Temporal trends in medication and service use patterns for mental health issues among men with prostate cancer.

IF 3.3 2区 医学 Q2 ONCOLOGY Psycho‐Oncology Pub Date : 2024-07-01 DOI:10.1002/pon.6369
Tenaw Tiruye, Mrunal Hiwase, Megan Charlick, Michael O'Callaghan, Ashna Khalid, Ming Li, Liesel M FitzGerald, Gillian E Caughey, Kerry Ettridge, David Roder, Kerri Beckmann
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Abstract

Objective: Prostate cancer can significantly impact mental wellbeing, creating uncertainty and morbidity. This study described patterns of psychotropic medication and mental health service use, as a proxy measure for mental health problems, 5 years before and 5 years after prostate cancer diagnosis.

Methods: Population-based registry data were linked with Pharmaceutical Benefits Scheme and Medicare Benefits Schedule data for all prostate cancer patients diagnosed in South Australia between 2012 and 2020 (n = 13,693). We estimated the proportion and rates of psychotropic medication and mental health service use before and after diagnosis. Multivariable adjusted interrupted time series analyses (ITSA) were conducted to uncover temporal patterns.

Results: Fifteen percent of men commenced psychotropic medications and 6.4% sought out mental health services for the first time after diagnosis. Psychotropic medication use rose from 34.5% 5 years before to 40.3% 5 years after diagnosis, including an increase in use of antidepressants (from 20.7% to 26.0%) and anxiolytics (from 11.3% to 12.8%). Mental health service use increased from 10.2% to 12.1%, with the increase mostly being general practice mental health visits (from 7.8% to 10.6%). Multivariable ITSA indicated a significant rise in medication and service utilisation immediately before and in the first 2 years following prostate cancer diagnosis.

Conclusion: There is a clear increase in psychotropic medication use and mental health service use around the time of prostate cancer diagnosis. Mental health outcomes of men with prostate cancer may be improved with early mental health screening, particularly during the diagnosis process, to enable early intervention.

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男性前列腺癌患者精神健康问题的用药和服务使用模式的时间趋势。
目的前列腺癌会严重影响心理健康,造成不确定性和发病率。本研究描述了前列腺癌确诊前 5 年和确诊后 5 年精神药物和精神健康服务的使用模式,以此作为精神健康问题的替代措施:将基于人口的登记数据与南澳大利亚州在2012年至2020年期间确诊的所有前列腺癌患者(n = 13,693)的药品福利计划和医疗保险福利表数据联系起来。我们估算了确诊前后使用精神药物和心理健康服务的比例和比率。我们进行了多变量调整间断时间序列分析(ITSA),以揭示时间模式:15%的男性在确诊后开始服用精神药物,6.4%的男性在确诊后首次寻求心理健康服务。精神药物使用率从确诊前5年的34.5%上升至确诊后5年的40.3%,其中抗抑郁药(从20.7%上升至26.0%)和抗焦虑药(从11.3%上升至12.8%)的使用率均有所上升。心理健康服务的使用从 10.2% 增加到 12.1%,增加的主要是全科心理健康就诊(从 7.8% 增加到 10.6%)。多变量 ITSA 显示,在前列腺癌确诊前和确诊后的头两年,药物和服务使用率显著上升:结论:在前列腺癌确诊前后,精神药物的使用和心理健康服务的使用明显增加。通过早期心理健康筛查,尤其是在诊断过程中的筛查,可以及早干预,从而改善男性前列腺癌患者的心理健康状况。
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来源期刊
Psycho‐Oncology
Psycho‐Oncology 医学-心理学
CiteScore
6.30
自引率
8.30%
发文量
220
审稿时长
3-8 weeks
期刊介绍: Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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