Unmet supportive care needs among women with breast and gynecological cancer

• Verfasst von: Graf, Johanna [VerfasserIn]
• Verfasst von: Junne, Florian [VerfasserIn]
• Verfasst von: Ehrenthal, Johannes C. [VerfasserIn]
• Verfasst von: Schäffeler, Norbert [VerfasserIn]
• Verfasst von: Schwille-Kiuntke, Ilja Juliane Dorothee [VerfasserIn]
• Verfasst von: Stengel, Andreas [VerfasserIn]
• Verfasst von: Mehnert-Theuerkauf, Anja [VerfasserIn]
• Verfasst von: Marwedel, Lennart [VerfasserIn]
• Verfasst von: Brucker, Sara [VerfasserIn]
• Verfasst von: Zipfel, Stephan [VerfasserIn]
• Verfasst von: Teufel, Martin [VerfasserIn]
• Titel: Unmet supportive care needs among women with breast and gynecological cancer
• Titelzusatz: relevance of attachment anxiety and psychological distress
• Verf.angabe: Johanna Graf, Florian Junne, Johannes C. Ehrenthal, Norbert Schäffeler, Juliane Schwille-Kiuntke, Andreas Stengel, Anja Mehnert-Theuerkauf, Lennart Marwedel, Sara Y. Brucker, Stephan Zipfel, and Martin Teufel
• E-Jahr: 2020
• Jahr: 21 October 2020
• Umfang: 11 S.
• Fussnoten: Gesehen am 26.11.2020
• Titel Quelle: Enthalten in: Frontiers in psychology
• Ort Quelle: Lausanne : Frontiers Research Foundation, 2008
• Jahr Quelle: 2020
• Band/Heft Quelle: 11(2020) Artikel-Nummer 558190, 11 Seiten
• ISSN Quelle: 1664-1078
• DOI: doi:10.3389/fpsyg.2020.558190
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Attachment anxiety
• Sach-SW: Attachment styles
• Sach-SW: distress
• Sach-SW: Psychooncology
• Sach-SW: supportive care needs
• Sach-SW: Unmet need
• K10plus-PPN: 1741197082

Abstract

Objective: Attachment anxiety and avoidance are known risk factors for the development of unmet needs and poor well-being among patients with chronic diseases. Few studies have addressed this in individuals with cancer. We aimed to explore the relationship between supportive care needs, attachment styles and distress in women with breast and gynecological cancer. Methods: Using a cross-sectional paper-pencil (n=157) and online survey (n=614), a total of 771 patients with breast or gynaecological cancer completed a set of validated questionnaires. From September 2013 to January 2014, consecutive inpatients and outpatients of the university hospital Tuebingen were included in the study. Further, participants were recruited through social media, patient internet platforms, self-help group leaders and patient networks. We used the Supportive Care Needs Survey (SCNS-SF-34) with the need dimensions: health system, patient care, psychological, physical and sexual needs, as well as the Experiences in Close Relationships-Revised Questionnaire, and the Distress Thermometer. A multiple linear regression model was used to analyse the influence of attachment styles (anxiety and avoidance) on the SCNS-SF-34 dimensions. A moderation analysis was used to explore the influence of the interaction between attachment anxiety and distress for all SCNS-SF-34 dimensions. Results: Attachment anxiety was a significant determinant and led to higher unmet supportive care needs in all dimensions, whereas attachment avoidance was not significant. Distress did moderate the relationship between attachment anxiety and psychological and health system needs and led to a higher unmet needs development. For the other SCNS-SF-34 dimensions, distress was not confirmed as a moderator. Conclusion: Our findings highlight attachment anxiety as a risk factor for the development of unmet supportive care needs and potentially impaired psychological adjustment to cancer. Further studies are needed to elucidate the interactions between attachment styles, distress and supportive care needs among cancer patients.