Mental health needs and service use in a national sample of adult cancer survivors in the USA: Has psychosocial care improved?

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Objective: This study aims to estimate and test temporal differences in mental health (MH) need and service use among adult cancer survivors nationally before and after important policy recommendations for psychosocial cancer care. Methods: Adults (n = 58,585) from the National Health Interview Survey, 2005 and 2010, were categorized as having (1) no chronic disease, (2) chronic disease other than cancer, (3) cancer without other chronic disease, and (4) cancer with other chronic disease. In these groups, we compared psychological distress, MH visits, and unmet need for MH services. Survey-weighted logistic regression was used to model these variables as functions of disease status and sociodemographic covariates and the interactions of disease status and survey year. Results: Whereas the proportion of individuals with psychological distress and MH visits was significantly higher in 2010 versus 2005 for the no chronic disease group, the only group with significantly lower unmet need in 2010 versus 2005 was the cancer with other chronic disease group (5.3% vs. 3.0%, p < 0.05). In adjusted models, cancer survivors with other chronic disease had significantly lower odds of unmet need in 2010 (odds ratio 1.38; 95% confidence interval 0.85, 2.25) than in 2005 (odds ratio 3.32; 95% confidence interval 2.28, 4.83). Conclusions: We find evidence of MH care quality improvement among cancer survivors between 2005 and 2010, a period that coincides with policy and clinical attention to psychosocial cancer care. These efforts may have reduced, but not eliminated, unmet need for MH services among cancer survivors.

Original languageEnglish (US)
Pages (from-to)80-88
Number of pages9
JournalPsycho-Oncology
Volume24
Issue number1
DOIs
StatePublished - 2015

Fingerprint

Mental Health Services
Survivors
Chronic Disease
Neoplasms
Mental Health
Odds Ratio
Confidence Intervals
Psychology
Quality Improvement
Health Surveys
Logistic Models
Interviews
Delivery of Health Care

Keywords

  • Cancer
  • Mental health utilization
  • National health interview survey
  • Oncology
  • Psychological distress

ASJC Scopus subject areas

  • Oncology
  • Psychiatry and Mental health
  • Experimental and Cognitive Psychology

Cite this

@article{175bc17376314db78353cbd5eaeddee5,
title = "Mental health needs and service use in a national sample of adult cancer survivors in the USA: Has psychosocial care improved?",
abstract = "Objective: This study aims to estimate and test temporal differences in mental health (MH) need and service use among adult cancer survivors nationally before and after important policy recommendations for psychosocial cancer care. Methods: Adults (n = 58,585) from the National Health Interview Survey, 2005 and 2010, were categorized as having (1) no chronic disease, (2) chronic disease other than cancer, (3) cancer without other chronic disease, and (4) cancer with other chronic disease. In these groups, we compared psychological distress, MH visits, and unmet need for MH services. Survey-weighted logistic regression was used to model these variables as functions of disease status and sociodemographic covariates and the interactions of disease status and survey year. Results: Whereas the proportion of individuals with psychological distress and MH visits was significantly higher in 2010 versus 2005 for the no chronic disease group, the only group with significantly lower unmet need in 2010 versus 2005 was the cancer with other chronic disease group (5.3{\%} vs. 3.0{\%}, p < 0.05). In adjusted models, cancer survivors with other chronic disease had significantly lower odds of unmet need in 2010 (odds ratio 1.38; 95{\%} confidence interval 0.85, 2.25) than in 2005 (odds ratio 3.32; 95{\%} confidence interval 2.28, 4.83). Conclusions: We find evidence of MH care quality improvement among cancer survivors between 2005 and 2010, a period that coincides with policy and clinical attention to psychosocial cancer care. These efforts may have reduced, but not eliminated, unmet need for MH services among cancer survivors.",
keywords = "Cancer, Mental health utilization, National health interview survey, Oncology, Psychological distress",
author = "Robin Whitney and Bell, {Janice F} and Bold, {Richard J} and Joseph, {Jill G}",
year = "2015",
doi = "10.1002/pon.3569",
language = "English (US)",
volume = "24",
pages = "80--88",
journal = "Psycho-Oncology",
issn = "1057-9249",
publisher = "John Wiley and Sons Ltd",
number = "1",

}

TY - JOUR

T1 - Mental health needs and service use in a national sample of adult cancer survivors in the USA

T2 - Has psychosocial care improved?

AU - Whitney, Robin

AU - Bell, Janice F

AU - Bold, Richard J

AU - Joseph, Jill G

PY - 2015

Y1 - 2015

N2 - Objective: This study aims to estimate and test temporal differences in mental health (MH) need and service use among adult cancer survivors nationally before and after important policy recommendations for psychosocial cancer care. Methods: Adults (n = 58,585) from the National Health Interview Survey, 2005 and 2010, were categorized as having (1) no chronic disease, (2) chronic disease other than cancer, (3) cancer without other chronic disease, and (4) cancer with other chronic disease. In these groups, we compared psychological distress, MH visits, and unmet need for MH services. Survey-weighted logistic regression was used to model these variables as functions of disease status and sociodemographic covariates and the interactions of disease status and survey year. Results: Whereas the proportion of individuals with psychological distress and MH visits was significantly higher in 2010 versus 2005 for the no chronic disease group, the only group with significantly lower unmet need in 2010 versus 2005 was the cancer with other chronic disease group (5.3% vs. 3.0%, p < 0.05). In adjusted models, cancer survivors with other chronic disease had significantly lower odds of unmet need in 2010 (odds ratio 1.38; 95% confidence interval 0.85, 2.25) than in 2005 (odds ratio 3.32; 95% confidence interval 2.28, 4.83). Conclusions: We find evidence of MH care quality improvement among cancer survivors between 2005 and 2010, a period that coincides with policy and clinical attention to psychosocial cancer care. These efforts may have reduced, but not eliminated, unmet need for MH services among cancer survivors.

AB - Objective: This study aims to estimate and test temporal differences in mental health (MH) need and service use among adult cancer survivors nationally before and after important policy recommendations for psychosocial cancer care. Methods: Adults (n = 58,585) from the National Health Interview Survey, 2005 and 2010, were categorized as having (1) no chronic disease, (2) chronic disease other than cancer, (3) cancer without other chronic disease, and (4) cancer with other chronic disease. In these groups, we compared psychological distress, MH visits, and unmet need for MH services. Survey-weighted logistic regression was used to model these variables as functions of disease status and sociodemographic covariates and the interactions of disease status and survey year. Results: Whereas the proportion of individuals with psychological distress and MH visits was significantly higher in 2010 versus 2005 for the no chronic disease group, the only group with significantly lower unmet need in 2010 versus 2005 was the cancer with other chronic disease group (5.3% vs. 3.0%, p < 0.05). In adjusted models, cancer survivors with other chronic disease had significantly lower odds of unmet need in 2010 (odds ratio 1.38; 95% confidence interval 0.85, 2.25) than in 2005 (odds ratio 3.32; 95% confidence interval 2.28, 4.83). Conclusions: We find evidence of MH care quality improvement among cancer survivors between 2005 and 2010, a period that coincides with policy and clinical attention to psychosocial cancer care. These efforts may have reduced, but not eliminated, unmet need for MH services among cancer survivors.

KW - Cancer

KW - Mental health utilization

KW - National health interview survey

KW - Oncology

KW - Psychological distress

UR - http://www.scopus.com/inward/record.url?scp=84921057209&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84921057209&partnerID=8YFLogxK

U2 - 10.1002/pon.3569

DO - 10.1002/pon.3569

M3 - Article

C2 - 24818821

AN - SCOPUS:84921057209

VL - 24

SP - 80

EP - 88

JO - Psycho-Oncology

JF - Psycho-Oncology

SN - 1057-9249

IS - 1

ER -