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

2020 ◽  
Vol 28 (10) ◽  
pp. 4997-5004
Author(s):  
Cristina Civilotti ◽  
Daniela Acquadro Maran ◽  
Francesca Santagata ◽  
Antonella Varetto ◽  
Maria Rosa Stanizzo
Keyword(s):  
Breast Cancer ◽  
Depression Scale ◽  
Distress Thermometer ◽  
Anxiety And Depression ◽  
Newly Diagnosed ◽  
Hospital Anxiety ◽  
Italian Women

scholarly journals HOSPITAL ANXIETY AND DEPRESSION SCALE (HADS) OF OUTPATIENTS AFTER BREAST CANCER SURGERY

2005 ◽  
Vol 66 (1) ◽  
pp. 1-6
Author(s):  
Yuko TSUNODA ◽  
Eisuke FUKUMA ◽  
Kenji WADAMORI ◽  
Kunimoto HIGA ◽  
Jun-ichi SANUKI ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Depression Scale ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Anxiety And Depression ◽  
Hospital Anxiety

scholarly journals Perceptions of prognosis and goal of treatment in patients with malignant gliomas and their caregivers

2020 ◽  
Vol 7 (5) ◽  
pp. 490-497
Author(s):  
Deborah A Forst ◽  
Kit Quain ◽  
Sophia L Landay ◽  
Maya Anand ◽  
Emilia Kaslow-Zieve ◽  
...  
Keyword(s):  
Malignant Gliomas ◽  
Depression Scale ◽  
Primary Treatment ◽  
Treatment Goal ◽  
Anxiety And Depression ◽  
Newly Diagnosed ◽  
Hospital Anxiety ◽  
Treatment Perceptions ◽  
Multivariable Regression ◽  
A Prospective Study

Abstract Background Patients with malignant gliomas have a poor prognosis. However, little is known about patients’ and caregivers’ understanding of the prognosis and the primary treatment goal. Methods We conducted a prospective study in patients with newly diagnosed malignant gliomas (N = 72) and their caregivers (N = 55). At 12 weeks after diagnosis, we administered the Prognosis and Treatment Perceptions Questionnaire to assess understanding of prognosis and the Hospital Anxiety and Depression Scale to evaluate mood. We used multivariable regression analyses to explore associations between prognostic understanding and mood and McNemar tests to compare prognostic perceptions among patient-caregiver dyads (N = 48). Results A total of 87.1% (61/70) of patients and 79.6% (43/54) of caregivers reported that it was “very” or “extremely” important to know about the patient’s prognosis. The majority of patients (72.7%, [48/66]) reported that their cancer was curable. Patients who reported that their illness was incurable had greater depressive symptoms (B = 3.01, 95% CI, 0.89-5.14, P = .01). There was no association between caregivers’ prognostic understanding and mood. Among patient-caregiver dyads, patients were more likely than caregivers to report that their primary treatment goal was cure (43.8% [21/48] vs 25.0% [12/48], P = .04) and that the oncologist’s primary goal was cure (29.2% [14/48] vs 8.3% [4/48], P = .02). Conclusions Patients with malignant gliomas frequently hold inaccurate perceptions of the prognosis and treatment goal. Although caregivers more often report an accurate assessment of these metrics, many still report an overly optimistic perception of prognosis. Interventions are needed to enhance prognostic communication and to help patients cope with the associated distress.

Examination of the construct validity of the Swedish version of Hospital Anxiety and Depression Scale in breast cancer patients

2013 ◽  
Vol 22 (10) ◽  
pp. 2849-2856 ◽  
Author(s):  
Fredrik Saboonchi ◽  
Agneta Wennman-Larsen ◽  
Kristina Alexanderson ◽  
Lena-Marie Petersson
Keyword(s):  
Breast Cancer ◽  
Construct Validity ◽  
Cancer Patients ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Breast Cancer Patients ◽  
Hospital Anxiety ◽  
Swedish Version

The Mental Adjustment to Cancer (MAC) Scale: replication and refinement in 632 breast cancer patients

1999 ◽  
Vol 29 (6) ◽  
pp. 1335-1345 ◽  
Author(s):  
R. H. OSBORNE ◽  
G. R. ELSWORTH ◽  
D. W. KISSANE ◽  
S. A. BURKE ◽  
J. L. HOPPER
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Concurrent Validity ◽  
General Structure ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Breast Cancer Patients ◽  
Hospital Anxiety ◽  
Mental Adjustment ◽  
Fighting Spirit

Background. Assessment of adjustment of patients in cancer treatment trials is becoming more common and increasingly regarded as a useful outcome measure. The widely used Mental Adjustment to Cancer (MAC) Scale was designed to measure Fighting Spirit (FS), Anxious Preoccupation (AP), Helpless–hopelessness (HH) and Fatalism.Methods. Questionnaire responses from 632 breast cancer patients were randomly divided into two groups, one for exploratory analyses and possible scale refinement, and the other for validation purposes.Results. Estimates of reliability (Cronbach's α) were satisfactory for two scales, FS (α = 0·85) and HH (α = 0·81), but lower for AP (α = 0·65) and Fatalism (α = 0·64). Exploratory factor analysis suggested that the MAC Scale might be measuring six independent constructs including two related to Fighting Spirit (Positive Orientation to the Illness, Minimizing the Illness), two related to Fatalism (Fatalism-revised, Loss of Control), a construct we have named Angst, and an unchanged HH construct. Scales developed to measure these constructs were satisfactorily replicated in confirmatory analyses but some reliabilities were lower than desirable. The general structure of the MAC Scale remained little changed despite the division of two scales and the suggested removal of six items. The refined scales correlated with the Hospital Anxiety and Depression scale and the Medical Coping Modes Questionnaire, indicating good concurrent validity.Conclusions. While reasonable reliability of the original scales persists through analyses of the MAC Scale, the original factor structure could not be reproduced. Six refined constructs with strong construct validity were identified within the overall domain of mental adjustment to cancer.

scholarly journals Anxiolytic Effect of Aromatherapy Massage in Patients with Breast Cancer

2009 ◽  
Vol 6 (1) ◽  
pp. 123-128 ◽  
Author(s):  
Jiro Imanishi ◽  
Hiroko Kuriyama ◽  
Ichiro Shigemori ◽  
Satoko Watanabe ◽  
Yuka Aihara ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Control Period ◽  
Depression Scale ◽  
Comparative Trial ◽  
Anxiolytic Effect ◽  
Anxiety And Depression ◽  
Breast Cancer Patients ◽  
Hospital Anxiety ◽  
Massage Treatment

We examined how aromatherapy massage influenced psychologic and immunologic parameters in 12 breast cancer patients in an open semi-comparative trial. We compared the results 1 month before aromatherapy massage as a waiting control period with those during aromatherapy massage treatment and 1 month after the completion of aromatherapy sessions. The patients received a 30 min aromatherapy massage twice a week for 4 weeks (eight times in total). The results showed that anxiety was reduced in one 30 min aromatherapy massage in State-Trait Anxiety Inventory (STAI) test and also reduced in eight sequential aromatherapy massage sessions in the Hospital Anxiety and Depression Scale (HADS) test. Our results further suggested that aromatherapy massage ameliorated the immunologic state. Further investigations are required to confirm the anxiolytic effect of aromatherapy in breast cancer patients.

Diagnostic Efficiency of the Hospital Anxiety and Depression Scale in Women with Early Stage Breast Cancer

2002 ◽  
Vol 36 (2) ◽  
pp. 246-250 ◽  
Author(s):  
Anthony W Love ◽  
David W Kissane ◽  
Sidney Bloch ◽  
David M Clarke
Keyword(s):  
Breast Cancer ◽  
Predictive Value ◽  
Early Stage ◽  
Psychiatric Morbidity ◽  
Depression Scale ◽  
Early Stage Breast Cancer ◽  
Anxiety And Depression ◽  
Diagnostic Efficiency ◽  
Hospital Anxiety ◽  
Predictive Values

Objective: To investigate the diagnostic efficiency of the Hospital Anxiety and Depression Scale (HADS) in patients with breast cancer. Methods: Women (303) recently diagnosed with stage I or II breast cancer completed the HADS and were psychiatrically assessed. Recommended cut-off scores for Depression (D) and Anxiety (A) Scales identified probable caseness and the accuracy was compared with DSM-IV diagnoses. Cut-off scores were varied to establish optimal accuracy. Results: One hundred and eleven (36.6%) met criteria for depressive disorders and 25 (8.3%) met criteria for anxiety disorders. At the recommended cut-off score of 11 for the D scale, positive and negative predictive values were.75 and.64, respectively, while sensitivity and specificity were.05 and.99, respectively. For the A scale, positive predictive value (PPV) was.15; negative predictive value (NPV),.90; sensitivity,.08; and specificity,.87. Reducing the cut-off score to 5 produced PPV of.63, NPV of.74, sensitivity of.49 and specificity of.83 for the D scale;.14,.94,.75 and.45, respectively, for the A scale. Composite scores (cut-off of 22) had a PPV of.92, NPV of.57, sensitivity of.09 and specificity of.99. Conclusions: Recommended cut-off scores for the HADS may result in under-reporting of psychiatric morbidity among women with early stage breast cancer. These results are consistent with other recent studies of the HADS. The type of constructs measured by the scale is the likely explanation for its limited utility when screening for psychiatric morbidity in early stage breast cancer.

scholarly journals Μελέτη του άγχους και της κατάθλιψης σε ασθενείς με καρκίνο πνεύμονα

2018 ◽  
Author(s):  
Δημήτριος Λυράκος
Keyword(s):  
Trait Anxiety ◽  
Depression Scale ◽  
Distress Thermometer ◽  
Anxiety And Depression ◽  
State Trait Anxiety Inventory ◽  
Hospital Anxiety ◽  
Athens Insomnia Scale ◽  
Ecog Ps

Οι ογκολογικοί ασθενείς υπόκεινται σε ψυχική επιβάρυνση που προκύπτει από τον καρκίνο, η οποία επηρεάζεται από τον τρόπο εκδήλωσης συμπτωμάτων της ίδιας της ασθένειας, τον εντοπισμό του νεοπλάσματος, τη σταδιοποίησή του και την πρόγνωση. Το άγχος και η κατάθλιψη που συνδέονται με τη διάγνωση του καρκίνου έχει δειχθεί ότι προκαλούν σημαντική ψυχολογική επιβάρυνση, με το 25-50% των ασθενών με καρκίνο να εμφανίζει σημαντικά επίπεδα δυσφορίας. Για αυτό τον λόγο το Εθνικό Ολοκληρωμένο Δίκτυο για τον Καρκίνο (NCCN) εξέδωσε μια οδηγία που συνιστούσε την ανάπτυξη βελτιωμένων μηχανισμών διαλογής για την ενίσχυση της ανίχνευσης και της διαχείρισης της δυσφορίας στους ογκολογικούς ασθενείς και για την καθιέρωση της εκτίμησης της δυσφορίας ως πρότυπο περίθαλψης. Επιπροσθέτως, αρκετές έρευνες έχουν δείξει ότι οι γυναίκες που υποφέρουν από καρκίνο συχνά βιώνουν υψηλότερα επίπεδα ψυχικής δυσφορίας, κατάθλιψης και άγχους και ότι διαφέρουν σημαντικά από τους άνδρες ως προς την ικανοποιητική αξιοποίηση του υποστηρικτικού πλαισίου. Παράλληλα, υπάρχουν σοβαρές ενδείξεις ότι συγκεκριμένα γονεϊκά μοτίβα ανατροφής σχετίζονται με την εμφάνιση ψυχολογικής ευαλωτότητας στην ενήλικη ζωή. Ειδικότερα, η απουσία γονεϊκής φροντίδας συνδέεται θετικά με αυξημένες πιθανότητες εμφάνισης κατάθλιψη. Επιπρόσθετα, μια δυσλειτουργική σχέση με τους γονείς φαίνεται να αυξάνει τις πιθανότητες κατάθλιψης και άγχους στην ενήλικη ζωή, εμφάνισης σωματικών ασθενειών και γενικά προμηνύει χαμηλότερο επίπεδο υγείας στην ενήλικη ζωή. Ο στόχος της παρούσας διατριβής ήταν η διερεύνηση των συμπτωμάτων άγχους και κατάθλιψης σε ασθενείς πάσχοντες από καρκίνο, η συσχέτιση αυτών με το γενικό δείκτη δυσφορίας (που είναι μια βραχύτατη και ευχερής μέθοδος ανίχνευσης) και η αιτιολογική συσχέτιση τόσο των συμπτωμάτων άγχους και κατάθλιψης όσο και του γενικού δείκτη δυσφορίας με τα γονεϊκά πρότυπα ανατροφής, όπως τα ανακαλούν οι ασθενείς από την παιδική τους ηλικία. Στην παρούσα μελέτη συμμετείχαν αρχικά 100 εξωτερικοί ασθενείς που τους ζητήθηκε να συμπληρώσουν την κλίμακα NCCN Distress Thermometer, την Hospital Anxiety and Depression Scale (HADS) και τη κλίμακα Spielberger’s State-Trait Anxiety Inventory (STAI). Στο τέλος, όλοι οι συμμετέχοντες κλήθηκαν να συμπληρώσουν την κλίμακα Remembered Relationship with Parents (RRP). Η συγκεκριμένη κλίμακα αξιολογεί το βαθμό της αποξένωσης και του ελέγχου από τους γονείς. Σε μία δεύτερη μελέτη στα πλαίσια της παρούσας διατριβής συμμετείχαν 201 εξωτερικοί ασθενείς. Καταχωρήθηκε η εκτίμηση της λειτουργικότητας του ασθενούς στην κλίμακα ECOG PS. Ζητήθηκε από όλους τους ασθενείς να συμπληρωθεί η κλίμακα NCCN Distress Thermometer και η HADS. Τέλος, έγινε εκτίμηση της αυπνίας τους με τη χρήση της κλίμακας Athens Insomnia Scale. Τα αποτελέσματα της πρώτης ερευνητικής διαδικασίας έδειξαν ότι ένα δυσλειτουργικό γονεϊκό πρότυπο με αποξένωση και άσκηση υπερβολικού ελέγχου, επηρεάζει σημαντικά την εμφάνιση άγχους όταν οι ασθενείς υποβάλλονται στο στρες μίας σωματικής ασθένειας, όπως ο καρκίνος. Είναι σημαντικό ότι τα δεδομένα που προέκυψαν από την παρούσα διατριβή, με τη χρήση της κλίμακας RRP, δείχνουν ότι οι άνδρες και οι γυναίκες επηρεάζονται διαφορετικά από την αποξένωση και τον υπερβολικό έλεγχο των γονέων. Άρα, τα γονεϊκά πρότυπα φαίνεται ότι επηρεάζουν τα συμπτώματα άγχους, κατάθλιψης και δυσφορίας, αλλά η αλληλεπίδραση διαφοροποιείται ανάλογα με το φύλο. Από την άλλη πλευρά, από τη δεύτερη μελέτη προέκυψε ότι το θερμόμετρο δυσφορίας φαίνεται να λειτουργεί συμπληρωματικά των ψυχομετρικών εργαλείων ανίχνευσης άγχους και κατάθλιψης. Συγκεκριμένα συσχετίζεται με τη σταδιοποίηση κατά ECOG, το φύλο και τα επίπεδα αϋπνίας των ασθενών. Δεδομένης της ευκολίας χρήσης του θερμομέτρου δυσφορίας, μπορεί να χρησιμοποιηθεί συμπληρωματικά. Ωστόσο από τα αποτελέσματα της παρούσας διατριβής φαίνεται ότι ως εργαλείο ανίχνευσης επιτυγχάνει μέτρια ευαισθησία όταν προκρίνεται υψηλή ειδικότητα και αντιστρόφως. Επομένως, το θερμόμετρο δυσφορίας μπορεί να λειτουργήσει συμπληρωματικά και πιθανώς όχι ως αντικατάσταση μεθόδων ανίχνευσης άγχους και κατάθλιψης.

scholarly journals Web-Based Stress Management for Newly Diagnosed Patients With Cancer (STREAM): A Randomized, Wait-List Controlled Intervention Study

2018 ◽  
Vol 36 (8) ◽  
pp. 780-788 ◽  
Author(s):  
Corinne Urech ◽  
Astrid Grossert ◽  
Judith Alder ◽  
Sandra Scherer ◽  
Barbara Handschin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Stress Management ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Newly Diagnosed ◽  
Hospital Anxiety ◽  
Web Based ◽  
Patients With Cancer ◽  
Chronic Illness Therapy

Purpose Being diagnosed with cancer causes major psychological distress; however, a majority of patients lack psychological support during this critical period. Internet interventions help patients overcome many barriers to seeking face-to-face support and may thus close this gap. We assessed feasibility and efficacy of Web-based stress management (STREAM [Stress-Aktiv-Mindern]) for newly diagnosed patients with cancer. Patients and Methods In a randomized controlled trial, patients with cancer who had started first-line treatment within the previous 12 weeks were randomly assigned to a therapist-guided Web-based intervention or a wait-list (control), stratified according to distress level (≥ 5 v < 5 on scale of 0 to 10). Primary efficacy end point was quality of life after the intervention (Functional Assessment of Chronic Illness Therapy–Fatigue). Secondary end points included distress (Distress Thermometer) and anxiety or depression (Hospital Anxiety and Depression Scale). Treatment effect was assessed with analyses of covariance, adjusted for baseline distress. Results A total of 222 of 229 screened patients applied online for participation. Between September 2014 and November 2016, 129 newly diagnosed patients with cancer, including 92 women treated for breast cancer, were randomly assigned to the intervention (n = 65) or control (n = 64) group. Adherence was good, with 80.0% of patients using ≥ six of eight modules. Psychologists spent 13.3 minutes per week (interquartile range, 9.5-17.9 minutes per week) per patient for online guidance. After the intervention, quality of life was significantly higher (Functional Assessment of Chronic Illness Therapy–Fatigue: mean, 8.59 points; 95% CI, 2.45 to 14.73 points; P = .007) and distress significantly lower (Distress Thermometer: mean, −0.85; 95% CI, −1.60 to −0.10; P = .03) in the intervention group as compared with the control. Changes in anxiety or depression were not significant in the intention-to-treat population (Hospital Anxiety and Depression Scale: mean, −1.28; 95% CI, −3.02 to 0.45; P = .15). Quality of life increased in the control group with the delayed intervention. Conclusion The Web-based stress management program STREAM is feasible and effective in improving quality of life.

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