{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T10:55:46Z","timestamp":1769165746845,"version":"3.49.0"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T00:00:00Z","timestamp":1577664000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>People with a serious mental health condition are no more likely to receive a diagnosis of cancer than the general population but fare more poorly in terms of outcomes. The current study investigated whether a background of mental health problems (measured by contact with mental health services and psychotropic medication) predicted treatment outcomes over and above demographic and medical confounds for cancer patients at Counties Manukau Health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The sample consisted of 1652 patients diagnosed with cancer in the period 1 January 2016 to 31 December 2016. The sample was split into three groups: non\u2010mental health, moderate mental health, and serious mental health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients in the serious and moderate mental health groups were more likely to have physical comorbidities. Those in the serious mental health group were also marginally more likely to have advanced cancer at diagnosis. There were no differences between groups in terms of treatment delays, but patients in the serious mental health group were more likely to be hospitalised and die in the 12 months following diagnosis. Whilst differences in mortality may be explained by greater clinical complexity (being older, having other physical comorbidities) and later stage at presentation, mental health history was independently associated with hospitalisations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Cancer patients with a history of more serious mental health issues fare more poorly than those with moderate mental health issues or no such history. The clinical complexity of working with these patients, indexed by mental and physical comorbidities, may be a factor contributing to this disparity.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.5295","type":"journal-article","created":{"date-parts":[[2019,11,19]],"date-time":"2019-11-19T17:58:02Z","timestamp":1574186282000},"page":"525-531","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["When mental illness and cancer collide: An investigation of the predictors of outcomes for cancer patients with a history of mental health problems"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0858-2677","authenticated-orcid":false,"given":"Amy","family":"Hemmington","sequence":"first","affiliation":[{"name":"Cancer Support: Psychology and Social Work Counties Manukau Health  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisy","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christin","family":"Coomarasamy","sequence":"additional","affiliation":[{"name":"Ko Awatea Counties Manukau Health  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie J.","family":"Young","sequence":"additional","affiliation":[{"name":"Cancer Support: Psychology and Social Work Counties Manukau Health  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7691-0938","authenticated-orcid":false,"given":"Nathan S.","family":"Consedine","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9609-2135","authenticated-orcid":false,"given":"Lisa M.","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Cancer Support: Psychology and Social Work Counties Manukau Health  Auckland New Zealand"},{"name":"Department of Psychological Medicine The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1159\/000365541","volume-title":"Comorbidity of Mental and Physical Disorders","author":"Lawrence D","year":"2015"},{"issue":"2","key":"e_1_2_8_3_1","first-page":"209","article-title":"Cancer\u2010related mortality in people with mental illness","volume":"70","author":"Kisely S","year":"2013","journal-title":"JAMAPsychiat"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2015.06.003"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(10)70085-1"},{"key":"e_1_2_8_6_1","unstructured":"CunninghamR.Cancer in the Context of Severe Mental Illness in New Zealand [thesis]. Wellington New Zealand; University of Otago.2016."},{"key":"e_1_2_8_7_1","unstructured":"Ministry of Health.Cancer.2019. Retrieved fromhttps:\/\/www.health.govt.nz\/your-health\/conditions-and-treatments\/diseases-and-illnesses\/cancer. Accessed September 12 2019"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-011-9804-x"},{"key":"e_1_2_8_9_1","unstructured":"Ministry of Health.Faster cancer treatment.2018. Retrieved fromhttps:\/\/www.health.govt.nz\/our-work\/diseases-and-conditions\/national-cancer-programme\/cancer-initiatives\/faster-cancer-treatment. Accessed September 12 2019."},{"key":"e_1_2_8_10_1","unstructured":"Community and Public Health.Mental health and illness.2019. Retrieved fromhttps:\/\/www.cph.co.nz\/your-health\/mental-illness\/. Accessed January10 2019."},{"key":"e_1_2_8_11_1","unstructured":"Ministry of Health.Mental health.2018. Retrieved fromhttps:\/\/www.health.govt.nz\/our-work\/populations\/maori-health\/tatau-kahukura-maori-health-statistics\/nga-mana-hauora-tutohu-health-status-indicators\/mental-health. Accessed September 12 2019."},{"key":"e_1_2_8_12_1","unstructured":"Ministry of Health.Key indicators. n.d.. Retrieved fromhttps:\/\/minhealthnz.shinyapps.io\/nz-health-survey-2017-18-annual-data-explorer\/_w_6f1d1e3b\/#!\/key-indicators. Accessed January10 2019."},{"key":"e_1_2_8_13_1","unstructured":"Counties Manukau Health.Annual report.2018. Retrieved fromhttps:\/\/countiesmanukau.health.nz\/assets\/About-CMH\/Reports-and-planning\/Annual-reports-and-plans\/2017-18-CM-Health-Annual-Report-Final-for-online-publication-December-2018.pdf. AccessedSeptember 12 2019."},{"key":"e_1_2_8_14_1","unstructured":"Collins English Dictionary.Organic psychosis.2012. Retrieved fromhttps:\/\/www.dictionary.com\/browse\/organic-psychosis.AccessedSeptember 12 2019."},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.11.012"},{"issue":"3","key":"e_1_2_8_16_1","first-page":"11","article-title":"Barriers to the early diagnosis of lung cancer and recommended best practice solutions, with particular reference to M\u0101ori and Pacific peoples","volume":"17","author":"Stevens W","year":"2010","journal-title":"Australasian Epidemiol"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/10376178.2016.1195238"},{"key":"e_1_2_8_18_1","unstructured":"YoungM ReynoldsL HemmingtonA McNeillR.Improving equity in access to timely cancer treatment. Counties Manukau Health. 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