Effect of depression, anxiety, and distress screeners on the need, intention, and utilization of psychosocial support services among cancer patients.

Autor: Springer F; Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Philipp-Rosenthal-Str. 55, 04103, Leipzig, Germany. franziska.springer@medizin.uni-leipzig.de., Sautier L; Department of Medical Psychology, University Medical Center Hamburg Eppendorf, Hamburg, Germany., Schilling G; Department of Clinical Oncology, Asklepios Tumorzentrum Hamburg, Hamburg, Germany., Koch-Gromus U; Department of Medical Psychology, University Medical Center Hamburg Eppendorf, Hamburg, Germany., Bokemeyer C; Department of Internal Medicine II, University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Friedrich M; Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Philipp-Rosenthal-Str. 55, 04103, Leipzig, Germany., Mehnert-Theuerkauf A; Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Philipp-Rosenthal-Str. 55, 04103, Leipzig, Germany., Esser P; Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Philipp-Rosenthal-Str. 55, 04103, Leipzig, Germany.
Jazyk: angličtina
Zdroj: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [Support Care Cancer] 2023 Jan 16; Vol. 31 (2), pp. 117. Date of Electronic Publication: 2023 Jan 16.
DOI: 10.1007/s00520-023-07580-2
Abstrakt: Purpose: In clinical cancer care, distress screening is recommended to identify highly burdened patients in objective need for psychosocial support to improve psychological distress and quality of life and to enhance patient empowerment. It is however unclear whether distress screeners are suitable for psychosocial care planning and thus whether they can predict the willingness that is need, intention, and utilization, to seek psychosocial support.
Methods: In a secondary analysis of a cluster intervention study, we assessed cancer patients with three distress screeners (DT, PHQ-9, GAD-7) at baseline. The willingness to seek psychosocial support services was assessed binary for psychosocial services at 3 and 6 months. Logistic regression models were applied to examine the predictive effect of the screeners on need, intention, and utilization. We corrected all models for multiple testing.
Results: The 660 patients included in the study were on average 60 years, 54% were male. At the 3- and 6-month follow-up, 353 and 259 patients participated, respectively. The screeners were best in predicting the need for support (OR reaching up to 1.15, 1.20, and 1.22 for the PHQ-9, GAD-7, and DT respectively). The intention was predicted by the PHQ-9 and GAD-7, whereas utilization of psychosocial support services was not predicted by the screeners.
Conclusion: The three distress screeners might be useful in psychosocial care planning, as they are able to predict the need and to some degree the intention to seek psychosocial support. Future research needs to examine potential barriers and supporting factors that may explain utilization of psychosocial support.
Trial Registration: The study was retrospectively registered (2/2021) at ClinicalTrials.gov (number: NCT04749056).
(© 2023. The Author(s).)
Databáze: MEDLINE
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