Awareness, offer, and use of psychosocial services by breast cancer survivors in Germany: a prospective multi-centre study.
Breast neoplasms
Distress
Financial problems
Prospective studies
Psycho-oncology
Supportive care
Journal
Archives of gynecology and obstetrics
ISSN: 1432-0711
Titre abrégé: Arch Gynecol Obstet
Pays: Germany
ID NLM: 8710213
Informations de publication
Date de publication:
03 2023
03 2023
Historique:
received:
02
02
2022
accepted:
08
06
2022
pubmed:
15
7
2022
medline:
8
3
2023
entrez:
14
7
2022
Statut:
ppublish
Résumé
This study examined the pattern of psychosocial care in breast cancer survivors. In a prospective study with measurements before surgery, 1 month, 8 months, and 5 years thereafter, we examined the proportion of breast cancer survivors who were aware about, had been offered and received various types of psychosocial services from psychologists, social workers, doctors, self-help groups etc. The degree of helpfulness per service among users was ascertained with Likert scales. Determinants of awareness, offer and use were investigated using binary logistic regression analyses. How the services are inter-related was tested with principal component analyses. Among 456 breast cancer survivors who participated until 5 years, psychological services were known by 91%, offered to 68%, and used by 55% of patients. Social services were known by 86%, offered to 65%, and used by 51%. Women ≥ 65 years were less likely to be informed about (odds ratio (OR) 0.2) and get offers for psychosocial services (OR 0.4 for social and 0.5 for psychological services) than women < 65 years. The services rated most helpful were social services in the hospital, psychological counselling by a consultant and psychotherapy in private practices. These findings underline the importance of psychosocial support by physicians in addition to the "professional" mental health and social care providers. They also show that elderly women in need for support might be in danger of not being well-informed about the services available.
Identifiants
pubmed: 35835919
doi: 10.1007/s00404-022-06665-3
pii: 10.1007/s00404-022-06665-3
pmc: PMC9984346
doi:
Types de publication
Multicenter Study
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
945-956Informations de copyright
© 2022. The Author(s).
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