title: Predictors of psychological distress and interest in mental health services in individuals with cancer.
abstract: Identifying risk factors for psychological distress in patients with cancer may help providers more efficiently screen, identify, and manage distress. This article presents predictors of psychological distress in a large heterogeneous sample of cancer patients. In total, 836 patients were enrolled in a large randomized control trial and completed computerized psychosocial assessments Mental Health Assessment and Dynamic Referral for Oncology. Multivariate regressions examined predictors of distress and interest in mental health services. Final models suggest that psychological distress was related to six variables, and interest in mental health services was related to previous history of mental health counseling, total number of cancer-related symptoms, and race/ethnicity. Results may be used to identify high-risk patients who may benefit from proactive psychosocial interventions.
authors.affiliation: Stonehill College, USA University of Massachusetts Medical School, USA.
authors.forename: Erin L
authors.initials: EL
authors.lastname: O'Hea
authors.affiliation: Stonehill College, USA monahan.brigitte@gmail.com.
authors.forename: Brigitte R
authors.initials: BR
authors.lastname: Monahan
authors.affiliation: University of Alabama, USA.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Cutillo
authors.affiliation: University of Massachusetts Medical School, USA.
authors.forename: Sharina D
authors.initials: SD
authors.lastname: Person
authors.affiliation: Polaris Health Directions, USA.
authors.forename: Grant
authors.initials: G
authors.lastname: Grissom
authors.affiliation: University of Massachusetts Medical School, USA.
authors.forename: Edwin D
authors.initials: ED
authors.lastname: Boudreaux
mesh_terms: D000368:Aged; D003376:Counseling; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D008605:Mental Health Services; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D010342:Patient Acceptance of Health Care; D016032:Randomized Controlled Trials as Topic; D012017:Referral and Consultation; D012044:Regression Analysis; D012307:Risk Factors; D013315:Stress, Psychological / Q000523:psychology*
keywords: cancer; intervention; psychological distress; risk factors; social support