Use of psychosocial services by lung cancer survivors in Germany
Tóm tắt
Little is known about the use of psychosocial services in lung cancer survivors and patients who have survived the diagnosis for at least one year. We investigated the frequency of use, stratified by radiation therapy received, its associated factors, and the reasons for non-use of those services. We performed a multicenter (n = 6 hospitals) cross-sectional study using data from medical records, patient reported questionnaires, and computer-assisted telephone interviews. Odds ratios (OR) for factors potentially associated with the use of any type of psychosocial services were calculated using multivariable logistic regression. We included 604 lung cancer patients/survivors. Of them, 60% (69% of those who had received radiotherapy) had used some kind of psychological and/or social service in the past (47% psychological, 42% social); 39% had used inpatient care, 24% outpatient care (cancer counselling center, general counselling center, psychological counselling by family doctor, psychotherapy, patient support group, pastoral work). Of those who visited a rehabilitation clinic, 66% received psychosocial care there. Factors associated with using psychosocial services in general were female gender (OR 1.96, 95% CI 1.32–2.93), poor emotional functioning (per unit decrease: OR 0.99, 95% CI 0.98–0.996), and younger age (per year decrease: OR 0.95, 95% CI 0.93–0.97). The high proportion of psychosocial care users among lung cancer survivors in Germany indicates that patients are interested in using it and that an unmet need exists. The creation of a broad spectrum of easily accessible services with high quality is important to enable and facilitate use.
Tài liệu tham khảo
Eichler M, Hechtner M, Wehler B, Buhl R, Stratmann J, Sebastian M et al (2018) Psychological distress in lung cancer survivors at least 1 year after diagnosis-Results of a German multicenter cross-sectional study. Psychooncology 27(8):2002–2008
Goo A‑J, Song Y‑M, Shin J, Ko H (2016) Factors associated with depression assessed by the Patient Health Questionnaire-2 in long-term cancer survivors. Korean J Fam Med 37(4):228
Sarna L, Padilla G, Holmes C, Tashkin D, Brecht ML, Evangelista L (2002) Quality of life of long-term survivors of non-small-cell lung cancer. J Clin Oncol 20(13):2920–2929
The ACTION Study Group (2017) Health-related quality of life and psychological distress among cancer survivors in Southeast Asia: results from a longitudinal study in eight low- and middle-income countries. BMC Med 15(1). https://doi.org/10.1186/s12916-016-0768-2
Baumann R, Dunst J (2017) Radiotherapie verstärkt Wirkung von PD-1-Checkpoint-Inhibitoren. Strahlenther Onkol 193(9):763–764
Finazzi T, Guckenberger M (2017) Konsolidierende Lokaltherapie verbessert progressionsfreies Überleben von Patienten mit oligometastasiertem NSCLC: Ergebnisse einer randomisierten Phase-II-Studie. Strahlenther Onkol 193(7):595–597
Baumeister H, Balke K, Härter M (2005) Psychiatric and somatic comorbidities are negatively associated with quality of life in physically ill patients. J Clin Epidemiol 58(11):1090–1100
DiMatteo MR, Lepper HS, Croghan TW (2000) Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Arch Intern Med 24;160(14):2101–2107
Lehto RH (2017) Psychosocial challenges for patients with advanced lung cancer: interventions to improve well-being. Lung Cancer Targets Ther 8:79–90
Luszczynska A, Pawlowska I, Cieslak R, Knoll N, Scholz U (2013) Social support and quality of life among lung cancer patients: a systematic review. Psychooncology 22(10):2160–2168
Thompson E, Solà I, Subirana M (2005) Non-invasive interventions for improving well-being and quality of life in patients with lung cancer—A systematic review of the evidence. Lung Cancer 50(2):163–176
Graves KD, Arnold SM, Love CL, Kirsh KL, Moore PG, Passik SD (2007) Distress screening in a multidisciplinary lung cancer clinic: Prevalence and predictors of clinically significant distress. Lung Cancer 55(2):215–224
Singer S, Bringmann H, Hauss J, Kortmann R‑D, Köhler U, Krauß O et al (2007) Häufigkeit psychischer Begleiterkrankungen und der Wunsch nach psychosozialer Unterstützung bei Tumorpatienten im Akutkrankenhaus. DMW. Dtsch Med Wochenschr 132(40):2071–2076
Riedl D, Gastl R, Gamper E, Arnold CR, Dejaco D, Schoellmann F et al (2018) Cancer patients’ wish for psychological support during outpatient radiation therapy: Findings from a psychooncological monitoring program in clinical routine. Strahlenther Onkol 194(7):655–663
Weis J, Hönig K, Bergelt C, Faller H, Brechtel A, Hornemann B et al (2018) Psychosocial distress and utilization of professional psychological care in cancer patients: An observational study in National Comprehensive Cancer Centers (CCCs) in Germany. Psychooncology 2018. https://doi.org/10.1002/pon.4901
Rankin NM, McGregor D, Stone E, Butow PN, Young JM, White K et al (2018) Evidence-practice gaps in lung cancer: A scoping review. Eur J Cancer Care (engl) 27(2):e12588
Schag CA, Ganz PA, Wing DS, Sim MS, Lee JJ (1994) Quality of life in adult survivors of lung, colon and prostate cancer. Qual Life Res 3(2):127–141
Hechtner M, Eichler M, Wehler B, Buhl R, Sebastian M, Stratmann J et al (2019) Quality of Life in NSCLC Survivors—A Multicenter Cross-Sectional Study. J Thorac Oncol 14(3):420–435
Andridge RR, Little RJA (2010) A Review of Hot Deck Imputation for Survey Non-response. Int Stat Rev 78(1):40–64
Weis J, Schwarz R, Blettner G (2000) Psychoonkologische Versorgung in Deutschland: Qualität und Quantität/Psychooncological care in Germany: Quality and quantity. Z Psychosom Med Psychother 46(1):4–17
Brandstetter S, Dodoo-Schittko F, Speerforck S, Apfelbacher C, Grabe H‑J, Jacobi F et al (2017) Trends in non-help-seeking for mental disorders in Germany between 1997–1999 and 2009–2012: a repeated cross-sectional study. Soc Psychiatry Psychiatr Epidemiol 52(8):1005–1013
Bundespsychotherapeutenkammer (2011) BPtK-Spezial zum Thema „Wartezeiten in der Psychotherapie“. Bundespsychotherapeutenkammer, Berlin
Singer S, Kojima E, Beckerle J, Kleining B, Schneider E, Reuter K (2017) Practice requirements for psychotherapeutic treatment of cancer patients in the outpatient setting—A survey among certified psychotherapists in Germany. Psychooncology 26(8):1093–1098
Giesler J, Weis J, Schreib M, Eichhorn S, Kuhnt S, Faust T et al (2015) Ambulante psychoonkologische Versorgung durch Krebsberatungsstellen – Leistungsspektrum und Inanspruchnahme durch Patienten und Angehörige. Psychother Psychosom Med Psychol 65(12):450–458
Zeissig SR, Singer S, Koch L, Blettner M, Arndt V (2015) Inanspruchnahme psychoonkologischer Versorgung im Krankenhaus und in Krebsberatungsstellen durch Brust‑, Darm- und Prostatakrebsüberlebende. Psychother Psychosom Med Psychol 65(5):177–182
Morrison EJ, Novotny PJ, Sloan JA, Yang P, Patten CA, Ruddy KJ et al (2017) Emotional Problems, Quality of Life, and Symptom Burden in Patients With Lung Cancer. Clin Lung Cancer. https://doi.org/10.1016/j.cllc.2017.02.008
Hopwood P, Stephens RJ (2000) Depression in Patients with Lung Cancer: Prevalence and Risk Factors Derived from Quality-of-Life Data. J Clin Oncol 18(4):893–893 (for the British Medical Research Council Lung Cancer Working Party)
Akechi T, Okamura H, Nishiwaki Y, Uchitomi Y (2001) Psychiatric disorders and associated and predictive factors in patients with unresectable nonsmall cell lung carcinoma: a longitudinal study. Cancer 92(10):2609–2622
Lo C, Zimmermann C, Rydall A, Walsh A, Jones JM, Moore MJ et al (2010) Longitudinal Study of Depressive Symptoms in Patients with Metastatic Gastrointestinal and Lung Cancer. J Clin Oncol 28(18):3084–3089