Psychosocial distress and utilization of professional psychological care in cancer patients. An observational study in National Comprehensive Cancer Centers (CCCs) in Germany
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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. / Weis, Joachim; Hönig, Klaus; Bergelt, Corinna; Faller, Hermann; Brechtel, Anette; Hornemann, Beate; Stein, Barbara; Teufel, Martin; Goerling, Ute; Erim, Yesim; Geiser, Franziska; Niecke, Alexander; Senf, Bianca; Wickert, Martin; Schmoor, Claudia; Gerlach, Angelika; Schellberg, Dieter; Büttner-Teleaga, Antje; Schieber, Katharina.
in: PSYCHO-ONCOLOGY, Jahrgang 27, Nr. 12, 12.2018, S. 2847-2854.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Psychosocial distress and utilization of professional psychological care in cancer patients. An observational study in National Comprehensive Cancer Centers (CCCs) in Germany
AU - Weis, Joachim
AU - Hönig, Klaus
AU - Bergelt, Corinna
AU - Faller, Hermann
AU - Brechtel, Anette
AU - Hornemann, Beate
AU - Stein, Barbara
AU - Teufel, Martin
AU - Goerling, Ute
AU - Erim, Yesim
AU - Geiser, Franziska
AU - Niecke, Alexander
AU - Senf, Bianca
AU - Wickert, Martin
AU - Schmoor, Claudia
AU - Gerlach, Angelika
AU - Schellberg, Dieter
AU - Büttner-Teleaga, Antje
AU - Schieber, Katharina
N1 - © 2018 John Wiley & Sons, Ltd.
PY - 2018/12
Y1 - 2018/12
N2 - OBJECTIVE: The study aimed to assess cancer patients' use of psychological care and its correlates in a large sample of cancer patients in Comprehensive Cancer Centers (CCCs) in Germany.METHODS: In a multicenter study in Germany, cancer patients with various diagnoses were evaluated for self-reported use of psychological support. We measured psychological distress, depression and anxiety, quality of life, and social support with standardized questionnaires and analyzed its association with the utilization of psychological care using multivariable logistic regression. This paper focuses on a cross-sectional analysis of the data assessed during inpatient care.RESULTS: Three thousand fifty-four (50%) of hospitalized patients were asked for participation, and n = 1632 (53.6%) participated. We were able to analyze n = 1,398 (45.9%) patients. Three hundred ninety-seven (28.4%) of the sample utilized psychological support. Users of psychological care were significantly younger than nonusers (odds ratio [OR]: 0.967, P < 0.001) and were more often female (OR: 1.878, P < 0.001), whereas educational level was not associated with the use of psychological care. In the multivariable analysis, effects on the use of psychological care were observed for Hospital Anxiety and Depression Scale (HADS) anxiety (OR: 1.106, P = 0.001) and both subscales of the 12-item Short Form Health Survey (SF-12) quality of life measure (mental, OR: 0.97, P = 0.002; physical, OR: 0.97, P = 0.002).CONCLUSION: Psychological distress and anxiety are higher, and quality of life is lower in users of psychological care in comparison with nonusers during inpatient cancer treatment. Although psychooncological services should be provided to all patients who need them, special efforts should be made to reach populations that report low utilization.
AB - OBJECTIVE: The study aimed to assess cancer patients' use of psychological care and its correlates in a large sample of cancer patients in Comprehensive Cancer Centers (CCCs) in Germany.METHODS: In a multicenter study in Germany, cancer patients with various diagnoses were evaluated for self-reported use of psychological support. We measured psychological distress, depression and anxiety, quality of life, and social support with standardized questionnaires and analyzed its association with the utilization of psychological care using multivariable logistic regression. This paper focuses on a cross-sectional analysis of the data assessed during inpatient care.RESULTS: Three thousand fifty-four (50%) of hospitalized patients were asked for participation, and n = 1632 (53.6%) participated. We were able to analyze n = 1,398 (45.9%) patients. Three hundred ninety-seven (28.4%) of the sample utilized psychological support. Users of psychological care were significantly younger than nonusers (odds ratio [OR]: 0.967, P < 0.001) and were more often female (OR: 1.878, P < 0.001), whereas educational level was not associated with the use of psychological care. In the multivariable analysis, effects on the use of psychological care were observed for Hospital Anxiety and Depression Scale (HADS) anxiety (OR: 1.106, P = 0.001) and both subscales of the 12-item Short Form Health Survey (SF-12) quality of life measure (mental, OR: 0.97, P = 0.002; physical, OR: 0.97, P = 0.002).CONCLUSION: Psychological distress and anxiety are higher, and quality of life is lower in users of psychological care in comparison with nonusers during inpatient cancer treatment. Although psychooncological services should be provided to all patients who need them, special efforts should be made to reach populations that report low utilization.
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
U2 - 10.1002/pon.4901
DO - 10.1002/pon.4901
M3 - SCORING: Journal article
C2 - 30276915
VL - 27
SP - 2847
EP - 2854
JO - PSYCHO-ONCOLOGY
JF - PSYCHO-ONCOLOGY
SN - 1057-9249
IS - 12
ER -
