Inanspruchnahme psychosozialer Hilfe durch Krebsbetroffene : Welche Rolle spielen Erwartungen, Werte und Angehörige?
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Philipps-Universität Marburg
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Abstract
The psychosocial impact of cancer is tremendous. Approximately every second person affected by cancer (PAC) experiences clinically significant psychosocial distress (Mehnert et al., 2018) and up to a third suffers from psychiatric disorders (Kuhnt et al., 2016). Although effective treatments for psychosocial problems are available, uptake rates stay lower than the reported need (Faller et al., 2017; Salmon et al., 2015). The purpose of this dissertation is to explain this treatment gap with person-related variables as well as finding approaches to change uptake behavior.
Previous uptake research consists of multiple studies from single, but diverse care settings for people with various tumor types (Faller et al., 2017). Study 1 was planned to meta-analyze the correlation between different person-related variables and uptake of psychosocial care. It revealed small positive correlations between uptake and female gender, higher education, distress, anxiety, depression, and a present psychiatric diagnosis. Besides meta-analysis nine single studies reported small to moderate correlations of uptake with psychological factors like attitudes, health beliefs, stigma, alexithymia, and attachment style.
The second study evaluated a German version of the “attitudes towards seeking help after cancer scale” psychometrically. The relationship between attitudes and service uptake was also investigated. The German version of the scale showed to be a reliable and valid measure of attitudes. There was a medium correlation between psycho¬social service uptake and the measured attitudes toward help-seeking.
The third study presented in detailed case reports, how theory-based interventions to change psychological processes affecting uptake behavior can be individualized. In both cases, the value-based and communication-enhancing intervention lead participants to accept an offer to discuss advanced care planning (ACP). ACP is a process of communication that enables individuals to plan their future health care, especially for situations in which they are incapable of making decisions.
Study 4 separated the intervention into two theoretically distinct components to clarify which parts of the intervention caused effective processes of change. The sample consisted of physically healthy adults, divided into a younger and an older subgroup to control for age-specific effects. The comparison of both intervention components showed no component to be superior. It was rather the combination of both that triggered long-term changes in willingness to discuss end-of-life topics.
This dissertation found results that stress the importance of attitudes in enhancing psychosocial service uptake. Not only attitudes, but also caregivers as well as individual values seemed to be part of the complex psychological processes underlying changes in uptake behavior.
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Dates
Created: 2021Issued: 2021-12-02Updated: 2021-12-02
Faculty
Fachbereich Psychologie
Publisher
Philipps-Universität Marburg
Language
ger
Data types
DoctoralThesis
DFG-subjects
Psychoonkologie Palliativmedizin Krebs Psychosoziale Versorgung Verhaltensänderung
DDC-Numbers
150
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Leppin, Nico (0000-0002-5893-0724): Inanspruchnahme psychosozialer Hilfe durch Krebsbetroffene : Welche Rolle spielen Erwartungen, Werte und Angehörige?. : Philipps-Universität Marburg 2021-12-02. DOI: https://doi.org/10.17192/z2021.0100.
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This item has been published with the following license: In Copyright