PMID- 32484756 OWN - NLM STAT- MEDLINE DCOM- 20211125 LR - 20211125 IS - 1465-3966 (Electronic) IS - 1354-8506 (Linking) VI - 26 IP - 7 DP - 2021 Aug TI - Health literacy, mental disorders and fear of progression and their association with a need for psycho-oncological care over the course of a breast cancer treatment. PG - 818-831 LID - 10.1080/13548506.2020.1772987 [doi] AB - This studyinvestigates the need for psycho-oncological care over the course of a breast cancer treatment and possible associated factors to develop such a need. The PIAT-Study was a longitudinal postal survey study conducted in Germany (2013 to 2014) with breast cancer patients (BCPs). Patients received a questionnaire at three-time points (T1: few days after surgery, T2: after 10 weeks; T3: after 40 weeks). This study considers information about patients' needs for psycho-oncological care, their breast cancer disease, social support, anxiety, health literacy (HL) and sociodemographic information. Data were analysed with descriptive statistics and logistic regression modelling to estimate the association between a need for psycho-oncological treatment and patient characteristics. N = 927 breast cancer patients reported their psycho-oncological need. 35.2% of patients report at least at one measuring point to be in need for psycho-oncological care. In a multiple logistic regression, noticeable determinants for developing such a need are an inadequateHL(OR = 1.97), fear of progression (FoP) (OR = 2.08) and psychological comorbidities (OR = 8.15) as well as certain age groups. BCPs with a low HL, suffering from a dysfunctional level of FoP or mental disorders are more likely to develop a need for psycho-oncological care. FAU - Nakata, Hannah AU - Nakata H AUID- ORCID: 0000-0002-1102-8047 AD - Center for Health Communication and Health Services Research (CHSR), Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, Bonn, Germany. AD - Center for Integrated Oncology Bonn (CIO), University Hospital Bonn, Bonn, Germany. AD - Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, Bonn, Germany. FAU - Halbach, Sarah AU - Halbach S AD - Center for Health Communication and Health Services Research (CHSR), Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, Bonn, Germany. AD - Center for Integrated Oncology Bonn (CIO), University Hospital Bonn, Bonn, Germany. AD - Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, Bonn, Germany. FAU - Geiser, Franziska AU - Geiser F AD - Center for Integrated Oncology Bonn (CIO), University Hospital Bonn, Bonn, Germany. AD - Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, Bonn, Germany. FAU - Stock, Stephanie AU - Stock S AD - Institute of Health Economics and Clinical Epidemiology, University of Cologne, Cologne, Germany. FAU - Kowalski, Christoph AU - Kowalski C AUID- ORCID: 0000-0002-7438-4321 AD - German Cancer Society e.V. (DKG), Berlin. FAU - Enders, Anna AU - Enders A AD - Department for Health Promotion for Vulnerable Groups, The Federal Centre for Health Education (BZgA), Cologne, Germany. FAU - Pfaff, Holger AU - Pfaff H AUID- ORCID: 0000-0001-9154-6575 AD - Institute of Medical Sociology, Health Services Research, and Rehabilitation Science (IMVR), Faculty of Human Sciences and Faculty of Medicine, University of Cologne, Cologne, Germany. FAU - Ernstmann, Nicole AU - Ernstmann N AD - Center for Health Communication and Health Services Research (CHSR), Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, Bonn, Germany. AD - Center for Integrated Oncology Bonn (CIO), University Hospital Bonn, Bonn, Germany. AD - Department for Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, Bonn, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200602 PL - England TA - Psychol Health Med JT - Psychology, health & medicine JID - 9604099 SB - IM MH - *Breast Neoplasms/therapy MH - Fear MH - Female MH - Germany MH - *Health Literacy MH - Humans MH - *Mental Disorders MH - Psycho-Oncology OTO - NOTNLM OT - Breast cancer OT - Fear of Progression OT - Health Literacy OT - Psycho-oncology OT - needs assessment EDAT- 2020/06/03 06:00 MHDA- 2021/11/26 06:00 CRDT- 2020/06/03 06:00 PHST- 2020/06/03 06:00 [pubmed] PHST- 2021/11/26 06:00 [medline] PHST- 2020/06/03 06:00 [entrez] AID - 10.1080/13548506.2020.1772987 [doi] PST - ppublish SO - Psychol Health Med. 2021 Aug;26(7):818-831. doi: 10.1080/13548506.2020.1772987. Epub 2020 Jun 2.