Psychosocial distress and utilization of professional psychological care in cancer patients: An observational study in <scp>N</scp>ational <scp>C</scp>omprehensive <scp>C</scp>ancer <scp>C</scp>enters (<scp>CCC</scp>s) in <scp>G</scp>ermany

Weis, Joachim; Hönig, Klaus; Bergelt, Corinna; Faller, Hermann; Brechtel, Anette; Hornemann, Beate; Stein, Barbara; Teufel, Martin; Goerling, Ute; Erim, Yeşim; Geiser, Franziska; Niecke, Alexander; Senf, Bianca; Wickert, Martin; Schmoor, Claudia; Gerlach, Angelika; Schellberg, Dieter; Büttner-Teleagă, Antje; Schieber, Katharina

doi:10.1002/pon.4901

Cited by 42 publications

(61 citation statements)

References 24 publications

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“…Psychosocial distress showed the strongest association with the decline for psycho‐oncological support, ie, low psychosocial distress was predictive of decline. This result is in line with the majority of studies; contradictory results, however, have also been reported . In addition, not feeling depressed was also uniquely associated with decline.…”

Section: Discussionsupporting

confidence: 90%

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

et al. 2019

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Objective: Many distressed cancer patients do not want or, finally, do not use psychological support. This study aimed at identifying factors associated with the decline of psychological support during hospital stay. Methods:This cross-sectional study included inpatients with different cancer diagnoses. Distress was assessed using the short form of the Questionnaire on Stress in Cancer Patients-Revised (QSC-R10) and the Distress Thermometer (DT). Multivariable logistic regression was used to identify factors associated with decline.Results: Of 925 patients, 71.6% (n = 662) declined psychological support. Male sex (OR = 2.54, 95% CI = 1.69-3.80), low psychosocial distress (OR = 3.76, CI = 2.50-5.67), not feeling depressed (OR = 1.93, CI = 1.24-2.99), perceived overload (OR = 3.37, CI = 2.19-5.20), no previous psychological treatment (OR = 1.88, CI = 1.25-2.83), and feeling well informed about psychological support (OR = 1.66, CI = 1.11-2.46) were associated with decline. Among the patients who indicated clinical distress (46.2%), 53.9% declined psychological support. Male sex (OR = 2.96, CI = 1.71-5.12), not feeling depressed (OR = 1.87, CI = 1.12-3.14), perceived overload (OR = 5.37, CI = 3.07-9.37), agreeableness (OR = 0.70, CI = 0.51-0.95), and feeling well informed about psychological support (OR = 1.81, CI = 1.07-3.07) were uniquely associated with decline in this subgroup. Conclusions:Decline of psychological support is primarily due to psychological factors. Feeling well informed about support emerged as a relevant factor associated with decline. Thus, design of informational material and education about available psychological services seem crucial. ---This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionsupporting

confidence: 90%

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

et al. 2019

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“…We enrolled adults with cancer from CCCs in Germany for this multicenter, observational longitudinal study. Details of the study are described elsewhere [16]. Briefly, we aimed to investigate and analyze the use and (non-use) of professional psychological care and possible influencing factors.…”

Section: Study Design and Populationmentioning

confidence: 99%

Impact of social support on psychosocial symptoms and quality of life in cancer patients: results of a multilevel model approach from a longitudinal multicenter study

et al. 2019

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Background: This prospective multicenter study aimed to investigate the courses of positive support (PS) and detrimental interaction (DI), two different aspects of social support, and the relation between social support and psychosocial distress and/or health-related quality of life (HRQOL) in a large sample of patients with different cancers. Methods: For this observational study, we enrolled adult patients with cancer from 13 comprehensive cancer centers (CCCs) in Germany. We included a total of 1087 patients in our analysis. We assessed the outcomes via standardized self-report questionnaires at three measurement points: at admission for acute care (T1), 6 (T2) and 12 months (T3) thereafter. Our outcome variables included PS and DI, depression and anxiety symptoms, distress, mental quality of life (MQoL) and physical QoL (PQoL). Data were analyzed using three-level hierarchical linear modeling (HLM) and group-based trajectory modeling. Results: During the first year after the cancer diagnosis, both PS and DI decreased in our sample. Baseline depression symptom severity was a significant predictor of PS and DI. Further analyses revealed significant associations between PS, DI and the course of depression and anxiety symptoms, and MQoL. PS buffered the negative effects of DI with regards to these variables. Low DI was associated with better PQoL, whereas PS was not. In general, the impact of social support on psychosocial outcomes was weak to moderate. Conclusions: Our findings provide evidence for the influence of PS and DI on psychosocial symptoms and HRQOL, and emphasize the importance of psycho-oncological interventions that strengthen PS and prevent or reduce DI for patients with cancer and their relatives.

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“…However, with only 6.5% of lung cancer patients in the Waikato region being referred during the study period, the number of patients being referred is lower than reported in other countries 15,16 and may represent an unmet need in NZ, particularly for Māori. Thus, it is imperative that psychosocial support services continue to be made accessible (and be appropriately delivered to) both Māori and non-Māori lung cancer patients within the Waikato region of NZ.…”

Section: Chepulis Et Al 1589mentioning

confidence: 63%

“…Lastly, whilst this study has not quantified the efficacy of the CPSSS in alleviating patient psychological distress, the service is a positive addition, particularly given the highly distressing nature of lung cancer, the poor prognosis and stigma associated with the disease. However, with only 6.5% of lung cancer patients in the Waikato region being referred during the study period, the number of patients being referred is lower than reported in other countries and may represent an unmet need in NZ, particularly for Māori. Thus, it is imperative that psychosocial support services continue to be made accessible (and be appropriately delivered to) both Māori and non‐Māori lung cancer patients within the Waikato region of NZ.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of lung cancer patients receiving psychosocial support in urban New Zealand

et al. 2019

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Psychosocial distress and utilization of professional psychological care in cancer patients: An observational study in National Comprehensive Cancer Centers (CCCs) in Germany

Cited by 42 publications

References 24 publications

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

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

Impact of social support on psychosocial symptoms and quality of life in cancer patients: results of a multilevel model approach from a longitudinal multicenter study

Characteristics of lung cancer patients receiving psychosocial support in urban New Zealand

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