{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T19:24:24Z","timestamp":1784834664365,"version":"3.55.0"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2020,6,22]],"date-time":"2020-06-22T00:00:00Z","timestamp":1592784000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Japan Society for the Promotional Science","award":["JP15J02668"],"award-info":[{"award-number":["JP15J02668"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>There are various psychosocial support services for cancer patients in Japan; however, their utilization rate is lower than in Western countries. The aim of this study was to investigate the actual status of the utilization of such services and the related factors of their use, using the transtheoretical model.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted an Internet survey of cancer outpatients. They were asked for information on their demographics, physical status and the usage of and intention to use psychosocial support services, and to answer the Hospital Anxiety and Depression Scale.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Data of 712 participants were analyzed; 111 had made use of psychosocial support services (15.6%). Participants who were younger, female, had breast cancer, experience with hormone therapy and did not have a good performance status (Karnofsky Performance Scale) more often used such services when comparing users\/experiencers with non-users\/inexperienced. Of the inexperienced, 538 were in the Precontemplation stage (89.5%), 62 were in the Contemplation stage (10.3%) and one was in the Preparation stage (0.2%). Approximately 35% of those in the Precontemplation stage would correspond to adjustment disorders or major depression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>We showed the degree of cancer patients who have used the psychosocial support services and its contents and revealed the factors related to the utilization of such services in Japan. Our study supports previous reports that cancer patients with high levels of distress do not necessarily seek support, and thus future studies should also examine other modifiable factors considering the medical settings.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jjco\/hyaa086","type":"journal-article","created":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T12:32:45Z","timestamp":1589891565000},"page":"1175-1181","source":"Crossref","is-referenced-by-count":6,"title":["Understanding help-seeking behaviour in relation to psychosocial support services among Japanese cancer patients"],"prefix":"10.1093","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9525-0018","authenticated-orcid":false,"given":"Tomoko","family":"Matsui","sequence":"first","affiliation":[{"name":"Faculty of Human Sciences, Waseda University, Tokorozawa, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Hirai","sequence":"additional","affiliation":[{"name":"Graduate School of Human Sciences, Osaka University, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuyuki","family":"Gondo","sequence":"additional","affiliation":[{"name":"Graduate School of Human Sciences, Osaka University, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichi","family":"Sato","sequence":"additional","affiliation":[{"name":"Graduate School of Human Sciences, Osaka University, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,6,22]]},"reference":[{"key":"2020092802344887700_ref1","doi-asserted-by":"crossref","first-page":"1759","DOI":"10.1002\/pon.3210","article-title":"Trajectories of psychological distress after colorectal cancer","volume":"22","author":"Dunn","year":"2013","journal-title":"Psychooncology"},{"key":"2020092802344887700_ref2","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1093\/jjco\/hyy191","article-title":"Problems, goals and solutions reported by cancer patients participating in group problem-solving therapy","volume":"49","author":"Matsui","year":"2019","journal-title":"Jpn J Clin Oncol."},{"key":"2020092802344887700_ref3","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1093\/jjco\/hyu165","article-title":"Difference of patient's perceived need in breast cancer patients after diagnosis","volume":"45","author":"Akechi","year":"2015","journal-title":"Jpn J Clin Oncol"},{"key":"2020092802344887700_ref4","doi-asserted-by":"crossref","first-page":"1504","DOI":"10.1001\/jama.1979.03300140020016","article-title":"Psychological coping mechanisms and survival time in metastatic breast cancer","volume":"242","author":"Derogatis","year":"1979","journal-title":"JAMA"},{"key":"2020092802344887700_ref5","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1002\/pon.3409","article-title":"Prevalence of depression in cancer patients: a meta-analysis of diagnostic interviews and self-report instruments","volume":"23","author":"Krebber","year":"2014","journal-title":"Psychooncology"},{"key":"2020092802344887700_ref6","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/S2215-0366(14)70313-X","article-title":"Prevalence, associations, and adequacy of treatment of major depression in patients with cancer: a cross-sectional analysis of routinely collected clinical data","volume":"1","author":"Walker","year":"2014","journal-title":"Lancet Psychiatry"},{"key":"2020092802344887700_ref7","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1002\/pon.4197","article-title":"Utilization of professional psychological care in a large German sample of cancer patients","volume":"26","author":"Faller","year":"2017","journal-title":"Psychooncology"},{"key":"2020092802344887700_ref8","doi-asserted-by":"crossref","first-page":"1961","DOI":"10.1200\/JCO.2012.46.2101","article-title":"Receipt of psychosocial care among cancer survivors in the United States","volume":"31","author":"Forsythe","year":"2013","journal-title":"J Clin Oncol"},{"key":"2020092802344887700_ref9","doi-asserted-by":"crossref","first-page":"1393","DOI":"10.1007\/s00520-009-0761-9","article-title":"Unmet supportive needs of cancer patients in an acute care hospital in Japan\u2014a census study","volume":"18","author":"Fujisawa","year":"2010","journal-title":"Support Care Cancer"},{"key":"2020092802344887700_ref10","first-page":"35","article-title":"Individuals who are able to support cancer patients psychologically and in other ways and consultation of cancer patients: from an internet survey on cancer patients and survivors","volume":"22","author":"Matsushita","year":"2010","journal-title":"Jpn J Gen Hosp Psychiatry"},{"key":"2020092802344887700_ref11","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1002\/pon.1616","article-title":"Feasibility and usefulness of the \u201cdistress screening program in ambulatory care\u201d in clinical oncology practice","volume":"19","author":"Shimizu","year":"2010","journal-title":"Psychooncology"},{"key":"2020092802344887700_ref12","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1037\/0003-066X.47.9.1102","article-title":"In search of how people change: applications to addictive behaviors","volume":"47","author":"Prochaska","year":"1992","journal-title":"Am Psychol"},{"key":"2020092802344887700_ref13","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1111\/jpr.12105","article-title":"A review of posttraumatic growth and help-seeking behavior in cancer survivors: effects of distal and proximate culture","volume":"58","author":"Matsui","year":"2016","journal-title":"Jpn Psychol Res"},{"key":"2020092802344887700_ref14","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The hospital anxiety and depression scale","volume":"67","author":"Zigmond","year":"1983","journal-title":"Acta Psychiatr Scand"},{"key":"2020092802344887700_ref15","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1093\/jjco\/28.5.333","article-title":"Screening for psychological distress in Japanese cancer patients","volume":"28","author":"Kugaya","year":"1998","journal-title":"Jpn J Clin Oncol"},{"key":"2020092802344887700_ref16","first-page":"615","article-title":"Cultural differences in professional help seeking: a comparison of Japan and the US","volume":"3","author":"Mojaverian","year":"2013","journal-title":"Front Psychology"},{"key":"2020092802344887700_ref17","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1093\/jjco\/hyx058","article-title":"The use of psychosocial support services among Japanese breast cancer survivors","volume":"47","author":"Matsui","year":"2017","journal-title":"Jpn J Clin Oncol"},{"key":"2020092802344887700_ref18","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/S0163-8343(02)00185-8","article-title":"Response of Japanese patients to the change of department name for the psychiatric outpatient clinic in a university hospital","volume":"24","author":"Hirosawa","year":"2002","journal-title":"Gen Hosp Psychiatry"},{"key":"2020092802344887700_ref19","doi-asserted-by":"crossref","first-page":"123","DOI":"10.11560\/jhpr.170405084","article-title":"Factors contributing to the use of psychosocial support services among cancer outpatients in Japan: a qualitative study on help-seeking behavior","volume":"31","author":"Matsui","year":"2019","journal-title":"J Health Psychol Res"},{"key":"2020092802344887700_ref20","doi-asserted-by":"crossref","first-page":"102058","DOI":"10.1016\/j.ajp.2020.102058","article-title":"Factors that influence psychiatric help-seeking behavior in Japanese university students","volume":"51","author":"Adachi","year":"2020","journal-title":"Asian J Psychiatry"},{"key":"2020092802344887700_ref21","doi-asserted-by":"crossref","first-page":"1562","DOI":"10.1002\/pon.4172","article-title":"Biopsychosocial problem-related distress in cancer: examining the role of sex and age","volume":"26","author":"Clark","year":"2016","journal-title":"Psychooncology"},{"key":"2020092802344887700_ref22","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1002\/pon.1774","article-title":"Prospective predictors of psychosocial support service use after cancer","volume":"20","author":"Mcdowell","year":"2011","journal-title":"Psychooncology"},{"key":"2020092802344887700_ref23","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1002\/pon.1317","article-title":"Socio-demographic, psychosocial and attitudinal predictors of help seeking after cancer diagnosis","volume":"17","author":"Steginga","year":"2008","journal-title":"Psychooncology"},{"key":"2020092802344887700_ref24","first-page":"101","article-title":"Predictors of negative attitudes toward mental health services: a general population study in Japan","volume":"25","author":"Yamawaki","year":"2011","journal-title":"Eur Psychiatry"},{"key":"2020092802344887700_ref25","article-title":"Summary of static\/dynamic survey of medical institutions and hospital report","author":"Ministry of Health, Labour and Welfare"},{"key":"2020092802344887700_ref26","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1038\/s41598-017-13362-8","article-title":"Perceived stress level and risk of cancer incidence in a Japanese population: the Japan Public Health Center (JPHC)-based prospective study","volume":"7","author":"Song","year":"2017","journal-title":"Sci Rep"},{"key":"2020092802344887700_ref27","doi-asserted-by":"crossref","first-page":"2552","DOI":"10.1093\/annonc\/mdx350","article-title":"Mapping unmet supportive care needs, quality-of-life perceptions and current symptoms in cancer survivors across the Asia-Pacific region: results from the International STEP Study","volume":"28","author":"Molassiotis","year":"2017","journal-title":"Ann Oncol"},{"key":"2020092802344887700_ref28","article-title":"Psychosocial effects of appearance changes due to cancer treatment and needs for information and supportive care in Japanese cancer patients","author":"Sakai","year":"2020","journal-title":"Asia Pac J Clin Oncol"},{"key":"2020092802344887700_ref29","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1002\/pon.3488","article-title":"Barriers to mental health service use and preferences for addressing emotional concerns among lung cancer patients","volume":"23","author":"Mosher","year":"2014","journal-title":"Psychooncology"},{"key":"2020092802344887700_ref30","first-page":"52","article-title":"Characteristics in preferences of old community residents in an urban area concerning sources of social support","volume":"44","author":"Kweon","year":"2004","journal-title":"Jpn J Soc Welfare"},{"key":"2020092802344887700_ref31","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1177\/1078155215587541","article-title":"Assessment of mental health literacy in patients with breast cancer","volume":"22","author":"Cheung","year":"2016","journal-title":"J Oncol Pharm Pract"},{"key":"2020092802344887700_ref32","first-page":"5","article-title":"Developing a scale for attitude toward using psychosocial support services for cancer patients","volume":"64","author":"Matsui","year":"2017","journal-title":"J Health Welfare Stat"},{"key":"2020092802344887700_ref33","volume-title":"7th Asian Congress of Health Psychology International Conference","author":"Matsui","year":"2019"},{"key":"2020092802344887700_ref34","volume-title":"33rd Annual Conference of the European Health Psychology Society","author":"Matsui","year":"2019"}],"container-title":["Japanese Journal of Clinical Oncology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jjco\/article-pdf\/50\/10\/1175\/33797104\/hyaa086.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jjco\/article-pdf\/50\/10\/1175\/33797104\/hyaa086.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,28]],"date-time":"2020-09-28T06:35:10Z","timestamp":1601274910000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jjco\/article\/50\/10\/1175\/5860127"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,22]]},"references-count":34,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2020,6,22]]},"published-print":{"date-parts":[[2020,9,28]]}},"URL":"https:\/\/doi.org\/10.1093\/jjco\/hyaa086","relation":{},"ISSN":["1465-3621"],"issn-type":[{"value":"1465-3621","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,10]]},"published":{"date-parts":[[2020,6,22]]}}}