Factors associated with the decline of psychological support in hospitalized patients with cancer

Pichler, Theresia; Dinkel, Andreas; Marten‐Mittag, Birgitt; Hermelink, Kerstin; Telzerow, Eva; Ackermann, Ulrike; Belka, Claus; Combs, Stephanie E.; Gratzke, Christian; Gschwend, Jürgen E.; Harbeck, Nadia; Herkommer, Kathleen; Kiechle, Marion; Mahner, Sven; Pigorsch, Steffi; Rauch, Josefine; Stief, Christian G.; Beckmann, Jürgen; Heußner, Pia; Herschbach, Peter

doi:10.1002/pon.5191

Cited by 29 publications

(34 citation statements)

References 32 publications

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“…The present study found that FCR did not contribute to a higher utilization of psychosocial services utilization, which is consistent with one study in Germany but not other studies that have examined FCR or emotional problems and psychosocial services utilization 9,14,34 . There are several possible explanations for the insignificant finding in this study, such as differences in sample characteristics and measurements of psychosocial services.…”

Section: Discussionsupporting

confidence: 89%

Fear of cancer recurrence, supportive care needs, and the utilization of psychosocial services in cancer survivors: A cross‐sectional survey in Hong Kong

Chung

Cheng

2020

Psycho-Oncology

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Objective Fear of cancer recurrence (FCR) is the top‐ranked psychological concern in cancer survivors. We examined the prevalence of FCR and the relationships among FCR, supportive care needs, and the utilization of psychosocial services among Chinese cancer survivors. Methods This cross‐sectional, correlational study included 311 cancer survivors within 5 years of survivorship in Hong Kong. The participants were invited to complete an online survey: the Fear of Progression Questionnaire‐Short Form to assess FCR; the 34‐item Supportive Care Needs‐Short Form to assess supportive care needs, and a self‐constructed questionnaire to assess psychosocial services utilization. A score of ≥34 indicated FCR. Descriptive statistics and hierarchical regression analyses were performed. Results Of the participants surveyed, 38.3% were classified as having FCR. The most frequently reported supportive care needs in five domains were in the psychological domain (M = 39.5; SD = 27.6), followed by the health system and information domain (M = 38.6, SD = 26.9). Of the three categories of psychosocial services, informational/educational healthcare services were the most frequently utilized (81%), while the least utilized services were mental health/psychological well‐being support (46.9%). FCR was a consistent factor that was associated with needs in five domains (b = 8.73–39.58, all p < 0.001). However, FCR was not associated with any of the three categories of psychosocial services utilization. Conclusion FCR is frequent in cancer survivors. FCR may play an important role in supportive care needs, but not in psychosocial services utilization. There is an increasing demand to bridge the service gap between the need for and the use of mental health and psychological well‐being services.

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Section: Discussionsupporting

confidence: 89%

Fear of cancer recurrence, supportive care needs, and the utilization of psychosocial services in cancer survivors: A cross‐sectional survey in Hong Kong

Chung

Cheng

2020

Psycho-Oncology

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“…Nevertheless, despite the high prevalence of distress among cancer patients and the benefit from a psycho-oncological intervention, a high percentage of distressed cancer patients do not want or eventually do not use psychosocial support (Pichler et al, 2019). Pichler et al (2019) found that in a sample of 925 German cancer inpatients, 71.6% declined psychological support. Among those patients experiencing high levels of distress (46.2%), 53.9% declined psychological support.…”

Section: Prevalence Of Problemsmentioning

confidence: 99%

Psychological Distress in a Sample of Inpatients With Mixed Cancer—A Cross-Sectional Study of Routine Clinical Data

et al. 2020

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BackgroundThe diagnosis and treatment of cancer are associated with psychological distress that often leads to a significant reduction in emotional and physical well-being and quality of life. Early detection of psychological distress is therefore important. This study aims to assess the psychological distress of inpatient cancer patients using routine clinical data. Furthermore, variables and problems most strongly associated with psychological distress should be identified.Materials and MethodsN = 1,869 inpatients were investigated (mean age = 60.89 years; 35.94% female) using the National Comprehensive Cancer Network Distress Thermometer and problem checklist to assess distress as well as multiple possible problem areas. Visceral oncological cancer (31.6%) was the most common tumor diagnosis, followed by skin cancer (26.2%) and urological cancer (21.7%).Results65.9% of the sample experienced high levels of distress (Distress Thermometer ≥ 5). Female sex, stage 4 of disease, and visceral and head and neck cancer emerged as risk factors for high distress. A younger age (<65 years) was significantly correlated with higher distress. The most frequently self-reported problems were fears (50.1%), worry (49.9%), and fatigue (49.1%). Patients with all 3 of these problems had 24 times higher risk [odds ratio (OR) = 23.9] for high levels of distress than patients without these problems. Women reported significantly more practical, emotional, and physical problems than men. Younger (<50 years) and middle-aged patients (50–64 years) reported increased levels of practical, family, and emotional problems compared with older patients (≥65 years).DiscussionAlmost two-thirds of the sample reported high levels of distress. The most frequently reported problem areas were emotional and physical problems. These results can help to identify patients with high risk for psychological distress and, therefore, be used to optimize psychosocial and psycho-oncological care for patients with cancer.

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“…Despite the general high degree of supportive care need across patient groups, 39 specific efforts to motivate male cancer patients to seek psychological support seem warranted. 40…”

Section: Discussionmentioning

confidence: 99%

“…Younger patients may be particularly frightened by disease‐specific symptoms and thus the occurrence of such fears should be explored. Despite the general high degree of supportive care need across patient groups, 39 specific efforts to motivate male cancer patients to seek psychological support seem warranted 40 …”

Section: Discussionmentioning

confidence: 99%

Risk and associated factors of depression and anxiety in men with prostate cancer: Results from a German multicenter study

et al. 2020

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Objective: In order to optimize psycho-oncological care, studies that quantify the extent of distress and identify certain risk groups are needed. Among patients with prostate cancer (PCa), findings on depression and anxiety are limited. Methods: We analyzed data of PCa patients selected from a German multi-center study. Depression and anxiety were assessed with the PHQ-9 and the GAD-7 (cutoff ≥7). We provided physical symptom burden, calculated absolute and relative risk (AR and RR) of depression and anxiety across patient subsets and between patients and the general population (GP) and tested age as a moderator within the relationship of disease-specific symptoms with depression and anxiety. Results: Among 636 participants, the majority reported disease-specific problems (sexuality: 60%; urination: 52%). AR for depression and anxiety was 23% and 22%, respectively. Significant RR were small, with higher risks of distress in patients who are younger (eg, RR depression = 1.15; 95%-CI: 1.06-1.26), treated with chemotherapy

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Factors associated with the decline of psychological support in hospitalized patients with cancer

Cited by 29 publications

References 32 publications

Fear of cancer recurrence, supportive care needs, and the utilization of psychosocial services in cancer survivors: A cross‐sectional survey in Hong Kong

Fear of cancer recurrence, supportive care needs, and the utilization of psychosocial services in cancer survivors: A cross‐sectional survey in Hong Kong

Psychological Distress in a Sample of Inpatients With Mixed Cancer—A Cross-Sectional Study of Routine Clinical Data

Risk and associated factors of depression and anxiety in men with prostate cancer: Results from a German multicenter study

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