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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Risk of depression after diagnostic prostate cancer workup - A nationwide, registry-based study

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DOI

  1. Risk and associated factors of depression and anxiety in men with prostate cancer: Results from a German multicenter study

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  2. Use of antidepressants in women after prophylactic bilateral oophorectomy: A Danish national cohort study

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  3. Sexual and romantic challenges among young Danes diagnosed with cancer: Results from a cross-sectional nationwide questionnaire study

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  1. Incomplete systematic review and meta-analysis on statin use and depression risk - A commentary

    Research output: Contribution to journalLetterResearchpeer-review

  2. Basal Cell Carcinoma of Prostate With MSMB-NCOA4 Fusion and a Probable Basal Cell Carcinoma In Situ: Case Report

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Psychiatric disorders in individuals with neurofibromatosis 1 in Denmark: A nationwide register-based cohort study

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  4. Primary prevention of depression: An umbrella review of controlled interventions

    Research output: Contribution to journalReviewResearchpeer-review

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OBJECTIVE: To compare the risk of depression after diagnostic workup for prostate cancer (PCa), regardless of the histopathologic outcome, with that of a cancer-free population.

METHODS: A nationwide cohort of Danish men who had a prostatic biopsy sample in 1998-2011 was identified from the Danish Prostate Cancer Registry and compared to an age-matched cohort from the background population. Men with other cancers, major psychiatric disorder, or prior use of antidepressants were excluded. The risk of depression defined as hospital contact for depression or prescription for antidepressants was determined from cumulative incidence functions and multivariate Cox regression models.

RESULTS: Of 54,766 men who underwent diagnostic workup for PCa, benign results were found for 21,418 and PCa was diagnosed in 33,347. During up to 18 years of follow-up, the adjusted hazard of depression was higher in men with PCa than in the background population, with the highest risk in the two years after diagnosis (hazard ratio (HR) 2.77, 95% CI 2.66-2.87). Comorbidity and lowest or highest income were significant risk factors for depression and the cumulative incidence was substantially higher in men with metastatic or high-risk disease. In men with benign histopathology the HR for depression was 1.22 (95% CI 1.14-1.31) in the first two years but no different from the background population after that.

CONCLUSIONS: Diagnostic workup for PCa is associated with an increased risk of depression, mainly among men with a diagnosis of PCa. Clinicians should be aware of depressive symptoms in prostate cancer patients.

Original languageEnglish
JournalPsycho-Oncology
Volume30
Issue number11
Pages (from-to)1939-1947
Number of pages9
ISSN1057-9249
DOIs
Publication statusPublished - Nov 2021

    Research areas

  • antidepressant drugs, cancer, cancer survivors, depression, oncology, prostate cancer, psycho-oncology, severe mental disorders, survivorship, transrectal high intensity focused ultrasound

ID: 67023323