Single-institution cross-sectional study to evaluate need for information and need for referral to psychooncology care in association with depression in brain tumor patients and their family caregivers

Autor: Patricia Lindberg-Scharf, Tobias Pukrop, Monika Klinkhammer-Schalke, Peter Hau, Martin Proescholdt, Markus J. Riemenschneider, Christiane Reinert, Katharina Krueger, Michael Gerken, Elisabeth Bumes, Oliver Koelbl, Markus Hutterer, Katharina Rathberger
Rok vydání: 2020
Předmět:
Male
medicine.medical_specialty
Referral
Cross-sectional study
Brain tumor
Patient
Family caregiver
Psychooncologic need
Need for referral to psychooncology care
Information need
Depression
Psycho-Oncology
lcsh:BF1-990
610 Medizin
Information needs
Psychooncologic need
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
medicine
Humans
Child
Referral and Consultation
General Psychology
Depression (differential diagnoses)
ddc:610
Patient
Information need
Family caregivers
Depression
Brain Neoplasms
General Medicine
Odds ratio
Confidence interval
Patient Health Questionnaire
Brain tumor
lcsh:Psychology
Cross-Sectional Studies
Caregivers
030220 oncology & carcinogenesis
Family medicine
Need for referral to psychooncology care
Female
Family caregiver
Psychology
030217 neurology & neurosurgery
Research Article
Zdroj: BMC Psychology
BMC Psychology, Vol 8, Iss 1, Pp 1-13 (2020)
DOI: 10.5283/epub.45045
Popis: Background The prognosis of patients with brain tumors is widely varying. Psychooncologic need and depression are high among these patients and their family caregivers. However, the need for counselling and need for referral to psychooncology care is often underestimated. Methods We performed a single-institution cross-sectional study to evaluate psychooncologic need, depression and information need in both patients and their family caregivers. The Hornheider Screening Instrument (HSI) and the Patient Health Questionnaire (PHQ-9) were used to evaluate psychooncologic need and depression, and a study-specific questionnaire was developed to evaluate information need. Multivariable analyses were performed to detect correlations. Results A total of 444 patients and their family caregivers were approached to participate, with a survey completion rate of 35.4%. More than half of the patients and family caregivers were in need for referral to psychooncology care and 31.9% of patients suffered from clinically relevant depression. In multivariable analysis, psychooncologic need were positively associated with mild (odds ratio, OR, 7.077; 95% confidence interval, CI, 2.263–22.137; p = 0.001) or moderate to severe (OR 149.27, 95% CI 26.690–737.20; p p = 0.022). Conclusions Unmet counselling need in brain tumor patients and their family caregivers associate to high psychooncologic need and depression. Adequate information may decrease the need for referral to psychooncology care and treatment of depression in these patients. Future studies should further explore these relations to promote development of supportive structures.
Databáze: OpenAIRE
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