Psychosocial Distress in Oncology Outpatients

Farber, John M.; Weinerman, Brian; Kuypers, Joseph A.

doi:10.1300/j077v02n03_09

Cited by 91 publications

(45 citation statements)

References 6 publications

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“…Some discrepancy between the two instruments was expected but has not been previously described, since others have reported the use of a single questionnaire (Bukberg et al, 1980;Craig & Abeloff, 1974;Farber et al, 1982;Plumb & Holland, 1977). A number of factors may account for this lack of agreement.…”

Section: Discussionmentioning

confidence: 84%

“…Craig and Abeloff (1974), using a well-known scale (Symptom Check List 90) among 30 oncology patients reported depression in 50% of patients and elevated anxiety in 30%. Farber et al (1982) using the same scale found a 40% prevalence of depression in oncology outpatients. Plumb and Holland (1977) reported 25% of patients moderately or severely depressed using the Beck Depression Inventory and Buckberg et al (1980) using the same scale found that 36% patients self-rated in the depressed range.…”

Section: Discussionmentioning

confidence: 91%

“…The majority were described as suffering 'adjustment disorder' that is a less severe form of mood disorder. In a number of other studies (Bukberg et al, 1980;Craig & Abeloff, 1974;Farber et al, 1982;Plumb & Holland, 1977) self report questionnaires have been used to assess psychological morbidity in heterogeneous cancer patient groups. Two such questionnaires were deemed suitable for use for the present study.…”

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confidence: 99%

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Psychiatric morbidity in patients with advanced cancer of the breast: prevalence measured by two self-rating questionnaires

Hopwood

Howell²,

Maguire³

1991

Br J Cancer

178

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Summary Two hundred and twenty-two women with advanced cancer of the breast were asked to complete two previously validated self-assessment questionnaires (Hospital Anxiety and Depression Scale (HADS) There has been extensive investigation into the psychological sequelae of early breast cancer and its treatment (Maguire et al., 1978;Maguire et al., 1980;Morris et al., 1977;Robert et al., 1972) but there are few data concerning the prevalence of depression and anxiety in patients with advanced disease. There is a need to determine the extent and severity of affective disorder in patients receiving palliative treatment for breast cancer and to find out whether such disorder is transient or warrants intervention. Plumb and Holland (1981) reported that 20-30% of patients admitted to hospital for the treatment of a variety of advanced cancers developed clinically significant depression and 15% had severe anxiety. In a study of 215 cancer inpatients and outpatients Derogatis and co workers (1983) found 47% met criteria for psychiatric disorder, and of these 13% had a major affective disorder, mainly depression. The majority were described as suffering 'adjustment disorder' that is a less severe form of mood disorder. In a number of other studies (Bukberg et al., 1980;Craig & Abeloff, 1974;Farber et al., 1982;Plumb & Holland, 1977) self report questionnaires have been used to assess psychological morbidity in heterogeneous cancer patient groups. Two such questionnaires were deemed suitable for use for the present study. The Hospital Anxiety and Depression Scale (HADS) (Zigmond & Snaith, 1983) was designed to measure depression and anxiety in medical outpatients and avoids the use of somatic symptoms, which may also be attributed to disease and treatment. It has been shown to be a valid measure of the severity of disorders of mood. The Rotterdam Symptom Checklist (de Haes et al., 1990) was designed as a multidimensional scale for use in quality of life assessment: it contains a subscale of eight items relating to psychological symptoms.The authors validated these two questionnaires in a series of 81 patients with advanced breast cancer (Hopwood et al., 1991), to establish appropriate cut-off values for the identification of 'cases' of affective disorder. Both questionnaires identified 75% of patients diagnosed as cases by a psychiatric interview. The scales were able to correctly identify one in evey two high scorers as a case and, although this predictive power was high in relation to 'screening' for affective disorder, it will inevitably mean that prevalence rates using self-rating scales are an estimate of morbidity rather than an accurate measure of disorder. Nevertheless, scales such as the HADS and RSCL are being used increasingly to evaluate 'quality of life' in cancer patients and their Correspondence: P. Hopwood.Received 16 February 1990; and in revised form 2 April 1991.performance in the measurement of psychological disorder in a homogeneous population of patients warrants evaluation.The aim of the study ...

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 91%

mentioning

confidence: 99%

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Psychiatric morbidity in patients with advanced cancer of the breast: prevalence measured by two self-rating questionnaires

Hopwood

Howell²,

Maguire³

1991

Br J Cancer

178

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“…1983: Farber et al, 1984: Fallowfield, 1988 (Massie & Holland, 1989). Some acute distress points during the course of cancer have been identified, for example diagnosis.…”

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confidence: 99%

Can oncologists detect distress in their out-patients and how satisfied are they with their performance during bad news consultations?

Ford

Fallowfield²,

Lewis³

1994

Br J Cancer

205

112

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Summarn Recognition of psychological distress in patients with cancer. some of which can be ameliorated With appropriate intervention. is a crucial aspect of patient care. Previous studies, with the exception of one. indicate that oncologists often fail to detect general distress and do not identify those patients with significant psychological disorder. As approximately 25-30% of patients experience anxiety and or depression severe enough to merit psychological intervention. this is a serious problem. This study assessed the ability of five oncologists to recognise distress in newly referred out-patients who were receiving bad news. Self-report measures of the oncologists' satisfaction with their performance during the bad news interviews were also collected. Each patient had two clinical interviews in which information concerning diagnosis and treatment were given. Prior to each interview patients reported their own levels of distress by completing two self-report questionnaires. These were correlated with the ratings of distress and satisfaction made by each clinician on a visual analogue scale after each interview. Only one oncologist's ratings consistently correlated with patients' self-reported scores. The clinicians tended to under-rate the distress in their patients and were mostly satisfied with their performances during each interview. The ability to detect distress varied between each clinician and confirmed the conclusions of past studies that oncologists would benefit from up-grading their psychological assessment skills.

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“…For psychological distress, there is strong evidence on which to make a clinical recommendation, and the prevalence of psychological distress among cancer patients is high [26][27][28][29]. Comprehensive chronic pain assessment should include routine screening of psychological distress, because brief measures are available and interventions are effective [23].…”

Section: Discussionmentioning

confidence: 99%

Pain and Distress in Cancer Patients

Anna

Marieta

Moica

et al. 2015

Acta Medica Marisiensis

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Background: A significant number of patients with cancer suffer from anxiety and depressive disorder. Perceived emotional distress, anxiety and depressive symptoms are significantly more frequent in cancer patients with pain than in patients without pain. Despite their high prevalence cancer pain and distress are frequently undertreated. Material and method: Thirty two oncology patients were included in the study who were receiving concurrent oncologic and pain treatment in the Oncology Clinic TgMures. Patient demographic and clinical information was obtained from medical records and patient report. Patients were screened for pain scores using the Visual Analog Scale and distress scores, using the Distress Thermometer. Results: The gender proportion of the sample is: 38% female, 62% male. More than 75% of the sample was over 50 years of age , and more than half of the patients (59.3%) had metastatic disease. Significant decreasing trend were seen for pain score difference before and after the pain treatment was reassessed (dosage increase or conversion) (p<0.0001), and decreasing trend seen for distress score (p<0.0001) also. Conclusions: Pain and distress occurred concomitant in this population. An adequate pain management and pain reassessment contributes to improve the cancer patient emotional distress score, anxiety and depressive symptoms. An accurate screening instrument can facilitate the recognition of patients who needs further assessment and psychiatric treatment.

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Psychosocial Distress in Oncology Outpatients

Cited by 91 publications

References 6 publications

Psychiatric morbidity in patients with advanced cancer of the breast: prevalence measured by two self-rating questionnaires

Psychiatric morbidity in patients with advanced cancer of the breast: prevalence measured by two self-rating questionnaires

Can oncologists detect distress in their out-patients and how satisfied are they with their performance during bad news consultations?

Pain and Distress in Cancer Patients

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