Barriers to mental health service use among hematopoietic SCT survivors
This study examined barriers to mental health service use and the demographic, medical and psychosocial correlates of these barriers among hematopoietic SCT (HSCT) survivors. A sample of 253 HSCT survivors who were 1 to 3 years posttransplant completed measures of demographic, physical, psychologica...
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| Veröffentlicht in: | Bone marrow transplantation (Basingstoke) 2010-03, Vol.45 (3), p.570-579 |
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| container_title | Bone marrow transplantation (Basingstoke) |
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| creator | Mosher, C E DuHamel, K N Rini, C M Li, Y Isola, L Labay, L Rowley, S Papadopoulos, E Moskowitz, C Scigliano, E Grosskreutz, C Redd, W H |
| description | This study examined barriers to mental health service use and the demographic, medical and psychosocial correlates of these barriers among hematopoietic SCT (HSCT) survivors. A sample of 253 HSCT survivors who were 1 to 3 years posttransplant completed measures of demographic, physical, psychological and social characteristics as well as a newly modified measure of barriers to mental health service use. Only 50% of distressed HSCT survivors had received mental health services. An exploratory factor analysis of the barriers to mental health service use scale yielded four factors: scheduling barriers, knowledge barriers, emotional barriers and illness-related barriers. Patients with higher social constraints (perceived problems discussing the illness experience with significant others) reported higher levels of all four types of barriers. General distress and transplant-related posttraumatic stress symptoms were positively associated with emotional, knowledge and illness-related barriers to mental health service use, whereas physical and functional well-being were inversely associated with these barriers. Having more knowledge barriers and more emotional barriers predicted a lower likelihood of receiving mental health services, as did lower levels of education and general distress. Results suggest that a significant number of HSCT survivors may benefit from education about mental health services that is tailored to individual barriers. |
| doi_str_mv | 10.1038/bmt.2009.166 |
| format | Article |
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A sample of 253 HSCT survivors who were 1 to 3 years posttransplant completed measures of demographic, physical, psychological and social characteristics as well as a newly modified measure of barriers to mental health service use. Only 50% of distressed HSCT survivors had received mental health services. An exploratory factor analysis of the barriers to mental health service use scale yielded four factors: scheduling barriers, knowledge barriers, emotional barriers and illness-related barriers. Patients with higher social constraints (perceived problems discussing the illness experience with significant others) reported higher levels of all four types of barriers. General distress and transplant-related posttraumatic stress symptoms were positively associated with emotional, knowledge and illness-related barriers to mental health service use, whereas physical and functional well-being were inversely associated with these barriers. Having more knowledge barriers and more emotional barriers predicted a lower likelihood of receiving mental health services, as did lower levels of education and general distress. Results suggest that a significant number of HSCT survivors may benefit from education about mental health services that is tailored to individual barriers.</description><identifier>ISSN: 0268-3369</identifier><identifier>EISSN: 1476-5365</identifier><identifier>DOI: 10.1038/bmt.2009.166</identifier><identifier>PMID: 19597417</identifier><identifier>CODEN: BMTRE9</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adult ; Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Bone marrow ; Bone marrow, stem cells transplantation. Graft versus host reaction ; Cancer survivors ; Cell Biology ; Demographics ; Education ; Emotions ; Factor analysis ; Female ; Health aspects ; Health services ; Hematologic Neoplasms - psychology ; Hematologic Neoplasms - therapy ; Hematology ; Hematopoietic Stem Cell Transplantation - adverse effects ; Hematopoietic Stem Cell Transplantation - psychology ; Hematopoietic stem cells ; Humans ; Illnesses ; Internal Medicine ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Mental health ; Mental Health Services - utilization ; Middle Aged ; Neoplasms - psychology ; Neoplasms - therapy ; original-article ; Patient Participation ; Post traumatic stress disorder ; Principal Component Analysis ; Psychiatric services ; Psychological aspects ; Psychology ; Public Health ; Social Support ; Stem cell transplantation ; Stem Cells ; Stress Disorders, Post-Traumatic - etiology ; Stress Disorders, Post-Traumatic - prevention & control ; Stress Disorders, Post-Traumatic - psychology ; Stress, Psychological ; Survival ; Transfusions. Complications. Transfusion reactions. Cell and gene therapy ; Transplantation ; United States ; Well being ; Young Adult</subject><ispartof>Bone marrow transplantation (Basingstoke), 2010-03, Vol.45 (3), p.570-579</ispartof><rights>Macmillan Publishers Limited 2010</rights><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2010 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Mar 2010</rights><rights>Macmillan Publishers Limited 2010.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c574t-228da936f406eb82cabdf06a7381227619e90299d0ed38940eda489c3b699f3b3</citedby><cites>FETCH-LOGICAL-c574t-228da936f406eb82cabdf06a7381227619e90299d0ed38940eda489c3b699f3b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/bmt.2009.166$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/bmt.2009.166$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,2725,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22602616$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19597417$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mosher, C E</creatorcontrib><creatorcontrib>DuHamel, K N</creatorcontrib><creatorcontrib>Rini, C M</creatorcontrib><creatorcontrib>Li, Y</creatorcontrib><creatorcontrib>Isola, L</creatorcontrib><creatorcontrib>Labay, L</creatorcontrib><creatorcontrib>Rowley, S</creatorcontrib><creatorcontrib>Papadopoulos, E</creatorcontrib><creatorcontrib>Moskowitz, C</creatorcontrib><creatorcontrib>Scigliano, E</creatorcontrib><creatorcontrib>Grosskreutz, C</creatorcontrib><creatorcontrib>Redd, W H</creatorcontrib><title>Barriers to mental health service use among hematopoietic SCT survivors</title><title>Bone marrow transplantation (Basingstoke)</title><addtitle>Bone Marrow Transplant</addtitle><addtitle>Bone Marrow Transplant</addtitle><description>This study examined barriers to mental health service use and the demographic, medical and psychosocial correlates of these barriers among hematopoietic SCT (HSCT) survivors. A sample of 253 HSCT survivors who were 1 to 3 years posttransplant completed measures of demographic, physical, psychological and social characteristics as well as a newly modified measure of barriers to mental health service use. Only 50% of distressed HSCT survivors had received mental health services. An exploratory factor analysis of the barriers to mental health service use scale yielded four factors: scheduling barriers, knowledge barriers, emotional barriers and illness-related barriers. Patients with higher social constraints (perceived problems discussing the illness experience with significant others) reported higher levels of all four types of barriers. General distress and transplant-related posttraumatic stress symptoms were positively associated with emotional, knowledge and illness-related barriers to mental health service use, whereas physical and functional well-being were inversely associated with these barriers. Having more knowledge barriers and more emotional barriers predicted a lower likelihood of receiving mental health services, as did lower levels of education and general distress. Results suggest that a significant number of HSCT survivors may benefit from education about mental health services that is tailored to individual barriers.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Bone marrow</subject><subject>Bone marrow, stem cells transplantation. Graft versus host reaction</subject><subject>Cancer survivors</subject><subject>Cell Biology</subject><subject>Demographics</subject><subject>Education</subject><subject>Emotions</subject><subject>Factor analysis</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health services</subject><subject>Hematologic Neoplasms - psychology</subject><subject>Hematologic Neoplasms - therapy</subject><subject>Hematology</subject><subject>Hematopoietic Stem Cell Transplantation - adverse effects</subject><subject>Hematopoietic Stem Cell Transplantation - psychology</subject><subject>Hematopoietic stem cells</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental health</subject><subject>Mental Health Services - utilization</subject><subject>Middle Aged</subject><subject>Neoplasms - psychology</subject><subject>Neoplasms - therapy</subject><subject>original-article</subject><subject>Patient Participation</subject><subject>Post traumatic stress disorder</subject><subject>Principal Component Analysis</subject><subject>Psychiatric services</subject><subject>Psychological aspects</subject><subject>Psychology</subject><subject>Public Health</subject><subject>Social Support</subject><subject>Stem cell transplantation</subject><subject>Stem Cells</subject><subject>Stress Disorders, Post-Traumatic - etiology</subject><subject>Stress Disorders, Post-Traumatic - prevention & control</subject><subject>Stress Disorders, Post-Traumatic - psychology</subject><subject>Stress, Psychological</subject><subject>Survival</subject><subject>Transfusions. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Bone marrow</topic><topic>Bone marrow, stem cells transplantation. Graft versus host reaction</topic><topic>Cancer survivors</topic><topic>Cell Biology</topic><topic>Demographics</topic><topic>Education</topic><topic>Emotions</topic><topic>Factor analysis</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health services</topic><topic>Hematologic Neoplasms - psychology</topic><topic>Hematologic Neoplasms - therapy</topic><topic>Hematology</topic><topic>Hematopoietic Stem Cell Transplantation - adverse effects</topic><topic>Hematopoietic Stem Cell Transplantation - psychology</topic><topic>Hematopoietic stem cells</topic><topic>Humans</topic><topic>Illnesses</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental health</topic><topic>Mental Health Services - utilization</topic><topic>Middle Aged</topic><topic>Neoplasms - psychology</topic><topic>Neoplasms - therapy</topic><topic>original-article</topic><topic>Patient Participation</topic><topic>Post traumatic stress disorder</topic><topic>Principal Component Analysis</topic><topic>Psychiatric services</topic><topic>Psychological aspects</topic><topic>Psychology</topic><topic>Public Health</topic><topic>Social Support</topic><topic>Stem cell transplantation</topic><topic>Stem Cells</topic><topic>Stress Disorders, Post-Traumatic - etiology</topic><topic>Stress Disorders, Post-Traumatic - prevention & control</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><topic>Stress, Psychological</topic><topic>Survival</topic><topic>Transfusions. Complications. Transfusion reactions. 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A sample of 253 HSCT survivors who were 1 to 3 years posttransplant completed measures of demographic, physical, psychological and social characteristics as well as a newly modified measure of barriers to mental health service use. Only 50% of distressed HSCT survivors had received mental health services. An exploratory factor analysis of the barriers to mental health service use scale yielded four factors: scheduling barriers, knowledge barriers, emotional barriers and illness-related barriers. Patients with higher social constraints (perceived problems discussing the illness experience with significant others) reported higher levels of all four types of barriers. General distress and transplant-related posttraumatic stress symptoms were positively associated with emotional, knowledge and illness-related barriers to mental health service use, whereas physical and functional well-being were inversely associated with these barriers. Having more knowledge barriers and more emotional barriers predicted a lower likelihood of receiving mental health services, as did lower levels of education and general distress. Results suggest that a significant number of HSCT survivors may benefit from education about mental health services that is tailored to individual barriers.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>19597417</pmid><doi>10.1038/bmt.2009.166</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0268-3369 |
| ispartof | Bone marrow transplantation (Basingstoke), 2010-03, Vol.45 (3), p.570-579 |
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| source | MEDLINE; Nature Journals Online; EZB-FREE-00999 freely available EZB journals; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Bone marrow Bone marrow, stem cells transplantation. Graft versus host reaction Cancer survivors Cell Biology Demographics Education Emotions Factor analysis Female Health aspects Health services Hematologic Neoplasms - psychology Hematologic Neoplasms - therapy Hematology Hematopoietic Stem Cell Transplantation - adverse effects Hematopoietic Stem Cell Transplantation - psychology Hematopoietic stem cells Humans Illnesses Internal Medicine Male Medical sciences Medicine Medicine & Public Health Mental health Mental Health Services - utilization Middle Aged Neoplasms - psychology Neoplasms - therapy original-article Patient Participation Post traumatic stress disorder Principal Component Analysis Psychiatric services Psychological aspects Psychology Public Health Social Support Stem cell transplantation Stem Cells Stress Disorders, Post-Traumatic - etiology Stress Disorders, Post-Traumatic - prevention & control Stress Disorders, Post-Traumatic - psychology Stress, Psychological Survival Transfusions. Complications. Transfusion reactions. Cell and gene therapy Transplantation United States Well being Young Adult |
| title | Barriers to mental health service use among hematopoietic SCT survivors |
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