognitive behavioural therapy (CBT), acceptance and commitment therapy (ACT), and alternative therapies like yoga and tai chi. In severe situations, pharmacotherapy may be necessary. It’s critical to address obstacles like stigma, a lack of knowledge about mental health, and restricted access to care. Cancer survivors’ psychological resilience and general health outcomes can be improved by incorporating mental health management into survivorship care.Abstract
How to Cite
Downloads
1. Vargas-Román K, Díaz-Rodríguez CL, Cañadas-De la Fuente GA, Gómez-Urquiza JL, Ariza T, De la Fuente-Solana EI. Anxiety prevalence in lymphoma: A systematic review and meta-analysis. Health Psychol Off J Div Health Psychol Am Psychol Assoc. 2020 Jul;39(7):580–8. 2. Suzuki M, Deno M, Myers M, Asakage T, Takahashi K, Saito K, et al. Anxiety and depression in patients after surgery for head and neck cancer in Japan. Palliat Support Care. 2016 Jun;14(3):269–77. 3. Arch JJ, Genung SR, Ferris MC, Kirk A, Slivjak ET, Fishbein JN, et al. Presence and predictors of anxiety disorder onset following cancer diagnosis among anxious cancer survivors. Support Care Cancer. 2020 Sep 1;28(9):4425–33. 4. Wang X, Wang N, Zhong L, Wang S, Zheng Y, Yang B, et al. Prognostic value of depression and anxiety on breast cancer recurrence and mortality: a systematic review and meta-analysis of 282,203 patients. Mol Psychiatry. 2020 Dec;25(12):3186–97. 5. Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22;166(10):1092–7. 6. Annunziata MA, Muzzatti B, Bidoli E, Flaiban C, Bomben F, Piccinin M, et al. Hospital Anxiety and Depression Scale (HADS) accuracy in cancer patients. Support Care Cancer Off J Multinatl Assoc Support Care Cancer. 2020 Aug;28(8):3921–6. 7. Suskin JA, Paul S, Stuckey AR, Conley YP, Miaskowski C, Dunn LB. Risk factors for worse anxiety trajectories among patients undergoing cancer chemotherapy. Support Care Cancer Off J Multinatl Assoc Support Care Cancer. 2022 Dec 15;31(1):32. 8. Braamse AMJ, van Turenhout ST, Terhaar Sive Droste JS, de Groot GH, van der Hulst RWM, Klemt-Kropp M, et al. Factors associated with anxiety and depressive symptoms in colorectal cancer survivors. Eur J Gastroenterol Hepatol. 2016 Jul;28(7):831–5. 9. Götze H, Friedrich M, Taubenheim S, Dietz A, Lordick F, Mehnert A. Depression and anxiety in long-term survivors 5 and 10 years after cancer diagnosis. Support Care Cancer Off J Multinatl Assoc Support Care Cancer. 2020 Jan;28(1):211–20. 10. Puigpinós-Riera R, Graells-Sans A, Serral G, Continente X, Bargalló X, Domènech M, et al. Anxiety and depression in women with breast cancer: Social and clinical determinants and influence of the social network and social support (DAMA cohort). Cancer Epidemiol. 2018 Aug;55:123–9. 11. Graells-Sans A, Serral G, Puigpinós-Riera R, Grupo Cohort DAMA. Social inequalities in quality of life in a cohort of women diagnosed with breast cancer in Barcelona (DAMA Cohort). Cancer Epidemiol. 2018 Jun;54:38–47. 12. Ye M, Du K, Zhou J, Zhou Q, Shou M, Hu B, et al. A meta-analysis of the efficacy of cognitive behavior therapy on quality of life and psychological health of breast cancer survivors and patients. Psychooncology. 2018 Jul;27(7):1695–703. 13. Mathew A, Doorenbos AZ, Jang MK, Hershberger PE. Acceptance and commitment therapy in adult cancer survivors: a systematic review and conceptual model. J Cancer Surviv Res Pract. 2021 Jun;15(3):427–51. 14. Xunlin NG, Lau Y, Klainin-Yobas P. The effectiveness of mindfulness-based interventions among cancer patients and survivors: a systematic review and meta-analysis. Support Care Cancer Off J Multinatl Assoc Support Care Cancer. 2020 Apr;28(4):1563–78. 15. Traeger L, Greer JA, Fernandez-Robles C, Temel JS, Pirl WF. Evidence-based treatment of anxiety in patients with cancer. J Clin Oncol Off J Am Soc Clin Oncol. 2012 Apr 10;30(11):1197–205. 16. Sakamoto R, Koyama A. Effective Therapy Against Severe Anxiety Caused by Cancer: A Case Report and Review of the Literature. Cureus. 12(6):e8414. 17. Popkin MK, Callies AL, Mackenzie TB. The outcome of antidepressant use in the medically ill. Arch Gen Psychiatry. 1985 Dec;42(12):1160–3. 18. Hardoerfer K, Jentschke E. Effect of Yoga Therapy on Symptoms of Anxiety in Cancer Patients. Oncol Res Treat. 2018;41(9):526–32. 19. Boppana SH, Kutikuppala LVS, Koirala SB, Konduru S, Thota V. Role of Mindfulness and Yoga in Cancer Management. In: Anand A, editor. Neuroscience of Yoga: Theory and Practice: Part II [Internet]. Singapore: Springer Nature; 2024 [cited 2025 Apr 14]. p. 167–80. Available from: https://doi.org/10.1007/978-981-97-2855-8_7 20. Kuang X, Dong Y, Song L, Dong L, Chao G, Zhang X, et al. The effects of different types of Tai Chi exercise on anxiety and depression in older adults: a systematic review and network meta-analysis. Front Public Health. 2023;11:1295342. 21. Kangas M, Heissel A. Mental health literacy, treatment preferences and the lived experience of mental health problems in an Australian cancer sample. Psychooncology. 2020 Nov;29(11):1883–94. 22. Dubreucq J, Plasse J, Franck N. Self-stigma in Serious Mental Illness: A Systematic Review of Frequency, Correlates, and Consequences. Schizophr Bull. 2021 Aug 21;47(5):1261–87. 23. Waumans RC, Muntingh ADT, Draisma S, Huijbregts KM, van Balkom AJLM, Batelaan NM. Barriers and facilitators for treatment-seeking in adults with a depressive or anxiety disorder in a Western-European health care setting: a qualitative study. BMC Psychiatry. 2022 Mar 5;22(1):165.
References
Most read articles by the same author(s)
- Shivangini Singh, Dr. Vipul Singh, Post Graduate Psychiatric Education in India - Current Practice and Future Directives , Indian Journal of Clinical Psychiatry: Vol. 2 No. 02 (2022): Indian Journal of Clinical Psychiatry
- Prasad R Gundugurti, Shivangini Singh, Simhachalam Gurugubelli, Sri R Vemulakonda, Endoxifen Usage in Bipolar Disorders Patients: My Experiential Journey , Indian Journal of Clinical Psychiatry: Vol. 4 No. 01 (2024): Indian Journal of Clinical Psychiatry
- Prabhat Sitholey, Shivangini Singh, Pediatric Schizophrenia , Indian Journal of Clinical Psychiatry: Vol. 3 No. 02 (2023): Indian Journal of Clinical Psychiatry
- Vipul Singh, Shivangini Singh, Sujit Kumar Kar, Beyond The Battlefield: Understanding The Mental Health Impact of War , Indian Journal of Clinical Psychiatry: Vol. 5 No. 01 (2025): Indian Journal of Clinical Psychiatry
- Shivangini Singh, Teena Bansal, Suicide in Uttar Pradesh : An Overview , Indian Journal of Clinical Psychiatry: Vol. 1 No. 1 (2021): Indian Journal of Clinical Psychiatry
Similar Articles
- Aleena Thomas, Mohammad Ahsan, Rashmi Shukla, Ashutosh Mishra, Arghya Pal, Abrupt Onset Depressive Episode in Patient with Lenticular Nucleus Infarct with Low-Risk Factors , Indian Journal of Clinical Psychiatry: Vol. 3 No. 02 (2023): Indian Journal of Clinical Psychiatry
- Shashi Rai, Bandna Gupta, NGO’s and Their Role in Mental Health Care in India , Indian Journal of Clinical Psychiatry: Vol. 1 No. 1 (2021): Indian Journal of Clinical Psychiatry
- Vikas Menon, Natarajan Varadharajan, Selvaraj Saravanan, Immune-inflammatory Pathways in Somatoform-Disorders : A Theoretical Update , Indian Journal of Clinical Psychiatry: Vol. 1 No. 1 (2021): Indian Journal of Clinical Psychiatry
- Dr. Samia Ansari, Mona Srivastava, Bipolar Disorder in the Life Span of Females: Treatment Implications , Indian Journal of Clinical Psychiatry: Vol. 2 No. 02 (2022): Indian Journal of Clinical Psychiatry
- Sneha Agarwal, Vivek Agarwal, Dimensions of Spirituality and Mental Well-being during the Pandemic: A Narrative Review , Indian Journal of Clinical Psychiatry: Vol. 2 No. 02 (2022): Indian Journal of Clinical Psychiatry
- Rahul Mathur, Abhishek Chakladar, Swarndeep Singh, Rohit Verma, Nand Kumar, Prolonged Drug-induced Parkinsonism in a Case of First Episode Mania: A Case Report , Indian Journal of Clinical Psychiatry: Vol. 2 No. 02 (2022): Indian Journal of Clinical Psychiatry
- Yashita Ahluwalia, Yatan Pal Singh Balhara, Ensuring Mental Well-being in the Digital World: Challenges and Approaches , Indian Journal of Clinical Psychiatry: Vol. 4 No. 01 (2024): Indian Journal of Clinical Psychiatry
- Dr. Venu Gopal Jhanwar, Dr. Padmanabh J, Reimagining Recovery: Integrating Evidence-Based Rehabilitation, Technology, and Indigenous Wisdom in Severe Mental Illness , Indian Journal of Clinical Psychiatry: Vol. 5 No. 02 (2025): Indian Journal of Clinical Psychiatry
- Sanjukta Ghosh, Hardik V Patel, Bhaveshkumar M Lakdawala, The Cross-Sectional Study for Comparison of Empathy-based on Competency-based Curriculum among Indian Undergraduates , Indian Journal of Clinical Psychiatry: Vol. 4 No. 01 (2024): Indian Journal of Clinical Psychiatry
- Ravikant Kumar, Rahul Mathur, Abhishek Chakladar, Anuranjan Vishwakarma, Levetiracetam Induced Acute Suicidal Ideations in a Patient of Juvenile Myoclonic Epilepsy , Indian Journal of Clinical Psychiatry: Vol. 3 No. 02 (2023): Indian Journal of Clinical Psychiatry
You may also start an advanced similarity search for this article.



