School of Behavioral and Brain Sciences, Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico.
Department of Psychiatry, Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico.
PLoS One. 2019 Jul 18;14(7):e0216127. doi: 10.1371/journal.pone.0216127. eCollection 2019.
The purpose of this study was to describe the preferences, the use, satisfaction of mental health services (MHS) among a sample of Puerto Rican patients with cancer undergoing oncology treatment.
A convenience sample of 120 patients diagnosed with cancer was recruited. Self-report questionnaires assessed socio-demographic and background questions, and the Mental Health Service Preference, Utilization and Satisfaction Questionnaire (MHSPUS). The Socio-demographic and Background Questionnaire inquired about participants' demographic and socioeconomic characteristics, and included questions such as history of psychiatric diagnosis and spiritual practices. Univariate and Chi square analyses were used for descriptive purposes. Logistic regressions were used to explore associations between sociodemographic factors and MHS preferences and use.
The majority of the sample were females (53.8%), 61 and older (53.8%), and married or living with partner (57.1%), and reported an income equal to or less than $12,000 per year (44.4%), which places them under the US federal poverty line. Most of the participants (66.7%) reported being receptive to seeking services. Findings showed a significant association between living situation and past (p < .05) and lifetime use (p < .05) of MHS and past use of MHS. Participants living alone were more like to have used MHS in the past and during their lifetime. Adjusted logistic regression analyses revealed that living with someone was a protective factor for not using MHS in their lifetime (OR = 0.28; C1 = 0.08-0.95). Participants preferred to receive MHS at the oncology clinic, preferably on the date of their oncology appointments and during morning hours.
Findings support the integration of mental health services within the oncology practice setting.
本研究旨在描述接受肿瘤治疗的波多黎各癌症患者样本中对心理健康服务（MHS）的偏好、使用和满意度。
招募了 120 名被诊断患有癌症的便利样本患者。自我报告问卷评估了社会人口统计学和背景问题，以及心理健康服务偏好、使用和满意度问卷（MHSPUS）。社会人口统计学和背景问卷询问了参与者的人口统计学和社会经济特征，包括精神科诊断和精神实践史等问题。单变量和卡方分析用于描述性目的。逻辑回归用于探索社会人口学因素与 MHS 偏好和使用之间的关联。
样本中的大多数为女性（53.8%），61 岁及以上（53.8%），已婚或与伴侣同住（57.1%），报告收入等于或低于每年 12,000 美元（44.4%），这使他们处于美国联邦贫困线以下。大多数参与者（66.7%）表示愿意寻求服务。研究结果表明，生活状况与过去（p <.05）和一生中（p <.05）使用 MHS 以及过去使用 MHS 之间存在显著关联。独居的参与者过去和一生中更有可能使用过 MHS。调整后的逻辑回归分析表明，与他人同住是一生中不使用 MHS 的保护因素（OR = 0.28；C1 = 0.08-0.95）。参与者更喜欢在肿瘤诊所接受 MHS，最好在他们的肿瘤预约日和上午时段。
研究结果支持在肿瘤实践环境中整合心理健康服务。
