TY - JOUR
T1 - Mental healthcare utilization among head and neck cancer patients
T2 - A longitudinal cohort study
AU - Jansen, Femke
AU - Lissenberg-Witte, Birgit I.
AU - Hardillo, Jose A.
AU - Takes, Robert P.
AU - de Bree, Remco
AU - Lamers, Femke
AU - Langendijk, Johannes A.
AU - Leemans, C. René
AU - Verdonck-de Leeuw, Irma M.
N1 - Funding Information: This work was supported by the Dutch Cancer Society [grant number VU 2013–5930] and the Dutch Cancer Society, Alpe Young Investigator Grant [grant number 12820]. The funding body had no role in the design of the study and collection, analysis, and interpretation of data nor in writing the manuscript. Publisher Copyright: © 2023 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd.
PY - 2024/1
Y1 - 2024/1
N2 - Objective: To investigate utilization of mental healthcare among head and neck cancer (HNC) patients from diagnosis to 2 years after treatment, in relation to psychological symptoms, mental disorders, need for mental healthcare, and sociodemographic, clinical and personal factors. Methods: Netherlands Quality of life and Biomedical Cohort study data as measured before treatment, at 3 and 6 months, and at 1 and 2 years after treatment was used (n = 610). Data on mental healthcare utilization (iMCQ), psychological symptoms (Hospital Anxiety and Depression Scale, Cancer Worry Scale), mental disorders (CIDI interview), need for mental healthcare (Supportive Care Needs Survey Short-Form 34, either as continuous outcome indicating the level of need or dichotomized into unmet need (yes/no)) and several sociodemographic, clinical and personal factors were collected. Factors associated with mental healthcare utilization were investigated using generalized estimating equations (p < 0.05). Results: Of all HNC patients, 5%–9% used mental healthcare per timepoint. This was 4%–14% in patients with mild-severe psychological symptoms, 4%–17% in patients with severe psychological symptoms, 15%–35% in patients with a mental disorder and 5%–16% in patients with an unmet need for mental healthcare. Among all patients, higher symptoms of anxiety, a higher need for mental healthcare, lower age, higher disease stage, lower self-efficacy and higher social support seeking were significantly associated with mental healthcare utilization. Conclusion: Mental health care utilization among HNC patients is limited, and is related to psychological symptoms, need for mental healthcare, and sociodemographic, clinical and personal factors.
AB - Objective: To investigate utilization of mental healthcare among head and neck cancer (HNC) patients from diagnosis to 2 years after treatment, in relation to psychological symptoms, mental disorders, need for mental healthcare, and sociodemographic, clinical and personal factors. Methods: Netherlands Quality of life and Biomedical Cohort study data as measured before treatment, at 3 and 6 months, and at 1 and 2 years after treatment was used (n = 610). Data on mental healthcare utilization (iMCQ), psychological symptoms (Hospital Anxiety and Depression Scale, Cancer Worry Scale), mental disorders (CIDI interview), need for mental healthcare (Supportive Care Needs Survey Short-Form 34, either as continuous outcome indicating the level of need or dichotomized into unmet need (yes/no)) and several sociodemographic, clinical and personal factors were collected. Factors associated with mental healthcare utilization were investigated using generalized estimating equations (p < 0.05). Results: Of all HNC patients, 5%–9% used mental healthcare per timepoint. This was 4%–14% in patients with mild-severe psychological symptoms, 4%–17% in patients with severe psychological symptoms, 15%–35% in patients with a mental disorder and 5%–16% in patients with an unmet need for mental healthcare. Among all patients, higher symptoms of anxiety, a higher need for mental healthcare, lower age, higher disease stage, lower self-efficacy and higher social support seeking were significantly associated with mental healthcare utilization. Conclusion: Mental health care utilization among HNC patients is limited, and is related to psychological symptoms, need for mental healthcare, and sociodemographic, clinical and personal factors.
KW - anxiety
KW - depression
KW - fear of cancer recurrence
KW - head and neck cancer
KW - mental healthcare use
KW - psychological care
KW - psychological symptoms
KW - supportive care needs
UR - http://www.scopus.com/inward/record.url?scp=85176771676&partnerID=8YFLogxK
U2 - https://doi.org/10.1002/pon.6251
DO - https://doi.org/10.1002/pon.6251
M3 - Article
C2 - 37955598
SN - 1057-9249
VL - 33
JO - Psycho-Oncology
JF - Psycho-Oncology
IS - 1
M1 - e6251
ER -