Objective: The study aimed to assess cancer patients' use of psychological care and its correlates in a large sample of cancer patients in Comprehensive Cancer Centers (CCCs) in Germany.Methods: In a multicenter study in Germany, cancer patients with various diagnoses were evaluated for self-reported use of psychological support. We measured psychological distress, depression and anxiety, quality of life, and social support with standardized questionnaires and analyzed its association with the utilization of psychological care using multivariable logistic regression. This paper focuses on a cross-sectional analysis of the data assessed during inpatient care.Results: Three thousand fifty-four (50%) of hospitalized patients were asked for participation, and n = 1632 (53.6%) participated. We were able to analyze n = 1,398 (45.9%) patients. Three hundred ninety-seven (28.4%) of the sample

Coping with cancer can potentially modify couples' quality of life (QoL). The predictive impact of dyadic coping (DC) on QoL was investigated within patients with hematological cancer and their partners. Data were collected in a multi-centre longitudinal study (N = 208 couples). We use the SF-12 questionnaire (QoL) and the Dyadic Coping Inventory. Data were mainly analyzed with actor-partner interdependence models (APIM). Within the APIM, baseline QoL was the most significant predictor for QoL (t2). Regarding DC, there were partner effects on physical QoL (t2) and actor and partner effects on mental QoL at t2. Different subtypes of DC have intra- and/or interpersonal impact on patient's or partner's QoL. In a clinical setting, patients as well as partners should be seen as both a source of support for each other and as individuals in need of support themselves. Such awareness and targeted intervention may help couples adapt to and cope with cancer.

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In order to diminish SCN of patients and partners, a possible way is to strengthen the quality of the dyadic relation. Due to its associations with elevated SCN, stress communication and negative dyadic coping behaviours may be useful targets for psychosocial interventions.