Psycho-oncology · 2026
The Experience of Depression in Older Adults With Cancer: A Qualitative Descriptive Analysis.
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Hardt Madeleine M, Gilliland Jaime, Rubi Lisbeth, Dolma Rinchen, Saracino Rebecca M, Sirey Jo Anne, McConnell Kelly M
Аннотация
OBJECTIVE: Older adults with cancer (OACs) are a large and vulnerable population, with approximately 15% reporting clinically significant depressive symptoms. Yet, OACs are more likely than younger patients to decline a mental health referral. Understanding OACs' experience of depression and view of mental health resources is vital to inform improvements to care for this population.
AIM: To describe OACs' perspectives on (1) depression during cancer and (2) strategies for coping with depression, including mental health services using a qualitative descriptive study approach.
METHODS: OACs (≥ 65 years old) with depressive symptoms were recruited to participate in focus groups, which were informed by a semi-structured facilitation guide. Qualitative data were analyzed using reflexive thematic analysis. Descriptive statistics were used to analyze participant characteristics (e.g., demographics, cancer history).
RESULTS: OACs (n = 13, Mage = 75.0) participated. Five key themes emerged: (1) Depressive symptoms as inherently tied to the cancer experience; (2) Distress symptoms disrupt daily life; (3) Cancer-related depressive symptoms as unique and not warranting support; (4) Preference for personal coping strategies to manage depressive symptoms; and (5) Logistical and access barriers impact mental health care initiation and engagement.
CONCLUSIONS: Study findings highlight OACs' unique perspectives on depression and suggest that these views and their preference for personal coping strategies may further hinder mental health service engagement.
AIM: To describe OACs' perspectives on (1) depression during cancer and (2) strategies for coping with depression, including mental health services using a qualitative descriptive study approach.
METHODS: OACs (≥ 65 years old) with depressive symptoms were recruited to participate in focus groups, which were informed by a semi-structured facilitation guide. Qualitative data were analyzed using reflexive thematic analysis. Descriptive statistics were used to analyze participant characteristics (e.g., demographics, cancer history).
RESULTS: OACs (n = 13, Mage = 75.0) participated. Five key themes emerged: (1) Depressive symptoms as inherently tied to the cancer experience; (2) Distress symptoms disrupt daily life; (3) Cancer-related depressive symptoms as unique and not warranting support; (4) Preference for personal coping strategies to manage depressive symptoms; and (5) Logistical and access barriers impact mental health care initiation and engagement.
CONCLUSIONS: Study findings highlight OACs' unique perspectives on depression and suggest that these views and their preference for personal coping strategies may further hinder mental health service engagement.