S Singer1,2,3, C Szalai3, S Briest4, A Brown5, A Dietz6, J Einenkel7, S Jonas8, A Konnopka9, K Papsdorf10, D Langanke11, M Löbner12, F Schiefke13, J-U Stolzenburg14, A Weimann15, H Wirtz16, H H König9, S Riedel-Heller12. 1. Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Centre, Johannes Gutenberg University, Mainz, Germany. 2. Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig, Leipzig, Germany. 3. Division of Psychosocial Oncology, University of Leipzig, Leipzig, Germany. 4. Breast Cancer Centre, University of Leipzig, Leipzig, Germany. 5. Cancer Epidemiology Unit, University of Oxford, Oxford, UK. 6. Department of Otolaryngology, University of Leipzig, Leipzig, Germany. 7. Department of Obstetrics and Gynecology, University of Leipzig, Leipzig, Germany. 8. Department of Surgery, University of Leipzig, Leipzig, Germany. 9. Department of Medical Sociology and Health Economics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. 10. Department of Radiation-Oncology, University of Leipzig, Leipzig, Germany. 11. Breast Cancer Centre, Hospital St. Elisabeth, Leipzig, Germany. 12. Department of Social Medicine, Occupational Health, and Public Health, University of Leipzig, Leipzig, Germany. 13. Department of Maxillofacial Surgery, University of Leipzig, Leipzig, Germany. 14. Department of Urology, University of Leipzig, Leipzig, Germany. 15. Cancer Centre, Hospital St. Georg, Leipzig, Germany. 16. Department of Pulmonology, University of Leipzig, Leipzig, Germany.
Abstract
OBJECTIVE: This study examined the prevalence of mental health conditions in cancer patients, the role of socioeconomic position in relation to that, and the use of professional mental health care. METHODS: Prospective cohort with measurements at the beginning of inpatient treatment (baseline) and 3, 9, and 15 months after baseline using structured clinical interviews based on DSM-IV, questionnaires, and medical records. RESULTS: At baseline, 149 out of 502 cancer patients (30%) were diagnosed with a mental health condition. Prevalence was associated with unemployment (odds ratio [OR] 2.0), fatigue (OR 1.9), and pain (OR 1.7). Of those with mental health conditions, 9% saw a psychotherapist within 3 months of the diagnosis, 19% after 9 months, and 11% after 15 months. Mental health care use was higher in patients with children ≤18 years (OR 3.3) and somatic co-morbidity (OR 2.6). There was no evidence for an effect of sex on the use of mental health care. CONCLUSION: Few cancer patients with psychiatric disorders receive professional mental health care early enough. If patients are unemployed or if they suffer from fatigue or pain, special attention should be paid because the risk of having a mental health condition is increased in these patients.
OBJECTIVE: This study examined the prevalence of mental health conditions in cancerpatients, the role of socioeconomic position in relation to that, and the use of professional mental health care. METHODS: Prospective cohort with measurements at the beginning of inpatient treatment (baseline) and 3, 9, and 15 months after baseline using structured clinical interviews based on DSM-IV, questionnaires, and medical records. RESULTS: At baseline, 149 out of 502 cancerpatients (30%) were diagnosed with a mental health condition. Prevalence was associated with unemployment (odds ratio [OR] 2.0), fatigue (OR 1.9), and pain (OR 1.7). Of those with mental health conditions, 9% saw a psychotherapist within 3 months of the diagnosis, 19% after 9 months, and 11% after 15 months. Mental health care use was higher in patients with children ≤18 years (OR 3.3) and somatic co-morbidity (OR 2.6). There was no evidence for an effect of sex on the use of mental health care. CONCLUSION: Few cancerpatients with psychiatric disorders receive professional mental health care early enough. If patients are unemployed or if they suffer from fatigue or pain, special attention should be paid because the risk of having a mental health condition is increased in these patients.
Authors: J Keszte; H Danker; A Dietz; E Meister; F Pabst; O Guntinas-Lichius; J Oeken; S Singer; A Meyer Journal: Eur Arch Otorhinolaryngol Date: 2016-10-15 Impact factor: 2.503
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