Hermann Faller1, Elmar Brähler2, Martin Härter3, Monika Keller4, Holger Schulz3, Karl Wegscheider5, Joachim Weis6, Anna Boehncke6, Katrin Reuter7, Matthias Richard8, Susanne Sehner5, Uwe Koch3, Anja Mehnert9. 1. Department of Medical Psychology and Psychotherapy, Medical Sociology and Rehabilitation Sciences, and Comprehensive Cancer Center Mainfranken, University of Würzburg, Klinikstrasse 3, 97070 Würzburg, Germany. Electronic address: h.faller@uni-wuerzburg.de. 2. Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Philipp-Rosenthal-Strasse 55, 04103 Leipzig, Germany; Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Untere Zahlbacherstrasse 8, 55131 Mainz, Germany. 3. Department and Outpatient Clinic of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany. 4. Division of Psychooncology, Department for Psychosomatic and General Clinical Medicine, University Hospital Heidelberg, Im Neuenheimer Feld 155, 69120 Heidelberg, Germany. 5. Department of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany. 6. Department of Psychooncology, Clinic for Oncological Rehabilitation, University Medical Center Freiburg, Breisacher Strasse 117, 79106 Freiburg, Germany. 7. Department of Psychiatry and Psychotherapy, University Medical Center Freiburg, Hauptstrasse 5, 79104 Freiburg, Germany. 8. Department of Medical Psychology and Psychotherapy, Medical Sociology and Rehabilitation Sciences, and Comprehensive Cancer Center Mainfranken, University of Würzburg, Klinikstrasse 3, 97070 Würzburg, Germany. 9. Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Philipp-Rosenthal-Strasse 55, 04103 Leipzig, Germany.
Abstract
OBJECTIVE: We compared gynecological and breast cancer patients regarding their needs for information and psychosocial support, quality of life (QoL), and emotional distress and the relationship among these constructs. METHODS: In a multicenter, cross-sectional study in Germany, we evaluated 1214 female cancer patients (317 with gynecological cancer, 897 with breast cancer). We obtained self-reports of unmet needs, using a self-developed measure. We measured QoL with the EORTC QLQ-C30, symptoms of depression with the Patient Health Questionnaire (PHQ-9), and symptoms of anxiety with the Generalized Anxiety Disorder Scale (GAD-7). RESULTS: Compared to breast cancer patients, gynecological cancer patients felt less informed about several aspects of their disease, particularly regarding psychological support (p<0.001), tended to have more unmet information needs, and reported lower QoL levels. Lower emotional functioning, but higher physical functioning were independent correlates of the level of unmet information needs. Depressive symptoms and higher physical functioning (only in breast cancer) were independent correlates of higher needs for psychosocial support. CONCLUSION: Compared to breast cancer, gynecological cancer patients were less satisfied with the information received and reported lower levels of QoL. PRACTICE IMPLICATIONS: Both clinicians and policy makers should take efforts to address the higher needs of gynecological cancer patients.
OBJECTIVE: We compared gynecological and breast cancerpatients regarding their needs for information and psychosocial support, quality of life (QoL), and emotional distress and the relationship among these constructs. METHODS: In a multicenter, cross-sectional study in Germany, we evaluated 1214 female cancerpatients (317 with gynecological cancer, 897 with breast cancer). We obtained self-reports of unmet needs, using a self-developed measure. We measured QoL with the EORTC QLQ-C30, symptoms of depression with the Patient Health Questionnaire (PHQ-9), and symptoms of anxiety with the Generalized Anxiety Disorder Scale (GAD-7). RESULTS: Compared to breast cancerpatients, gynecological cancerpatients felt less informed about several aspects of their disease, particularly regarding psychological support (p<0.001), tended to have more unmet information needs, and reported lower QoL levels. Lower emotional functioning, but higher physical functioning were independent correlates of the level of unmet information needs. Depressive symptoms and higher physical functioning (only in breast cancer) were independent correlates of higher needs for psychosocial support. CONCLUSION: Compared to breast cancer, gynecological cancerpatients were less satisfied with the information received and reported lower levels of QoL. PRACTICE IMPLICATIONS: Both clinicians and policy makers should take efforts to address the higher needs of gynecological cancerpatients.
Authors: Rachel A Pozzar; Fangxin Hong; Niya Xiong; Jill E Stopfer; Manan M Nayak; Meghan Underhill-Blazey Journal: Fam Cancer Date: 2021-03-10 Impact factor: 2.375
Authors: Mille Guldager Christiansen; Helle Pappot; Charlotte Pedersen; Mary Jarden; Mansoor Raza Mirza; Karin Piil Journal: Support Care Cancer Date: 2021-11-18 Impact factor: 3.603
Authors: Patricia M Livingston; Lahiru Russell; Liliana Orellana; Natalie Winter; Michael Jefford; Afaf Girgis; David Austin; Eric O; Cathrine Mihalopoulos; Anna Ugalde; Richard Chambers; Jo Phipps-Nelson; Dishan Herath; Mari Botti; Bodil Rasmussen; Kathryn Whitfield; Maria Ftanou; Allan Ben Smith; Kirsten Pilatti; Sally Sara; Addie Wootten; Kate Gillan; Madhu Singh; David Campbell; Brindha Pillay; Victoria White Journal: BMJ Open Date: 2022-01-12 Impact factor: 2.692
Authors: Omsalimeh Roudi; Batool Tirgari; Mohammad Ali Cheraghi; Nahid Dehghan Nayeri; Masoud Rayyani Journal: Int J Community Based Nurs Midwifery Date: 2019-01
Authors: Johanna Graf; Florian Junne; Johannes C Ehrenthal; Norbert Schäffeler; Juliane Schwille-Kiuntke; Andreas Stengel; Anja Mehnert-Theuerkauf; Lennart Marwedel; Sara Y Brucker; Stephan Zipfel; Martin Teufel Journal: Front Psychol Date: 2020-10-21
Authors: S L Herbert; A Wöckel; R Kreienberg; T Kühn; F Flock; R Felberbaum; W Janni; C Curtaz; M Kiesel; T Stüber; J Diessner; J Salmen; L Schwentner; V Fink; I Bekes; E Leinert; K Lato; A Polasik; F Schochter; S Singer Journal: Breast Cancer Res Treat Date: 2020-10-26 Impact factor: 4.872