Receipt of psychological counseling and integrative medicine services among breast cancer survivors with anxiety Journal Article
| Authors: | Trevino, K. M.; Iyengar, N.; Li, Q.; Mao, J. J. |
| Article Title: | Receipt of psychological counseling and integrative medicine services among breast cancer survivors with anxiety |
| Abstract: | Purpose: To define the prevalence and risk factors of anxiety and examine rates and predictors of psychotherapy and integrative medicine service use in breast cancer survivors on aromatase inhibitors (AIs). Methods: Observational study of patients with histologically confirmed stage 0–III hormone receptor-positive breast cancer taking a third-generation AI at the time of enrollment. Patients completed self-report measures of anxiety and utilization of psychotherapy and integrative medicine services at a single time-point. We used multivariate logistic regression analyses to identify factors associated with anxiety and receipt of anxiety treatment services. Results: Among the 1085 participants, the majority were younger than 65 years of age (n = 673, 62.0%) and white (n = 899, 82.9%). Approximately one-third (30.8%) reported elevated anxiety (≥ 8 on the anxiety subscale of the Hospital Anxiety and Depression Scale). Of patients with elevated anxiety, only 24.6% reported receiving psychological counseling, 25.3% used integrative medicine services, and 39.8% received either type of treatment since their diagnosis. Patients with an education level of high school or less were less likely to receive psychological counseling (AOR, 0.43, 95% CI 0.19–0.95) and integrative medicine services (OR 0.30, 95% CI 0.12–0.72) than patients with higher levels of education. Conclusions: Anxiety is common in breast cancer patients treated with AIs yet the majority of anxious patients do not receive evidence-based treatment, even when these treatments are available. Better systematic anxiety screening and treatment initiation are needed to reduce disparities in care by education level. © 2020, Springer Science+Business Media, LLC, part of Springer Nature. |
| Keywords: | breast cancer; anxiety; integrative medicine; psychotherapy |
| Journal Title: | Breast Cancer Research and Treatment |
| Volume: | 184 |
| Issue: | 2 |
| ISSN: | 0167-6806 |
| Publisher: | Springer |
| Date Published: | 2020-11-01 |
| Start Page: | 301 |
| End Page: | 310 |
| Language: | English |
| DOI: | 10.1007/s10549-020-05859-0 |
| PUBMED: | 32772224 |
| PROVIDER: | scopus |
| PMCID: | PMC7606582 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 December 2020 -- Source: Scopus |
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