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Psycho-Oncological Care Provision in Highly Distressed Breast Cancer Patients
Objective To evaluate the proportion of breast cancer (BC) patients with distress or psychological comorbidity as well as offer and use of psychological support in subgroups of BC patients with different extents of distress. Methods 456 patients with BC were evaluated at baseline (t1) and until 5 ye...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10243917/ https://www.ncbi.nlm.nih.gov/pubmed/37288248 http://dx.doi.org/10.1055/a-2044-0072 |
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author | Schlaiss, Tanja Singer, Susanne Herbert, Saskia-Laureen Diessner, Joachim Bartmann, Catharina Kiesel, Matthias Janni, Wolfgang Kuehn, Thorsten Flock, Felix Felberbaum, Ricardo Schwentner, Lukas Leinert, Elena Woeckel, Achim |
author_facet | Schlaiss, Tanja Singer, Susanne Herbert, Saskia-Laureen Diessner, Joachim Bartmann, Catharina Kiesel, Matthias Janni, Wolfgang Kuehn, Thorsten Flock, Felix Felberbaum, Ricardo Schwentner, Lukas Leinert, Elena Woeckel, Achim |
author_sort | Schlaiss, Tanja |
collection | PubMed |
description | Objective To evaluate the proportion of breast cancer (BC) patients with distress or psychological comorbidity as well as offer and use of psychological support in subgroups of BC patients with different extents of distress. Methods 456 patients with BC were evaluated at baseline (t1) and until 5 years after diagnosis (t4) at the BRENDA certified BC centers. Logistic regression was used to analyze if patients with distress at t1 received offers and actual psychological support more often than patients without distress at t1. Regression analyses were used to examine if acute, emerging or chronic disease was associated with higher rates of offer and use of psychotherapy as well as intake of psychotropic drugs. Results In 45% of BC patients psychological affection was detected at t4. The majority of patients with moderate or severe distress at t1 (77%) received the offer for psychological service, while 71% of those received the offer for support at t4. Patients, who were psychologically affected at t1, have not been offered psychological services more often than those without, but they significantly more often used services if offered. Especially patients with acute comorbidity received significantly more often an offer for psychotherapy compared to unimpaired patients, while those patients with emerging or chronic disease did not. 14% of BC patients took psychopharmaceuticals. This mainly concerns patients with chronic comorbidity. Conclusion Psychological services were offered to and used by a fair amount of BC patients. All subgroups of BC patients should be addressed, in order to improve the comprehensive supply with psychological services. |
format | Online Article Text |
id | pubmed-10243917 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-102439172023-06-07 Psycho-Oncological Care Provision in Highly Distressed Breast Cancer Patients Schlaiss, Tanja Singer, Susanne Herbert, Saskia-Laureen Diessner, Joachim Bartmann, Catharina Kiesel, Matthias Janni, Wolfgang Kuehn, Thorsten Flock, Felix Felberbaum, Ricardo Schwentner, Lukas Leinert, Elena Woeckel, Achim Geburtshilfe Frauenheilkd Objective To evaluate the proportion of breast cancer (BC) patients with distress or psychological comorbidity as well as offer and use of psychological support in subgroups of BC patients with different extents of distress. Methods 456 patients with BC were evaluated at baseline (t1) and until 5 years after diagnosis (t4) at the BRENDA certified BC centers. Logistic regression was used to analyze if patients with distress at t1 received offers and actual psychological support more often than patients without distress at t1. Regression analyses were used to examine if acute, emerging or chronic disease was associated with higher rates of offer and use of psychotherapy as well as intake of psychotropic drugs. Results In 45% of BC patients psychological affection was detected at t4. The majority of patients with moderate or severe distress at t1 (77%) received the offer for psychological service, while 71% of those received the offer for support at t4. Patients, who were psychologically affected at t1, have not been offered psychological services more often than those without, but they significantly more often used services if offered. Especially patients with acute comorbidity received significantly more often an offer for psychotherapy compared to unimpaired patients, while those patients with emerging or chronic disease did not. 14% of BC patients took psychopharmaceuticals. This mainly concerns patients with chronic comorbidity. Conclusion Psychological services were offered to and used by a fair amount of BC patients. All subgroups of BC patients should be addressed, in order to improve the comprehensive supply with psychological services. Georg Thieme Verlag KG 2023-04-13 /pmc/articles/PMC10243917/ /pubmed/37288248 http://dx.doi.org/10.1055/a-2044-0072 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Schlaiss, Tanja Singer, Susanne Herbert, Saskia-Laureen Diessner, Joachim Bartmann, Catharina Kiesel, Matthias Janni, Wolfgang Kuehn, Thorsten Flock, Felix Felberbaum, Ricardo Schwentner, Lukas Leinert, Elena Woeckel, Achim Psycho-Oncological Care Provision in Highly Distressed Breast Cancer Patients |
title | Psycho-Oncological Care Provision in Highly Distressed Breast Cancer Patients |
title_full | Psycho-Oncological Care Provision in Highly Distressed Breast Cancer Patients |
title_fullStr | Psycho-Oncological Care Provision in Highly Distressed Breast Cancer Patients |
title_full_unstemmed | Psycho-Oncological Care Provision in Highly Distressed Breast Cancer Patients |
title_short | Psycho-Oncological Care Provision in Highly Distressed Breast Cancer Patients |
title_sort | psycho-oncological care provision in highly distressed breast cancer patients |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10243917/ https://www.ncbi.nlm.nih.gov/pubmed/37288248 http://dx.doi.org/10.1055/a-2044-0072 |
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