Abstract
ObjectiveThe purpose of this study was to describe the preferences, the use, satisfaction of mental health services (MHS) among a sample of Puerto Rican patients with cancer undergoing oncology treatment.MethodsA convenience sample of 120 patients diagnosed with cancer was recruited. Self-report questionnaires assessed socio-demographic and background questions, and the Mental Health Service Preference, Utilization and Satisfaction Questionnaire (MHSPUS). The Socio-demographic and Background Questionnaire inquired about participants’ demographic and socioeconomic characteristics, and included questions such as history of psychiatric diagnosis and spiritual practices. Univariate and Chi square analyses were used for descriptive purposes. Logistic regressions were used to explore associations between sociodemographic factors and MHS preferences and use.ResultsThe majority of the sample were females (53.8%), 61 and older (53.8%), and married or living with partner (57.1%), and reported an income equal to or less than $12,000 per year (44.4%), which places them under the US federal poverty line. Most of the participants (66.7%) reported being receptive to seeking services. Findings showed a significant association between living situation and past (p < .05) and lifetime use (p < .05) of MHS and past use of MHS. Participants living alone were more like to have used MHS in the past and during their lifetime. Adjusted logistic regression analyses revealed that living with someone was a protective factor for not using MHS in their lifetime (OR = 0.28; C1 = 0.08–0.95). Participants preferred to receive MHS at the oncology clinic, preferably on the date of their oncology appointments and during morning hours.ConclusionFindings support the integration of mental health services within the oncology practice setting.
Highlights
In Puerto Rico, cancer incidence increased significantly between 2007 and 2011,[1] with cancer becoming the first cause of death among the adult population in the island.[2]
Findings showed a significant association between living situation and past (p < .05) and lifetime use (p < .05) of mental health services (MHS) and past use of MHS
Findings support the integration of mental health services within the oncology practice setting
Summary
In Puerto Rico, cancer incidence increased significantly between 2007 and 2011,[1] with cancer becoming the first cause of death among the adult population in the island.[2] A cancer diagnosis represents a physical and emotional burden to patients.[3],[4],[5] Within the cancer care continuum, patients experience emotional distress in the form of fear, anxiety and sadness[6] and 30–75% of patients with cancer experience some emotional distress.[7] These emotional reactions are often associated with the perception of cancer as a fatalistic event.[8]. 43.9% met the clinical criteria for a Mood Disorders and 26% presented symptoms of an Adjustment Disorder.[13]
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