Examining Depression among Breast Cancer Survivors in Nigeria: A Scoping Review

Chiedu Eseadi (1), Amos Nnaemeka Amedu (2)
(1) University of Johannesburgو South Africa, South Africa,
(2) University of Johannesburg, South Africa, South Africa


Background: Depression is one of the major mental health problems that hinder recovery of breast cancer patients. Comorbidity of depressive disorder and breast cancer is a complicated medical condition globally. This study examined depression among breast cancer survivors in Nigeria.

Methods: This study used a scoping review approach to explore four databases, which include Google Scholar, PubMed, Medline and Scopus. The search produced 50 records using formulated search terms formulated which are relevant to the topics. Of the 50 records selected, 42 articles that did not meet eligible requirements were removed, and 8 records were included.

Results: this study revealed that depression is one of the psychological problems that patients with breast cancer experience in Nigeria. In addition, this review revealed that psychological interventions such as cognitive behavioural therapy (CBT) and pilot cognitive restructuring are effective in reducing the depressive symptoms among breast cancer patients in Nigeria.

Conclusion: Based on the published peer reviewed articles, depression is major mental health problem among breast cancer patients in Nigeria, and CBT and psychoeducation have been found to be effective treating depression symptoms in Nigeria. However, more studies are needed in the northern parts of the country since most of the review studies were done in the southern parts of the country.

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Fatunmbi M, Saunders A, Chugani B, Echeazu I, Masika M, Edge S, Nwogu C. Cancer Registration in Resource-limited Environments—Experience in Lagos, Nigeria. J Surg Res 2019; 235: 167–170. [DOI: 10.1016/j.jss.2018.09.021]

Nwafor CC, Nwafor NN. The Pattern and Distribution of Cancers in Akwa Ibom State, Nigeria. Niger J Clin Pract 2018; 21: 603–608. [DOI: 10.4314/njcp.v21i5]

Worldwide cancer data | World Cancer Research Fund International. WCRF Int. Available from: https://www.wcrf.org/cancer-trends/worldwide-cancer-data/

Chidebe RCW, Leibel LL, Orjiakor TC, Shrestha A, Agha AA, Dindar DA, Kisakol B, Ipiankama SC, Okoye IJ, Mason M, Auguste A, Esiaka DK. Promoting cancer prevention through World Cancer Day in Nigeria. Lancet Oncol 2023; 24: 319–322. [PMID: 36990607 DOI: 10.1016/S1470-2045(22)00692-1]

Jedy-Agba E, Curado MP, Ogunbiyi O, Oga E, Fabowale T, Igbinoba F, Osubor G, Otu T, Kumai H, Koechlin A, Osinubi P, Dakum P, Blattner W, Adebamowo CA. Cancer incidence in Nigeria: A report from population-based cancer registries. Cancer Epidemiol 2012; 36: e271–e278. [DOI: 10.1016/j.canep.2012.04.007]

Bank AD. Nigeria Economic Outlook. Afr. Dev. Bank Group - Mak. Differ. 2019. Available from: https://www.afdb.org/en/countries-west-africa-nigeria/nigeria-economic-outlook

Azubuike SO, Muirhead C, Hayes L, McNally R. Rising global burden of breast cancer: the case of sub-Saharan Africa (with emphasis on Nigeria) and implications for regional development: a review. World J Surg Oncol 2018; 16: 63. [PMID: 29566711 DOI: 10.1186/s12957-018-1345-2]

Aruah SC, Eze CN. Major depressive disorders in outpatients with cancers at the Nigerian National Hospital. Psychooncology 2021; 30: 529–535. [DOI: 10.1002/pon.5598]

Ibrahim NA, Oludara MA. Socio-demographic factors and reasons associated with delay in breast cancer presentation: A study in Nigerian women. The Breast 2012; 21: 416–418. [DOI: 10.1016/j.breast.2012.02.006]

Mausbach BT, Schwab RB, Irwin SA. Depression as a predictor of adherence to adjuvant endocrine therapy (AET) in women with breast cancer: a systematic review and meta-analysis. Breast Cancer Res Treat 2015; 152: 239–246. [DOI: 10.1007/s10549-015-3471-7]

Tricco AC, Lillies E, Zarin W, O’Brien KK, Colquhoun H, Levac D, Straus SE. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation | Annals of Internal Medicine. 2018. Available from: https://www.acpjournals.org/doi/10.7326/M18-0850

Akin-Odanye EO, Asuzu CC, Popoola OA. Measured effect of some socio-demographic factors on depression among breast cancer patients receiving chemotherapy in Lagos State University Teaching Hospital (LASUTH). Afr Health Sci 2011; 11. [DOI: 10.4314/ahs.v11i3]

Asuzu CC, Akin‐Odanye EO, Philip EJ. The effect of pilot cognitive restructuring therapy intervention on depression in female cancer patients. Psychooncology 2016; 25: 732–736. [DOI: 10.1002/pon.3950]

Onyedibe MCC, Ifeagwazi M. Emotional Distress and Cognitive Emotion Dysregulation as psychological factors in Cancer Related Fatigue among Nigerian Cancer Patients. Pract Psychol 2019; 9. https://journals.aphriapub.com/index.php/PP/article/view/1053. Accessed 28 October 2023

Nuhu FT, Adebayo KO, Adejumo O. Quality of life of people with cancers in Ibadan, Nigeria. J Ment Health 2013; 22: 325–333. [PMID: 23323703 DOI: 10.3109/09638237.2012.734644]

Ohaeri JU, Campbell OB, Ilesanmil AO, Ohaeri BM. Psychosocial concerns of Nigerian women with breast and cervical cancer. Psychooncology 1998; 7: 494–501. [DOI: 10.1002/(SICI)1099-1611(199811/12)7:6<494::AID-PON331>3.0.CO;2-W]

Suleiman B, Opadola O, Alatishe T, Ojedokun S, Dare F, Opadola O. Relationship between Quality of Life and Depressive Disorder among Women living with Breast Cancer in Nigeria. 2023; 7: 1161–1174. DOI: 10.47772/IJRISS

Popoola AO, Adewuya AO. Prevalence and correlates of depressive disorders in outpatients with breast cancer in Lagos, Nigeria. Psychooncology 2012; 21: 675–679. [DOI: 10.1002/pon.1968]

Onyedibe M-CC, Ifeagwazi MC. Group Psychoeducation to Improve Cognitive Emotion Regulation in Nigerian Women with Breast Cancer. Int J Group Psychother 2021; 71: 509–538. [DOI: 10.1080/00207284.2021.1932513]

Onyedibe M-CC, Ifeagwazi MC. Group Psychoeducation to Improve Cognitive Emotion Regulation in Nigerian Women with Breast Cancer. Int J Group Psychother 2021; 71: 509–538. [DOI: 10.1080/00207284.2021.1932513]

Pilevarzadeh M, Amirshahi M, Afsargharehbagh R, Rafiemanesh H, Hashemi S-M, Balouchi A. Global prevalence of depression among breast cancer patients: a systematic review and meta-analysis. Breast Cancer Res Treat 2019; 176: 519–533. [DOI: 10.1007/s10549-019-05271-3]

Alagizy HA, Soltan MR, Soliman SS, Hegazy NN, Gohar SF. Anxiety, depression and perceived stress among breast cancer patients: single institute experience. Middle East Curr Psychiatry 2020; 27: 29. [DOI: 10.1186/s43045-020-00036-x]

Wondimagegnehu A, Abebe W, Abraha A, Teferra S. Depression and social support among breast cancer patients in Addis Ababa, Ethiopia. BMC Cancer 2019; 19: 836. [DOI: 10.1186/s12885-019-6007-4]

Getu MA, Chen C, Panpan W, Mboineki JF, Dhakal K, Du R. The effect of cognitive behavioral therapy on the quality of life of breast cancer patients: a systematic review and meta-analysis of randomized controlled trials. Qual Life Res 2021; 30: 367–384. [DOI: 10.1007/s11136-020-02665-5]

Sarkhel S, Singh OP, Arora M. Clinical Practice Guidelines for Psychoeducation in Psychiatric Disorders General Principles of Psychoeducation. Indian J Psychiatry 2020; 62: S319–S323. [PMID: 32055073 DOI: 10.4103/psychiatry.IndianJPsychiatry_780_19]

Onyechi KC, Onuigbo LN, Eseadi C, Ikechukwu-Ilomuanya AB, Nwaubani OO, Umoke PC, Agu FU, Otu MS, Utoh-Ofong AN. Effects of rational-emotive hospice care therapy on problematic assumptions, death anxiety, and psychological distress in a sample of cancer patients and their family caregivers in Nigeria. Int. J. Environ. Res. Public Health. 2016;13(9):929.[DOI: 10.3390/ijerph13090929]

Eseadi C. Rational-emotive behavioral intervention helped patients with cancer and their caregivers to manage psychological distress and anxiety symptoms. World J Clin Oncol. 2019;10(2):62-66 [DOI: 10.5306/wjco.v10.i2.62].


Chiedu Eseadi
chiedu.eseadi@unn.edu.ng (Primary Contact)
Amos Nnaemeka Amedu
Author Biography

Amos Nnaemeka Amedu, University of Johannesburg, South Africa

Department of Educational Psychology

Eseadi C, Amedu AN. Examining Depression among Breast Cancer Survivors in Nigeria: A Scoping Review . Arch Breast Cancer [Internet]. [cited 2024 Feb. 22];11(2). Available from: https://archbreastcancer.com/index.php/abc/article/view/857

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