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

2010 ◽  
Vol 18 (8) ◽  
pp. 957-965 ◽  
Author(s):  
Bianca Senf ◽  
Holger Brandt ◽  
Axel Dignass ◽  
Rolf Kleinschmidt ◽  
Jochen Kaiser
Keyword(s):  
Cancer Patients ◽  
Acute Care ◽  
Rating Scale ◽  
Psychological Treatment ◽  
Short Form ◽  
Treatment Phase ◽  
Well Being ◽  
Psychosocial Distress ◽  
Self Rating ◽  
Expert Rating

Abstract Purpose 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. Methods 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. Results 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. Conclusions 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.

scholarly journals Correction to: Psychosocial distress in acute cancer patients assessed with an expert rating scale

2020 ◽  
Vol 28 (5) ◽  
pp. 2433-2433
Author(s):  
Bianca Senf ◽  
Holger Brandt ◽  
Axel Dignass ◽  
Rolf Kleinschmidt ◽  
Jochen Kaiser
Keyword(s):  
Cancer Patients ◽  
Rating Scale ◽  
Psychosocial Distress ◽  
Expert Rating

scholarly journals Erratum to: Psychosocial distress in acute cancer patients assessed with an expert rating scale

2010 ◽  
Vol 18 (8) ◽  
pp. 967-967
Author(s):  
Bianca Senf ◽  
Holger Brandt ◽  
Axel Dignass ◽  
Rolf Kleinschmidt ◽  
Jochen Kaiser
Keyword(s):  
Cancer Patients ◽  
Rating Scale ◽  
Psychosocial Distress ◽  
Expert Rating

scholarly journals French adaptation of the PO-Bado short form, an interview-based expert rating scale for distress screening

2019 ◽  
Vol 7 (1) ◽  
pp. 78-89
Author(s):  
Yaël Saada ◽  
Kamel Gana ◽  
Odile Duguey-Cachet ◽  
Nena Stadelmaier ◽  
Bruno Quintard
Keyword(s):  
Rating Scale ◽  
Short Form ◽  
Distress Screening ◽  
Expert Rating

scholarly journals Psychological distress in cancer patients assessed with an expert rating scale

2008 ◽  
Vol 99 (1) ◽  
pp. 37-43 ◽  
Author(s):  
P Herschbach ◽  
K Book ◽  
T Brandl ◽  
M Keller ◽  
G Lindena ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Cancer Patients ◽  
Rating Scale ◽  
Expert Rating

The Basic Documentation for Psycho-Oncology (PO-Bado) – an Expert Rating Scale for the Psychosocial Experience of Cancer Patients

2008 ◽  
Vol 31 (11) ◽  
pp. 591-596 ◽  
Author(s):  
Peter Herschbach ◽  
Katrin Book ◽  
Tobias Brandl ◽  
Monika Keller ◽  
Birgitt Marten-Mittag
Keyword(s):  
Cancer Patients ◽  
Rating Scale ◽  
Expert Rating ◽  
Basic Documentation

scholarly journals Development of the therapeutic alliance and its association with treatment outcome in internet-based Mindfulness-Based Cognitive Therapy (eMBCT) compared to group-based MBCT (MBCT) for distressed cancer patients (Preprint)

2019 ◽  
Author(s):  
Else Bisseling ◽  
Linda Cillessen ◽  
Philip Spinhoven ◽  
Melanie Schellekens ◽  
Félix Compen ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Psychological Distress ◽  
Therapeutic Alliance ◽  
Cognitive Therapy ◽  
Cancer Patients ◽  
Psychological Treatment ◽  
Well Being ◽  
Post Treatment ◽  
Treatment Dropout ◽  
Mental Well Being

BACKGROUND Mindfulness-Based Cognitive Therapy (MBCT) is an evidence-based group-based psychological treatment in oncology, resulting in reduction of depressive and anxiety symptoms. Internet-based Mindfulness-based Cognitive Therapy (eMBCT) has been found to be an effective alternative for MBCT. The therapeutic alliance, i.e. the bond between therapist and patient, is known to have a significant impact on psychological treatment outcomes, including MBCT. A primary concern in the practice of eMBCT is whether a good therapeutic alliance can develop. Although evidence for the beneficial effect of therapist-assistance on treatment outcome in internet-based interventions (IBIs) is accumulating, it is still unclear whether the therapeutic alliance is related to outcome in IBIs. OBJECTIVE The objectives of the present study were: (1) to explore whether early therapeutic alliance predicts treatment dropout in (e)MBCT; (2) to compare the development of the therapeutic alliance during eMBCT and MBCT; and (3) to examine whether early therapeutic alliance is a predictor of the reduction of psychological distress and the increase of mental well-being at post-treatment in both conditions. METHODS The present study was part of a multicentre randomized controlled trial (RCT; n=245) on the effectiveness of (e)MBCT for distressed cancer patients. The therapeutic alliance was measured at the start of week 2 (i.e. early therapeutic alliance), week 5 and week 9. Outcome measures were psychological distress, measured with the Hospital Anxiety and Depression Scale (HADS) and mental-wellbeing, measured with the Mental Health Coninuum-short form (MHC-SF). RESULTS The strength of early therapeutic alliance did not predict treatment dropout in (e)MBCT (B=-0.39, p=.21). Therapeutic alliance increased over time in both conditions (F=16.46,Wilks’ λ=.732, p<.001). This increase did not differ between eMBCT and MBCT (F=0.114, p=.74). Therapeutic alliance at week 2 predicted a reduction of psychological distress (B=-.126, t=-2.656, p=.01) and an increase of in mental well-being (B=.234, t=2.651, p=.01) at post-treatment. The relationship with reduction of psychological distress differed between treatments: a weaker early therapeutic alliance predicted higher psychological distress at post-treatment in MBCT but not in eMBCT(B=.217, t=2.261, p=.03). CONCLUSIONS A therapeutic alliance can develop in both eMBCT and MBCT. Findings revealed that the strength of early alliance did not predict treatment dropout. Furthermore, the level of therapeutic alliance predicted reduced psychological distress and increased mental well-being at post-treatment in both conditions. Interestingly, the strength of therapeutic alliance is appeared to be more related to treatment outcome in group-based MBCT than in eMBCT. CLINICALTRIAL NCT02138513 https://clinicaltrials.gov/ct2/show/NCT02138513

Depression in patients with advanced illness: An examination of Ontario complex continuing care using the Minimum Data Set 2.0

2005 ◽  
Vol 3 (2) ◽  
pp. 99-105 ◽  
Author(s):  
ANDREA GRUNEIR ◽  
TREVOR FRISE SMITH ◽  
JOHN HIRDES ◽  
ROY CAMERON
Keyword(s):  
Cancer Patients ◽  
Rating Scale ◽  
Well Being ◽  
Terminal Phase ◽  
Continuing Care ◽  
Advanced Illness ◽  
Data Set ◽  
Patients With Cancer ◽  
Prevalence Of Depression ◽  
Definition Of

Objective: In this study, we examined the prevalence of depression, its recognition, and its treatment in continuing care patients with advanced illness (AI).Methods: All data were obtained from the Ontario (Canada) provincially-mandated MDS 2.0 form for chronic care. Of 3,801 patients, 524 met our empiric definition of AI, which was predicated on a previously validated algorithm. The MDS-embedded Depression Rating Scale (DRS) was used to measure psychological well-being and a score of 3 or greater indicated potential depression.Results: Twenty-nine percent of patients with AI scored greater than 3, making them nearly twice as likely to be potentially depressed as other patients (OR 1.8, 95% CI 1.5–2.2). Despite this patients with AI were less likely to have received antidepressants (28.9% vs. 38.2%), even among those with a diagnosis (45.3% vs. 58.4%). Using logistic regression, correlates of potential depression were identified and surprisingly patients with cancer were substantially less likely to be depressed (AOR 0.37, 95% CI 0.2–0.6). Further investigation revealed that cancer patients were more likely to be treated for depression and to be recognized as being within the terminal phase of illness.Significance of results: These findings suggest that a high proportion of terminally ill patients had unmet needs for psychological support. As well, they suggest that cancer patients received better targeted end-of-life care, which resulted in an overall decrease in psychological distress when compared to other patients with similarly advanced illness.

Efficacy of venlafaxine on a derived self-rating scale of well being

2002 ◽  
Vol 12 ◽  
pp. 228
Author(s):  
P. Bech ◽  
D. Hackett ◽  
B. Pitrosky
Keyword(s):  
Rating Scale ◽  
Well Being ◽  
Self Rating

Improvement of quality of life in hospitalized depressed elderly

2010 ◽  
Vol 23 (3) ◽  
pp. 485-495 ◽  
Author(s):  
Maria I. Lapid ◽  
Katherine M. Piderman ◽  
Susan M. Ryan ◽  
Kristin J. Somers ◽  
Matthew M. Clark ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rating Scale ◽  
Short Form ◽  
Severe Depression ◽  
Well Being ◽  
Brief Cope ◽  
Sf 36 ◽  
Psychiatrically Hospitalized ◽  
Component Scores

ABSTRACTBackground:Quality of life is important for all individuals, but is frequently overlooked in psychiatric populations. Our purpose was to assess the quality of life (QOL) of depressed psychiatrically hospitalized elderly patients, examine the association of QOL and depression, and explore any QOL differences related to electroconvulsive therapy (ECT).Methods:This Institutional Review Board (IRB)-approved prospective study recruited geropsychiatric inpatients aged 65 years and older who were depressed, had Mini-mental State Examination (MMSE) scores >18/30, and adequate communication skills. Surveys were completed upon admission and discharge to measure depression (Hamilton Depression Rating Scale (HDRS)), quality of life (Linear Analogue Scales of Assessment (LASA); Medical Outcomes Short Form-36 Health Survey (SF-36)), cognitive function (MMSE; Executive Interview (EXIT 25)), and coping (Brief COPE Inventory (COPE)). Spearman correlations and Wilcoxon signed rank tests were used to assess changes in measures during hospitalization and relationships among variables.Results:The 45 study participants who completed the study had a mean age of 74 years. The majority were female (67%), married (58%), Protestant (60%), with at least high school education (78%). Admission scores demonstrated severe depression (HDRS 24.88 ± 10.14) and poor QOL (LASA overall QOL 4.4 ± 2.79, and SF-36 mental [27.68 ± 9.63] and physical [46.93 ± 10.41] component scores). At discharge, there was a significant improvement of depression (HDRS 24.88v12.04, p < 0.0001) and QOL (LASA overall QOL 4.4v6.66, p < 0.0001; and SF-36 mental [27.68v39.10, p < 0.0001] and physical [46.93v50.98, p = 0.003] component scores). Not surprisingly, depression was negatively correlated with overall QOL, mental well-being, physical well-being, and emotional well-being at both admission and discharge. For the group who received ECT, there was a greater magnitude of improvement in SF-36 vitality (p = 0.002) and general health perception (p = 0.04), but also a reduction in EXIT 25 scores at discharge (p = 0.008).Conclusions:There was improvement of both QOL and depression during the course of hospitalization. Additionally, improvement of QOL was associated with improvement of depression. Perhaps future studies could develop interventions to improve both mood and QOL in elderly depressed inpatients.

scholarly journals Interaction with Cancer Patients: Psychological Impact of Doctors’ Communication Behaviour

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Jyoti Srivastava ◽  
Hari S. Shukla ◽  
Sandhya S. Kaushik ◽  
Mallika Tewari
Keyword(s):  
Cancer Patients ◽  
Psychiatric Morbidity ◽  
Psychological Impact ◽  
Treatment Phase ◽  
Integrated Approach ◽  
Well Being ◽  
Patient Communication ◽  
Communication Behaviour ◽  
Doctor Patient Communication ◽  
Communication Behaviours

Psychiatric morbidity can be regarded as closely related to health status and quality of life among cancer patients. Communication between oncologists and cancer patients seems to play an important role in psychological difficulties that can arise during the diagnosis and treatment phase of cancer, such as uncertainty, anxiety, depression and problems with coping. Qualitative researches done earlier, confirms that how cancer patients perceive their relationship with physician, generally affects their psychological well being which ultimately influences their short term and long term health outcomes. This paper presented an extensive review on the significance of physicians’ communication behaviour which revealed the complex relationship of doctor-patient communication and reinforces the practice implications of the former reviews. It was concluded that instead of focusing on different types of communication behaviours as separate entities, future researches should adopt an integrated approach toward the understanding of the doctor patient communication to get a clearer picture of psychological and health outcome in cancer patients.

Sign in / Sign up

Export Citation Format

Share Document