Rates and predictors of psychotherapy utilization after psychosocial evaluation for stem cell transplant

Objective Although standard of care prior to hematopoietic stem cell transplantation (HSCT) includes a psychosocial evaluation, little is known about the rate and predictors of psychotherapy utilization among patients presenting for pre‐HSCT evaluations. This study aimed to examine the proportion of...

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Bibliographic Details
Published in:Psycho-oncology (Chichester, England) England), 2018-02, Vol.27 (2), p.427-433
Main Authors: Penalba, Valentina, Asvat, Yasmin, Deshields, Teresa L., Vanderlan, Jessica R., Chol, Nyadow
Format: Article
Language:English
Subjects:
Anxiety
Cancer
Candidates
depression
distress
Functional assessment
Health care access
hematopoietic stem cell transplantation
Mental depression
oncology
Psychological distress
Psychological services
Psychosocial factors
Psychotherapy
psychotherapy utilization
Quality of life
Quantitative analysis
Questionnaires
Stem cell transplantation
Stem cells
Transplants & implants
Uptake
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Summary:Objective Although standard of care prior to hematopoietic stem cell transplantation (HSCT) includes a psychosocial evaluation, little is known about the rate and predictors of psychotherapy utilization among patients presenting for pre‐HSCT evaluations. This study aimed to examine the proportion of patients undergoing pre‐HSCT evaluations who subsequently utilize psychotherapy services and to explore predictive factors, including distress, anxiety, depression, and quality of life (QoL). Methods Participants were a cross‐sectional sample of 351 HSCT candidates at an NCI‐designated comprehensive cancer center. Questionnaires assessing distress, anxiety, depression, and QoL were administered using validated instruments. Results A subset of patients, representing 14% of the sample, utilized psychotherapy services. Relative to patients who did not utilize psychological services, patients who followed‐up with psychotherapy reported significantly more depressive and anxious symptoms (P 
ISSN:1057-9249
1099-1611
DOI:10.1002/pon.4473