Measurement of psychological distress in palliative care

Kelly, Brian; McClement, Susan; Chochinov, Harvey Max

doi:10.1177/0269216306072347

Cited by 99 publications

(68 citation statements)

References 90 publications

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“…It is stated in the literature that complex symptoms need to be differentiated between clinical syndromes such as anxiety disorders and bleeding for example and the broader psychological dimensions of suffering such as existential concerns and hope (Kelly, et al, 2006). The literature demonstrates that the suffering experienced in chronic and terminal illness demands an understanding of what makes people the individuals they are (Copp, 1994;Daneault, et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

Malignant fungating wounds – The meaning of living in an unbounded body

Probst

Arber

Faithfull

2013

European Journal of Oncology Nursing

100

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Section: Discussionmentioning

confidence: 99%

Malignant fungating wounds – The meaning of living in an unbounded body

Probst

Arber

Faithfull

2013

European Journal of Oncology Nursing

100

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“…4) Você gostaria de explorar as questões religiosas com alguém? (Quill e Byock, 2000) Para acessar a espiritualidade de maneira sistemática e padronizada, foram criadas escalas de avaliação especí-ficas (Kelly et al, 2006;Mystakidou et al, 2006). As escalas de avaliação da espiritualidade no âmbito médico, como a Spiritual Involvement and Beliefs Scale (Hatch et al, 1998) (Escala de Crenças e Envolvimento Espiritual), a Spiritual Well-Being Scale (Sieber et al, 2000) (Escala de Bem-Estar Espiritual) e a DUREL (Duke University religion index) (Storch et al, 2004).…”

Section: Religiosidade E Espiritualidade Na Prática Médicaunclassified

A importância da integração da espiritualidade e da religiosidade no manejo da dor e dos cuidados paliativos

Peres¹,

Arantes²,

Lessa³

et al. 2007

Rev. psiquiatr. clín.

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A importância da integração da espiritualidade e da religiosidade no manejo da dor e dos cuidados paliativos ResumoContexto: Dor é um dos sintomas físicos mais freqüentemente relatados por pacientes, causando importante redução na qualidade de vida do indivíduo. Pacientes com dor crônica são difíceis de tratar. Objetivo: Descrever estratégias atuais de abordagem de pacientes com dores crônicas, baseadas na literatura científica, enfatizando medidas relacionadas à espiritualidade e à religiosidade. Método: A presente revisão utilizou-se das atuais estratégias de manejo para pacientes com dor crônica combinadas a medidas medicamentosas e não-medicamentosas, estas geralmente incorporando medidas voltadas ao bem-estar físico, mental, social e espiritual com base em publicações indexadas pelo Medline. Resultados: Muitos estudos demonstram associação positiva entre espiritualidade e religiosidade e melhora em variáveis e marcadores de doenças crônicas. Conclusão: Pelo fato de a religiosidade e a espiritualidade serem marcadamente relacionadas com a melhora clínica dos pacientes, é importante que o reconhecimento desses aspectos e a integração no manejo dos pacientes com dor crônica sejam conduzidos por profissionais da área de saúde.Peres, M.F.P. et al. / Rev. Psiq. Clín. 34, supl 1; 82-87, 2007 Palavras-chave: Dor crônica, manejo, cefaléias, espiritualidade. AbstractBackground: Pain is one of the most common physical complaints which negatively affects the patient's quality of life. Patients with chronic pain are difficult and often frustrating to treat. Objective: To describe the current strategies for approaching patients with chronic pain based on scientific literature, emphasizing measures related to spirituality and religiosity. Method: For the present work, authors reviewed data supporting the application of clinical procedures regarding to chronic pain and palliative care with the importance of spirituality background incorporation based on indexed Medline data. Results: Many studies have demonstrated a positive association between spirituality and religiosity and improvement of chronic diseases' variables and markers. Conclusion: As religiosity and spirituality are notoriously related to the patient's clinical improvement, it is highly important that the recognition of these aspects and their incorporation in the management of patients with chronic pain be conducted by health professionals.

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“…2 Despite its high prevalence and its importance it is often not adequately explored. 3 Better diagnosis of suspected depression could reduce the number of untreated patients. 4 A clinical interview by a specialist in psychiatry is currently the gold standard for diagnosis of anxiety and depression, but in practice this approach in palliative care is reserved for complex situations.…”

Section: Introductionmentioning

confidence: 99%

Spanish “Fine Tuning” of Language To Describe Depression and Anxiety

Noguera¹,

Centeno

Carvajal

et al. 2009

Journal of Palliative Medicine

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On screening tools for emotional distress, the terms ''depression'' and ''anxiety'' are commonly used for patients with advanced cancer. However, these terms could have negative connotations in Spanish such that cultural and unexpected differences in perception may invalidate or skew the results of the screening if the best terms are not chosen. The goal of this study was to determine the best expression that can be used to explore anxiety and depression in Spanish. A prospective study of 100 Spanish-speaking patients was performed. Spanish patients with cancer completed the Hospital Anxiety and Depression Scale (HADS) and six Verbal Numerical Scales (VNS) exploring the level of anxiety using the terms ansioso (anxious), nervioso (nervous), or intranquilo (uneasy= disquiet), and the level of depression using the terms deprimido (depressed), desanimado (discouraged), or triste (sad). The correlation, sensitivity, and specificity for all the VNS and HADS (8 and 11 cutoff points) were analyzed. The correlation (Spearman r) between HADS and the anxiety VNS was r ¼ 0.557 using ''anxious''; r ¼ 0.603 using ''nervous''; and r ¼ 0.594 using ''uneasy.'' The correlation for the depression VNS was r ¼ 0.662 using ''depression''; r ¼ 0.759 using ''discouraged'' and r ¼ 0.596 using ''sad''; a < 0.001 was used in all VNS. A cutoff point of 4 of 10 for any term used to explore anxiety achieved the best levels for sensitivity (0.80) and specificity (0.70). The term ''discouraged'' with a cutoff point of 4 of 10 shows a sensitivity of 0.89, a specificity of 0.84, as well as a predictive positive value of 0.77 and a negative value of 0.93. In Spanish, the term desanimado seems to be more suitable in screening for depression. Alternate terms could be used to explore anxiety in Spanish. Exploring depression with simple questions in Spanish achieves greater accuracy than the same approach to exploring anxiety.

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Measurement of psychological distress in palliative care

Cited by 99 publications

References 90 publications

Malignant fungating wounds – The meaning of living in an unbounded body

Malignant fungating wounds – The meaning of living in an unbounded body

A importância da integração da espiritualidade e da religiosidade no manejo da dor e dos cuidados paliativos

Spanish “Fine Tuning” of Language To Describe Depression and Anxiety

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