Barriers to mental health service use among hematopoietic SCT survivors

C. E. Mosher, K. N. Duhamel, C. M. Rini, Y. Li, L. Isola, L. Labay, S. Rowley, E. Papadopoulos, Craig Moskowitz, E. Scigliano, C. Grosskreutz, W. H. Redd

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

This study examined barriers to mental health service use and the demographic, medical and psychosocial correlates of these barriers among hematopoietic SCT (HSCT) survivors. A sample of 253 HSCT survivors who were 1 to 3 years posttransplant completed measures of demographic, physical, psychological and social characteristics as well as a newly modified measure of barriers to mental health service use. Only 50 of distressed HSCT survivors had received mental health services. An exploratory factor analysis of the barriers to mental health service use scale yielded four factors: scheduling barriers, knowledge barriers, emotional barriers and illness-related barriers. Patients with higher social constraints (perceived problems discussing the illness experience with significant others) reported higher levels of all four types of barriers. General distress and transplant-related posttraumatic stress symptoms were positively associated with emotional, knowledge and illness-related barriers to mental health service use, whereas physical and functional well-being were inversely associated with these barriers. Having more knowledge barriers and more emotional barriers predicted a lower likelihood of receiving mental health services, as did lower levels of education and general distress. Results suggest that a significant number of HSCT survivors may benefit from education about mental health services that is tailored to individual barriers.

Original languageEnglish (US)
Pages (from-to)570-579
Number of pages10
JournalBone Marrow Transplantation
Volume45
Issue number3
DOIs
StatePublished - Jan 1 2010
Externally publishedYes

Fingerprint

Mental Health Services
Survivors
Demography
Education
Statistical Factor Analysis
Psychology
Transplants

Keywords

  • Barriers
  • Cancer survivorship
  • Hematopoietic SCT
  • Mental health services
  • Psychological

ASJC Scopus subject areas

  • Hematology
  • Transplantation

Cite this

Mosher, C. E., Duhamel, K. N., Rini, C. M., Li, Y., Isola, L., Labay, L., ... Redd, W. H. (2010). Barriers to mental health service use among hematopoietic SCT survivors. Bone Marrow Transplantation, 45(3), 570-579. https://doi.org/10.1038/bmt.2009.166

Barriers to mental health service use among hematopoietic SCT survivors. / Mosher, C. E.; Duhamel, K. N.; Rini, C. M.; Li, Y.; Isola, L.; Labay, L.; Rowley, S.; Papadopoulos, E.; Moskowitz, Craig; Scigliano, E.; Grosskreutz, C.; Redd, W. H.

In: Bone Marrow Transplantation, Vol. 45, No. 3, 01.01.2010, p. 570-579.

Research output: Contribution to journalArticle

Mosher, CE, Duhamel, KN, Rini, CM, Li, Y, Isola, L, Labay, L, Rowley, S, Papadopoulos, E, Moskowitz, C, Scigliano, E, Grosskreutz, C & Redd, WH 2010, 'Barriers to mental health service use among hematopoietic SCT survivors', Bone Marrow Transplantation, vol. 45, no. 3, pp. 570-579. https://doi.org/10.1038/bmt.2009.166
Mosher CE, Duhamel KN, Rini CM, Li Y, Isola L, Labay L et al. Barriers to mental health service use among hematopoietic SCT survivors. Bone Marrow Transplantation. 2010 Jan 1;45(3):570-579. https://doi.org/10.1038/bmt.2009.166
Mosher, C. E. ; Duhamel, K. N. ; Rini, C. M. ; Li, Y. ; Isola, L. ; Labay, L. ; Rowley, S. ; Papadopoulos, E. ; Moskowitz, Craig ; Scigliano, E. ; Grosskreutz, C. ; Redd, W. H. / Barriers to mental health service use among hematopoietic SCT survivors. In: Bone Marrow Transplantation. 2010 ; Vol. 45, No. 3. pp. 570-579.
@article{18ebded6208345de811e66bfe1b4bad0,
title = "Barriers to mental health service use among hematopoietic SCT survivors",
abstract = "This study examined barriers to mental health service use and the demographic, medical and psychosocial correlates of these barriers among hematopoietic SCT (HSCT) survivors. A sample of 253 HSCT survivors who were 1 to 3 years posttransplant completed measures of demographic, physical, psychological and social characteristics as well as a newly modified measure of barriers to mental health service use. Only 50 of distressed HSCT survivors had received mental health services. An exploratory factor analysis of the barriers to mental health service use scale yielded four factors: scheduling barriers, knowledge barriers, emotional barriers and illness-related barriers. Patients with higher social constraints (perceived problems discussing the illness experience with significant others) reported higher levels of all four types of barriers. General distress and transplant-related posttraumatic stress symptoms were positively associated with emotional, knowledge and illness-related barriers to mental health service use, whereas physical and functional well-being were inversely associated with these barriers. Having more knowledge barriers and more emotional barriers predicted a lower likelihood of receiving mental health services, as did lower levels of education and general distress. Results suggest that a significant number of HSCT survivors may benefit from education about mental health services that is tailored to individual barriers.",
keywords = "Barriers, Cancer survivorship, Hematopoietic SCT, Mental health services, Psychological",
author = "Mosher, {C. E.} and Duhamel, {K. N.} and Rini, {C. M.} and Y. Li and L. Isola and L. Labay and S. Rowley and E. Papadopoulos and Craig Moskowitz and E. Scigliano and C. Grosskreutz and Redd, {W. H.}",
year = "2010",
month = "1",
day = "1",
doi = "10.1038/bmt.2009.166",
language = "English (US)",
volume = "45",
pages = "570--579",
journal = "Bone Marrow Transplantation",
issn = "0268-3369",
publisher = "Nature Publishing Group",
number = "3",

}

TY - JOUR

T1 - Barriers to mental health service use among hematopoietic SCT survivors

AU - Mosher, C. E.

AU - Duhamel, K. N.

AU - Rini, C. M.

AU - Li, Y.

AU - Isola, L.

AU - Labay, L.

AU - Rowley, S.

AU - Papadopoulos, E.

AU - Moskowitz, Craig

AU - Scigliano, E.

AU - Grosskreutz, C.

AU - Redd, W. H.

PY - 2010/1/1

Y1 - 2010/1/1

N2 - This study examined barriers to mental health service use and the demographic, medical and psychosocial correlates of these barriers among hematopoietic SCT (HSCT) survivors. A sample of 253 HSCT survivors who were 1 to 3 years posttransplant completed measures of demographic, physical, psychological and social characteristics as well as a newly modified measure of barriers to mental health service use. Only 50 of distressed HSCT survivors had received mental health services. An exploratory factor analysis of the barriers to mental health service use scale yielded four factors: scheduling barriers, knowledge barriers, emotional barriers and illness-related barriers. Patients with higher social constraints (perceived problems discussing the illness experience with significant others) reported higher levels of all four types of barriers. General distress and transplant-related posttraumatic stress symptoms were positively associated with emotional, knowledge and illness-related barriers to mental health service use, whereas physical and functional well-being were inversely associated with these barriers. Having more knowledge barriers and more emotional barriers predicted a lower likelihood of receiving mental health services, as did lower levels of education and general distress. Results suggest that a significant number of HSCT survivors may benefit from education about mental health services that is tailored to individual barriers.

AB - This study examined barriers to mental health service use and the demographic, medical and psychosocial correlates of these barriers among hematopoietic SCT (HSCT) survivors. A sample of 253 HSCT survivors who were 1 to 3 years posttransplant completed measures of demographic, physical, psychological and social characteristics as well as a newly modified measure of barriers to mental health service use. Only 50 of distressed HSCT survivors had received mental health services. An exploratory factor analysis of the barriers to mental health service use scale yielded four factors: scheduling barriers, knowledge barriers, emotional barriers and illness-related barriers. Patients with higher social constraints (perceived problems discussing the illness experience with significant others) reported higher levels of all four types of barriers. General distress and transplant-related posttraumatic stress symptoms were positively associated with emotional, knowledge and illness-related barriers to mental health service use, whereas physical and functional well-being were inversely associated with these barriers. Having more knowledge barriers and more emotional barriers predicted a lower likelihood of receiving mental health services, as did lower levels of education and general distress. Results suggest that a significant number of HSCT survivors may benefit from education about mental health services that is tailored to individual barriers.

KW - Barriers

KW - Cancer survivorship

KW - Hematopoietic SCT

KW - Mental health services

KW - Psychological

UR - http://www.scopus.com/inward/record.url?scp=77949424741&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77949424741&partnerID=8YFLogxK

U2 - 10.1038/bmt.2009.166

DO - 10.1038/bmt.2009.166

M3 - Article

VL - 45

SP - 570

EP - 579

JO - Bone Marrow Transplantation

JF - Bone Marrow Transplantation

SN - 0268-3369

IS - 3

ER -