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Unmet mental health needs in patients with advanced B-cell lymphomas

Published online by Cambridge University Press:  18 August 2021

Chrystal Marte Open the ORCID record for Chrystal Marte [Opens in a new window] ,
Login S. George ,
Sarah C. Rutherford ,
Daniel Jie Ouyang ,
Peter Martin ,
John P. Leonard  and
Kelly M. Trevino Open the ORCID record for Kelly M. Trevino [Opens in a new window]
Chrystal Marte
Affiliation:
Memorial Sloan Kettering Cancer Center, New York, NY
Login S. George
Affiliation:
Memorial Sloan Kettering Cancer Center, New York, NY
Sarah C. Rutherford
Affiliation:
Weill Cornell Medicine, New York, NY New York Presbyterian, New York, NY
Daniel Jie Ouyang
Affiliation:
SUNY Downstate Medical Center, New York, NY
Peter Martin
Affiliation:
Weill Cornell Medicine, New York, NY New York Presbyterian, New York, NY
John P. Leonard
Affiliation:
Weill Cornell Medicine, New York, NY New York Presbyterian, New York, NY
Kelly M. Trevino*
Affiliation:
Memorial Sloan Kettering Cancer Center, New York, NY
*
Author for correspondence: Chrystal Marte, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, New York, NY 10022, USA. E-mail: [email protected]
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Abstract

Context

Existing research on psychological distress and mental health service utilization has focused on common types of solid tumor cancers, leaving significant gaps in our understanding of patients experiencing rare forms of hematologic cancers.

Objective

To examine distress, quality of life, and mental health service utilization among patients with aggressive, refractory B-cell lymphomas.

Method

Patients (n = 26) with B-cell lymphomas that relapsed after first- or second-line treatment completed self-report measures of distress (Hospital Anxiety and Depression Scale) and quality of life (Short-Form Health Survey, SF-12). Patients also reported whether they had utilized mental health treatment since their cancer diagnosis.

Results

Approximately 42% (n = 11) of patients reported elevated levels of psychological distress. Of patients with elevated distress, only one quarter (27.2%; n = 3) received mental health treatment, while more than half did not receive mental health treatment (54.5%; n = 6), and 18.1% (n = 2) did not want treatment. Patients with elevated distress reported lower mental quality of life than patients without elevated distress [F (1, 25) = 15.32, p = 0.001].

Significance of the results

A significant proportion of patients with advanced, progressive, B-cell lymphomas may experience elevated levels of distress. Yet, few of these distressed patients receive mental health treatment. Findings highlight the need to better identify and address barriers to mental health service utilization among patients with B-cell lymphoma, including among distressed patients who decline treatment.

Keywords

B-cell lymphomaDistressMental health treatment utilizationQuality of life
Type
Original Article
Information
Palliative & Supportive Care , Volume 20 , Issue 3 , June 2022 , pp. 328 - 333
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Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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