Perceptions of somatic and affective symptoms and psychosocial care utilization in younger and older survivors of lung cancer.
Perceptions of somatic and affective symptoms and psychosocial care utilization in younger and older survivors of lung cancer.
复制标题
年轻和年长肺癌幸存者对躯体和情感症状以及心理社会护理利用的看法。
DOI：
10.1007/s00520-022-06926-6
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Traeger,Lara
中科院分区：
文献类型：
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作者：
Skurla,SarahE;Friedman,EmilyR;Park,ElyseR;Cannon,Sheila;Kilbourne,GretchenA;Pirl,WilliamF;Traeger,Lara
目的在肿瘤学环境中识别抑郁症和转诊至心理社会服务的比率仍然很低。与其他癌症患者相比，肺癌患者患抑郁症的风险更高。本研究探讨了年轻和老年肺癌存活者对躯体症状和情感症状的认知以及对心理社会关怀的利用。方法我们在马萨诸塞州波士顿的两个学术医学中心对20名成年人进行了深入访谈，这些成年人在过去24个月里被诊断为肺癌。半结构访谈指南被用来评估抑郁症状和心理社会服务的经历和看法。访谈被录音、转录和编码，以确定主题。我们还探讨了年轻患者(65岁；N=9)和老年患者(65岁；N=11)之间的差异。结果参与者通常将躯体症状(即食欲、睡眠或精力水平的变化)和情感症状(即担忧、恐惧、悲伤)描述为癌症治疗的副作用。年龄较大的参与者更多地将这些症状与它们如何影响日常生活的信息联系起来。年轻人和老年人都面临着获得心理社会服务的障碍，老年人更多地提到服务转介和利用的耻辱。讨论肺癌患者将躯体和情感症状与他们的癌症及其治疗联系起来，在如何描述症状和如何看待心理社会转介方面存在年龄差异。将心理社会护理更系统地整合到癌症护理中，可能有助于增加对肺癌抑郁的认同度，并减少心理社会服务利用的障碍。
ObjectiveRates of depression identification in oncology settings and referral to psychosocial services remain low. Patients with lung cancer face an elevated risk of depression relative to patients with other cancers. This study explored perceptions of somatic and affective symptoms and psychosocial care utilization among younger and older lung cancer survivors.MethodsWe conducted in-depth interviews with 20 adults at two academic medical centers in Boston, MA, who had received a lung cancer diagnosis in the past 24 months. A semi-structured interview guide was used to assess experiences with, and perceptions of, depression symptoms and psychosocial services. Interviews were audio-recorded, transcribed, and coded to identify themes. We also explored differences between younger (<65years;N=9) and older (>65years;N=11) patients.ResultsParticipants commonly described somatic symptoms (i.e., changes in appetite, sleep, or energy levels) and affective symptoms (i.e., worry, fear, sadness) as side effects of cancer treatment. Older participants more commonly contextualized these symptoms with information about how they impacted daily life. Both younger and older participants faced barriers to accessing psychosocial services, with older adults more commonly referencing stigma of service referral and utilization.DiscussionPatients with lung cancer associated both somatic and affective symptoms with their cancer and its treatment, with age differences in how symptoms were described and how psychosocial referrals may be perceived. More systematic integration of psychosocial care into cancer care may help to increase the identification of depression in lung cancer and reduce barriers to psychosocial service utilization.