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Browsing by Author "Papadopoulos, E."
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Item 3rd ESO–ESMO international consensus guidelines for Advanced Breast Cancer (ABC 3)(Elsevier, 2017-02) Cardoso, F.; Costa, A.; Senkus, E.; Aapro, M.; André, F.; Barrios, C. H.; Bergh, J.; Bhattacharyya, G.; Biganzoli, L.; Cardoso, M. J.; Carey, L.; Corneliussen-James, D.; Curigliano, G.; Dieras, V.; El Saghir, N.; Eniu, A.; Fallowfield, L.; Fenech, D.; Francis, P.; Gelmon, K.; Gennari, A.; Harbeck, N.; Hudis, C.; Kaufman, B.; Krop, I.; Mayer, M.; Meijer, H.; Mertz, S.; Ohno, S.; Pagani, O.; Papadopoulos, E.; Peccatori, F.; Penault-Llorca, F.; Piccart, M. J.; Pierga, J. Y.; Rugo, H.; Shockney, L.; Sledge, George; Swain, S.; Thomssen, C.; Tutt, A.; Vorobiof, D.; Xu, B.; Norton, L.; Winer, E.; Department of Medicine, School of MedicineItem Barriers to mental health service use among hematopoietic SCT survivors(Springer, 2010) Mosher, C.E.; Duhamel, K.N.; Rini, C.M.; Li, Y.; Isola, L.; Labay, L.; Rowley, S.; Papadopoulos, E.; Moskowitz, C.; Scigliano, E.; Grosskreutz, C.; Redd, W.H.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.