Mental health needs and psychosocial burden among patients attending the oncology clinic at Nelson Mandela Academic Hospital, Mthatha: A mixed-methods cross-sectional study

Title : Mental health needs and psychosocial burden among patients attending the oncology clinic at Nelson Mandela Academic Hospital, Mthatha: A mixed-methods cross-sectional study

Abstract:

Nelson Mandela Academic Hospital (NMAH) is a tertiary teaching hospital in Mthatha that has recently expanded oncology services to better serve patients across the Eastern Cape. Regional analyses highlight limited oncology capacity, a high burden of advanced-stage cancers, and recognised gaps in psychosocial support in rural South Africa. To estimate the prevalence of common mental health conditions (depression, anxiety, distress) among adult oncology patients at NMAH, to describe their psychosocial needs and coping strategies, and to identify barriers and facilitators to accessing mental health and psychosocial support within the oncology care pathway. We will conduct a cross-sectional convergent mixed-methods study. Quantitative data: systematic sample of 300 adult patients attending the oncology clinic will complete validated screening tools PHQ-9 (depression), GAD-7 (anxiety), and the Distress Thermometer plus a brief socio-demographic and clinical questionnaire. Logistic regression will identify correlates of clinically significant symptoms. Qualitative data: purposive subsample (n≈30) will participate in semi-structured interviews exploring experiences of diagnosis, emotional impact, social support, spiritual beliefs, and service barriers. Thematic analysis (framework approach) will be used and integrated with quantitative findings to produce joint interpretations. We anticipate a high prevalence of clinically significant depressive and anxiety symptoms, likely exceeding community estimates driven by late-stage presentation, treatment uncertainty, financial strain, and limited local psychosocial resources. Qualitative data are expected to reveal stigma, transport and cost barriers, caregiving burdens, and reliance on informal/community coping networks. Findings will inform a context-sensitive model for integrating psychosocial screening and stepped psychosocial interventions into NMAH’s oncology pathway, strengthening referral linkages, task-sharing with counsellors, and culturally congruent support helping to reduce unmet mental health needs among rural oncology patients.

Keywords: oncology, mental health, psychosocial support, Eastern Cape, Nelson Mandela Academic Hospital, PHQ-9, mixed methods.

Biography:

Kanyiso Zweni is a dedicated psychology master’s candidate at Walter Sisulu University and an emerging scholar committed to advancing knowledge that addresses pressing societal challenges. With a deep passion for academic research and community impact, Kanyiso strives to bridge the gap between psychological theory and practical solutions that promote social well-being and positive change. As a growing academic, Kanyiso is focused on developing innovative approaches to understanding human behavior and mental health, aiming to contribute meaningfully to both the academic community and society at large. Driven by a commitment to lifelong learning and scholarly excellence, Kanyiso actively engages in interdisciplinary research and collaborative projects that foster inclusive and sustainable development.