Cancer is a major health problem in develop and developing countries [1]. Right now, the deaths from cancer are increasing in the world, with an estimated 9 million people dying from cancer in 2015 and estimated 11.4 million dying in 2020 [2]. In treatment of cancer, chemotherapy alone or in combination with radiotherapy and surgery plays an important role. The chemotherapy is an intense and cyclic treatment and unlike surgery has many sideeffects like hair loss, nausea, vomiting, and diarrhoea. Long periods of treatment, repeated hospitalizations, inability to readjust to the social and professional life and side-effects of chemotherapy can affect the psychological status of these patients. All these including knowledge of having cancer can increase anxiety and depression, as well as lower self-esteem for cancer patients [3, 4, 5]. Recent meta-analyses showed one-third of cancer patients are affected by common mental disorders, from which depression has been the most common [6, 7]. Anxiety and depression are mental health problems which impact on morbidity and mortality through deterioration of quality of life, difficulties of getting treatment, problems in communication with family, friends and carers, increasing risk of suicide and reduce expectation of survival [8-10]. Saniah et al. [11] demonstrated the prevalence of depression was 19.1% and 24.1% for anxiety in 2010 but now this rates have increase to 22% for depression and 31.7% for anxiety in 2015 among cancer patients in Malaysia [12].