Depression and cancer: the point of view of the oncologist

Clinical depression is a relatively common source of suffering among patients with cancer. Depression should not be neglected by oncologists but clearly integrated in global project of cure with an active participation of psychologists and psychiatrists. This article reviews the key notions that may be helpful for oncologists in identifying patients with depression. Depression risk appears greater during months following diagnosis of cancer or recurrence in patients with psychiatric history, in patients with advanced cancer, or in patients with uncontrolled somatic symptoms as pain or dyspnoea. Antidepressants combined with psychotherapy or psychological support can also improve patient's compliance with cancer care and provide him/her with a better quality of life.