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dc.contributor.authorCowdery, Stephanie P.
dc.contributor.authorBjerkeset, Ottar
dc.contributor.authorSund, Erik
dc.contributor.authorMohebbi, Mohammadreza
dc.contributor.authorPasco, Julie A.
dc.contributor.authorBerk, Michael
dc.contributor.authorWilliams, Lana J.
dc.date.accessioned2023-05-09T14:48:12Z
dc.date.available2023-05-09T14:48:12Z
dc.date.created2022-10-04T13:42:22Z
dc.date.issued2022
dc.identifier.citationJournal of Affective Disorders. 2022, 316 1-9.en_US
dc.identifier.issn0165-0327
dc.identifier.urihttps://hdl.handle.net/11250/3067362
dc.description.abstractBackground Depressive symptoms and mood disorders are associated with a host of physical conditions. However, it is inconclusive whether depressive symptoms are also associated with cancer onset. The aim of this study was to investigate whether depressive symptoms are associated with cancer incidence in a large population-based sample of men and women. Methods This study examined data from waves two (HUNT 2, 1995–97) and three (HUNT 3, 2006–08) of the Trøndelag Health Study (HUNT). Depressive symptoms were ascertained using the Hospital Anxiety and Depression Scale (HADS-D ≥ 8), cancer onset was identified via linkage with the Cancer Registry of Norway, death records by the national Cause of Death Register (CDR), and information on lifestyle and demographic factors was self-reported. Cox-proportional hazard regression models were used to test associations. Unadjusted, age-adjusted and multivariable best models accounting for smoking, education, marital status and current employment are presented. Results Men and women (n = 61,985; 46.0 % men) were followed from baseline over a period of 778,802 person-years. During the 20-year study period, there were 6856 (11.1 %) individuals with incident cancers and 12,480 (20.1 %) deaths (n = 2498 attributed to cancer). For men with depressive symptoms, 505 (15.3 %) developed incident cancer during the follow-up period, whereas among those without depressive symptoms, 3164 (12.5 %) developed incident cancer. Following adjustment for age, depressive symptomology was not significantly associated with risk of overall cancer onset, nor among prostate, colon or melanoma subtypes. Depressive symptoms were associated with an increased risk of bronchus and lung cancer both before (HR 1.90, 95 % CI 1.43–2.50, p ≤0.001) and after adjustment for age (HR 1.38, 95 % CI 1.04–1.80, p = 0.025). However, further adjustment for additional possible confounders explained this association. For women with depressive symptoms, 384 (11.2 %) developed incident cancer during the follow-up period, whereas among those with no depressive symptomology, 2803 (9.3 %) developed incident cancer. After accounting for age, depressive symptomology was not associated with risk of overall cancer onset, nor among breast, colon, lung and bronchus, or melanoma subtypes. Additional analyses evaluating relationship of depression symptom severity and cancer onset did not alter findings for men or women. Limitations This report is limited by the post-hoc study design and subsequent non-randomised nature. Future prospective studies are required. Conclusion These results suggest that depressive symptoms are not associated with an increased risk of overall or site-specific cancer onset in these men and women. Given the increased co-occurrence of other medical conditions such as cardiovascular disease, diabetes, stroke and musculoskeletal disorders in people with depression, the role of clinically diagnosed depression and other psychiatric disorders in association with cancer onset necessitates further consideration.en_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleDepressive symptomology and cancer incidence in men and women: Longitudinal evidence from the HUNT studyen_US
dc.title.alternativeDepressive symptomology and cancer incidence in men and women: Longitudinal evidence from the HUNT studyen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.source.pagenumber1-9en_US
dc.source.volume316en_US
dc.source.journalJournal of Affective Disordersen_US
dc.identifier.doi10.1016/j.jad.2022.08.002
dc.identifier.cristin2058417
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal