Distress screening in oncology—evaluation of the Questionnaire on Distress in Cancer Patients—short form (QSC‐R10) in a German sample

Book, Katrin; Marten‐Mittag, Birgitt; Henrich, Gerhard; Dinkel, Andreas; Scheddel, Patrick; Sehlen, Susanne; Haimerl, Wolfgang; Staudinger, Thomas; Britzelmeir, Ingrid; Herschbach, Peter

doi:10.1002/pon.1821

Cited by 79 publications

(91 citation statements)

References 39 publications

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“…For subsequent refusal/non-responder analysis, age, gender, and reason for refusal/non-response were documented. For all participating subjects, the questionnaire set comprised the Questionnaire on Distress in Cancer Patients - Short Form (QSC-R10) with a cut-off point of 14 [16] and the ultra-brief Patient Health Questionnaire-4 (PHQ-4) [17], the composite measure of the PHQ-2 and the Generalized Anxiety Disorder Scale-2 (GAD-2). The PHQ-2 is the short version of the 9-item PHQ-9 and evaluates core criteria for depression, depressed mood, and anhedonia [18].…”

Section: Methodsmentioning

confidence: 99%

Distress in Cancer Patients and Their Caregivers and Association with the Caregivers' Perception of Dyadic Communication

et al. 2014

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Background: Discrepancies within cancer-affected couples can disrupt security within the dyadic relationship during cancer treatment. This study investigated the patients' and caregivers' distress and associations between the caregivers' perception of the patients' degree of open communication and their distress. Participants and Methods: In a cross-sectional survey, 189 pairs of cancer patients (31% gastrointestinal, 34% lung, 35% urological cancers) and their partners were assessed for distress (QSC-R10), depression and anxiety (PHQ-2/GAD-2). The caregivers also reported their perception of the patients' degree of disclosure regarding cancer-relevant topics (CCAT-F Disclosure subscale), caregiver strain (CSI), and unmet needs (SCNS-P&C). Prevalences of clinically significant distress were calculated. Associations were calculated between the caregivers' and the patients' ratings and between the caregivers' distress and their perception of the patients' degree of disclosure. Results: 33% of the caregivers and 25% of the patients exhibited significant anxiety, with a tendency towards a higher frequency in the caregivers (p = 0.10). The prevalence of depression was lower but equally high in caregivers and patients. The caregivers' perceived non-disclosure by the patients was primarily associated with their anxiety (r = 0.31), disease-specific distress (r = 0.32), and psychological/emotional needs (r = 0.35). Conclusion: The identification of caregivers reporting problems in communicating with patients should be pursued in clinical practice as this might indicate that caregivers are particularly burdened.

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Section: Methodsmentioning

confidence: 99%

Distress in Cancer Patients and Their Caregivers and Association with the Caregivers' Perception of Dyadic Communication

et al. 2014

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“…Also, screening modules are becoming increasingly implemented in regular patient encounters, to identify cancer patients in need of psychosocial support at an early stage in their disease. [8][9][10] This is a positive development that creates the space for human encounter and development of a good contact between patients and their doctors and it can be hoped that more and more clinicians in contact with cancer patients use the opportunity to specialize additionally in psycho-oncology. Psycho-oncological support holds the capacity not only to improve patient compliance and satisfaction with treatment as well as diagnosis-associated shock, but also to reduce the strain on doctors confronted with their role as bearers of bad news.…”

Section: Discussionmentioning

confidence: 99%

Psychological support of skin cancer patients

Peters

2012

British Journal of Dermatology

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SummaryThe diagnosis of skin cancer imposes a great stress on our patients. Ultraviolet (UV) radiation-induced skin cancers are on the rise and frequently occur in younger patients and unexposed sites despite improved protective behaviour. Environmental factors and lifestyle habits have changed greatly in the last century and in addition to UV radiation exposure, psychosocial stressors and physical inactivity may play a role in the rising tumour incidence. With environmental stressors such as UV radiation they share the capacity to change the stress reaction. So far research into the interaction between stress, cancer and psychosocial intervention has generated some interesting results with respect to improvement of quality of life and the function of the hypothalamic-pituitary-adrenal axis, the sympathetic axis and natural killer cells. These results hint at a suppressive effect of chronic stress on cellular immunity and the importance of a sufficient length and intensity of any psychosocial intervention for it to be effective. Nevertheless, the evidence remains inconclusive and does not take into account the findings of current psychoneuroimmunological research. This research has demonstrated the importance of a third stress axis along which neurotrophins and neuropeptides are effective. Along this axis, regulatory mechanisms may contribute to suppress tumoricidal immune responses. This may be instrumental in the establishment of an immune response that promotes tumour progression and holds important implications for integrated therapeutic strategies. However, research into the psychoneuroimmunological benefits of psychosocial intervention is largely missing, and future interdisciplinary research is warranted for understanding and further promoting improved quality of life and psychological as well as physical well-being after psychosocial intervention.Recent studies point to the steadily rising incidence of skin cancers and the pressure rises to identify explanatory models in addition to ultraviolet (UV) radiation exposure and other environmental stressors. Among them, psychosocial stress may play a hitherto underestimated role as several studies suggest that the immune response can be modified by stress and plays a role in the association between coping with a cancer diagnosis, i.e. mental stress, and long-term survival.

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“…The QSC-R10 is a 10-item psycho_oncological screening instrument for self-assessment of distress, previously published by Book et al (2). It is based on the QSC-R23 screening tool developed and validated by Herschbach and colleagues (15).…”

Section: Qsc-r10mentioning

confidence: 99%

“…The total score is calculated by summing the item scores. A value above 14 points indicates a relevant level of distress, possibly requiring psychooncological treatment (2). …”

Section: Qsc-r10mentioning

confidence: 99%

IT-based Psychosocial Distress Screening in Patients with Sarcoma and Parental Caregivers via Disease-specific Online Social Media Communities

Pohlig

Lenze

Mühlhofer

et al. 2017

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Distress screening in oncology—evaluation of the Questionnaire on Distress in Cancer Patients—short form (QSC‐R10) in a German sample

Abstract: The QSC-R10 is a valid and reliable questionnaire to detect distress in cancer patients with high acceptance among professionals and patients.

Cited by 79 publications

References 39 publications

Distress in Cancer Patients and Their Caregivers and Association with the Caregivers' Perception of Dyadic Communication

Distress in Cancer Patients and Their Caregivers and Association with the Caregivers' Perception of Dyadic Communication

Psychological support of skin cancer patients

IT-based Psychosocial Distress Screening in Patients with Sarcoma and Parental Caregivers via Disease-specific Online Social Media Communities

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