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Table 1 Characteristics of the included studies

From: The prevalence of depression and anxiety among Chinese adults with cancer: a systematic review and meta-analysis

Author & Years

Depression/Anxiety

Participants

Mean age

Age range

Depression/Anxiety

Mean score

Type of cancer

Type of control

Prevalence of depression/anxiety (%)

  

(cancer, n)

  

assessment method and cut-off

    
  

(control, n)

       

Yang & Bao, 2003

Depression

96

53.67

22–76

self-report

47.96 ± 6.73

Mixed

Disease control

63.5

96

–

–

(SDS index ≥0.5)

32.32 ± 5.86

  

17.7

Anxiety

96

53.67

22–76

self-report

49.23 ± 7.68

Mixed

Disease control

60.4

96

–

–

(SAS index ≥0.5)

34.06 ± 5.01

  

13.5

Tang, 2008

Depression

150

67

60–82

self-report

–

Mixed

Disease control

48

50

–

–

(SDS total score ≥11)

–

  

16

Long et al., 2008

Depression

46

51

36–63

self-report

–

Mixed

Disease control

63.04

50

50

30–59

(SCL-90-D mean ≥ 1.5)

–

  

6

Anxiety

46

51

36–63

self-report

–

Mixed

Disease control

89.13

50

50

30–59

(SCL-90-A mean ≥ 1.39)

–

  

62

Zhang et al., 2008

Depression

60

55.9

>18

self-report

52.70 ± 8.70

Mixed

Disease control

73.3

60

54.8

>18

(SDS standard score ≥ 50)

43.98 ± 9.35

  

31.7

 

Depression

60

55.9

>18

self-report

52.70 ± 8.70

Mixed

Normal control

73.3

60

54.8

>18

(SDS standard score ≥ 50)

38.43 ± 7.59

  

8.3

 

Anxiety

60

55.9

>18

self-report

52.95 ± 8.35

Mixed

Disease control

70

60

54.8

>18

(SAS standard score ≥ 50)

45.82 ± 10.01

  

48.3

 

Anxiety

60

55.9

>18

self-report

52.95 ± 8.35

Mixed

Normal control

70

60

54.8

>18

(SAS standard score ≥ 50)

35.92 ± 8.04

  

11.7

Tao et al., 2005

Depression

72

47

21–69

self-report

0.54 ± 0.05

Nasopharynx/liver cancer

Disease control

77.8

30

43

22–65

(SDS index ≥ 0.51)

0.42 ± 0.06

  

23.3

 

Depression

72

47

21–69

self-report

0.54 ± 0.05

Nasopharynx/liver cancer

Normal control

77.8

30

42

23–65

(SDS index ≥ 0.51)

0.39 ± 0.05

  

10

 

Anxiety

72

47

21–69

self-report

50 ± 8

Nasopharynx/liver cancer

Disease control

83.3

30

43

22–65

(SAS standard score ≥ 41)

37 ± 5

  

40

 

Anxiety

72

47

21–69

self-report

50 ± 8

Nasopharynx/liver cancer

Normal control

83.3

30

42

23–65

(SAS standard score ≥ 41)

32 ± 5

  

13.3

Liu et al., 2001

Depression

45

59.24

24–78

clinical diagnosis

16.78 ± 7.75

Mixed

Normal control

55.56

45

–

–

(HRSD total score ≥ 17)

5.87 ± 4.67

  

4.44

 

Anxiety

45

59.24

24–78

clinical diagnosis

14.82 ± 6.51

Mixed

Normal control

46.67

45

–

–

(HRSA total score ≥ 14)

6.47 ± 4.73

  

6.67

Zhang et al., 2009

Depression

100

58.86

35–76

clinical diagnosis

42.46 ± 12.74

Breast cancer

Normal control

89

100

–

–

(HRSD total score ≥ 20)

34.97 ± 8.31

  

18

 

Anxiety

100

58.86

35–76

clinical diagnosis

43.24 ± 10.38

Breast cancer

Normal control

78

100

–

–

(HRSA total score ≥ 14)

32.25 ± 8.26

  

22

Wang et al., 2005

Depression

60

58

34–75

self–report

–

Lung cancer

Normal control

39.58

30

51

26–68

(SDS standard score ≥ 50)

–

  

10

 

Anxiety

60

58

34–75

self-report

–

Lung cancer

Normal control

43.75

30

51

26–68

(SAS standard score ≥ 50)

–

  

6.67

Tian et al., 2005

Depression

112

55.3

36–72

self-report

52.21 ± 5.61

Liver cancer

Disease control

53.6

152

45.6

30–60

(SDS standard score ≥ 50)

44.45 ± 7.66

  

16.4

 

Anxiety

112

55.3

36–72

self-report

51.1 ± 4.64

Liver cancer

Disease control

51.8

152

45.6

30–60

(SAS standard score ≥ 50)

42.99 ± 7.17

  

24.3

Liu, 2006

Depression

124

48

18–70

clinical diagnosis

16.95 ± 0.70

Mixed

Disease control

33.26

60

–

18–70

(HRSD total score ≥ 20)

6.80 ± 1.14

  

3.33

 

Anxiety

124

48

18–70

clinical diagnosis

9.39 ± 0.51

Mixed

Disease control

29.84

60

–

18–70

(HRSA total score ≥ 17)

6.30 ± 0.83

  

6.67

 

Depression

124

48

18–70

clinical diagnosis

16.95 ± 0.70

Mixed

Normal control

33.26

60

–

18–70

(HRSD total score ≥ 20)

4.67 ± 0.92

  

1.67

 

Anxiety

124

48

18–70

clinical diagnosis

9.39 ± 0.51

Mixed

Normal control

29.84

60

–

18–70

(HRSA total score ≥ 17)

3.63 ± 0.67

  

1.67

Yuan & Zheng, 2004

Depression

30

36.1

34–38

self-report

41.83 ± 12.83

Breast cancer

Disease control

23.3

30

35.3

25–47

(SDS standard score > 53)

35.63 ± 6.99

  

0

 

Anxiety

30

36.1

34–38

self–report

48.93 ± 13.35

Breast cancer

Disease control

33.3

30

35.3

25–47

(SAS standard score > 50)

39.30 ± 9.01

  

3.3

Gao et al., 1989

Depression

245

46.1

20–76

self-report

–

Mixed

Disease control

73.1

232

46.4

20–74

(CES-D total score ≥ 16)

10.96 ± 6.46

  

22.5

 

Anxiety

245

46.1

20–76

self-report

–

Mixed

Disease control

31.1

232

46.4

20–74

(STAI total score ≥ 27)

13.92 ± 8.15

  

4.8

Chen & Gao, 2010

Depression

90

53.5

38–79

clinical diagnosis

–

Esophageal cancer

Disease control

46.7

86

51.8

36–80

(HRSD total score ≥ 20)

–

  

12.8

 

Anxiety

90

53.5

38–79

clinical diagnosis

–

Esophageal cancer

Disease control

48.9

86

51.8

36–80

(HRSA total score ≥ 7)

–

  

17.4

She, 2009

Depression

142

44.53

15–82

self-report

50.85 ± 11.57

Mixed

Disease control

60.6

149

44.53

15–82

(SDS standard score ≥ 50)

46.09 ± 12.16

  

38.3

 

Anxiety

142

44.53

15–82

self-report

47.80 ± 10.8

Mixed

Disease control

47.2

149

44.53

15–82

(SAS standard score ≥ 50)

44.51 ± 10.04

  

23.5

Zhao et al., 2001

Depression

65

51.5

29–71

self-report

0.54 ± 0.08

Liver cancer

Disease control

43.08

65

–

–

(SDS index ≥0.5)

0.27 ± 0.12

  

9.23

 

Anxiety

65

51.5

29–71

self-report

36.86 ± 6.47

Liver cancer

Disease control

24.62

65

–

–

(SAS standard score ≥ 50)

27.1 ± 9.76

  

13.69

 

Depression

65

51.5

29–71

self-report

0.41 ± 0.09

Breast cancer

Disease control

20

65

–

–

(SDS index ≥0.5)

0.27 ± 0.12

  

9.23

 

Anxiety

65

51.5

29–71

self-report

44 ± 8.36

Breast cancer

Disease control

20

65

–

–

(SAS standard score ≥ 50)

27.1 ± 9.76

  

13.96

Wan et al., 2004

Depression

100

44.51

20–70

self-report

15.06 ± 11.5

Primary liver cancer

Disease control

49

100

–

–

(CES-D total score ≥ 16)

11.03 ± 15.06

  

27

 

Depression

100

44.51

20–70

self-report

15.06 ± 11.5

Primary liver cancer

Normal control

49

100

–

–

(CES-D total score ≥ 16)

8.08 ± 8.44

  

17

Zhang et al., 2003

Depression

155

–

>18

Clinical diagnosis

21 ± 9

Lung cancer

Normal control

43.2

155

–

>18

(HRSD total score >8)

9 ± 4

  

16.1

  1. Abbreviations: SDS self-rating depression scale, SAS self-rating anxiety scale, SCL-90-D symptom checklist 90-depression, SCL-90-A, symptom checklist 90-anxiety, HRSD hamilton rating scale for depression, HRSA hamilton rating scale for anxiety, CES-D center for epidemiologic studies depression scale, STAI state-trait anxiety inventory; -, no report.