The use of the Distress Thermometer and the Hospital Anxiety and Depression Scale for screening of anxiety and depression in Italian women newly diagnosed with breast cancer

Civilotti, Cristina; Maran, Daniela Acquadro; Santagata, Francesca; Varetto, Antonella; Stanizzo, Maria Rosa

doi:10.1007/s00520-020-05343-x

Cited by 38 publications

(40 citation statements)

References 52 publications

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“…We used the HADS scale to assess psychological status since it has been used as a criterion for evaluating depression and anxiety in previous studies[16 -19]. In this study, we analyzed 290 patients with breast cancer in China, and the rate of psychological distress was 20%-39.7%, which is comparable to previous reports [20][21][22]. The results reported in other studies also indicate the importance of assessing the mental health of such patients throughout the entire cancer treatment process [23,24].…”

Section: Discussionsupporting

confidence: 72%

Association Between Depression and Anxiety Status of Breast Cancer Patients Undergoing Adjuvant Chemotherapy and Chemotherapy-induced Adverse Events.

Liu

Lan

Zhang

et al. 2022

Preprint

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Purpose: The response to a breast cancer diagnosis encompasses aspects related to emotion and psychology, and patients with breast cancer are more likely to experience psychological distress. This study therefore aimed to explore the relationship between depression and anxiety status and adverse events during adjuvant chemotherapy in Chinese breast cancer patients.Methods: This prospective study was conducted on 290 postoperative early-stage breast cancer patients (response rate 96.7%) in China. Depression and anxiety status before adjuvant chemotherapy and after 2 cycles of chemotherapy were assessed by the Hospital Anxiety and Depression Scale (HADS). Adverse events that occurred throughout the course of chemotherapy were graded and recorded according to CTCAE 4.02.Results: The rates of depression and anxiety were 20.0% and 31.4%, respectively, at baseline. After 2 cycles of chemotherapy, the rates of depression and anxiety were 25.2% and 29.0%, respectively. The incidence of grade two or higher myelosuppression induced by chemotherapy was correlated with depression before chemotherapy (P=0.037) and after 2 cycles of chemotherapy (P=0.009). Multivariate analysis showed that the incidence of myelosuppression was significantly related to depression before chemotherapy (P=0.032) and after 2 cycles of chemotherapy (P=0.006). There was no association between depression and anxiety status and other adverse events (P>0.05).Conclusions: We observed an association between depression and anxiety status in breast cancer patients receiving adjuvant chemotherapy and chemotherapy-induced myelosuppression. Monitoring the psychological status of breast cancer patients undergoing chemotherapy may help to optimize the management of adverse events.The study is registered (ClinicalTrials.gov identifier: NCT05055375)

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Section: Discussionsupporting

confidence: 72%

Association Between Depression and Anxiety Status of Breast Cancer Patients Undergoing Adjuvant Chemotherapy and Chemotherapy-induced Adverse Events.

Liu

Lan

Zhang

et al. 2022

Preprint

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“…Therefore, screening for psychological symptoms and promptly identifying the patients most at psychopathological risk are an essential part of the psycho-oncological interventions. In this regard, the Hospital Anxiety and Depression Scale (HADS; [ 4 ]) is a valid tool for detecting anxious and depressive symptomatology in patients with medical conditions and it is considered as one of the best distress-screening instruments currently available for cancer patients [ 5 ]. Longitudinal studies evidenced that distress tends to be higher immediately after the diagnosis than in the successive phases [ 6 ]: Receiving the diagnosis for the first time represents a meaningful moment with a specific impact on the individual in terms of emotional consequences and disturbance to the life balance.…”

Section: Introductionmentioning

confidence: 99%

Anxiety and Depression in Women Newly Diagnosed with Breast Cancer and Waiting for Surgery: Prevalence and Associations with Socio-Demographic Variables

et al. 2021

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Background and Objectives: Cancer is a threatening-life disease with a significant psychological burden. The psychological morbidity varies according to the phases of the illness and is influenced by multiple socio-demographic factors, that are useful to consider in order to identify the categories of patients most at risk of developing psychiatric disorders. The present study analyzes, in a sample of women newly diagnosed with breast cancer, the relationships between their levels of anxiety and depression and several socio-demographic characteristics. The study was cross-sectional. Materials and Methods: Four hundred and seventy eight women newly diagnosed with breast cancer completed the Hospital Anxiety and Depression Scale during the pre-surgical phase. Results: Findings show that almost 40% of the sample had clinically relevant anxious symptoms and about a quarter of the sample had significant depressive symptoms. Their prevalence was higher in widows. Moreover, depressive symptoms were higher in older women and anxious symptoms were higher in patients with a lower educational level. In the pre-surgical phase, women can suffer from clinically relevant anxiety and depression, especially the widows, older women, and women with a lower educational level. Conclusions: Identifying the most psychologically vulnerable patients, due to specific socio-demographic characteristics, is essential in order to provide adequate psycho-oncological treatments to the categories of patients, who are most at risk of developing psychopathological concerns.

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“…Physical diseases, especially if they require invasive treatment practices and are disabling or chronic, can traumatize individuals. Several studies have shown that the presence of negative beliefs regarding one's own health, excessive distress, and dysfunctional emotions affect the course of a disease [89]. This creates a vicious circle between psychological and physical factors that could hinder treatment.…”

Section: Emdr Therapy and Physical Illnessesmentioning

confidence: 99%

Eye Movement Desensitization and Reprocessing in Child and Adolescent Psychology: a Narrative Review

Civilotti

Margola

Zaccagnino³

et al. 2021

Curr Treat Options Psych

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Purpose of review Eye movement desensitization and reprocessing (EMDR) therapy is recognized as an excellent approach to the treatment of trauma in clinical and academic contexts by several national and international organizations. The purpose of this work is to summarize the results of research on EMDR therapy with children and adolescents in various contexts through a narrative review of the scientific literature. Recent findings Selected studies were clustered in several clinical domains: (2) EMDR and trauma (T), (3) EMDR and violence, (4) EMDR and physical illnesses, and (5) EMDR and psychological problems. Our research indicates how the effectiveness of EMDR therapy within the context of child and adolescent psychology has been widely established in literature. One of the advantages of the use of EMDR therapy with children and adolescents is its flexibility, which allows it to be adapted for various age ranges, situations, and cultures. Summary EMDR therapy is a structured psychotherapeutic method that facilitates the treatment of several psychopathologies and problems related to both traumatic events and more common experiences that are emotionally stressful for children and adolescents, although new studies are necessary to increase its validity.

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The use of the Distress Thermometer and the Hospital Anxiety and Depression Scale for screening of anxiety and depression in Italian women newly diagnosed with breast cancer

Cited by 38 publications

References 52 publications

Association Between Depression and Anxiety Status of Breast Cancer Patients Undergoing Adjuvant Chemotherapy and Chemotherapy-induced Adverse Events.

Association Between Depression and Anxiety Status of Breast Cancer Patients Undergoing Adjuvant Chemotherapy and Chemotherapy-induced Adverse Events.

Anxiety and Depression in Women Newly Diagnosed with Breast Cancer and Waiting for Surgery: Prevalence and Associations with Socio-Demographic Variables

Eye Movement Desensitization and Reprocessing in Child and Adolescent Psychology: a Narrative Review

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