Factors associated with the decline of psychological support in hospitalized patients with cancer

Autor:	Kerstin Hermelink, Eva Telzerow, Ulrike Ackermann, Volker Heinemann, Jürgen E. Gschwend, Christian Stief, Claus Belka, Theresia Pichler, Christian Gratzke, Nadia Harbeck, Jürgen Beckmann, Peter Herschbach, Andreas Dinkel, Sven Mahner, Kathleen Herkommer, Steffi Pigorsch, Stephanie E. Combs, Birgitt Marten-Mittag, Marion Kiechle, Pia Heußner, Josefine Rauch
Rok vydání:	2019
Předmět:	Agreeableness Adult Counseling Male media_common.quotation_subject Psycho-oncology Experimental and Cognitive Psychology Anxiety Logistic regression 03 medical and health sciences 0302 clinical medicine Neoplasms Surveys and Questionnaires Adaptation Psychological Medicine Humans 030212 general & internal medicine Depression (differential diagnoses) media_common Aged Inpatients business.industry Depression Cancer Middle Aged medicine.disease ddc Psychiatry and Mental health Distress Cross-Sectional Studies Oncology Feeling 030220 oncology & carcinogenesis Female business Psychosocial Stress Psychological Clinical psychology
Zdroj:	Psycho-oncologyREFERENCES. 28(10)
ISSN:	1099-1611
Popis:	Objective Many distressed cancer patients do not want or, finally, do not use psychological support. This study aimed at identifying factors associated with the decline of psychological support during hospital stay. Methods This cross-sectional study included inpatients with different cancer diagnoses. Distress was assessed using the short form of the Questionnaire on Stress in Cancer Patients-Revised (QSC-R10) and the Distress Thermometer (DT). Multivariable logistic regression was used to identify factors associated with decline. Results Of 925 patients, 71.6% (n = 662) declined psychological support. Male sex (OR = 2.54, 95% CI = 1.69-3.80), low psychosocial distress (OR = 3.76, CI = 2.50-5.67), not feeling depressed (OR = 1.93, CI = 1.24-2.99), perceived overload (OR = 3.37, CI = 2.19-5.20), no previous psychological treatment (OR = 1.88, CI = 1.25-2.83), and feeling well informed about psychological support (OR = 1.66, CI = 1.11-2.46) were associated with decline. Among the patients who indicated clinical distress (46.2%), 53.9% declined psychological support. Male sex (OR = 2.96, CI = 1.71-5.12), not feeling depressed (OR = 1.87, CI = 1.12-3.14), perceived overload (OR = 5.37, CI = 3.07-9.37), agreeableness (OR = 0.70, CI = 0.51-0.95), and feeling well informed about psychological support (OR = 1.81, CI = 1.07-3.07) were uniquely associated with decline in this subgroup. Conclusions Decline of psychological support is primarily due to psychological factors. Feeling well informed about support emerged as a relevant factor associated with decline. Thus, design of informational material and education about available psychological services seem crucial.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8f02b0e53678dd146a3034a571dc4e2a https://pubmed.ncbi.nlm.nih.gov/31368613 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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