title: Psychological needs when diagnosed with testicular cancer: findings from a population-based study with long-term follow-up.
abstract: OBJECTIVE
  To investigate the psychological needs of patients diagnosed with testicular cancer.
  
  
  METHODS
  We identified 1192 eligible men diagnosed with non-seminomatous testicular cancer, treated according to the bi-national cancer-care programmes SWENOTECA I-IV between 1981 and 2004. Using a study-specific questionnaire we asked the survivors if they had experienced some kind of crisis attributable to their cancer diagnosis. We also asked if they were and, if not, if they wish they had been offered information about crisis and stress reactions and professional counselling.
  
  
  RESULTS
  We obtained information from 974/1192 (82%) testicular cancer survivors diagnosed at a mean of 11 years before follow-up. Sixty-three percent reported that they had experienced a crisis owing to their diagnosis. For most men (76%) the crisis was at its worst at the time of diagnosis and treatment. Between 1981 and 2004, 145 men (15%) reported that they received information about common stress and crisis reactions and 348 (36%) reported that they were offered counselling. Of the men not informed about stress and crisis reactions and not offered counselling, 353/514 (69%) and 251/403 (62%), respectively, wish they had been. The percentage who reported that they wish that they had been informed or offered counselling did not differ significantly depending on civil status, age at diagnosis or stage of disease.
  
  
  CONCLUSIONS
  The vast majority of Swedish testicular cancer survivors reported that they experienced a crisis because of their cancer diagnosis. Moreover, regardless of stage of disease, most men reported a need for psychological support at the time of diagnosis and treatment that was not satisfactorily met by the healthcare provision.
authors.affiliation: Division of Clinical Cancer Epidemiology, Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg, Sweden. johanna.skoogh@oncology.gu.se
authors.forename: Johanna
authors.initials: J
authors.lastname: Skoogh
authors.forename: Gunnar
authors.initials: G
authors.lastname: Steineck
authors.forename: Boo
authors.initials: B
authors.lastname: Johansson
authors.forename: Ulrica
authors.initials: U
authors.lastname: Wilderäng
authors.forename: Ulrika
authors.initials: U
authors.lastname: Stierner
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006301:Health Services Needs and Demand; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology; D013548:Sweden / Q000453:epidemiology; D013736:Testicular Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D013997:Time Factors; D055815:Young Adult