Factors associated with the decline of psychological support in hospitalized patients with cancer
Pichler T, Dinkel A, Marten-Mittag B, Hermelink K, Telzerow E, Ackermann U, Belka C, Combs SE, Gratzke C, Gschwend J, Harbeck N, Heinemann V, Herkommer K, Kiechle M, Mahner S, Pigorsch S, Rauch J, Stief C, Beckmann J, Heussner P, Herschbach P (2019)
Publication Type: Journal article
Publication year: 2019
Journal
Book Volume: 28
Pages Range: 2049-2059
Journal Issue: 10
DOI: 10.1002/pon.5191
Abstract
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.
Involved external institutions
Technische Universität München (TUM)
Germany (DE)
Universitätsklinikum Freiburg
Germany (DE)
Klinikum der Universität München (Großhadern und Innenstadt)
Germany (DE)
Germany (DE)
Universitätsklinikum Freiburg
Germany (DE)
Klinikum der Universität München (Großhadern und Innenstadt)
Germany (DE)
How to cite
APA:
Pichler, T., Dinkel, A., Marten-Mittag, B., Hermelink, K., Telzerow, E., Ackermann, U.,... Herschbach, P. (2019). Factors associated with the decline of psychological support in hospitalized patients with cancer. Psycho-Oncology, 28(10), 2049-2059. https://doi.org/10.1002/pon.5191
MLA:
Pichler, Theresia, et al. "Factors associated with the decline of psychological support in hospitalized patients with cancer." Psycho-Oncology 28.10 (2019): 2049-2059.
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