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Adjustment disorder in cancer patients after treatment: prevalence and acceptance of psychological treatment
PURPOSE: To investigate the prevalence of adjustment disorder (AD) among cancer patients and the acceptance of psychological treatment, in relation to sociodemographic, clinical, and psychological factors. METHODS: Breast, prostate, and head and neck cancer patients of all stages and treatment modal...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486632/ https://www.ncbi.nlm.nih.gov/pubmed/34599663 http://dx.doi.org/10.1007/s00520-021-06530-0 |
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author | Van Beek, F. E. Wijnhoven, L. M. A. Custers, J. A. E. Holtmaat, K. De Rooij, B. H. Horevoorts, N. J. E. Aukema, E. J. Verheul, S. Eerenstein, S. E. J. Strobbe, L. Van Oort, I. M. Vergeer, M. R. Prins, J. B. Verdonck-de Leeuw, I. M. Jansen, F. |
author_facet | Van Beek, F. E. Wijnhoven, L. M. A. Custers, J. A. E. Holtmaat, K. De Rooij, B. H. Horevoorts, N. J. E. Aukema, E. J. Verheul, S. Eerenstein, S. E. J. Strobbe, L. Van Oort, I. M. Vergeer, M. R. Prins, J. B. Verdonck-de Leeuw, I. M. Jansen, F. |
author_sort | Van Beek, F. E. |
collection | PubMed |
description | PURPOSE: To investigate the prevalence of adjustment disorder (AD) among cancer patients and the acceptance of psychological treatment, in relation to sociodemographic, clinical, and psychological factors. METHODS: Breast, prostate, and head and neck cancer patients of all stages and treatment modalities (N = 200) participated in this observational study. Patients completed the Hospital Anxiety and Depression Scale, Checklist Individual Strength, Distress Thermometer and problem list. Patients with increased risk on AD based on these questionnaires were scheduled for a diagnostic interview. Patients diagnosed with AD were invited to participate in a randomized controlled trial on the cost-effectiveness of psychological treatment. Participation in this trial was used as a proxy of acceptance of psychological treatment. Logistic regression analyses were used to investigate associated factors. RESULTS: The overall prevalence of AD was estimated at 13.1%. Sensitivity analyses showed prevalence rates of AD of 11.5%, 15.0%, and 23.5%. Acceptance of psychological treatment was estimated at 65%. AD was associated both with being employed (OR = 3.3, CI = 1.3–8.4) and having a shorter time since diagnosis (OR = 0.3, CI = 0.1–0.8). CONCLUSION: Taking sensitivity analysis into account, the prevalence of AD among cancer patients is estimated at 13 to 15%, and is related to being employed and having a shorter time since diagnosis. The majority of cancer patients with AD accept psychological treatment. |
format | Online Article Text |
id | pubmed-8486632 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-84866322021-10-04 Adjustment disorder in cancer patients after treatment: prevalence and acceptance of psychological treatment Van Beek, F. E. Wijnhoven, L. M. A. Custers, J. A. E. Holtmaat, K. De Rooij, B. H. Horevoorts, N. J. E. Aukema, E. J. Verheul, S. Eerenstein, S. E. J. Strobbe, L. Van Oort, I. M. Vergeer, M. R. Prins, J. B. Verdonck-de Leeuw, I. M. Jansen, F. Support Care Cancer Original Article PURPOSE: To investigate the prevalence of adjustment disorder (AD) among cancer patients and the acceptance of psychological treatment, in relation to sociodemographic, clinical, and psychological factors. METHODS: Breast, prostate, and head and neck cancer patients of all stages and treatment modalities (N = 200) participated in this observational study. Patients completed the Hospital Anxiety and Depression Scale, Checklist Individual Strength, Distress Thermometer and problem list. Patients with increased risk on AD based on these questionnaires were scheduled for a diagnostic interview. Patients diagnosed with AD were invited to participate in a randomized controlled trial on the cost-effectiveness of psychological treatment. Participation in this trial was used as a proxy of acceptance of psychological treatment. Logistic regression analyses were used to investigate associated factors. RESULTS: The overall prevalence of AD was estimated at 13.1%. Sensitivity analyses showed prevalence rates of AD of 11.5%, 15.0%, and 23.5%. Acceptance of psychological treatment was estimated at 65%. AD was associated both with being employed (OR = 3.3, CI = 1.3–8.4) and having a shorter time since diagnosis (OR = 0.3, CI = 0.1–0.8). CONCLUSION: Taking sensitivity analysis into account, the prevalence of AD among cancer patients is estimated at 13 to 15%, and is related to being employed and having a shorter time since diagnosis. The majority of cancer patients with AD accept psychological treatment. Springer Berlin Heidelberg 2021-10-02 2022 /pmc/articles/PMC8486632/ /pubmed/34599663 http://dx.doi.org/10.1007/s00520-021-06530-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Van Beek, F. E. Wijnhoven, L. M. A. Custers, J. A. E. Holtmaat, K. De Rooij, B. H. Horevoorts, N. J. E. Aukema, E. J. Verheul, S. Eerenstein, S. E. J. Strobbe, L. Van Oort, I. M. Vergeer, M. R. Prins, J. B. Verdonck-de Leeuw, I. M. Jansen, F. Adjustment disorder in cancer patients after treatment: prevalence and acceptance of psychological treatment |
title | Adjustment disorder in cancer patients after treatment: prevalence and acceptance of psychological treatment |
title_full | Adjustment disorder in cancer patients after treatment: prevalence and acceptance of psychological treatment |
title_fullStr | Adjustment disorder in cancer patients after treatment: prevalence and acceptance of psychological treatment |
title_full_unstemmed | Adjustment disorder in cancer patients after treatment: prevalence and acceptance of psychological treatment |
title_short | Adjustment disorder in cancer patients after treatment: prevalence and acceptance of psychological treatment |
title_sort | adjustment disorder in cancer patients after treatment: prevalence and acceptance of psychological treatment |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486632/ https://www.ncbi.nlm.nih.gov/pubmed/34599663 http://dx.doi.org/10.1007/s00520-021-06530-0 |
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