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Gianinazzi ME, Rueegg CS, von der Weid NX, et al. Mental health-care utilization in survivors of childhood cancer and siblings: the Swiss childhood cancer survivor study. Support Care Cancer. 2013;22(2):339-49doi: 10.1007/s00520-013-1976-3.
Gianinazzi, M. E., Rueegg, C. S., von der Weid, N. X., Niggli, F. K., Kuehni, C. E., Michel, G. (2014). Mental health-care utilization in survivors of childhood cancer and siblings: the Swiss childhood cancer survivor study. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 22(2), 339-49. https://doi.org/10.1007/s00520-013-1976-3
Gianinazzi, Micol E, et al. "Mental health-care utilization in survivors of childhood cancer and siblings: the Swiss childhood cancer survivor study." Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer vol. 22,2 (2014): 339-49. doi: https://doi.org/10.1007/s00520-013-1976-3
Gianinazzi ME, Rueegg CS, von der Weid NX, Niggli FK, Kuehni CE, Michel G. Mental health-care utilization in survivors of childhood cancer and siblings: the Swiss childhood cancer survivor study. Support Care Cancer. 2014 Feb;22(2):339-49. doi: 10.1007/s00520-013-1976-3. Epub 2013 Oct 01. PMID: 24081625.
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Support Care Cancer. 2014 Feb;22(2):339-49. doi: 10.1007/s00520-013-1976-3. Epub 2013 Oct 01.

Mental health-care utilization in survivors of childhood cancer and siblings: the Swiss childhood cancer survivor study.

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

Micol E Gianinazzi, Corina S Rueegg, Nicolas X von der Weid, Felix K Niggli, Claudia E Kuehni, Gisela Michel,

Affiliations

  1. Swiss Childhood Cancer Registry, Institute of Social and Preventive Medicine, University of Bern, Finkenhubelweg 11, 3012, Bern, Switzerland.

PMID: 24081625 DOI: 10.1007/s00520-013-1976-3

Abstract

PURPOSE: We aimed to (1) describe the utilization of mental health-care in survivors and siblings, the association with severity of distress, and visits to other professionals in distressed survivors not utilizing mental health-care; and (2) identify factors associated with utilization of mental health-care in distressed survivors.

METHODS: Within the Swiss Childhood Cancer Survivor Study, we sent postal questionnaires to all participants aged <16 years at diagnosis (1976-2003), who survived ≥5 years after diagnosis and were aged ≥16 years at study. Survivors and siblings could indicate if they utilized mental health-care in the past year. Psychological distress was assessed with the Brief Symptom Inventory-18 (BSI-18). Participants with scores T ≥ 57 on two of three scales or the Global Severity Index were considered distressed.

RESULTS: We included 1,602 survivors and 703 siblings. Overall, 160 (10 %) and 53 (8 %), utilized mental health-care and 203 (14 %) and 127 (14 %) were considered distressed. Among these, 69 (34 %) survivors and 20 (24 %) siblings had utilized mental health-care. Participants with higher distress were more likely to utilize mental health-care. Distressed survivors not utilizing mental health-care were more likely to see a medical specialist than nondistressed. In the multivariable regression, factors associated with utilizing mental health-care were higher psychological distress and reporting late effects.

CONCLUSIONS: Our results underline the importance of developing interventional programs and implementing psychological screening in follow-up of survivors. It is also important to systematically address siblings' needs. In follow-up, patients at risk should be informed about existing possibilities or advised to visit mental health professionals.

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