title: Mental health outcomes during colorectal cancer survivorship: a review of the literature.
abstract: This article reviews literature on adults' mental health outcomes during acute and long-term colorectal cancer (CRC) survivorship.
  
  
  
  We identified articles that included at least one measure of psychological symptoms or mental quality of life or well-being through a search of databases (CINAHL, MEDLINE, PsycINFO, and PsycARTICLES). Articles were published between January 2004 and April 2015.
  
  
  
  A significant proportion of CRC survivors experience clinically meaningful levels of anxiety and depressive symptoms or reduced mental well-being across the trajectory of the illness. Demographic, medical, and psychosocial predictors of mental health outcomes were identified. However, few studies were theory-driven, and gaps remain in our understanding of risk and protective factors with respect to mental health outcomes, especially during long-term CRC survivorship.
  
  
  
  Theory-driven longitudinal research with larger samples is required to identify subgroups of CRC survivors with different trajectories of psychological adjustment. Such research would assess adjustment as a function of internal resources (e.g., personality and coping) and external resources (e.g., finances and social support) to inform future interventions for CRC survivors. Copyright © 2015 John Wiley & Sons, Ltd.
authors: Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA. cemosher@iupui.edu.
authors: Catherine E
authors: CE
authors: Mosher
authors: Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN, USA.
authors: Joseph G
authors: JG
authors: Winger
authors: College of Nursing, Michigan State University, East Lansing, MI, USA.
authors: Barbara A
authors: BA
authors: Given
authors: Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
authors: Paul R
authors: PR
authors: Helft
authors: Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
authors: Bert H
authors: BH
authors: O'Neil
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001007:Anxiety / Q000453:epidemiology; D000073116:Cancer Survivors / Q000523:psychology*; D015179:Colorectal Neoplasms / Q000523:psychology*; D006801:Humans; D008297:Male; D008603:Mental Health; D010551:Personality; D011788:Quality of Life / Q000523:psychology*; D055500:Resilience, Psychological; D012944:Social Support; D000073859:Survivorship