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Despite their relevance, these assessments have rarely been systematically examined. The aim of this study was to analyze psycho-oncologists\u2019 assessments of psychological distress and support needs and to identify factors influencing their assessments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In a cross-sectional study,\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20099 psycho-oncologists retrospectively evaluated\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20091048 initial psychooncological consultations. The perceived psychological distress, depression, anxiety, health literacy and support needs of patients were recorded, as well as consultation-related conditions and the psycho-oncologists\u2019 own stress levels. Analyses involved descriptive statistics, group comparisons, correlations, and a binomial logistic regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A distress score \u2265 5 was observed by psychooncologists in 74.7% of patients; 44.5% were rated as anxious, 28.6% as depressed. Mental health diagnoses were made in 25% of cases, mainly adjustment or affective disorders. Psycho-oncological support needs were identified in 75.6% of patients. Key predictors for identifying distress and needs included patients\u2019 desire for support (OR\u2009=\u200945.06), Knowledge and information about the consultation (OR\u2009=\u20092.66), and psycho-oncologists\u2019 own stress levels (OR\u2009=\u20091.53).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Psycho-oncological initial assessments are clinically relevant, but are subject to contextual and personal influences. The structured collection of consultation requests, information awareness, and health literacy, as well as interdisciplinary collaboration, can improve the assessment. The psychological stress of psycho-oncologists should also be systematically taken into account.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00432-025-06419-z","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T16:23:18Z","timestamp":1768321398000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Initial assessments by psycho-oncologists: predictors of distress and support needs"],"prefix":"10.1007","volume":"152","author":[{"given":"Viktoria","family":"Ginger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanja","family":"Zimmermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"key":"6419_CR1","doi-asserted-by":"publisher","first-page":"1600","DOI":"10.1007\/s11764-023-01400-6","volume":"18","author":"H Bahlburg","year":"2024","unstructured":"Bahlburg H, Hellmann T, Tully K, Butea-Bocu MC, Reike M, Roghmann F, Noldus J, M\u00fcller G (2024) Psychosocial distress and quality of life in patients after radical cystectomy: one year follow-up in 842 German patients. 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