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Referral patterns and psychosocial distress in cancer patients accessing a psycho-oncology counseling service.

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Title: Referral patterns and psychosocial distress in cancer patients accessing a psycho-oncology counseling service.
Authors: Nekolaichuk, Cheryl L. (AUTHOR), Cumming, Ceinwen (AUTHOR), Turner, Jill (AUTHOR), Yushchyshyn, Audrey (AUTHOR), Sela, Rami (AUTHOR)
Source: Psycho-Oncology. Mar2011, Vol. 20 Issue 3, p326-332. 7p. 1 Chart, 1 Graph.
Subjects: Psychological distress, Cancer patients, Counseling, Demographic surveys, Genitourinary organ cancer, Social support
Abstract: Objective: One in three cancer patients will experience significant psychosocial distress, yet less than 10% will seek formal counseling. Who are the patients accessing counseling and what are their presenting needs? The purpose of this study was to identify referral patterns and psychosocial distress in cancer patients newly referred to a psycho-oncology counseling service. Methods: Consecutive new referrals were tracked over 1 year ( n=361). On initial visit, 145 patients completed a demographic survey, Brief Symptom Inventory-18 (BSI-18), Cancer Coping Questionnaire and Medical Outcomes Study Social Support Survey. Results: Approximately one in five newly referred patients never attended counseling, with a significant representation of men ( p=0.016) and lung cancer patients ( p=0.010). Of 361 referrals, 295 patients attended initial counseling, 259 were approached, and 145/259 (56%) completed the survey. Most were women (79%), urban-dwelling (73%), diagnosed with non-advanced cancer (72%), well-educated (68%) and married (56%); average age of 52 years (SD=12.3). Two most common diagnoses were breast (36%) and genitourinary (14%) cancers. A total of 59% were significantly distressed (BSI-18 global severity index T-score⩾63) with less available social support than non-distressed patients ( p=0.022). Coping strategy use did not differ significantly between distressed and non-distressed groups. Two of five patients were not significantly distressed. Conclusions: Most cancer patients attending counseling are well-educated urban residing women, with significant psychosocial distress. Further research is needed to better understand barriers and appropriate screening methods for accessing counseling, as well as the needs of men, advanced cancer patients, rural residents, and less well-educated people. Copyright © 2010 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Referral patterns and psychosocial distress in cancer patients accessing a psycho-oncology counseling service.
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  Data: <searchLink fieldCode="AR" term="%22Nekolaichuk%2C+Cheryl+L%2E%22">Nekolaichuk, Cheryl L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cumming%2C+Ceinwen%22">Cumming, Ceinwen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Turner%2C+Jill%22">Turner, Jill</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yushchyshyn%2C+Audrey%22">Yushchyshyn, Audrey</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sela%2C+Rami%22">Sela, Rami</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Mar2011, Vol. 20 Issue 3, p326-332. 7p. 1 Chart, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patients%22">Cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Counseling%22">Counseling</searchLink><br /><searchLink fieldCode="DE" term="%22Demographic+surveys%22">Demographic surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Genitourinary+organ+cancer%22">Genitourinary organ cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objective: One in three cancer patients will experience significant psychosocial distress, yet less than 10% will seek formal counseling. Who are the patients accessing counseling and what are their presenting needs? The purpose of this study was to identify referral patterns and psychosocial distress in cancer patients newly referred to a psycho-oncology counseling service. Methods: Consecutive new referrals were tracked over 1 year ( n=361). On initial visit, 145 patients completed a demographic survey, Brief Symptom Inventory-18 (BSI-18), Cancer Coping Questionnaire and Medical Outcomes Study Social Support Survey. Results: Approximately one in five newly referred patients never attended counseling, with a significant representation of men ( p=0.016) and lung cancer patients ( p=0.010). Of 361 referrals, 295 patients attended initial counseling, 259 were approached, and 145/259 (56%) completed the survey. Most were women (79%), urban-dwelling (73%), diagnosed with non-advanced cancer (72%), well-educated (68%) and married (56%); average age of 52 years (SD=12.3). Two most common diagnoses were breast (36%) and genitourinary (14%) cancers. A total of 59% were significantly distressed (BSI-18 global severity index T-score⩾63) with less available social support than non-distressed patients ( p=0.022). Coping strategy use did not differ significantly between distressed and non-distressed groups. Two of five patients were not significantly distressed. Conclusions: Most cancer patients attending counseling are well-educated urban residing women, with significant psychosocial distress. Further research is needed to better understand barriers and appropriate screening methods for accessing counseling, as well as the needs of men, advanced cancer patients, rural residents, and less well-educated people. Copyright © 2010 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Mar2011
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