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Barriers to mental health service use and preferences for addressing emotional concerns among lung cancer patients.

Publication ,  Journal Article
Mosher, CE; Winger, JG; Hanna, N; Jalal, SI; Fakiris, AJ; Einhorn, LH; Birdas, TJ; Kesler, KA; Champion, VL
Published in: Psychooncology
July 2014

OBJECTIVE: This study examined barriers to mental health service use and preferences for addressing emotional concerns among lung cancer patients (N=165) at two medical centers in the Midwestern United States. METHODS: Lung cancer patients completed an assessment of anxiety and depressive symptoms, mental health service use, barriers to using these services, and preferences for addressing emotional concerns. RESULTS: Only 45% of distressed patients received mental health care since their lung cancer diagnosis. The most prevalent patient-reported barriers to mental health service use among non-users of these services (n=110) included the desire to independently manage emotional concerns (58%) and inadequate knowledge of services (19%). In addition, 57% of distressed patients who did not access mental health services did not perceive the need for help. Seventy-five percent of respondents (123/164) preferred to talk to a primary care physician if they were to have an emotional concern. Preferences for counseling, psychiatric medication, peer support, spiritual care, or independently managing emotional concerns also were endorsed by many patients (range=40-50%). Older age was associated with a lower likelihood of preferring to see a counselor. CONCLUSIONS: Findings suggest that many distressed lung cancer patients underuse mental health services and do not perceive the need for such services. Efforts to increase appropriate use of services should address patients' desire for autonomy and lack of awareness of services.

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Published In

Psychooncology

DOI

EISSN

1099-1611

Publication Date

July 2014

Volume

23

Issue

7

Start / End Page

812 / 819

Location

England

Related Subject Headings

  • Surveys and Questionnaires
  • Stress, Psychological
  • Socioeconomic Factors
  • Patient Preference
  • Oncology & Carcinogenesis
  • Middle Aged
  • Mental Health Services
  • Male
  • Lung Neoplasms
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Mosher, C. E., Winger, J. G., Hanna, N., Jalal, S. I., Fakiris, A. J., Einhorn, L. H., … Champion, V. L. (2014). Barriers to mental health service use and preferences for addressing emotional concerns among lung cancer patients. Psychooncology, 23(7), 812–819. https://doi.org/10.1002/pon.3488
Mosher, Catherine E., Joseph G. Winger, Nasser Hanna, Shadia I. Jalal, Achilles J. Fakiris, Lawrence H. Einhorn, Thomas J. Birdas, Kenneth A. Kesler, and Victoria L. Champion. “Barriers to mental health service use and preferences for addressing emotional concerns among lung cancer patients.Psychooncology 23, no. 7 (July 2014): 812–19. https://doi.org/10.1002/pon.3488.
Mosher CE, Winger JG, Hanna N, Jalal SI, Fakiris AJ, Einhorn LH, et al. Barriers to mental health service use and preferences for addressing emotional concerns among lung cancer patients. Psychooncology. 2014 Jul;23(7):812–9.
Mosher, Catherine E., et al. “Barriers to mental health service use and preferences for addressing emotional concerns among lung cancer patients.Psychooncology, vol. 23, no. 7, July 2014, pp. 812–19. Pubmed, doi:10.1002/pon.3488.
Mosher CE, Winger JG, Hanna N, Jalal SI, Fakiris AJ, Einhorn LH, Birdas TJ, Kesler KA, Champion VL. Barriers to mental health service use and preferences for addressing emotional concerns among lung cancer patients. Psychooncology. 2014 Jul;23(7):812–819.
Journal cover image

Published In

Psychooncology

DOI

EISSN

1099-1611

Publication Date

July 2014

Volume

23

Issue

7

Start / End Page

812 / 819

Location

England

Related Subject Headings

  • Surveys and Questionnaires
  • Stress, Psychological
  • Socioeconomic Factors
  • Patient Preference
  • Oncology & Carcinogenesis
  • Middle Aged
  • Mental Health Services
  • Male
  • Lung Neoplasms
  • Humans