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

Terese Myhre Bentson, Louise E. Fløe, Josefine M. Bruun, Jesper Grau Eriksen, Søren Paaske Johnsen, Poul Videbech, Trine Brogaard, Pernille Andreassen, Anna Mygind, Kirstine B. Bøndergaard, Mette Asbjoern Neergaard*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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Abstract

Background: Patients 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.

Aim: To perform a systematic review on barriers at patient-, provider- and system-levels in cancer trajectories of patients with pre-existing severe mental disorders.

Method: A systematic review was performed following the PRISMA guidelines (PROSPERO ID: CRD42022316020).

Results: Nine 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.

Conclusion: This 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.
Original languageEnglish
JournalPsycho-Oncology
Volume32
Issue number6
Pages (from-to)862-874
Number of pages13
ISSN1057-9249
DOIs
Publication statusPublished - Jun 2023

Bibliographical note

© 2023 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd.

Keywords

  • "Delivery of Health Care"[Mesh]
  • "Medical Oncology"[Mesh]
  • "Mental Disorders"[Mesh]
  • "Neoplasms"[Mesh]
  • "Psycho-Oncology"[Mesh]
  • cancer
  • oncology

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