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Title: The influence of unmet supportive care needs on anxiety and depression during cancer treatment and beyond: a longitudinal study of survivors of haematological cancers.
Austin Authors: Oberoi, Devesh;White, Victoria M;Seymour, John F;Miles Prince, H;Harrison, Simon;Jefford, Michael;Winship, Ingrid;Hill, David;Bolton, Damien M ;Kay, Anne;Millar, Jeremy;Doo, Nicole Wong;Giles, Graham
Affiliation: Cancer Council Victoria, 615 St Kilda Road, Melbourne, VIC, 3004, Australia
The University of Melbourne, Parkville, VIC, 3010, Australia
Peter MacCallum Cancer Centre, Melbourne, VIC, 3000, Australia
Royal Melbourne Hospital, Parkville, VIC, 3052, Australia
Austin Health, Heidelberg, Victoria, Australia
North Eastern Melbourne Integrated Cancer Service, Heidelberg, VIC, 3084, Australia
Alfred Health, The Alfred, Melbourne, VIC, 3004, Australia
Concord Hospital, Concord, NSW, 2139, Australia
Issue Date: Nov-2017
Date: 2017-06-30
Publication information: Supportive Care in Cancer 2017; 25(11): 3447-3456
Abstract: This paper aims to examine the cross-sectional and longitudinal associations between patient-reported unmet needs and anxiety and depression for survivors of diffuse large B cell lymphoma (DLBCL) and multiple myeloma (MM). In a longitudinal study design, self-reported data were collected through telephone interviews at two time points approximately 7 (T1) and 15 (T2) months post-diagnosis. The sample was recruited through the population-based Victorian Cancer Registry. At T1 and T2, the study outcomes, anxiety and depression, were assessed using the Hospital Anxiety and Depression Scale (HADS) and unmet needs were measured using the Supportive Care Needs Survey (SCNS-SF34). Questions related to social/family problems, relationship problems and financial problems were also asked. A three-step multivariable hierarchical logistic regression analysis examined the relative role of T1 anxiety and depression, T1 and T2 unmet needs and other psychosocial factors with T2 anxiety and depression. Both cross-sectional and longitudinal associations were observed between unmet needs and psychological distress. T2 anxiety was associated with T1 anxiety (OR 4.75, 95% CI 1.86-11.09), T2 psychological needs (OR 1.68, 95% CI 1.34-2.11) and with T1 social problems (OR 2.33, 95% CI 1.03-5.05) in multivariate analysis. T2 depression was associated with both T1 (OR 1.28, 95% CI 1.06-1.57) and T2 psychological needs (OR 1.35, 95% CI 1.06-1.70), T2 physical needs (OR 1.89, 95% CI 1.27-2.81) and T1 depression (OR 4.52, 95% CI 1.88-10.86). Unmet needs that manifest following diagnosis and treatment may persist into early survivorship and contribute to psychological distress. Addressing these needs during treatment may diminish the risk of current and future anxiety and depression.
DOI: 10.1007/s00520-017-3766-9
ORCID: 0000-0002-5145-6783
Journal: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
PubMed URL: 28667564
Type: Journal Article
Subjects: Anxiety
Cancer survivorship
Haematological cancer
Hierarchical regression
Psychosocial oncology
Unmet needs
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