Mental Health Service Use Among Adult Cancer Survivors: Analyses of the National Health Interview Survey

Hewitt, Maria; Rowland, Julia H.

doi:10.1200/jco.2002.03.077

Cited by 176 publications

(161 citation statements)

References 24 publications

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“…8 In addition, an American study reported that cancer survivors contacted a mental health provider in 7% of cases. 9 In our study, the percentage of patients who visited a psychologist was positively related to a higher educational level. To our knowledge, this effect has not been described before for cancer patients.…”

Section: Discussionmentioning

confidence: 64%

“…8 Moreover, cancer survivors reported a greater need for mental health services than individuals without a history of cancer, especially those who were under the age of 65 and diagnosed at a younger age, were formerly married, or had other comorbid chronic conditions. 9 The difference in health care utilization between long-term cancer survivors and the general population could not be attributed to the higher prevalence of common somatic complaints. Cancer-related health issues might explain the increase in use of health care.…”

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confidence: 99%

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Increased health care utilization among long‐term cancer survivors compared to the average Dutch population: A population‐based study

Mols

Helfenrath

Vingerhoets

et al. 2007

Intl Journal of Cancer

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In the present study, self-reported health care utilization of cancer survivors is compared with those of an age-and gender-matched normative population and predictors of health care utilization are identified. A population-based, cross-sectional survey among 1893 long-term survivors of endometrial and prostate cancer and malignant lymphomas (Hodgkin's and non-Hodgkin's) diagnosed between 1989 and 1998 was conducted using the cancer registry of the Comprehensive Cancer Centre South. Cancer survivors visited their general practitioner somewhat more often compared to the age and gender-matched general Dutch population but this effect was not always statistically significant. In addition, they visited their medical specialist significantly more often. Survivors only sporadically (0-3%) visited or required a dietician, sexologist, oncology nurse, pastor, creative therapy or recovery program. Contact with a psychologist, physiotherapist and other cancer survivors took place somewhat more often. Patients visited a medical specialist less often if they were diagnosed with endometrial cancer (OR 5 0.2; 95% CI 5 0.1-0.5), if they were diagnosed between 10-15 years ago (OR 5 0.6; 95% CI 5 0.1-0.5) and if they were not married or divorced (OR 5 0.5; 95% CI 5 0.3-0.9). Contact with a psychologist was related to having a university or college degree (OR 5 3.6; 95% CI 5 1.3-9.4). Cancer survivors visited their specialist more often compared to the normative population. Changes in health care, such as less administrative work for the specialist and more efficiency, are probably necessary in order to cope adequately with the increasing demand on the system. ' 2007 Wiley-Liss, Inc.

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Section: Discussionmentioning

confidence: 64%

mentioning

confidence: 99%

Increased health care utilization among long‐term cancer survivors compared to the average Dutch population: A population‐based study

Mols

Helfenrath

Vingerhoets

et al. 2007

Intl Journal of Cancer

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show abstract

“…23,24 We found a substantial symptom burden among cancer survivors compared with general population controls, with the greatest difference seen in patients younger than 50. Previous literature has found that younger survivors were more likely to report psychosocial problems and use mental health services compared with older survivors, 24,25 and our study helps quantify this magnitude by comparing cancer survivors with the general population in the specific age categories. A number of reasons can account for why symptom burden may be greater among younger survivors.…”

Section: Discussionmentioning

confidence: 86%

Symptom Burden Among Cancer Survivors: Impact of Age and Comorbidity

Mao¹,

Armstrong²,

Bowman³

et al. 2007

The Journal of the American Board of Family Medicine

193

123

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Background: Previous research among specific cancer populations has shown high but variable symptom burden; however, very little is known about its extent and pattern among the entire population of US cancer survivors, which is more clinically relevant to primary care physicians.Methods: To determine the prevalence of ongoing symptom burden among cancer survivors and compare it with the general population without cancer, we analyzed data from the 2002 National Health Interview Survey, which included 1,904 cancer survivors and 29,092 controls. Main outcome measures included self-reported ongoing pain, psychological distress, and insomnia. Multivariate logistic regression models were used to adjust for confounders and test for interactions.Results: The rates of ongoing pain, psychological distress, and insomnia among cancer survivors were 34%, 26%, and 30%, respectively, and were significantly higher (all P < .001) than controls without a history of cancer (18%, 16%, and 17%). Compared with controls in the same age groups, younger survivors (younger than 50) were much more likely to report ongoing symptoms than older survivors (older than 64); adjusted odds ratios were 2.96 and 1.36 for pain in the respective age groups (P < .001). Comorbidities also interact with cancer status and contribute to a marked increase in reports of ongoing symptom burden among cancer survivors, with a greater number of comorbidities leading to greater degree of symptom burden in a dose-dependent manner (P < .001).Conclusions :

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“…A presença de dor e o uso de terapias antineoplásicas (interferon, quimioterapia) são fatores de risco, além de dificultarem a identificação da depressão, que ainda permanece um desafio para o médico que atende pacientes com câncer. A depressão, por sua vez, aumenta o uso de serviços de saúde mental, interfere negativamente com a adesão aos tratamentos do câncer e com a qualidade de vida dos pacientes 5,6 . Os benefícios do uso de antidepressivos na depressão em pacientes com câncer estão bem estabelecidos na literatura.…”

Section: Introductionunclassified

Depressão e câncer

Bottino¹,

Fráguas

Gattaz

2009

Rev. psiquiatr. clín.

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ResumoA depressão é o transtorno psiquiátrico mais comum em pacientes com câncer, com prevalências variando de 22% a 29%. Essa variabilidade está associada a sítios do tumor, estágio clínico, dor, funcionamento físico limitado, além da existência de suporte social. A depressão associa-se a um pior prognóstico e aumento da mortalidade pelo câncer. Síndromes depressivas podem ser uma consequência das terapias antineoplásicas, como ocorre em 21% a 58% dos pacientes recebendo interferon-alfa. Sentimentos de tristeza e desespero podem inibir a procura de cuidado pelos pacientes, dificultando o reconhecimento da depressão. O tratamento com antidepressivos é efetivo e melhora a adesão aos tratamentos do câncer, reduzindo efeitos adversos como náusea, dor e fadiga. Em pacientes com câncer, tratamento prévio com antidepressivos pode minimizar sintomas depressivos induzidos por interferon-alfa. O tratamento com antidepressivos parece ser uma estratégia efetiva para prevenir o desenvolvimento da depressão induzida por interferon-alfa. Intervenções psicossociais, como técnicas de relaxamento, terapia individual e em grupo, também podem ser utilizadas na redução dos sintomas depressivos e de estresse em pacientes com câncer. Bottino SMB, et al. / Rev Psiq Clín. 2009;36(3):109-15Palavras-chave: Depressão, câncer, diagnóstico, tratamento. AbstractDepression is the most common psychiatric disorder in patients with cancer, with prevalence rates ranging from 22% to 29%. This variability is associated to cancer sites, clinical stages, pain, limited physical functioning, beyond the existence of social support. Depression is associated to poorer prognosis and higher cancer mortality. Depressive syndromes can be a consequence of the antineoplasic therapies, as occurs in 21% to 58% of the patients treated with alfa-interferon. Sadness and desperation can inhibit the search for care by the patients, and difficult depression recognition. Antidepressant treatment is effective, and improve the adherence to cancer treatments, reducing side effects as nausea, pain and fatigue. In cancer patients, pretreatment with antidepressants seems to minimize depressive symptoms induced by interferon-alfa. Psychosocial interventions as relaxing techniques, group and individual psychotherapies can also be applied to reduce depressive and stress symptoms in patients with cancer.Bottino SMB, et al. / Rev Psiq Clín. 2009;36(3):109-15

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Mental Health Service Use Among Adult Cancer Survivors: Analyses of the National Health Interview Survey

Abstract: Cancer seems to be one of several chronic illnesses that precipitates the need for and use of mental health services. Improvements are needed in recognizing mental health problems among cancer survivors and reducing barriers to psychosocial service use.

Cited by 176 publications

References 24 publications

Increased health care utilization among long‐term cancer survivors compared to the average Dutch population: A population‐based study

Increased health care utilization among long‐term cancer survivors compared to the average Dutch population: A population‐based study

Symptom Burden Among Cancer Survivors: Impact of Age and Comorbidity

Depressão e câncer

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