Barriers in cancer trajectories of patients with pre‐existing severe mental disorders—A systematic review

Author:

Bentson Terese Myhre1,Fløe Louise E.2,Bruun Josefine M.2,Eriksen Jesper Grau23,Johnsen Søren Paaske4,Videbech Poul56,Brogaard Trine7,Andreassen Pernille8,Mygind Anna9,Bøndergaard Kirstine B.1,Neergaard Mette Asbjoern2310ORCID

Affiliation:

1. Central Denmark Region Aarhus Denmark

2. Department of Oncology Aarhus University Hospital Aarhus Denmark

3. Department of Clinical Medicine Aarhus University Aarhus Denmark

4. Department of Clinical Medicine Danish Center for Clinical Health Services Research Aalborg University and Aalborg University Hospital Aalborg Denmark

5. Centre for Neuropsychiatric Depression Research Mental Health Centre Glostrup Glostrup Denmark

6. Department of Clinical Medicine University of Copenhagen Copenhagen Denmark

7. Gellerup Medical Practice Aarhus Denmark

8. Danish National Center for Obesity Aarhus Denmark

9. Research Unit for General Practice Aarhus Denmark

10. Palliative Care Unit Aarhus University Hospital Aarhus Denmark

Abstract

AbstractBackgroundPatients with pre‐existing severe mental disorders are significantly less likely to receive guideline‐recommended cancer treatment and seems to have a significantly lower rate of cancer survival compared to patients with cancer without mental disorders.AimTo perform a systematic review on barriers at patient‐, provider‐ and system‐levels in cancer trajectories of patients with pre‐existing severe mental disorders.MethodA systematic review was performed following the PRISMA guidelines (PROSPERO ID: CRD42022316020).ResultsNine eligible studies were identified. Barriers at patient‐level included lack of self‐care and ability to recognize physical symptoms and signs. Provider‐level barriers included stigma from health care professionals on mental disorders, whereas system‐level barriers included fragmented health care and consequences of this.ConclusionThis systematic review found that barriers at patient‐, provider‐ and system‐levels exist in cancer trajectories for patients with severe mental disorders, causing disparities in cancer care. Further research is needed to improve cancer trajectories for patients with severe mental disorder.

Publisher

Wiley

Subject

Psychiatry and Mental health,Oncology,Experimental and Cognitive Psychology

Reference29 articles.

1. Health NIoM.Mental illness National Institute of Mental Health. Accessed November 15 2021.https://www.nimh.nih.gov/health/statistics/mental‐illness

2. Why do psychiatric patients have higher cancer mortality rates when cancer incidence is the same or lower?

3. Cancer and schizophrenia

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