Patient–provider discussion about emotional and social needs, mental health outcomes, and benefit finding among U.S. Adults living with cancer

Autor: Daniel O. Erim, Sandhya Yadav, Kea Turner, Ryan Suk, Young-Rock Hong, Ahmad Khanijahani
Rok vydání: 2021
Předmět:
Adult
Male
0301 basic medicine
Cancer Research
medicine.medical_specialty
MEDLINE
Survivorship
Anxiety
Psychological Distress
Psychosocial Intervention
Logistic regression
Odds
Young Adult
03 medical and health sciences
0302 clinical medicine
Cancer Survivors
medicine
Humans
Radiology
Nuclear Medicine and imaging
Psychiatry
RC254-282
Original Research
Aged
Physician-Patient Relations
Depression
business.industry
Communication
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Clinical Cancer Research
Social Support
Cancer
Odds ratio
Middle Aged
medicine.disease
Mental health
United States
Confidence interval
Logistic Models
Mental Health
030104 developmental biology
Socioeconomic Factors
Oncology
030220 oncology & carcinogenesis
Disease Progression
Female
Neoplasm Recurrence
Local
business
Psychosocial
Needs Assessment
Zdroj: Cancer Medicine
Cancer Medicine, Vol 10, Iss 11, Pp 3622-3634 (2021)
ISSN: 2045-7634
Popis: Background A discussion about patient's nonmedical needs during treatment is considered a crucial component of high‐quality patient–provider communication. We examined whether having a patient–provider discussion about cancer patients’ emotional and social needs is associated with their psychological well‐being. Methods Using the 2016–2017 Medical Expenditure Panel Survey‐Experiences with Cancer Survivorship Supplement (MEPS–ECSS) data, we identified the cancer survivors in the United States (US) who reported having a detailed discussion about emotional and social needs during cancer care. We used multivariable logistic regression to assess the association between having a patient–provider discussion and the patients’ psychological well‐being outcomes (depressive symptoms, severe psychological distress, and worrying about cancer recurrence/worsening condition) and benefit finding experience after a cancer diagnosis. Results Among 1433 respondents (equivalent to 13.8 million cancer survivors in the US), only 33.6% reported having a detailed patient–provider discussion about their emotional and social needs. Having a discussion was associated with 55% lower odds (odds ratio [OR], 0.45; 95% confidence interval [CI], 0.26–0.77) of having depressive symptoms and 97% higher odds (OR, 1.97; 95% CI, 1.46–2.66) of having benefit finding experience. There was no statistically significant association between patient–provider discussion and psychological distress or worrying about cancer recurrence/worsening. Conclusion Detailed patient–provider discussion about the cancer patients’ emotional and social needs was associated with a lower likelihood of depressive symptoms and a higher likelihood of experiencing benefit finding. These findings stress the importance of improving the patient–provider discussion about psychosocial needs in cancer survivorship.
Effective patient–provider communication is an integral part of delivering high‐quality cancer care. Study findings suggest that patient–provider discussions about emotional and social needs have a positive impact on mental health outcomes and attitudes toward cancer.
Databáze: OpenAIRE
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