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Conditions Of Desire Of Psycho-Oncological Support Services In Distressed Cancer Patients

其他書名	How Can We Optimize Psycho-Oncological Support Services?
出版	Morressier, 2017
URL	http://books.google.com.hk/books?id=yWt1zgEACAAJ&hl=&source=gbs_api

註釋Introduction: About 30 to 50 % of all cancer patients are so severely distressed that they need professional psycho-oncological support. However, if such support is offered to these patients, about 60-80u2009% refuse help.Objectives: The aim of this study conducted by the Comprehensive Cancer Center is to identify sociodemographic, medical and psychological conditions of the desire for psycho-oncological support among patients with high psychosocial distress. Methods: In a multicenter study in Germany a total of n = 972 inpatients with various cancer diagnoses were examined. Measuring instruments for psychological distress were the Distress Thermometer [1] and the QSC-R10 [2]. Further, we examined potential aspects regarding the refusal of / desire for psycho-oncological support services including sociodemographic, medical and psychological conditions (e.g. depression [3]), personality [4], social support, self-efficacy [5], previous experiences with psychological support offers and status of information.Results: Overall more than half of highly distressed cancer patients refuse psycho-oncological support. Women wish for psycho-oncological support nearly twice as often as men. Distressed patients who have a desire for psycho-oncological support are more depressed and have a worse physical condition than patients who refuse help. Personality factors (neuroticism and agreeableness) and current medical treatment (chemo- and radiotherapy) do play a role for the desire for psycho-oncological support. Conclusions: The fact that still a very large number of highly distressed cancer patients refuse psycho-oncological support forces us to reconsider if the established support offers match the needs of distressed cancer patients. Moreover we need to rethink how we communicate psycho-oncological support offers, especially for distressed men. We have to look more closely at how previous psycho-oncological treatment and personality factors may determine the desire for psychological support. Further multivariat analysis are neccessary to examine which variables are causative for this individual and health economic problem of refusal of psycho-oncological support services.