Psychosocial distress in acute cancer patients assessed with an expert rating scale

被引:23
|
作者
Senf, Bianca [1 ,2 ]
Brandt, Holger [3 ]
Dignass, Axel [1 ]
Kleinschmidt, Rolf [1 ]
Kaiser, Jochen [2 ]
机构
[1] Markus Hosp, Med Clin, D-60431 Frankfurt, Germany
[2] Goethe Univ, Inst Med Psychol, D-60528 Frankfurt, Germany
[3] Goethe Univ, Inst Psychol, D-60054 Frankfurt, Germany
关键词
Cancer; Psychosocial distress; Expert rating; Sociodemographic predictors; Disease related predictors; POSTTRAUMATIC-STRESS-DISORDER; PSYCHOLOGICAL DISTRESS; BASIC DOCUMENTATION; EMOTIONAL DISTRESS; HOSPITAL ANXIETY; DEPRESSION; PREVALENCE; ONCOLOGY; INTERVENTIONS; SUPPORT;
D O I
10.1007/s00520-010-0850-9
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The identification of psychosocial stress in cancer patients has remained a challenging task especially in an acute care environment. The aims of the present study were to apply a short expert rating scale for the assessment of distress during the acute treatment phase and to identify potential sociodemographic and disease-related predictors. Four hundred seventy-eight ward cancer patients were assessed with the short form of the psycho-oncological basis documentation and its breast-cancer-specific version. In addition, they completed a self-rating questionnaire on stress in cancer patients. We recorded sociodemographic and disease-related variables and assessed their predictive value for psychosocial distress. According to the expert rating scale, 56.3% of patients were rated distressed. While only 31.3% of patients were classified as distressed according to a patient self-rating, both approaches showed a good degree of concurrence with a consistent classification of 69% of patients. Younger age, current psychotropic medication, and past psychological treatment were associated with higher distress levels. Patients with metastases and those with a poorer functional status were more distressed. Interestingly, having an operation was associated with a better psychological well-being. This study demonstrated that a substantial proportion of cancer patients in acute care are psychosocially distressed. A short expert rating scale proved to be a feasible tool for the assessment of distress in an acute care setting.
引用
收藏
页码:957 / 965
页数:9
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