Your browser doesn't support javascript.
loading
Decreased mental health, quality of life, and utilization of professional help in cancer patients with unexpressed needs: A longitudinal analysis.
Heß, Verena; Meng, Karin; Schulte, Thomas; Neuderth, Silke; Bengel, Jürgen; Faller, Hermann; Schuler, Michael.
Afiliação
  • Heß V; University of Würzburg, Würzburg, Bayern, Germany.
  • Meng K; University of Würzburg, Würzburg, Bayern, Germany.
  • Schulte T; Clinic Bad Oexen, Bad Oeynhausen, Germany.
  • Neuderth S; University of Applied Sciences Würzburg-Schweinfurt, Würzburg, Bayern, Germany.
  • Bengel J; University of Freiburg, Freiburg, Germany.
  • Faller H; University of Würzburg, Würzburg, Bayern, Germany.
  • Schuler M; University of Würzburg, Würzburg, Bayern, Germany.
Psychooncology ; 31(5): 725-734, 2022 05.
Article em En | MEDLINE | ID: mdl-34841641
BACKGROUND: Cancer patients' mental health and quality of life can be improved through professional support according to their needs. In previous analyses of the UNSAID study, we showed that a relevant proportion of cancer patients did not express their needs during the admission interview of inpatient rehabilitation. We now examine trajectories of mental health, quality of life, and utilization of professional help in cancer patients with unexpressed needs. METHODS: We enrolled 449 patients with breast, prostate, and colon cancer at beginning (T0) and end (T1) of a 3-week inpatient rehabilitation and 3 (T2) and 9 (T3) months after discharge. We explored depression (PHQ-2), anxiety (GAD-2), emotional functioning (EORTC QLQ-C30), fear of progression (FoP-Q-SF), and global quality of life (EORTC QLQ-C30) using structuring equation models. Furthermore, we evaluated self-reports about expressing needs and utilization of professional help at follow-up. RESULTS: Patients with unexpressed needs (24.3%, n = 107) showed decreased mental health compared to other patients (e.g., depression: d T0 = 0.32, d T1-T3 = 0.39). They showed a significant decline in global quality of life at discharge and follow-up (d = 0.28). Furthermore, they had a higher need for support (Cramer's V T2 = 0.10, T3 = 0.15), talked less about their needs (Cramer's V T2 = 0.18), and made less use of different health care services at follow-up. CONCLUSION: Unexpressed needs in cancer patients may be a risk factor for decreased mental health, quality of life, and non-utilization of professional help in the long term. Further research should clarify causal relationships and focus on this specific group of patients to improve cancer care.
Assuntos
Palavras-chave

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Neoplasias Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Humans / Male Idioma: En Revista: Psychooncology Assunto da revista: NEOPLASIAS / PSICOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Alemanha

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Neoplasias Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Humans / Male Idioma: En Revista: Psychooncology Assunto da revista: NEOPLASIAS / PSICOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Alemanha