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Temporal trends in medication and service use patterns for mental health issues among men with prostate cancer.
- Source :
-
Psycho-oncology [Psychooncology] 2024 Jul; Vol. 33 (7), pp. e6369. - Publication Year :
- 2024
-
Abstract
- Objective: Prostate cancer can significantly impact mental wellbeing, creating uncertainty and morbidity. This study described patterns of psychotropic medication and mental health service use, as a proxy measure for mental health problems, 5 years before and 5 years after prostate cancer diagnosis.<br />Methods: Population-based registry data were linked with Pharmaceutical Benefits Scheme and Medicare Benefits Schedule data for all prostate cancer patients diagnosed in South Australia between 2012 and 2020 (n = 13,693). We estimated the proportion and rates of psychotropic medication and mental health service use before and after diagnosis. Multivariable adjusted interrupted time series analyses (ITSA) were conducted to uncover temporal patterns.<br />Results: Fifteen percent of men commenced psychotropic medications and 6.4% sought out mental health services for the first time after diagnosis. Psychotropic medication use rose from 34.5% 5 years before to 40.3% 5 years after diagnosis, including an increase in use of antidepressants (from 20.7% to 26.0%) and anxiolytics (from 11.3% to 12.8%). Mental health service use increased from 10.2% to 12.1%, with the increase mostly being general practice mental health visits (from 7.8% to 10.6%). Multivariable ITSA indicated a significant rise in medication and service utilisation immediately before and in the first 2 years following prostate cancer diagnosis.<br />Conclusion: There is a clear increase in psychotropic medication use and mental health service use around the time of prostate cancer diagnosis. Mental health outcomes of men with prostate cancer may be improved with early mental health screening, particularly during the diagnosis process, to enable early intervention.<br /> (© 2024 The Author(s). Psycho‐Oncology published by John Wiley & Sons Ltd.)
- Subjects :
- Humans
Male
Aged
Middle Aged
South Australia
Aged, 80 and over
Mental Health
Mental Disorders epidemiology
Mental Disorders drug therapy
Registries
Interrupted Time Series Analysis
Anti-Anxiety Agents therapeutic use
Antidepressive Agents therapeutic use
Patient Acceptance of Health Care statistics & numerical data
Prostatic Neoplasms drug therapy
Prostatic Neoplasms psychology
Prostatic Neoplasms therapy
Mental Health Services statistics & numerical data
Psychotropic Drugs therapeutic use
Subjects
Details
- Language :
- English
- ISSN :
- 1099-1611
- Volume :
- 33
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Psycho-oncology
- Publication Type :
- Academic Journal
- Accession number :
- 38960607
- Full Text :
- https://doi.org/10.1002/pon.6369