Psychological distress in cancer patients assessed with an expert rating scale

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.

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

Supportive Care in Cancer ◽

10.1007/s00520-010-0912-z ◽

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

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Poor Marital Quality Affects Psychological Distress and Immunity in Advanced Breast Cancer Patients

PsycEXTRA Dataset ◽

10.1037/e582332013-001 ◽

2013 ◽

Author(s):

Tammy A. Schuler ◽

Barbara L. Andersen

Keyword(s):

Breast Cancer ◽

Psychological Distress ◽

Advanced Breast Cancer ◽

Cancer Patients ◽

Marital Quality ◽

Advanced Breast ◽

Breast Cancer Patients

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Implementation of Guidance nuanced Learning Model at MAN 1 Bandar Lampung

KONSELI Jurnal Bimbingan dan Konseling (E-Journal) ◽

10.24042/kons.v7i1.5653 ◽

2020 ◽

Vol 7 (1) ◽

pp. 47-52

Author(s):

Rifda El Fiah ◽

Saiful Bahri

Keyword(s):

Learning Outcomes ◽

Learning Process ◽

Formal Education ◽

Rating Scale ◽

Soft Skills ◽

Student Learning Outcomes ◽

Learning Model ◽

Expert Rating ◽

Hard Skills ◽

Process Implementation

This research was conducted based on the problems that often arise in formal education learning. This problem has an impact on learning achievement results obtained by students. This research was conducted at MAN 1 Bandar Lampung. The purpose of this study was to determine the feasibility of the instructional model nuanced guidance data collection techniques using expert rating scale and user rating scale. The results of this study indicate that the nuanced learning model meets the achievement of student learning outcomes in MAN 1 Bandar Lampung, by developing students' knowledge and skills in the form of soft skills and hard skills. Guidance nuanced learning model design consists of learning process planning standards, learning process implementation standards, learning process outcome standards, and learning process control standards.

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The positive effect of social support on psychological distress among Chinese lung cancer patients: The mediating role of self‐esteem

Nursing Open ◽

10.1002/nop2.793 ◽

2021 ◽

Author(s):

Xu Tian ◽

Yanfei Jin ◽

Hui Chen ◽

Ling Tang ◽

Maria F. Jiménez‐Herrera

Keyword(s):

Lung Cancer ◽

Social Support ◽

Psychological Distress ◽

Cancer Patients ◽

Self Esteem ◽

Lung Cancer Patients ◽

Mediating Role ◽

Positive Effect

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Cross-cultural adaptation and psychometric properties of the Kessler Distress Scale (K10): an application of the rating scale model

Psicologia: Reflexão e Crítica ◽

10.1186/s41155-021-00186-9 ◽

2021 ◽

Vol 34 (1) ◽

Author(s):

Evandro Morais Peixoto ◽

Daniela Sacramento Zanini ◽

Josemberg Moura de Andrade

Keyword(s):

Psychological Distress ◽

Psychometric Properties ◽

Rating Scale ◽

Self Report ◽

Clinical Population ◽

Scale Model ◽

General Factor ◽

Measurement Models ◽

Distress Scale ◽

Rating Scale Model

Abstract Background The Kessler Distress Scale (K10) is a self-report scale for the assessment of non-specific psychological distress in the general and clinical population. Because of its ease of application and good psychometric properties, the K10 has been adapted to several cultures. The present study seeks to adapt the K10 to Brazilian Portuguese and estimate its validity evidence and reliability. Methods A total of 1914 individuals from the general population participated in the study (age = 34.88, SD = 13.61, 77.7% female). The adjustment indices were compared among three different measurement models proposed for the K10 through confirmatory factor analysis (CFA). The items’ properties were analyzed by Andrich’s Rating Scale Model (RSM). Furthermore, evidence based on relations to other variables (depression, stress, anxiety, positive and negative affects, and satisfaction with life) was estimated. Results CFA indicated the adequacy of the bifactor model (CFI= 0.985; TLI= 0.973; SMR= 0.019; RMSEA= 0.050), composed of two specific factors (depression and anxiety) and one general factor (psychological distress), corresponding to the theoretical hypothesis. Additionally, it was observed multiple-group invariance by gender and age range. The RSM provided an understanding of the organization of the continuum represented by the psychological distress construct (items difficulty), which varied from −0.89 to 1.00; good adjustment indexes; infit between 0.67 and 1.32; outfit between 0.68 and 1.34; and desirable reliability, α= 0.87. Lastly, theoretically coherent associations with the external variables were observed. Conclusions It is concluded that the Brazilian version of the K10 is a suitable measure of psychological distress for the Brazilian population.

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Prevalence of Psychological Distress and Its Risk Factors in Patients with Primary Bone and Soft Tissue Tumors

Healthcare ◽

10.3390/healthcare9050566 ◽

2021 ◽

Vol 9 (5) ◽

pp. 566

Author(s):

Masato Ise ◽

Eiji Nakata ◽

Yoshimi Katayama ◽

Masanori Hamada ◽

Toshiyuki Kunisada ◽

...

Keyword(s):

Risk Factors ◽

Psychological Distress ◽

Soft Tissue ◽

Rating Scale ◽

Numeric Rating Scale ◽

Soft Tissue Tumors ◽

Number Of Patients ◽

Primary Bone ◽

Associated Risk Factors ◽

Numeric Rating

Psychological distress is common in patients with soft tissue and bone tumors. We first investigated its frequency and the associated risk factors in patients with pre-operative bone and soft tissue tumors. Participants included 298 patients with bone and soft tissue tumors who underwent surgery in our institution between 2015 and 2020. Psychological distress was evaluated by the Distress and Impact Thermometer (DIT) that consists of two types of questions (questions about the severity of the patient’s distress (DIT-D) and its impact (DIT-I)). We used a cut-off point of 4 on the DIT-D and 3 on the DIT-I for screening patients with psychological distress. We therefore investigated: (1) the prevalence of psychological distress as assessed with DIT or distress thermometer (DT), which can be decided by DIT-D ≥ 4, (2) what are the risk factors for the prevalence of psychological distress, and (3) what is the number of patients who consulted a psychiatrist for psychological distress in patients with pre-operative bone and soft tissue tumors. With DIT and DT, we identified 64 patients (21%) and 95 patients (32%), respectively, with psychological distress. Multivariate logistic regression revealed that older age, sex (female), malignancy (malignant or intermediate tumor), a lower Barthel Index, and higher numeric rating scale were risk factors for psychological distress. Two patients (3%) consulted a psychiatrist after surgery. In conclusion, careful attention to psychological distress is needed, especially for female patients, older patients, and those with malignant soft or bone tissue tumors who have more than moderate pain.

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