Falling off the screening grid-Predictors for postponed utilization of psycho-oncological support in cancer patients and its implications for distress assessment and management.
PROM
cancer
distress
electronic screening
intention
oncology
patient journey
psycho-oncology
subjective need
utilization
Journal
Psycho-oncology
ISSN: 1099-1611
Titre abrégé: Psychooncology
Pays: England
ID NLM: 9214524
Informations de publication
Date de publication:
11 2023
11 2023
Historique:
revised:
18
09
2023
received:
17
05
2023
accepted:
19
09
2023
medline:
8
11
2023
pubmed:
4
10
2023
entrez:
4
10
2023
Statut:
ppublish
Résumé
Distress assessment of cancer patients is considered state-of-the-art. In addition to distress scores, individual care needs are an important factor for the initiation of psycho-oncological interventions. In a mono-centric, observational study, we aimed for characterization of patients indicating a subjective need but declining to utilize support services immediately to facilitate implementation of adapted screenings. This study analyzed retrospective data from routine distress screening and associated data from hospital records. Descriptive, variance and regression analyses were used to assess characteristics of postponed support utilization in patients with mixed cancer diagnoses in different treatment settings. Of the total sample (N = 1863), 13% indicated a subjective need but postponed support utilization. This subgroup presented as being as burdened by symptoms of depression (p < 0.001), anxiety (p < 0.001) and distress (p < 0.001) as subjectively distressed patients with intent to directly utilize support. Time periods since diagnosis were shorter (p = 0.007) and patients were more often inpatients (p = 0.045). Despite high heterogeneity among the subgroups, this study identified distress-related factors and time since diagnosis as possible predictors for postponed utilization of psycho-oncological interventions. Results suggest the necessity for time-individualized support which may improve utilization by distressed patients.
Types de publication
Observational Study
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1727-1735Informations de copyright
© 2023 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd.
Références
Mehnert A, Brähler E, Faller H, et al. Four-week prevalence of mental disorders in patients with cancer across major tumor entities. J Clin Oncol. 2014;32(31):3540-3546. https://doi.org/10.1200/jco.2014.56.0086
Mitchell AJ, Chan M, Bhatti H, et al. Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol. 2011;12(2):160-174. https://doi.org/10.1016/s1470-2045(11)70002-x
Bi Z, Li W, Zhao J, et al. Negative correlations of psychological distress with quality of life and immunotherapy efficacy in patients with advanced NSCLC. Am J Cancer Res. 2022;12(2):805-815.
Kuczmarski TM, Tramontano AC, Mozessohn L, et al. Mental health disorders and survival among older patients with diffuse large B-cell lymphoma in the USA: a population-based study. Lancet Haematol. 2023;10(7):e530-e538. https://doi.org/10.1016/s2352-3026(23)00094-7
NCCN Guidelines Distress Management [Internet]. NCCN. 2022.
Schäffeler N, Sedelmaier J, Möhrer H, et al. [Patient's autonomy and information in psycho-oncology: computer based distress screening for an interactive treatment planning (ePOS-react)]. Psychother Psychosom Med Psychol. 2017;67(7):296-303. https://doi.org/10.1055/s-0043-113438
Frey Nascimento A, Tondorf T, Rothschild SI, et al. Oncologist recommendation matters!-Predictors of psycho-oncological service uptake in oncology outpatients. Psycho Oncol. 2019;28(2):351-357. https://doi.org/10.1002/pon.4948
Zwahlen D, Tondorf T, Rothschild S, Koller MT, Rochlitz C, Kiss A. Understanding why cancer patients accept or turn down psycho-oncological support: a prospective observational study including patients' and clinicians' perspectives on communication about distress. BMC Cancer. 2017;17(1):385. https://doi.org/10.1186/s12885-017-3362-x
Weis J, Heckl U, Mehnert A, Faller H, Koch U. S3-Leitlinie Psychoonkologie verfügbar. Info Onkol. 2014;17(4):52-53. https://doi.org/10.1007/s15004-014-0856-4
Salmon P, Clark L, McGrath E, Fisher P. Screening for psychological distress in cancer: renewing the research agenda. Psycho Oncol. 2015;24(3):262-268. https://doi.org/10.1002/pon.3640
Faller H, Weis J, Koch U, et al. Perceived need for psychosocial support depending on emotional distress and mental comorbidity in men and women with cancer. J Psychosom Res. 2016;81:24-30. https://doi.org/10.1016/j.jpsychores.2015.12.004
Carlson LE, Zelinski EL, Toivonen KI, et al. Prevalence of psychosocial distress in cancer patients across 55 North American cancer centers. J Psychosoc Oncol. 2019;37(1):5-21. https://doi.org/10.1080/07347332.2018.1521490
Unseld M, Zeilinger EL, Fellinger M, et al. Prevalence of pain and its association with symptoms of post-traumatic stress disorder, depression, anxiety and distress in 846 cancer patients: a cross sectional study. Psycho Oncol. 2021;30(4):504-510. https://doi.org/10.1002/pon.5595
Riedl D, Gastl R, Gamper E, et al. Cancer patients' wish for psychological support during outpatient radiation therapy: findings from a psychooncological monitoring program in clinical routine. Strahlenther Onkol. 2018;194(7):655-663. https://doi.org/10.1007/s00066-018-1288-0
Tondorf T, Grossert A, Rothschild SI, et al. Focusing on cancer patients' intentions to use psychooncological support: a longitudinal, mixed-methods study. Psycho Oncol. 2018;27(6):1656-1663. https://doi.org/10.1002/pon.4735
Faller H, Weis J, Koch U, et al. Utilization of professional psychological care in a large German sample of cancer patients. Psycho Oncol. 2017;26(4):537-543. https://doi.org/10.1002/pon.4197
Weis J, Hönig K, Bergelt C, et al. Psychosocial distress and utilization of professional psychological care in cancer patients: an observational study in National Comprehensive Cancer Centers (CCCs) in Germany. Psycho Oncol. 2018;27(12):2847-2854. https://doi.org/10.1002/pon.4901
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-349. https://doi.org/10.1016/j.jclinepi.2007.11.008
Herschbach P, Weis J. Screeningverfahren in der Psychoonkologie: Testinstrumente zur Identifikation betreuungsbedürftiger Krebspatienten. 2. Auflage ed. Eigenverlag, DKG; 2010.
Strittmatter G, Tilkorn M, Mawick R. How to identify patients in need of psychological intervention. Recent Results Cancer Res. 2002;160:353-361.
Mehnert A, Müller D, Lehmann C, Koch U. Die deutsche Version des NCCN Distress-Thermometers. Z Psychiatr Psychol Psychother. 2006;54(3):213-223. https://doi.org/10.1024/1661-4747.54.3.213
Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092-1097. https://doi.org/10.1001/archinte.166.10.1092
Shin C, Lee SH, Han KM, Yoon HK, Han C. Comparison of the usefulness of the PHQ-8 and PHQ-9 for screening for major depressive disorder: analysis of psychiatric outpatient data. Psychiatr Investig. 2019;16(4):300-305. https://doi.org/10.30773/pi.2019.02.01
Cohen J. Statistical Power Analysis for the Behavioral Sciences. Erlbaum; 1988.
Herschbach P, Britzelmeir I, Dinkel A, et al. Distress in cancer patients: who are the main groups at risk? Psycho Oncol. 2020;29(4):703-710. https://doi.org/10.1002/pon.5321
Paterson C, Roberts C, Li J, et al. What are the experiences of supportive care in people affected by brain cancer and their informal caregivers: a qualitative systematic review. J Cancer Surviv. 2023:1-22. https://doi.org/10.1007/s11764-023-01401-5
Lambert SD, Kelly B, Boyes A, et al. Insights into preferences for psycho-oncology services among women with gynecologic cancer following distress screening. J Natl Compr Canc Netw. 2014;12(6):899-906. https://doi.org/10.6004/jnccn.2014.0084
Verma R, Saldanha C, Ellis U, Sattar S, Haase KR. eHealth literacy among older adults living with cancer and their caregivers: a scoping review. J Geriatr Oncol. 2022;13(5):555-562. https://doi.org/10.1016/j.jgo.2021.11.008
Clover KA, Mitchell AJ, Britton B, Carter G. Why do oncology outpatients who report emotional distress decline help? Psycho Oncol. 2015;24(7):812-818. https://doi.org/10.1002/pon.3729
Baba N, Schrage T, Hartmann A, et al. Mental distress and need for psychosocial support in prostate cancer patients: an observational cross-sectional study. Int J Psychiatr Med. 2021;56(1):51-63. https://doi.org/10.1177/0091217420938896
Springer F, Sautier L, Schilling G, et al. Effect of depression, anxiety, and distress screeners on the need, intention, and utilization of psychosocial support services among cancer patients. Support Care Cancer. 2023;31(2):117. https://doi.org/10.1007/s00520-023-07580-2
Yang H, Brand JS, Fang F, et al. Time-dependent risk of depression, anxiety, and stress-related disorders in patients with invasive and in situ breast cancer. Int J Cancer. 2017;140(4):841-852. https://doi.org/10.1002/ijc.30514
Admiraal JM, van Nuenen FM, Burgerhof JG, Reyners AK, Hoekstra-Weebers JE. Cancer patients' referral wish: effects of distress, problems, socio-demographic and illness-related variables and social support sufficiency. Psycho Oncol. 2016;25(11):1363-1370. https://doi.org/10.1002/pon.4067
Mayer S, Teufel M, Schaeffeler N, et al. The need for psycho-oncological support for melanoma patients: central role of patients' self-evaluation. Medicine (Baltim). 2017;96(37):e7987. https://doi.org/10.1097/md.0000000000007987
Dekker J, Graves KD, Badger TA, Diefenbach MA. Management of distress in patients with cancer-are we doing the right thing? Ann Behav Med. 2020;54(12):978-984. https://doi.org/10.1093/abm/kaaa091
Sutton TL, Koprowski MA, Grossblatt-Wait A, et al. Psychosocial distress is dynamic across the spectrum of cancer care and requires longitudinal screening for patient-centered care. Support Care Cancer. 2022;30(5):4255-4264. https://doi.org/10.1007/s00520-022-06814-z
Esser P, Sautier L, Sarkar S, et al. Evaluation of an electronic psycho-oncological adaptive screening program (EPAS) with immediate patient feedback: findings from a German cluster intervention study. J Cancer Surviv. 2022;16(6):1401-1413. https://doi.org/10.1007/s11764-021-01121-8
Stout NL, Street C, Policicchio P, Summers J, Duckworth A. Implementing process improvements to enhance distress screening and management. Support Care Cancer. 2023;31(6):351. https://doi.org/10.1007/s00520-023-07821-4
Paley CA, Boland JW, Santarelli M, Murtagh FEM, Ziegler L, Chapman EJ. Non-pharmacological interventions to manage psychological distress in patients living with cancer: a systematic review. BMC Palliat Care. 2023;22(1):88. https://doi.org/10.1186/s12904-023-01202-8
Faller H, Schuler M, Richard M, Heckl U, Weis J, Küffner R. Effects of psycho-oncologic interventions on emotional distress and quality of life in adult patients with cancer: systematic review and meta-analysis. J Clin Oncol. 2013;31(6):782-793. https://doi.org/10.1200/jco.2011.40.8922