Distinct psycho-oncological support inclinations and needs in patients with cancer: a large sample latent class analysis approach.
Open accessAbstract
BACKGROUND: In patients with cancer, the routine recording of distress symptoms has been widely established in recent years. Psycho-oncological support has proven to reduce distress and increase quality of life. Despite high levels of distress as well as physical and emotional challenges in patients with cancer, a significant proportion forgoes psycho-oncological services. METHODS: A cross-sectional retrospective evaluation was carried out. Latent class analysis was used to examine the relationship between distress, physical and emotional challenges, and desire for psycho-oncological services in 2191 patients with cancer. RESULTS: Latent class analysis revealed four homogeneous subgroups: a) patients with high distress, high physical and low emotional challenges and no desire for psycho-oncology, b) patients with high distress, low physical and high emotional challenges and no desire for psycho-oncology, c) patients with high distress, high physical and emotional challenges and a desire for psycho-oncology, d) patients with low distress, low physical and emotional challenges and no desire for psycho-oncology. CONCLUSION: The identification of these subgroups of patients with cancer is useful for health care providers in order to focus their efforts in patients with cancer. It might contribute to a more tailored treatment offer for specific subgroups whose needs have so far been insufficiently met.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Some patients do not utilize available psycho-oncological support despite high psychological distress.
“At the same time, some patients do not utilize the support available despite high psychological distress (4, 7).”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007) · Structural Equation Modeling: A Multidisciplinary Journal · doi:10.1080/10705510701575396 · Cited by 11,415 · see citing works
Mitchell, A. J., Chan, M., Bhatti, H., Halton, M., Grassi, L., Johansen, C., & Meader, N. (2011) · The Lancet Oncology · doi:10.1016/s1470-2045(11)70002-x · Cited by 2,449 · see citing works
poLCA : An R Package for Polytomous Variable Latent Class Analysis
Linzer, D. A., & Lewis, J. B. (2011) · Journal of Statistical Software · doi:10.18637/jss.v042.i10 · Cited by 1,649 · see citing works
Faller, H., Schuler, M., Richard, M., Heckl, U., Weis, J., & Küffner, R. (2013) · Journal of Clinical Oncology · doi:10.1200/jco.2011.40.8922 · Cited by 912 · see citing works
One in two cancer patients is significantly distressed: Prevalence and indicators of distress
Mehnert, A., Hartung, T. J., Friedrich, M., Vehling, S., Brähler, E., Härter, M., Keller, M., Schulz, H., Wegscheider, K., Weis, J., et al. (2018) · Psycho-Oncology · doi:10.1002/pon.4464 · Cited by 615 · see citing works
The NCCN Guideline for Distress Management: A Case for Making Distress the Sixth Vital Sign
Holland, J. C., & Bultz, B. D. (2007) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2007.0003 · Cited by 502 · see citing works
Tuinman, M. A., Gazendam‐Donofrio, S. M., & Hoekstra‐Weebers, J. E. (2008) · Cancer · doi:10.1002/cncr.23622 · Cited by 404 · see citing works
Skarstein, J., Aass, N., Fosså, S. D., Skovlund, E., & Dahl, A. A. (2000) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(00)00080-5 · Cited by 301 · see citing works
Emotional Distress: The Sixth Vital Sign in Cancer Care
Bultz, B. D., & Carlson, L. E. (2005) · Journal of Clinical Oncology · doi:10.1200/jco.2005.02.3259 · Cited by 287 · see citing works
Symptom Cluster Research: Conceptual, Design, Measurement, and Analysis Issues
Barsevick, A. M., Whitmer, K. R., Nail, L. M., Beck, S. L., & Dudley, W. N. (2006) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2005.05.015 · Cited by 278 · see citing works
Perspectives on perceived stigma and self-stigma in adult male patients with depression
Latalova, K., Kamarádová, D., & Praško, J. (2014) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s54081 · Cited by 206 · see citing works
The diagnostic role of a short screening tool—the distress thermometer: a meta-analysis
Ma, X., Zhang, J., Zhong, W., Shu, C., Wang, F., Wen, J., Zhou, M., Sang, Y., Jiang, Y., & Liu, L. (2014) · Supportive Care in Cancer · doi:10.1007/s00520-014-2143-1 · Cited by 200 · see citing works
Fear of recurrence and psychological distress in head and neck cancer patients and their carers
Hodges, L. J., & Humphris, G. M. (2008) · Psycho-Oncology · doi:10.1002/pon.1346 · Cited by 199 · see citing works
Latent Class Analysis: A Method for Capturing Heterogeneity
Rosato, N. S., & Baer, J. C. (2012) · Social Work Research · doi:10.1093/swr/svs006 · Cited by 183 · see citing works
Why do oncology outpatients who report emotional distress decline help?
Clover, K. A., Mitchell, A. J., Britton, B., & Carter, G. (2015) · Psycho-Oncology · doi:10.1002/pon.3729 · Cited by 180 · see citing works
Hegel, M. T., Collins, E. D., Kearing, S. A., Gillock, K. L., Moore, C. P., & Ahles, T. A. (2007) · Psycho-Oncology · doi:10.1002/pon.1289 · Cited by 148 · see citing works
Brebach, R., Sharpe, L., Costa, D. S. J., Rhodes, P., & Butow, P. (2016) · Psycho-Oncology · doi:10.1002/pon.4099 · Cited by 139 · see citing works
Kinahan, K. E., Sharp, L. K., Seidel, K. D., Leisenring, W. M., Didwania, A. D., Lacouture, M. E., Stovall, M., Haryani, A., Robison, L. L., & Krull, K. R. (2012) · Journal of Clinical Oncology · doi:10.1200/jco.2011.39.3611 · Cited by 138 · see citing works
Effects of screening for psychological distress on patient outcomes in cancer: A systematic review
Meijer, A., Roseman, M., Delisle, V. C., Milette, K., Levis, B., Syamchandra, A., Stefanek, M. E., Stewart, D. E., de Jonge, P., Coyne, J. C., et al. (2013) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2013.01.012 · Cited by 135 · see citing works
Miaskowski, C. A., Dunn, L. B., Ritchie, C. S., Paul, S. M., Cooper, B. A., Aouizerat, B. E., Alexander, K. E., Skerman, H. M., & Yates, P. M. (2015) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2014.12.011 · Cited by 124 · see citing works
Miaskowski, C. A., Cooper, B. A., Melisko, M., Chen, L.-M., Mastick, J., West, C. M., Paul, S. M., Dunn, L. B., Schmidt, B. L., Hammer, M. J., et al. (2014) · Cancer · doi:10.1002/cncr.28699 · Cited by 122 · see citing works
An analysis of the distress thermometer problem list and distress in patients with cancer
VanHoose, L., Black, L. L., Doty, K. G., Sabata, D., Twumasi‐Ankrah, P., Taylor, S. A., & Johnson, R. L. (2014) · Supportive Care in Cancer · doi:10.1007/s00520-014-2471-1 · Cited by 105 · see citing works
An examination of distress, sleep, and fatigue in metastatic breast cancer patients
Mosher, C. E., & DuHamel, K. N. (2012) · Psycho-Oncology · doi:10.1002/pon.1873 · Cited by 96 · see citing works
Lynch, J., Goodhart, F., Saunders, Y., & O'Connor, S. J. M. (2010) · Supportive Care in Cancer · doi:10.1007/s00520-009-0799-8 · Cited by 90 · see citing works
Bracke, P., Delaruelle, K., & Verhaeghe, M. (2019) · Frontiers in Sociology · doi:10.3389/fsoc.2019.00040 · Cited by 79 · see citing works
Nascimento, A. F., Tondorf, T., Rothschild, S. I., Koller, M. T., Rochlitz, C. F., Kiss, A., Schaefert, R., Meinlschmidt, G., Hunziker, S., Gaab, J., et al. (2018) · Psycho-Oncology · doi:10.1002/pon.4948 · Cited by 61 · see citing works
Distress Assessment: Practice Change Through Guideline Implementation
Fulcher, C. D., & Gosselin-Acomb, T. K. (2007) · Clinical journal of oncology nursing · doi:10.1188/07.cjon.817-821 · Cited by 53 · see citing works
Thombs, B. D., Saadat, N., Riehm, K. E., Karter, J. M., Vaswani, A., Andrews, B. K., Simons, P., & Cosgrove, L. (2017) · BMC Medicine · doi:10.1186/s12916-017-0903-8 · Cited by 49 · see citing works
Stark, A., Kaduszkiewicz, H., Stein, J., Maier, W., Heser, K., Weyerer, S. B., Werle, J., Wiese, B., Mamone, S., König, H., et al. (2018) · BMC Family Practice · doi:10.1186/s12875-017-0684-3 · Cited by 41 · see citing works
Factors associated with the decline of psychological support in hospitalized patients with cancer
Pichler, T., Dinkel, A., Marten‐Mittag, B., Hermelink, K., Telzerow, E., Ackermann, U., Belka, C., Combs, S. E., Gratzke, C., Gschwend, J. E., et al. (2019) · Psycho-Oncology · doi:10.1002/pon.5191 · Cited by 36 · see citing works
Symptom Cluster Experience Profiles in Adult Survivors of Childhood Cancers
Finnegan, L., Campbell, R. T., Ferrans, C. E., Wilbur, J., Wilkie, D. J., & Shaver, J. L. F. (2009) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2008.09.010 · Cited by 33 · see citing works
Cancer-Related Psychological Distress: A Concept Analysis
Gundelach, A. C., & Henry, B. (2016) · Clinical journal of oncology nursing · doi:10.1188/16.cjon.630-634 · Cited by 30 · see citing works
Which items on the distress thermometer problem list are the most distressing?
Clover, K. A., Oldmeadow, C. J., Nelson, L., Rogers, K., Mitchell, A. J., & Carter, G. L. (2016) · Supportive Care in Cancer · doi:10.1007/s00520-016-3294-z · Cited by 29 · see citing works
Symptom clusters in childhood cancer survivors in Korea: A latent class analysis
Hong, H. C., Kim, Y. M., & Min, A. (2020) · European Journal of Cancer Care · doi:10.1111/ecc.13322 · Cited by 20 · see citing works
Chen, E., Khan, L., Zhang, L., Nguyen, J., Zeng, L., Bedard, G., Tsao, M. N., Danjoux, C. E., Barnes, E. A., Sahgal, A., et al. (2012) · Journal of Radiation Oncology · doi:10.1007/s13566-012-0024-0 · Cited by 14 · see citing works
Hoffmeister, P. A., Storer, B. E., Syrjala, K. L., & Baker, K. S. (2015) · Bone Marrow Transplantation · doi:10.1038/bmt.2015.233 · Cited by 13 · see citing works
Kacel, E. L., Pereira, D. B., & Estores, I. M. (2019) · Supportive Care in Cancer · doi:10.1007/s00520-019-04840-y · Cited by 9 · see citing works
Harrison, N. J., Gunn, K. M., & Wilson, C. J. (2020) · Psycho-Oncology · doi:10.1002/pon.5566 · Cited by 6 · see citing works
Profiling cancer-related distress and problems: A latent class analysis approach.
Rossi, A. A., Marconi, M., Mannarini, S., et al. (2019) · Journal of Clinical Oncology · doi:10.1200/jco.2019.37.15_suppl.e23191 · Cited by 2 · see citing works
Bush, M., Gaynes, B. N., & Smith, S. C. (2020) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2019.7116 · Cited by 1 · see citing works
Kronish, I. M., Moise, N., & Davidson, K. W. (2020) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2019.7113 · Cited by 1 · see citing works
Rapid screening for psychologic distress in men with prostate carcinoma
Roth, A. J., Kornblith, A. B., Batel-Copel, L., Peabody, E., Scher, H. I., & Holland, J. C. (1998) · Cancer · doi:10.1002/(sici)1097-0142(19980515)82:10
Flagged first, then by citations
Research works printed but not linked: 5
- Clover KA, Mitchell AJ, Britton B, Carter G. Why do oncology outpatients who report emotional distress decline help? Psycho-Oncology 2015;24(7):812-8.
- Faller H, Schuler M, Richard M, Heckl U, Weis J, Küffner R. Effects of psycho- oncologic interventions on emotional distress and quality of life in adult patients with cancer: systematic review and meta-analysis. J Clin Oncol 2013;31(6): 782-93.
- Wong E, Zhang L, Kerba M, Foro P, Danielson B, Tsao M, et al. Analysis of symptom clusters in patients with brain metastases with three different statistical methods. J Pain Manag 2015;8(2):133.
- Brebach R, Sharpe L, Costa DS, Rhodes P, Butow P. Psychological intervention targeting distress for cancer patients: a meta-analytic study investigating uptake and adherence. Psycho-oncology 2016;25(8):882-90. https://doi.org/10.1002/ pon.4099. · DOI · Paper page
- Frey Nascimento A, Tondorf T, Rothschild SI, Koller MT, Rochlitz C, Kiss A, et al. Oncologist recommendation matters!-predictors of psycho-oncological service uptake in oncology outpatients. Psycho-oncology 2019;28(2):351-7. https://doi. org/10.1002/pon.4948. · DOI
Cited by
Sorted by citations
Heinen, J., Bäuerle, A., Schug, C., Krakowczyk, J. B., Strunk, S. E., Wieser, A., Beckord, J., Jansen, C., Dries, S., Pantförder, M., et al. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.1037158 · Cited by 7 · see citing works
“At the same time, some patients do not utilize the support available despite high psychological distress (4, 7).”
Background
- Authors
- Schulze, J. B., Günther, M. P., Riemenschnitter, C., Wicki, A., von Känel, R., & Euler, S.
- Affiliations
- University of Zurich (CH)
- Corresponding author
- Schulze, Jan Ben
- Venue
- General Hospital Psychiatry
- Publisher
- Elsevier BV
- Published
- 2022-03
- Volume
- 75
- Pages
- 17-22
- ISSN
- 0163-8343 (ISSN-L)
- OpenAlex
- W4206119602
- Cited by
- 13
- References
- 42
- Citations by year
- 2026: 6 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2
- FWCI
- 0.55
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- General Hospital Psychiatry (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, cc-by-nc-nd)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, cc-by-nc-nd)
- Zurich Open Repository and Archive (University of Zurich)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- psycho-oncological support, cancer patients, psychological distress, physical problems, emotional challenges, patient subgroups, quality of life, tailored care
- MeSH terms
- Psycho-Oncology, Latent Class Analysis, Cross-Sectional Studies, Humans, Neoplasms, Quality of Life, Retrospective Studies, Stress, Psychological
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review