Joachim Weis1, Klaus Hönig2, Corinna Bergelt3, Hermann Faller4, Anette Brechtel5, Beate Hornemann6, Barbara Stein7, Martin Teufel8, Ute Goerling9, Yesim Erim10, Franziska Geiser11, Alexander Niecke12, Bianca Senf13, Martin Wickert14, Claudia Schmoor15, Angelika Gerlach15, Dieter Schellberg5, Antje Büttner-Teleaga16, Katharina Schieber10. 1. Comprehensive Cancer Center, Department of Self-Help Research, Faculty of Medicine and Medical Center University of Freiburg, Freiburg, Germany. 2. Ulm University Clinic Department of Psychosomatic Medicine and Psychotherapy, Comprehensive Cancer Center Ulm (CCCU), Ulm, Germany. 3. University Clinic Centre, Hubertus Wald, University Cancer Center (CCC), Hamburg, Germany. 4. Department of Medical Psychology and Psychotherapy, Comprehensive Cancer Center Mainfranken, University of Würzburg, Würzburg, Germany. 5. Department of Internal Medicine and Psychosomatics, University Clinic Centre Heidelberg, Heidelberg, Germany. 6. Comprehensive Cancer Center, University Clinic Centre Dresden, Dresden, Germany. 7. Department of Psychosomatic Medicine and Psychotherapy, Paracelsus Medical University, General Hospital Nuremberg, Nuremberg, Germany. 8. Department of Psychosomatic Medicine and Psychotherapy, Comprehensive Cancer Center Essen (WTZ) and LVR Hospital, University of Duisburg-Essen, Essen, Germany. 9. Charité Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität and Berlin Institute of Health, Berlin, Germany. 10. Department of Psychosomatic Medicine, University Clinic Centre Erlangen, Erlangen, Germany. 11. Department of Psychosomatic Medicine, University Clinic Centre Bonn, Bonn, Germany. 12. Department of Psychosomatic Medicine & Centre Psychooncology (CePO), University Clinic Centre Cologne, Cologne, Germany. 13. University Clinic Centre Frankfurt University Cancer Center, Frankfurt, Germany. 14. Comprehensive Cancer Centre, University Clinic Centre Tübingen, Tübingen, Germany. 15. Clinical Trials Unit, Faculty of Medicine and Medical Center University of Freiburg, Freiburg, Germany. 16. Institute of Cognitive Science, Woosuk University, Wanju-gun, Jeonbuk, South Korea.
Abstract
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.
OBJECTIVE: The study aimed to assess cancerpatients' use of psychological care and its correlates in a large sample of cancerpatients in Comprehensive Cancer Centers (CCCs) in Germany. METHODS: In a multicenter study in Germany, cancerpatients 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.
Authors: Martin Eichler; Marlene Hechtner; Beatrice Wehler; Roland Buhl; Jan Stratmann; Martin Sebastian; Heinz Schmidberger; Cornelius Kortsik; Ursula Nestle; Hubert Wirtz; Thomas Wehler; Maria Blettner; Susanne Singer Journal: Strahlenther Onkol Date: 2019-07-10 Impact factor: 3.621
Authors: Michael Kusch; Hildegard Labouvie; Vera Schiewer; Natalie Talalaev; Jan C Cwik; Sonja Bussmann; Lusine Vaganian; Alexander L Gerlach; Antje Dresen; Natalia Cecon; Sandra Salm; Theresia Krieger; Holger Pfaff; Clarissa Lemmen; Lisa Derendorf; Stephanie Stock; Christina Samel; Anna Hagemeier; Martin Hellmich; Bernd Leicher; Gregor Hültenschmidt; Jessica Swoboda; Peter Haas; Anna Arning; Andrea Göttel; Kathrin Schwickerath; Ullrich Graeven; Stefanie Houwaart; Hedy Kerek-Bodden; Steffen Krebs; Christiana Muth; Christina Hecker; Marcel Reiser; Cornelia Mauch; Jennifer Benner; Gerdamarie Schmidt; Christiane Karlowsky; Gisela Vimalanandan; Lukas Matyschik; Lars Galonska; Annette Francke; Karin Osborne; Ursula Nestle; Markus Bäumer; Kordula Schmitz; Jürgen Wolf; Michael Hallek Journal: BMC Health Serv Res Date: 2022-04-22 Impact factor: 2.908
Authors: Anouk S Schuit; Karen Holtmaat; Valesca van Zwieten; Eline J Aukema; Lotte Gransier; Pim Cuijpers; Irma M Verdonck-de Leeuw Journal: Front Psychol Date: 2021-04-22
Authors: Nico Schneider; Anna Bäcker; Katja Brenk-Franz; Christian Keinki; Jutta Hübner; Florian Brandt; Geraldine von der Winkel; Lutz Hager; Bernhard Strauss; Uwe Altmann Journal: BMC Med Res Methodol Date: 2020-05-15 Impact factor: 4.615