Falling through the cracks: A review of psychological distress and psychosocial service needs in older Black and Hispanic patients with cancer

Weiss, Talia; Weinberger, Mark I.; Holland, Jimmie C.; Nelson, Christian J.; Moadel, Alyson B.

doi:10.1016/j.jgo.2011.12.001

Cited by 14 publications

(19 citation statements)

References 59 publications

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“…Our findings showed that older BC group had received significantly less support than the older GC group; indeed, compared with the others, this group received the least amount of support. Given that social support has been widely acknowledged as a protective factor for PD and mental well‐being and that lower levels of social support have been associated with high levels of depression , it is reasonable to think that the lower support received could have contributed to increased psychological problems for these women. Our data do not confirm this assumption because we found no relationship between the amount of support received and PD measures.…”

Section: Discussionmentioning

confidence: 99%

Psychological distress in women with breast and gynecological cancer treated with radical surgery

2013

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Section: Discussionmentioning

confidence: 99%

Psychological distress in women with breast and gynecological cancer treated with radical surgery

2013

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“…In terms of psychological symptoms, older age is consistently associated with lower levels of psychological distress regardless of clinical factors [18-21]. However, less is known about how older patients experience psychological distress associated with cancer and its treatment [22,23]. …”

Section: Introductionmentioning

confidence: 99%

Differences in the symptom experience of older versus younger oncology outpatients: a cross-sectional study

et al. 2013

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BackgroundMortality rates for cancer are decreasing in patients under 60 and increasing in those over 60 years of age. The reasons for these differences in mortality rates remain poorly understood. One explanation may be that older patients received substandard treatment because of concerns about adverse effects. Given the paucity of research on the multiple dimensions of the symptom experience in older oncology patients, the purpose of this study was to evaluate for differences in ratings of symptom occurrence, severity, frequency, and distress between younger (< 60 years) and older ( ≥ 60 years) adults undergoing cancer treatment. We hypothesized that older patients would have significantly lower ratings on four symptom dimensions.MethodsData from two studies in the United States and one study in Australia were combined to conduct this analysis. All three studies used the MSAS to evaluate the occurrence, severity, frequency, and distress of 32 symptoms.ResultsData from 593 oncology outpatients receiving active treatment for their cancer (i.e., 44.4% were < 60 years and 55.6% were ≥ 60 years of age) were evaluated. Of the 32 MSAS symptoms, after controlling for significant covariates, older patients reported significantly lower occurrence rates for 15 (46.9%) symptoms, lower severity ratings for 6 (18.9%) symptoms, lower frequency ratings for 4 (12.5%) symptoms, and lower distress ratings for 14 (43.8%) symptoms.ConclusionsThis study is the first to evaluate for differences in multiple dimensions of symptom experience in older oncology patients. For almost 50% of the MSAS symptoms, older patients reported significantly lower occurrence rates. While fewer age-related differences were found in ratings of symptom severity, frequency, and distress, a similar pattern was found across all three dimensions. Future research needs to focus on a detailed evaluation of patient and clinical characteristics (i.e., type and dose of treatment) that explain the differences in symptom experience identified in this study.

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“…For example, spirituality, religion and kinship networks are important components in African American culture and were not integrated into these interventions. 52 In addition, no research was conducted in rural communities where access and transportation may present barriers to participation. 53 More psychosocial interventional research is needed and recommended in diverse and ethnic groups of older adults with cancer.…”

Section: Discussionmentioning

confidence: 99%

“…53 More psychosocial interventional research is needed and recommended in diverse and ethnic groups of older adults with cancer. 4,52 Third, it is unclear which parts of each intervention was the most effective on the outcome variables or if any part could have been effective if used alone. For example, Lapid et al 46 and Fann et al 47 used a combination of interventions to improve quality of life and reduce depression.…”

Section: Discussionmentioning

confidence: 99%

“…60 Therefore, clearly, more psychosocial interventional research is needed for diverse ethnic groups of older adults with cancer to compare effectiveness of interventions and generalization of outcomes. 4,52 Second, both testing and comparison of geriatric specific instruments with non-geriatric instruments are needed to validate each instrument's ability to accurately measure the same outcome variables. 42 It is unclear if standard psychosocial instruments are sensitive enough to adequately assess and measure psychosocial needs and outcome variables such as depression in older adults with cancer.…”

Section: Implications For Researchmentioning

confidence: 99%

See 1 more Smart Citation

Family Caregiver Knowledge, Patient Illness Characteristics, and Unplanned Hospital Admissions in Older Adults With Cancer

Geddie

Loerzel

Norris³

2016

ONF

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Falling through the cracks: A review of psychological distress and psychosocial service needs in older Black and Hispanic patients with cancer

Cited by 14 publications

References 59 publications

Psychological distress in women with breast and gynecological cancer treated with radical surgery

Psychological distress in women with breast and gynecological cancer treated with radical surgery

Differences in the symptom experience of older versus younger oncology outpatients: a cross-sectional study

Family Caregiver Knowledge, Patient Illness Characteristics, and Unplanned Hospital Admissions in Older Adults With Cancer

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