Abstract
Incidence rates for cancer have increased in Western countries in recent decades, and the number of new cases in Germany is estimated at about 500,000 per year. Due to early detection of cancer and improved treatment strategies, survival time has improved for most cancer diagnoses. Therefore, the number of long-term cancer survivors (≥ 5 years after diagnosis) has also increased. Despite the advances in oncology, a substantial percentage of long-term survivors show reduced quality of life and suffering from various sequelae of cancer and its treatment. This review focuses on the most common psychological issues of long-term survivors such as anxiety and depression, psychosocial aspects of quality of life, neuropsychological deficits, and fatigue. Finally, recommendations are given for psychosocial interventions and improvements to the psychosocial care of long-term survivors.