Association of Mental Health Treatment With Outcomes for US Veterans Diagnosed With Non–Small Cell Lung Cancer

Berchuck, Jacob E.; Meyer, Craig S.; Zhang, Ning; Berchuck, Caroline M; Trivedi, Neil N.; Cohen, Beth E.; Wang, Sunny

doi:10.1001/jamaoncol.2020.1466

Cited by 32 publications

(23 citation statements)

References 34 publications

(68 reference statements)

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“…Additionally, previous research demonstrated that people who develop mental disorders after a cancer diagnosis may be at higher risk of cancer death ( 21 ). Furthermore, mental health treatment offered to cancer patients after diagnosis can improve lung cancer survival, and reductions in the severity of mental illness may manifest in greater self-efficacy for managing chronic conditions and improvements in positive health behaviors, such as physical activity and stress management ( 22 ). However, past studies using Illinois data ( 10 , 11 ) and US data ( 9 ) did not consider these variables to create their single or multiple cancer sites index.…”

Section: Discussionmentioning

confidence: 99%

Creation and Evaluation of the Illinois Cancer Risk Index as a Predictor of Four Common Cancers

et al. 2022

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Introduction Nearly half of all cancer deaths in the US are attributed to 4 common cancers: lung, colorectal, breast, and prostate. Illinois residents experience higher rates of cancer death from all 4 cancers compared with the US overall. We developed the Illinois Cancer Risk Index (ICRI), which incorporates many predictors of these cancers into a single summary measure, to identify Illinois counties that would benefit most from public health intervention. Methods We identified 90 county-level predictors of 4 common cancers, used multicollinearity testing to reduce this number to 61, and applied factor analysis to extract and analyze 4 factors representing 25 variables. Next, we created the ICRI by regressing the 4 factors on our outcome of interest — an age-adjusted common cancers mortality rate (CCMR), incorporating the direction of the β-coefficients from regression models to sum factor scores. Finally, we mapped and assessed the geographic distributions of both ICRI and CCMR by county across the state. Results The ICRI was positively associated with the CCMR ( r = 0.59, P < .001) and explained 32.2% of the variance in the CCMR across Illinois. The ICRI showed distinct geospatial patterns across the state, with the highest risk counties located in the east–central, far northern, and southern regions. The CCMR showed similar geospatial patterns. Conclusion Our study identifies counties in Illinois that may benefit most from interventions that target multiple cancer risk factors simultaneously. The ICRI may be adapted for use in other geographic locations where data are available.

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Section: Discussionmentioning

confidence: 99%

Creation and Evaluation of the Illinois Cancer Risk Index as a Predictor of Four Common Cancers

et al. 2022

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“…Despite over 40 years of evidence demonstrating effectiveness of psychosocial interventions for cancer patients (Andersen et al, 2008; Antoni, 2013; Burchuck et al, 2020; Cwikel et al, 2000; Faller et al, 2013; Guo et al, 2013; McQuellon & Danhauer, 2006; Meyer & Mark, 1995; Schneider et al, 2010), shortcomings and disparities continue to exist with regard to the delivery, targeting, and tailoring of psychosocial support services to those that need them (Deshields et al, 2013; Zebrack et al, 2015; Zebrack et al, 2017). Especially troubling are the observations and evidence suggesting that the patients most likely to benefit from psychosocial support services are also those least likely to access or receive them (Adler & Page, 2008).…”

Section: Introductionmentioning

confidence: 99%

Establishing core competencies, opportunities, roles and expertise for oncology social work

Zebrack

Schapmire

Otis‐Green

et al. 2022

Journal of Social Work

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Summary While oncology social workers are the primary providers of psychosocial services, they vary in what they do and how they work across different cancer care settings. Standards of Practice suggest that there exists a core or universal set of activities and tasks that are grounded in the values and principles of social work and apply across all settings. The purpose of this study was to identify activities that delineate and distinguish Competencies, Opportunities, Roles and Expertise (CORE) for oncology social work. Research was conducted using Concept Mapping, a structured and prescribed approach to collecting, analyzing, and interpreting qualitative and quantitative data while engaging stakeholders in the research process. Findings An expert panel of oncology social work practitioners, academicians, and leaders in the field (n = 35) generated 91 practice behaviors that were subject to card sorting and ratings of importance. A visual map consisting of six clusters best represented the statistical fit of the data (stress value = 0.18) while maintaining the most meaningful categorization of individual statements. These six domains were as follows: Clinical Assessment and Intervention (38 items; mean importance = 3.31); Professional Advocacy and Political Action (5 items; mean importance = 3.03); Case Management and Care Coordination (16 items; mean importance = 3.02); Patient Education and Advocacy (8 items; mean importance = 2.82); Organizational Support and Service (12 items; mean importance = 2.74); Professional Education (12 items; mean importance = 2.45). Application These results may inform initiatives related to social work education and training, credentialing and certification, health policy, research and advocacy on behalf of patients, families, communities, and the profession.

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Section: Introductionmentioning

confidence: 99%

“…Epidemiological observations dating back over one hundred years suggest that incidence rates of some cancers may be lower in patients with schizophrenia [ 1 , 2 , 3 , 4 , 5 ]. Numerous studies have been conducted in the decades since then but have failed to reach a consensus; there are reports of increased, reduced, or no difference in incidence rates of most cancers in schizophrenia patients compared to the general population (see reviews [ 2 , 3 , 4 , 5 ] and epidemiology studies [ 5 , 6 , 7 , 8 , 9 , 10 , 11 ]). However, as many of the risk factors for cancer, including smoking, alcohol use, increased body weight, physical inactivity, and reduced access to medical care, are also found in schizophrenia populations, it is surprising that cancer incidence rates are not higher amongst these patients [ 4 , 6 , 12 , 13 , 14 , 15 , 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Adenosine, Schizophrenia and Cancer: Does the Purinergic System Offer a Pathway to Treatment?

Hamoud

Bach

Kakrecha

et al. 2022

IJMS

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For over a century, a complex relationship between schizophrenia diagnosis and development of many cancers has been observed. Findings from epidemiological studies are mixed, with reports of increased, reduced, or no difference in cancer incidence in schizophrenia patients. However, as risk factors for cancer, including elevated smoking rates and substance abuse, are commonly associated with this patient population, it is surprising that cancer incidence is not higher. Various factors may account for the proposed reduction in cancer incidence rates including pathophysiological changes associated with disease. Perturbations of the adenosine system are hypothesized to contribute to the neurobiology of schizophrenia. Conversely, hyperfunction of the adenosine system is found in the tumor microenvironment in cancer and targeting the adenosine system therapeutically is a promising area of research in this disease. We outline the current biochemical and pharmacological evidence for hypofunction of the adenosine system in schizophrenia, and the role of increased adenosine metabolism in the tumor microenvironment. In the context of the relatively limited literature on this patient population, we discuss whether hypofunction of this system in schizophrenia, may counteract the immunosuppressive role of adenosine in the tumor microenvironment. We also highlight the importance of studies examining the adenosine system in this subset of patients for the potential insight they may offer into these complex disorders.

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Association of Mental Health Treatment With Outcomes for US Veterans Diagnosed With Non–Small Cell Lung Cancer

Cited by 32 publications

References 34 publications

Creation and Evaluation of the Illinois Cancer Risk Index as a Predictor of Four Common Cancers

Creation and Evaluation of the Illinois Cancer Risk Index as a Predictor of Four Common Cancers

Establishing core competencies, opportunities, roles and expertise for oncology social work

Adenosine, Schizophrenia and Cancer: Does the Purinergic System Offer a Pathway to Treatment?

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