title: Barriers to mental health service use among hematopoietic SCT survivors.
abstract: This study examined barriers to mental health service use and the demographic, medical and psychosocial correlates of these barriers among hematopoietic SCT (HSCT) survivors. A sample of 253 HSCT survivors who were 1 to 3 years posttransplant completed measures of demographic, physical, psychological and social characteristics as well as a newly modified measure of barriers to mental health service use. Only 50% of distressed HSCT survivors had received mental health services. An exploratory factor analysis of the barriers to mental health service use scale yielded four factors: scheduling barriers, knowledge barriers, emotional barriers and illness-related barriers. Patients with higher social constraints (perceived problems discussing the illness experience with significant others) reported higher levels of all four types of barriers. General distress and transplant-related posttraumatic stress symptoms were positively associated with emotional, knowledge and illness-related barriers to mental health service use, whereas physical and functional well-being were inversely associated with these barriers. Having more knowledge barriers and more emotional barriers predicted a lower likelihood of receiving mental health services, as did lower levels of education and general distress. Results suggest that a significant number of HSCT survivors may benefit from education about mental health services that is tailored to individual barriers.
authors: Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY 10022, USA. mosherc@mskcc.org
authors: C E
authors: CE
authors: Mosher
authors: K N
authors: KN
authors: DuHamel
authors: C M
authors: CM
authors: Rini
authors: Y
authors: Y
authors: Li
authors: L
authors: L
authors: Isola
authors: L
authors: L
authors: Labay
authors: S
authors: S
authors: Rowley
authors: E
authors: E
authors: Papadopoulos
authors: C
authors: C
authors: Moskowitz
authors: E
authors: E
authors: Scigliano
authors: C
authors: C
authors: Grosskreutz
authors: W H
authors: WH
authors: Redd
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D019337:Hematologic Neoplasms / Q000523:psychology / Q000628:therapy; D018380:Hematopoietic Stem Cell Transplantation / Q000009:adverse effects / Q000523:psychology*; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology / Q000628:therapy; D010358:Patient Participation; D025341:Principal Component Analysis; D011584:Psychology; D012944:Social Support; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D013315:Stress, Psychological; D014481:United States; D055815:Young Adult