[Utilization and utility of psycho-oncologic support of patients with mamma-carcinoma]

Z Psychosom Med Psychother. 2013;59(4):369-77.
[Article in German]

Abstract

Objectives: This study explores patients' utilization of psycho-oncologic support and the effectiveness thereof.

Methods: At the hospital in Munich-Harlaching, 51 patients were recruited following their first admission to the breast centre, 27 of whom utilized the psycho-oncologic service. They were compared to 24 decliners of the service. All patients completed self-rating questionnaires (Distress-Thermometer and Patient Health Questionnaire) at admission and at release. Group differences were calculated statistically by chi-square- and t-tests.

Results: We found no significant differences between users and decliners concerning socio-demographic and somatic data, but there were significant group differences in mental health. Users reported more mental distress and more depressive and anxiety symptoms. Psycho-oncologic interventions showed small to large effect sizes.

Conclusions: Although this study corresponded more to external than to internal validity standards, it did yield provisional empirical evidence that psycho-oncologic interventions are effective in the treatment of the mental symptoms of breast cancer patients.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anxiety Disorders / psychology
  • Anxiety Disorders / therapy
  • Breast Neoplasms / psychology*
  • Breast Neoplasms / therapy
  • Depressive Disorder / psychology
  • Depressive Disorder / therapy
  • Female
  • Germany
  • Humans
  • Middle Aged
  • Oncology Service, Hospital / statistics & numerical data
  • Psychometrics / statistics & numerical data
  • Psychotherapy*
  • Referral and Consultation / statistics & numerical data*
  • Reproducibility of Results
  • Sick Role
  • Social Support*
  • Stress, Psychological / complications
  • Stress, Psychological / psychology
  • Surveys and Questionnaires
  • Treatment Outcome
  • Utilization Review / statistics & numerical data