期刊
PSYCHOLOGY HEALTH & MEDICINE
卷 26, 期 7, 页码 818-831出版社
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/13548506.2020.1772987
关键词
Health Literacy; Fear of Progression; Psycho-oncology; Breast cancer; needs assessment
资金
- German Federal Ministry of Health [NKP-332-052]
- German Cancer Society (DKG)
- Women's Self-Help After Cancer group (Frauenselbsthilfe nach Krebs e.V.)
- Padagogische Hochschule Freiburg
This study found that 35.2% of breast cancer patients reported a need for psycho-oncological care at least at one time point during treatment. Factors such as inadequate health literacy, fear of progression, and psychological comorbidities were associated with developing this need.
This studyinvestigates the need for psycho-oncological care over the course of a breast cancer treatment and possible associated factors to develop such a need. The PIAT-Study was a longitudinal postal survey study conducted in Germany (2013 to 2014) with breast cancer patients (BCPs). Patients received a questionnaire at three-time points (T1: few days after surgery, T2: after 10 weeks; T3: after 40 weeks). This study considers information about patients' needs for psycho-oncological care, their breast cancer disease, social support, anxiety, health literacy (HL) and sociodemographic information. Data were analysed with descriptive statistics and logistic regression modelling to estimate the association between a need for psycho-oncological treatment and patient characteristics. N = 927 breast cancer patients reported their psycho-oncological need. 35.2% of patients report at least at one measuring point to be in need for psycho-oncological care. In a multiple logistic regression, noticeable determinants for developing such a need are an inadequateHL(OR = 1.97), fear of progression (FoP) (OR = 2.08) and psychological comorbidities (OR = 8.15) as well as certain age groups. BCPs with a low HL, suffering from a dysfunctional level of FoP or mental disorders are more likely to develop a need for psycho-oncological care.
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