{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:58:16Z","timestamp":1787507896384,"version":"build-2736575974"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,7,13]],"date-time":"2016-07-13T00:00:00Z","timestamp":1468368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005972","name":"Deutsche Krebshilfe","doi-asserted-by":"publisher","award":["107465"],"award-info":[{"award-number":["107465"]}],"id":[{"id":"10.13039\/501100005972","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Although one\u2010third of cancer patients are perceived to have a need for psychological support based on the percentage of mental disorders, little is known about the actual utilization of psychological care in cancer. We aimed to assess cancer patients' reported use of psychological care and its correlates in a large, representative sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a multicenter, cross\u2010sectional study in Germany, 4020 cancer patients (mean age 58\u00a0years, 51% women) were evaluated. We obtained self\u2010reports of use of psychotherapy and psychological counseling. We measured distress with the Distress Thermometer, symptoms of depression with the Patient Health Questionnaire, anxiety with the Generalized Anxiety Disorder Scale, and social support with the Illness\u2010specific Social Support Scale. In a subsample of 2141, we evaluated the presence of a mental disorder using the Composite International Diagnostic Interview.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 28.9% (95% confidence interval 27.4%\u201030.4%) reported having used psychotherapy or psychological counseling or both because of distress due to cancer. Independent correlates of utilization included age (odds ratio [OR]\u00a0=\u00a00.97 per year], sex (male, OR\u00a0=\u00a00.55), social support (OR\u00a0=\u00a00.96), symptoms of depression (OR\u00a0=\u00a01.04) and anxiety (OR\u00a0=\u00a01.08), the diagnosis of a mental disorder (OR\u00a0=\u00a01.68), and a positive attitude toward psychosocial support (OR\u00a0=\u00a01.27). Less than half of those currently diagnosed with a mental disorder reported having taken up psychological support offers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Special efforts should be made to reach populations that report low utilization of psychological care in spite of having a need for support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.4197","type":"journal-article","created":{"date-parts":[[2016,6,22]],"date-time":"2016-06-22T16:11:42Z","timestamp":1466611902000},"page":"537-543","source":"Crossref","is-referenced-by-count":95,"title":["Utilization of professional psychological care in a large German sample of cancer patients"],"prefix":"10.1002","volume":"26","author":[{"given":"Hermann","family":"Faller","sequence":"first","affiliation":[{"name":"Department of Medical Psychology and Psychotherapy, Medical Sociology and Rehabilitation Sciences, and Comprehensive Cancer Center Mainfranken University of W\u00fcrzburg  W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Weis","sequence":"additional","affiliation":[{"name":"Department of Psychooncology, Tumor Biology Center University Medical Center Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uwe","family":"Koch","sequence":"additional","affiliation":[{"name":"Department and Outpatient Clinic of Medical Psychology University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elmar","family":"Br\u00e4hler","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology and Medical Sociology University Medical Center Leipzig  Leipzig Germany"},{"name":"Department of Psychosomatic Medicine and Psychotherapy University Medical Center Mainz  Mainz 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University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Boehncke","sequence":"additional","affiliation":[{"name":"Department of Psychooncology, Tumor Biology Center University Medical Center Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca","family":"Hund","sequence":"additional","affiliation":[{"name":"Rhein\u2010Jura\u2010Klinik  Bad S\u00e4ckingen Germany"},{"name":"Department of Psychiatry and Psychotherapy University Medical Center Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrin","family":"Reuter","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy University Medical Center Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Richard","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology and Psychotherapy, Medical Sociology and Rehabilitation Sciences, and Comprehensive Cancer Center Mainfranken University of W\u00fcrzburg  W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"Sehner","sequence":"additional","affiliation":[{"name":"Department of Medical Biometry and Epidemiology University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans\u2010Ulrich","family":"Wittchen","sequence":"additional","affiliation":[{"name":"Institute of Clinical Psychology and Psychotherapy and Center of Clinical Epidemiology and Longitudinal Studies (CELOS) Technical University Dresden  Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anja","family":"Mehnert","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology and Medical Sociology University Medical Center Leipzig  Leipzig 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