Original ArticlesScreening for Depression and Anxiety in Adolescent Cancer PatientsKersun, Leslie S. MD, MSCE* †; Rourke, Mary T. PhD*; Mickley, Megan MD*; Kazak, Anne E. PhD, ABPP* †Author Information *Division of Oncology, The Children's Hospital of Philadelphia †Department of Pediatrics, The University of Pennsylvania School of Medicine, Philadelphia, PA No financial support was obtained for this work. Reprints: Leslie S. Kersun, MD, MSCE, Division of Oncology, Wood Building 4th Floor, The Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, PA 19104 (e-mail: email@example.com). Received for publication April 10, 2009 accepted July 19, 2009 Journal of Pediatric Hematology/Oncology: November 2009 - Volume 31 - Issue 11 - p 835-839 doi: 10.1097/MPH.0b013e3181b8704c Buy Metrics Abstract The goals of this study were to evaluate the feasibility of depression and anxiety screening in on-therapy adolescents with cancer, determine the prevalence of depression and anxiety in this sample, and assess the concordance between patient and oncologist report of patient symptoms. Forty-one adolescents (ages 12 to 18 y) undergoing cancer therapy in an outpatient oncology clinic completed the Beck Youth Inventory II (BYI II) Depression and Anxiety scales. Treating oncologists independently rated patient depression and anxiety. Ninety-eight percent of patients agreed to participate and average time to measure completion was <15 minutes. Mean T-scores for the BDI-Y (Depression module) and BAI-Y (Anxiety module) for most were not different than published norms. Three and 2 patients scored in the moderate-extremely elevated range of the BAI-Y and BDI-Y, respectively. There were no associations between scores and sex, age, diagnosis, time since diagnosis, or treatment intensity. A depression and anxiety-screening program is feasible in the outpatient pediatric oncology setting. Rates of adolescent self-reported anxiety and depression are low, although oncologists perceived more patient distress. This is an area for future investigation. © 2009 Lippincott Williams & Wilkins, Inc.