Adjustment disorder in cancer patients after treatment: prevalence and acceptance of psychological treatment

Purpose To investigate the prevalence of adjustment disorder (AD) among cancer patients and the acceptance of psychological treatment, in relation to sociodemographic, clinical, and psychological factors. Methods Breast, prostate, and head and neck cancer patients of all stages and treatment modalit...

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Vydané v:Supportive care in cancer Ročník 30; číslo 2; s. 1797 - 1806
Hlavní autori: Van Beek, F. E., Wijnhoven, L. M. A., Custers, J. A. E., Holtmaat, K., De Rooij, B. H., Horevoorts, N. J. E., Aukema, E. J., Verheul, S., Eerenstein, S. E. J., Strobbe, L., Van Oort, I. M., Vergeer, M. R., Prins, J. B., Verdonck-de Leeuw, I. M., Jansen, F.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Berlin/Heidelberg Springer Berlin Heidelberg 01.02.2022
Springer
Springer Nature B.V
Predmet:
Acceptance
Adjustment
Adjustment disorder
Adjustment Disorders - epidemiology
Adjustment Disorders - etiology
Adjustment Disorders - therapy
Advertising executives
Analysis
Anxiety
Breast cancer
Cancer
Cancer patients
Care and treatment
Clinical trials
Cost analysis
Cost-Benefit Analysis
Depression
Head & neck cancer
Head and Neck Neoplasms
Health aspects
Health psychology
Humans
Male
Measuring instruments
Medical diagnosis
Medical research
Medical treatment
Medicine
Medicine & Public Health
Medicine, Experimental
Mental disorders
Mental health care
Nursing
Nursing Research
Observational studies
Oncology
Original
Original Article
Pain Medicine
Patient compliance
Patients
Practitioner patient relationship
Prevalence
Prostate
Prostate cancer
Psychological aspects
Psychological distress
Psychological intervention
Psychotherapy
Rehabilitation Medicine
Sensitivity analysis
Sociodemographics
Stress, Psychological
Surveys and Questionnaires
Survivor
Treatment outcomes
Prevalence
Acceptance of psychological treatment
Psychology
Psychological treatment
Cancer
Adjustment disorder
ISSN:0941-4355, 1433-7339, 1433-7339
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Shrnutí:Purpose To investigate the prevalence of adjustment disorder (AD) among cancer patients and the acceptance of psychological treatment, in relation to sociodemographic, clinical, and psychological factors. Methods Breast, prostate, and head and neck cancer patients of all stages and treatment modalities ( N  = 200) participated in this observational study. Patients completed the Hospital Anxiety and Depression Scale, Checklist Individual Strength, Distress Thermometer and problem list. Patients with increased risk on AD based on these questionnaires were scheduled for a diagnostic interview. Patients diagnosed with AD were invited to participate in a randomized controlled trial on the cost-effectiveness of psychological treatment. Participation in this trial was used as a proxy of acceptance of psychological treatment. Logistic regression analyses were used to investigate associated factors. Results The overall prevalence of AD was estimated at 13.1%. Sensitivity analyses showed prevalence rates of AD of 11.5%, 15.0%, and 23.5%. Acceptance of psychological treatment was estimated at 65%. AD was associated both with being employed (OR = 3.3, CI = 1.3–8.4) and having a shorter time since diagnosis (OR = 0.3, CI = 0.1–0.8). Conclusion Taking sensitivity analysis into account, the prevalence of AD among cancer patients is estimated at 13 to 15%, and is related to being employed and having a shorter time since diagnosis. The majority of cancer patients with AD accept psychological treatment.
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ISSN:0941-4355
1433-7339
1433-7339
DOI:10.1007/s00520-021-06530-0