Perceived need for psychosocial support depending on emotional distress and mental comorbidity in men and women with cancer

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Perceived need for psychosocial support depending on emotional distress and mental comorbidity in men and women with cancer. / Faller, Hermann; Weis, Joachim; Koch, Uwe; Brähler, Elmar; Härter, Martin; Keller, Monika; Schulz, Holger; Wegscheider, Karl; Boehncke, Anna; Hund, Bianca; Reuter, Katrin; Richard, Matthias; Sehner, Susanne; Szalai, Carina; Wittchen, Hans-Ulrich; Mehnert, Anja.

In: J PSYCHOSOM RES, Vol. 81, 02.2016, p. 24-30.

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@article{fd657eb00aee4c5a828dfc93f732024e,
title = "Perceived need for psychosocial support depending on emotional distress and mental comorbidity in men and women with cancer",
abstract = "OBJECTIVE: Although elevated levels of distress are supposed to constitute a need for psychosocial support, the relation between elevated distress and need for support does not appear to be straightforward. We aimed to determine cancer patients' perceived need for psychosocial support, and examine the relation of need to both self-reported emotional distress and the interview-based diagnosis of a mental disorder.METHODS: In a multicenter, cross-sectional study in Germany, 4020 cancer patients (mean age 58years, 51% women) were evaluated. We obtained self-reports of need for psychosocial support. We measured distress with the National Comprehensive Cancer Network (NCCN) Distress Thermometer (DT) and depressive symptoms with the Patient Health Questionnaire (PHQ-9). In a subsample, we evaluated the presence of a mental disorder using the Composite International Diagnostic Interview (CIDI).RESULTS: 32.1% (95%-CI 30.6 to 33.6) of patients perceived a need for psychosocial support. Younger age, female sex, and higher education were associated with more needs, being married and living with a partner with fewer needs, respectively. While up to 51.2% of patients with elevated distress levels reported a need for psychosocial support, up to 26.1% of those without elevated distress levels perceived such a need. Results were similar across distress assessment methods.CONCLUSION: Our findings emphasize that the occurrence of mental distress is one important but not an exclusive factor among different motives to report the need for psychosocial support. We should thus consider multifaceted perspectives, facilitators and barriers when planning and implementing patient-centered psychosocial care services.",
author = "Hermann Faller and Joachim Weis and Uwe Koch and Elmar Br{\"a}hler and Martin H{\"a}rter and Monika Keller and Holger Schulz and Karl Wegscheider and Anna Boehncke and Bianca Hund and Katrin Reuter and Matthias Richard and Susanne Sehner and Carina Szalai and Hans-Ulrich Wittchen and Anja Mehnert",
note = "Copyright {\textcopyright} 2015 Elsevier Inc. All rights reserved.",
year = "2016",
month = feb,
doi = "10.1016/j.jpsychores.2015.12.004",
language = "English",
volume = "81",
pages = "24--30",
journal = "J PSYCHOSOM RES",
issn = "0022-3999",
publisher = "Elsevier Inc.",

}

RIS

TY - JOUR

T1 - Perceived need for psychosocial support depending on emotional distress and mental comorbidity in men and women with cancer

AU - Faller, Hermann

AU - Weis, Joachim

AU - Koch, Uwe

AU - Brähler, Elmar

AU - Härter, Martin

AU - Keller, Monika

AU - Schulz, Holger

AU - Wegscheider, Karl

AU - Boehncke, Anna

AU - Hund, Bianca

AU - Reuter, Katrin

AU - Richard, Matthias

AU - Sehner, Susanne

AU - Szalai, Carina

AU - Wittchen, Hans-Ulrich

AU - Mehnert, Anja

N1 - Copyright © 2015 Elsevier Inc. All rights reserved.

PY - 2016/2

Y1 - 2016/2

N2 - OBJECTIVE: Although elevated levels of distress are supposed to constitute a need for psychosocial support, the relation between elevated distress and need for support does not appear to be straightforward. We aimed to determine cancer patients' perceived need for psychosocial support, and examine the relation of need to both self-reported emotional distress and the interview-based diagnosis of a mental disorder.METHODS: In a multicenter, cross-sectional study in Germany, 4020 cancer patients (mean age 58years, 51% women) were evaluated. We obtained self-reports of need for psychosocial support. We measured distress with the National Comprehensive Cancer Network (NCCN) Distress Thermometer (DT) and depressive symptoms with the Patient Health Questionnaire (PHQ-9). In a subsample, we evaluated the presence of a mental disorder using the Composite International Diagnostic Interview (CIDI).RESULTS: 32.1% (95%-CI 30.6 to 33.6) of patients perceived a need for psychosocial support. Younger age, female sex, and higher education were associated with more needs, being married and living with a partner with fewer needs, respectively. While up to 51.2% of patients with elevated distress levels reported a need for psychosocial support, up to 26.1% of those without elevated distress levels perceived such a need. Results were similar across distress assessment methods.CONCLUSION: Our findings emphasize that the occurrence of mental distress is one important but not an exclusive factor among different motives to report the need for psychosocial support. We should thus consider multifaceted perspectives, facilitators and barriers when planning and implementing patient-centered psychosocial care services.

AB - OBJECTIVE: Although elevated levels of distress are supposed to constitute a need for psychosocial support, the relation between elevated distress and need for support does not appear to be straightforward. We aimed to determine cancer patients' perceived need for psychosocial support, and examine the relation of need to both self-reported emotional distress and the interview-based diagnosis of a mental disorder.METHODS: In a multicenter, cross-sectional study in Germany, 4020 cancer patients (mean age 58years, 51% women) were evaluated. We obtained self-reports of need for psychosocial support. We measured distress with the National Comprehensive Cancer Network (NCCN) Distress Thermometer (DT) and depressive symptoms with the Patient Health Questionnaire (PHQ-9). In a subsample, we evaluated the presence of a mental disorder using the Composite International Diagnostic Interview (CIDI).RESULTS: 32.1% (95%-CI 30.6 to 33.6) of patients perceived a need for psychosocial support. Younger age, female sex, and higher education were associated with more needs, being married and living with a partner with fewer needs, respectively. While up to 51.2% of patients with elevated distress levels reported a need for psychosocial support, up to 26.1% of those without elevated distress levels perceived such a need. Results were similar across distress assessment methods.CONCLUSION: Our findings emphasize that the occurrence of mental distress is one important but not an exclusive factor among different motives to report the need for psychosocial support. We should thus consider multifaceted perspectives, facilitators and barriers when planning and implementing patient-centered psychosocial care services.

U2 - 10.1016/j.jpsychores.2015.12.004

DO - 10.1016/j.jpsychores.2015.12.004

M3 - SCORING: Journal article

C2 - 26800635

VL - 81

SP - 24

EP - 30

JO - J PSYCHOSOM RES

JF - J PSYCHOSOM RES

SN - 0022-3999

ER -