Barriers to accepting mental health care in cancer patients with depression

Niazi, Shehzad K.; Vargas, Emily; Spaulding, Aaron; Gustetic, Elaine; Ford, Nancy; Paly, David; Tatum, Kelsey; Clark, Matthew M.; Rummans, Teresa A.

doi:10.1080/00981389.2020.1769248

Cited by 6 publications

(8 citation statements)

References 25 publications

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“…Patients also reported concerns about the costs of mental healthcare as an instrumental barrier. These apprehensions about the cost of mental health treatment have been previously reported, 30 and the fact that patients feel unsure of where to get help is consistent with prior findings of low or very low levels of mental health literacy among the Vietnamese population 31 …”

Section: Discussionsupporting

confidence: 89%

“…This may indicate that cancer patients experience similar aversions to accepting their need for mental health support across sociocultural contexts. The most important barrier to mental health services, both in general and among instrumental barriers in particular, was “Being unsure where to get mental health care.” This finding is congruent with prior research indicating that although mental health care was provided at the same clinic for cancer care, approximately 29.4% of cancer patients reported being unsure where to go to get care 30 . Patients also reported concerns about the costs of mental healthcare as an instrumental barrier.…”

Section: Discussionsupporting

confidence: 84%

“…Similar assessments of barriers to mental health care for cancer patients in high-income countries also show greater endorsement of the attitudinal subscale. 30 This may indicate that cancer patients experience similar aversions to accepting their need for mental health support across sociocultural contexts. The most important barrier to mental health services, both in general and among instrumental barriers in particular, was "Being unsure where to get mental health care."…”

Section: Discussionmentioning

confidence: 99%

“…This finding is congruent with prior research indicating that although mental health care was provided at the same clinic for cancer care, approximately 29.4% of cancer patients reported being unsure where to go to get care. 30 Patients also reported concerns about the costs of mental healthcare as an instrumental barrier. These apprehensions about the cost of mental health treatment have been previously reported, 30 and the fact that patients feel unsure of where to get help is consistent with prior findings of low or very low levels of mental health literacy among the Vietnamese population.…”

Section: Discussionmentioning

confidence: 99%

“…30 Patients also reported concerns about the costs of mental healthcare as an instrumental barrier. These apprehensions about the cost of mental health treatment have been previously reported, 30 and the fact that patients feel unsure of where to get help is consistent with prior findings of low or very low levels of mental health literacy among the Vietnamese population. 31 The most common attitudinal barriers were "A desire to solve the problem on their own" and "Thinking that the problem would get better by itself", suggesting that cancer patients may feel discomfort admitting that they need support, or not take mental health concerns seriously, leading to delays in seeking mental health services.…”

Section: Discussionmentioning

confidence: 99%

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Mental health, functional impairment, and barriers to mental health access among cancer patients in Vietnam

Weiss

et al. 2023

Psycho-Oncology

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Objective: This study evaluated the prevalence and severity of depression and anxiety symptomatology, barriers to mental health access, and correlates of functional impairment among cancer inpatients. Methods:This cross-sectional study recruited adult cancer patients (N = 300) in June and July 2022 at the largest oncological hospital in Vietnam. Multivariable linear regression analyses examined the association between demographics, clinical characteristics, and patients' functional impairment.Results: Approximately 46.3% and 27.0% showed some depression and anxiety symptomatology, while 8.0% and 3.0% experienced major depressive and anxiety symptoms, respectively. Patients reported the most impairment in mobility and capacity for life activities. More functional impairment was identified in patients with gastrointestinal cancers, those receiving radiation therapy alone, and those scoring higher on depression and anxiety than in those with cancers originating in the head, neck, or lung or those receiving chemotherapy alone. Reports of better overall health status were negatively associated with functional impairment. Patients reported extensive perceived barriers to seeking psychiatric care, including not knowing where to get mental health support (86.7%), wanting to manage mental health independently (73.7%), and thinking mental health will resolve on its own (73.7%), and denying mental health concerns (61.0%). Conclusion:High frequency and severity of depression and anxiety symptomatology underscore the importance of integrating mental health services into existing oncological treatment protocols. Increasing mental health literacy and provision of psychoeducation is critical to addressing barriers to mental health service access.Integration of functional impairment evaluations into hospital admission and discharge planning is also needed.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Mental health, functional impairment, and barriers to mental health access among cancer patients in Vietnam

Weiss

et al. 2023

Psycho-Oncology

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Guided versus non‐guided digital psychological interventions for cancer patients: A systematic review and meta‐analysis of engagement and efficacy

Akdemir,

Smith,

et al. 2024

Psycho-Oncology

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ObjectiveTo evaluate engagement with and efficacy of guided versus non‐guided digital interventions targeting psychological symptoms of cancer via a systematic review of current evidence.MethodsPubMed, Scopus, PsychINFO, MEDLINE, and CINAHL databases were searched. Eligible publications were randomised controlled trials of guided or non‐guided digital psychological interventions used in cancer settings reporting intervention efficacy and/or engagement. Study methodological quality was assessed using the Cochrane risk of bias (RoB) tool. Random effects meta‐analyses were performed on outcomes with sufficient data, with sub‐group analyses of intervention type and follow‐up period.ResultsForty‐three studies were included. Studies varied by level of guidance, type of technology used, duration, and outcomes assessed. Most studies had a high overall RoB. Meta‐analysis indicated that guided interventions significantly reduced distress, anxiety, and fatigue, while non‐guided did not. For depression and quality of life, both guided and non‐guided interventions produced significant improvements. Guided interventions reported higher levels of intervention engagement than non‐guided.ConclusionsGuided digital psychological interventions were likely to be more effective than non‐guided ones for cancer patients, particularly in reducing distress, anxiety, and fatigue. Whilst both types were found to improve depression and life quality, guided interventions were associated with higher patient engagement. These findings suggest digital interventions could supplement traditional cancer care, warranting further research concerning long‐term effects and cost‐efficiency.

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Patterns of mental health service utilisation in people with cancer compared with people without cancer: analysis of the Australian National Study of Mental Health and Wellbeing

Ng,

Koczwara,

Beatty

2023

J Cancer Surviv

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Purpose To compare the patterns of mental health service utilisation between people with and without cancer. Methods We performed a cross-sectional study using data of all respondents aged ≥ 25 years from the Australian National Study of Mental Health and Wellbeing 2020–2021 conducted during the COVID-19 pandemic. Comparisons were made between the two groups (cancer versus non-cancer) using logistic regression models. Results The study comprised 318 people with cancer (55% female) and 4628 people without cancer (54% female). Cancer survivors had a higher prevalence of reporting poor health (38% versus 16%) and mental distress (18% versus 14%) than people without cancer. There were no significant differences between people with and without cancer in the odds of consulting general practitioner, psychiatrist and other health professionals for mental health, although people with cancer were significantly more likely to consult a psychologist than people without cancer (adjusted odds ratio (aOR) = 1.64, 95%CI = 1.05–2.48). While the odds of being hospitalised for physical health was significantly higher in cancer survivors than people without cancer (aOR = 2.32, 95%CI = 1.78–3.01), there was only a negligible number of people reported being hospitalised for mental health between the two groups. Several factors were associated with higher odds of mental health service utilisation including younger age, unpartnered marital status and presence of a current mental condition. Conclusions Alarmingly, despite experiencing higher prevalence of poor health status and mental distress, cancer survivors did not utilise more mental health services than the general population. That is, there is a higher degree of untreated, or undertreated, distress in cancer than in the general population. Implications for Cancer Survivors Further research to identify optimal approaches of mental health care delivery for cancer survivors are urgently needed.

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Barriers to accepting mental health care in cancer patients with depression

Cited by 6 publications

References 25 publications

Mental health, functional impairment, and barriers to mental health access among cancer patients in Vietnam

Mental health, functional impairment, and barriers to mental health access among cancer patients in Vietnam

Guided versus non‐guided digital psychological interventions for cancer patients: A systematic review and meta‐analysis of engagement and efficacy

Patterns of mental health service utilisation in people with cancer compared with people without cancer: analysis of the Australian National Study of Mental Health and Wellbeing

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