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Logo of bmcpsycBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Psychiatry
 
BMC Psychiatry. 2012; 12: 70.
Published online Jul 2, 2012. doi:  10.1186/1471-244X-12-70
PMCID: PMC3434016
Prevalence of mental disorders, psychosocial distress and need for psychosocial support in cancer patients – study protocol of an epidemiological multi-center study
Anja Mehnert,corresponding author1 Uwe Koch,1 Holger Schulz,1 Karl Wegscheider,2 Joachim Weis,3 Hermann Faller,4 Monika Keller,5 Elmar Brähler,6 and Martin Härter1
1Department and Outpatient Clinic of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany
2Department of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany
3Department of Psychooncology, Tumor Biology Center, University of Freiburg, Breisacher Str. 117, 79106, Freiburg, Germany
4Institute of Psychotherapy and Medical Psychology, University of Würzburg, Klinikstr. 3, 97070, Würzburg, Germany
5Division of Psychooncology, Department for Psychosomatic and General Clinical Medicine, University Hospital Heidelberg, Im Neuenheimer Feld 155, 69120, Heidelberg, Germany
6Department of Medical Psychology and Medical Sociology, University Medical Center Leipzig, Philipp-Rosenthal-Str. 55, 04103, Leipzig, Germany
corresponding authorCorresponding author.
Anja Mehnert: mehnert/at/uke.de; Uwe Koch: koch/at/uke.de; Holger Schulz: schulz/at/uke.de; Karl Wegscheider: k.wegscheider/at/uke.de; Joachim Weis: weis/at/tumorbio.uni-freiburg.de; Hermann Faller: h.faller/at/uni-wuerzburg.de; Monika Keller: monika.keller/at/med.uni-heidelberg.de; Elmar Brähler: elmar.braehler/at/medizin.uni-leipzig.de; Martin Härter: m.haerter/at/uke.de
Received November 2, 2011; Accepted July 2, 2012.
Abstract
Background
Empirical studies investigating the prevalence of mental disorders and psychological distress in cancer patients have gained increasing importance during recent years, particularly with the objective to develop and implement psychosocial interventions within the cancer care system. Primary purpose of this epidemiological cross-sectional multi-center study is to detect the 4-week-, 12-month-, and lifetime prevalence rates of comorbid mental disorders and to further assess psychological distress and psychosocial support needs in cancer patients across all major tumor entities within the in- and outpatient oncological health care and rehabilitation settings in Germany.
Methods/Design
In this multicenter, epidemiological cross-sectional study, cancer patients across all major tumor entities will be enrolled from acute care hospitals, outpatient cancer care facilities, and rehabilitation centers in five major study centers in Germany: Freiburg, Hamburg, Heidelberg, Leipzig and Würzburg. A proportional stratified random sample based on the nationwide incidence of all cancer diagnoses in Germany is used. Patients are consecutively recruited in all centers. On the basis of a depression screener (PHQ-9) 50% of the participants that score below the cutoff point of 9 and all patients scoring above are assessed using the Composite International Diagnostic Interview for Oncology (CIDI-O). In addition, all patients complete validated questionnaires measuring emotional distress, information and psychosocial support needs as well as quality of life.
Discussion
Epidemiological data on the prevalence of mental disorders and distress provide detailed and valid information for the estimation of the demands for the type and extent of psychosocial support interventions. The data will provide information about specific demographic, functional, cancer- and treatment-related risk factors for mental comorbidity and psychosocial distress, specific supportive care needs and use of psychosocial support offers.
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