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Joulaei, Hassan, Parhizkar, Mohamad, Fatemi, Maryam, Afrashteh, Sima, Parhizkar, Pardis, Akrami, Majid, Foroozanfar, zohre. (1402). Mental Health Care Utilization and its Barriers among Iranian Breast Cancer Survivors: A Cross-sectional Study. سامانه مدیریت نشریات علمی, 12(1), 44-56. doi: 10.30476/ijcbnm.2023.99133.2289
Hassan Joulaei; Mohamad Parhizkar; Maryam Fatemi; Sima Afrashteh; Pardis Parhizkar; Majid Akrami; zohre Foroozanfar. "Mental Health Care Utilization and its Barriers among Iranian Breast Cancer Survivors: A Cross-sectional Study". سامانه مدیریت نشریات علمی, 12, 1, 1402, 44-56. doi: 10.30476/ijcbnm.2023.99133.2289
Joulaei, Hassan, Parhizkar, Mohamad, Fatemi, Maryam, Afrashteh, Sima, Parhizkar, Pardis, Akrami, Majid, Foroozanfar, zohre. (1402). 'Mental Health Care Utilization and its Barriers among Iranian Breast Cancer Survivors: A Cross-sectional Study', سامانه مدیریت نشریات علمی, 12(1), pp. 44-56. doi: 10.30476/ijcbnm.2023.99133.2289
Joulaei, Hassan, Parhizkar, Mohamad, Fatemi, Maryam, Afrashteh, Sima, Parhizkar, Pardis, Akrami, Majid, Foroozanfar, zohre. Mental Health Care Utilization and its Barriers among Iranian Breast Cancer Survivors: A Cross-sectional Study. سامانه مدیریت نشریات علمی, 1402; 12(1): 44-56. doi: 10.30476/ijcbnm.2023.99133.2289

Mental Health Care Utilization and its Barriers among Iranian Breast Cancer Survivors: A Cross-sectional Study

International Journal of Community Based Nursing & Midwifery
مقاله 5، دوره 12، شماره 1 - شماره پیاپی 45، فروردین 2024، صفحه 44-56    اصل مقاله (633.69 K)
شناسه دیجیتال (DOI): 10.30476/ijcbnm.2023.99133.2289
نویسندگان
Hassan Joulaei1؛ Mohamad Parhizkar2؛ Maryam Fatemi3؛ Sima Afrashteh4؛ Pardis Parhizkar5؛ Majid Akrami6؛ zohre Foroozanfar* 7
1Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran;
2Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran;
3Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran;
4Clinical Research Development Center, The Persian Gulf Martyrs Hospital, Bushehr University of Medical Sciences, Bushehr, Iran;
5Student Research Committee, Fasa University of Medical Sciences, Fasa, Iran;
6Breast Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran;
7HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده
Background: Depression and anxiety are common comorbidities complicating the care of breast
cancer patients, but many patients do not receive the needed care. We aimed to assess utilization of
mental health care and its barriers in breast cancer survivors.
Methods: This cross-sectional study was conducted on 311 patients with breast cancer, in Iran,
November 2021 to March 2022. Perceived need and utilization of mental health care and barriers to
service utilization were measured based on self-report. Depression, Anxiety, and Stress Scale-21 and
Multidimensional Scale of Perceived Social Support were used to assess depression, anxiety, and stress
as well as social support, respectively. A linear and logistic regression model was used to analyze the
data using SPSS version 22. A P-value less than 0.05 was considered statistically significant.
Results: 70.1% of the participants perceived need for mental health care, 28.0% of them had used mental
health services, and 72% were classified as having unmet needs. The most common perceived barrier
to service use was patients’ self-adequacy. The prevalence of extremely severe levels of depression,
anxiety, and stress was 14.8%, 23.5%, and 10.6%. Also, 48.6%, 78.5%, and 75.6% of patients received
a high level of social support from friends, family, and significant others.
Conclusion: Findings highlight a substantial unmet need for mental health care and low utilization of
mental health services among breast cancer survivors. Given the significant prevalence of depression,
anxiety, and stress in this population, it is imperative to address the underutilization of mental health
services and to further examine the barriers preventing patients from seeking the care they require.

تازه های تحقیق

Hassan Joulaei (Google Scholar) (PubMed)

Zohre Foroozanfar (Google Scholar) (PubMed)

کلیدواژه‌ها
Breast neoplasms؛ Cancer survivors؛ Health services accessibility؛ Mental health services
سایر فایل های مرتبط با مقاله
مراجع
 

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