Symptom indicator of severity of depression in cancer patients: a comparison of the DSM-IV criteria with alternative diagnostic criteria

Akechi, Tatsuo; Ietsugu, Tetsuji; Sukigara, Masune; Okamura, Hitoshi; Nakano, Tomohito; Akizuki, Nobuya; Okamura, Mutsumi; Shimizu, Ken; Okuyama, Toru; Furukawa, Toshi A; Uchitomi, Yosuke

doi:10.1016/j.genhosppsych.2008.12.004

Cited by 55 publications

(47 citation statements)

References 45 publications

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“…Our patients had a higher prevalence of clinical depression (25.7%) than those in other studies. Fewer needs for seeking information might reflect withdrawal and lack of interest in medical participation in depressed cancer patients [43]. The other explanation might be that depressed patients did not register needs for information to avoid receiving bad news and to preserve hope [44,45].…”

Section: Discussionmentioning

confidence: 99%

Symptoms, psychological distress, and supportive care needs in lung cancer patients

Liao

Shun

et al. 2010

Support Care Cancer

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The effect of symptoms and psychological distress on unmet supportive care needs is substantial. Therefore, a systematic assessment of patients' distress and care needs is important for clinical lung cancer care. Further intervention consisting of symptom management, continuing counseling, and preparation for transition from active treatment to the follow-up stages are essential in improving quality of care.

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Section: Discussionmentioning

confidence: 99%

Symptoms, psychological distress, and supportive care needs in lung cancer patients

Liao

Shun

et al. 2010

Support Care Cancer

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“…67,68 Certain items from the substitutive criteria like 'brooding, selfpity or pessimism' and 'cannot be cheered up, doesn't smile, no response to good news or funny situations' may be useful for detection of mild and severe depression, respectively, as has been found for cancer patients. 69 Beck Depression Inventory 58 which focuses on the cognitive aspects of depression may be a better suited instrument for assessment of depression in liver transplant candidates. It is a 21-item self-report instrument for measuring the presence and severity of depressive symptoms.…”

Section: Psychiatric Evaluationmentioning

confidence: 99%

Liver Transplant—Psychiatric and Psychosocial Aspects

Grover

Sarkar

2012

Journal of Clinical and Experimental Hepatology

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Liver transplantation is a life saving surgical procedure that is associated with improved longevity and enhanced quality of life. The number of successful liver transplants is growing worldwide. The procedure requires a dedicated and trained team of experts. A psychiatrist plays an important role in such a team. Psychiatric and psychosocial assessment is considered imperative to evaluate the candidate's suitability as a transplant recipient. Many psychiatric disorders may lead to the need for liver transplant, and if kept unchecked can adversely affect outcomes. Psychiatric problems arising in the post-transplant period may also require intervention of the psychiatrist. The donor too needs to be evaluated adequately to assess for psychological fitness for the procedure. This article provides broad overview of the various psychiatric and psychosocial issues pertaining to liver transplantation.

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“…Three types of different approaches have been employed to identify depression among cancer patients: inclusive, exclusive, and substitutive approaches [13,14]. The inclusive approach includes all depressive symptoms regardless of whether or not the symptoms may be attributable to medical illness.…”

Section: Introductionmentioning

confidence: 99%

“…Modified DSM–IV Criteria uses this approach to identify depression. However, this approach has the tendency to over-diagnose patients who are medically ill with depression and causes false positive results due to its high sensitivity and lower specificity [13,14]. This was demonstrated by Kathol et al (1990), who found that the prevalence of depression in cancer patients dropped by 8% when comparing an inclusive approach with an etiologic approach that removes depressive symptoms attributed to cancer [15].…”

Section: Introductionmentioning

confidence: 99%

Core Symptoms of Major Depressive Disorder among Palliative Care Patients

Huey¹,

Guan

Gill

et al. 2018

IJERPH

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A valid method to diagnose depression in palliative care has not been established. In this study, we aim to determine the prevalence of depression and the discriminant validity of the items of four sets of diagnostic criteria in palliative care. This is a cross-sectional study on 240 palliative care patients where the presence of depression was based on the Diagnostic and Statistical Manual of Mental Disorders, DSM–IV Criteria, Modified DSM–IV Criteria, Cavanaugh Criteria, and Endicott’s Criteria’s. Anxiety, depression, and distress were measured with Hospital Anxiety and Depression Scale and Distress Thermometer. The prevalence of depression among the palliative care patients was highest based on the Modified DSM–IV Criteria (23.3%), followed by the Endicott’s Criteria (13.8%), DSM–IV Criteria (9.2%), and Cavanaugh Criteria (5%). There were significant differences (p < 0.05) in the depressive symptoms showed by DSM–IV item 1 (dysphoric mood), item 2 (loss of interest or pleasure), and Endicott’s criteria item 8 (brooding, self-pity, or pessimism) among the palliative patients, even after adjustment for the anxiety symptoms and distress level. We found that dysphoric mood, loss of interest, and pessimism are the main features of depression in palliative patients. These symptoms should be given more attention in identifying depression in palliative care patients.

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Symptom indicator of severity of depression in cancer patients: a comparison of the DSM-IV criteria with alternative diagnostic criteria

Cited by 55 publications

References 45 publications

Symptoms, psychological distress, and supportive care needs in lung cancer patients

Symptoms, psychological distress, and supportive care needs in lung cancer patients

Liver Transplant—Psychiatric and Psychosocial Aspects

Core Symptoms of Major Depressive Disorder among Palliative Care Patients

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