Depression screening in patients with brain tumors: a review

CNS Oncol. 2015;4(2):71-8. doi: 10.2217/cns.14.60.

Abstract

Brain tumor (BT) is often a devastating disease associated with poor prognosis. Depression is a common complication in BT patients that often remains under-recognized and untreated. Implementation of reliable depression screening algorithms in routine neuro-oncology setting could potentially improve recognition of depression. The Hospital Anxiety and Depression scale-Depression subscale and Patient Health Questionnaire-9 demonstrated adequate psychometric properties for depressive disorder screening in glioma patients. Patients screened positive for depression should be referred for detailed psychiatric assessment prior to initiating anti-depressive treatment. Further methodologically rigorous studies investigating psychometric properties of single-item and multiple-item depression scales are urgently warranted. Studies evaluating anti-depressive treatments' efficacy and clinical value of depression biomarkers are important avenues for future research endeavors in BT patients.

Keywords: brain tumors; depression; diagnostic accuracy; screening.

Publication types

  • Review

MeSH terms

  • Brain Neoplasms / complications*
  • Brain Neoplasms / psychology
  • Depression / complications*
  • Depression / diagnosis*
  • Humans
  • Psychiatric Status Rating Scales
  • Self Report
  • Surveys and Questionnaires