Psychological distress in cancer patients with underage children: gender‐specific differences

Ernst, Jochen; Götze, Heide; Krauel, Kerstin; Romer, Georg; Bergelt, Corinna; Flechtner, Hans‐Henning; Herzog, Wolfgang; Lehmkuhl, Ulrike; Keller, Monika; Brähler, Elmar; Klitzing, Kai von

doi:10.1002/pon.3070

Cited by 46 publications

(69 citation statements)

References 31 publications

(41 reference statements)

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“…So, our results demonstrate a decreasing advice for further professional psychosocial support after discharge related to increasing age, contrary to the results of Akechi et al [29]. We did not find a higher prevalence associated with unemployment, as did Singer et al [30], or with the presence of underage children in the family, as did Ernst et al [31]. …”

Section: Discussioncontrasting

confidence: 99%

The impact of clinical conditions and social factors on the psychological distress of cancer patients: an explorative study at a consultation and liaison service in a rural general hospital

2013

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BackgroundIn recent decades, increasing attention has been paid to the subjective dimension of cancer, especially to psychosocial screening procedures, major psychiatric disorders but also psychological and psychosocial distress, and finally to met needs of oncologic patients. This study aims first to describe cancer patients in a rural hospital attended by a psycho-oncological consultation-liaison team, second to assess predictors for psychological distress in cancer patients, and finally to identify predictors for recommendation of further psychosocial support.MethodsThe sample (n = 290) comprises a full survey of patients at breast and bowel cancer services (n=209) and patients referred by other medical and surgical services because of psychosocial impairment (n = 81). All patients were assessed by means of the PO-Bado (Psycho-Oncological Basic Documentation) expert rating scale. Assessment of predictors for psychological distress was conducted by multivariate regression models and assessment for predictors for need for outpatient psychosocial support by a logistic regression analysis. All analyses were conducted using STATA 12.ResultsMost members of the assessed sample (average age 65, 82% women) were not severely impaired from a functional and psychological point of view. A total of 14% had received psychiatric treatment before. Mood swings, anxiety, grief, and fatigue were the most important distress symptoms. Selectively referred patients vs. full survey patients of cancer centres, as well as bowel vs. breast cancer patients show a higher level of psychological and physical distress. Fatigue, assessed metastases, and functional limitations were the best predictors for psychological burden. Referral mode, gender, age, family problems, fatigue, and previous psychiatric treatment were associated with further need of psychosocial support.ConclusionsPsycho-oncological consultation and liaison services may offer support to patients in an early stage of cancer, especially in cancer centres. Because of selectively referred patients show a higher burden, the use of basic screening instruments could be meaningful. Fatigue, metastases status, and functional limitations may better predict psychological distress than pain, duration of illness, psychosocial conditions or previous psychiatric treatment. More attention has to be paid to outpatient follow-up with older cancer patients, those with family problems, and those suffering from significant fatigue.

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Section: Discussioncontrasting

confidence: 99%

The impact of clinical conditions and social factors on the psychological distress of cancer patients: an explorative study at a consultation and liaison service in a rural general hospital

2013

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“…With regard to mental distress, a medium correlation was found on the pair level 13 . As per previous findings female gender have been associated with higher emotional distress 12,13 . In another survey, at five universities, (Taking part in the German multisite research project ¿Psychological services of children of parents with cancer supported from 2009 to 2012 by the German cancer aid) on psychological distress in cancer patients with and without under age children, they have found 17.49% parent in study group with underage children were anxious and majority of them were mother 12 .…”

Section: Discussionsupporting

confidence: 84%

Psychological Distress in Cancer Patients with Underage Children

Akter¹,

Khan

et al. 2016

J Dhaka Med Coll

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“…parents with minor children were psychologically more distressed than the other group. This is partly in line with the finding on this issue 12 . Males accounted for 60.2% respondents in study group (n=123).…”

Section: Fig-2: Metastasis In Cancer Patientssupporting

confidence: 92%

“…With regard to mental distress, a medium correlation was found on the pair level 13 . In another survey, at five universities, (Taking part in the German multisite research project ¿Psychological services of children of parents with cancer supported from 2009 to 2012 by the German cancer aid) on psychological distress in cancer patients with and without under age children, they have found 17.49% parent in study group with underage children were anxious and majority of them were mother 12 . 42.2% were male in comparison group.…”

Section: Fig-2: Metastasis In Cancer Patientsmentioning

confidence: 99%

Gender Specific Psychological Distress in Cancer Patients with Underage Children

Akter¹,

Khan

2016

J. paediatr. surg. Bangladesh

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Psychological distress in cancer patients with underage children: gender‐specific differences

Abstract: Even though our findings need to be supported in future investigations using larger sample sizes, they imply that male cancer patients with underage children are in particular need of psychosocial support.

Cited by 46 publications

References 31 publications

The impact of clinical conditions and social factors on the psychological distress of cancer patients: an explorative study at a consultation and liaison service in a rural general hospital

The impact of clinical conditions and social factors on the psychological distress of cancer patients: an explorative study at a consultation and liaison service in a rural general hospital

Psychological Distress in Cancer Patients with Underage Children

Gender Specific Psychological Distress in Cancer Patients with Underage Children

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