Feasibility of Psychosocial Distress Screening and Management Program for Hospitalized Cancer Patients
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objective: Although the diagnosis and treatment of cancer is associated with psychosocial distress, routine distress screening is difficult in hospitalized oncology settings. We developed a consecutive screening program for psychosocial distress to promote psychiatric treatment of cancer patients and evaluated the feasibility of our program by Distress Thermometer (DT) and Hospital Anxiety and Depression Scale (HADS). Methods: Among 777 cancer inpatients recruited from the Catholic Comprehensive Institute of Seoul St. Mary’s Hospital, 499 agreed to complete primary distress screening through DT. We conducted secondary distress screening through HADS in 229 patients who had high scores of DT. Results: Of the 499 participants, 270 patients with low scores of DT were included in the distress education program. 229 patients with high scores of DT received secondary distress screening through HADS. Among 115 patients with low scores of HADS, 111 patients received distress management. Among 114 patients with high scores in the secondary distress screening, 38 patients received psychiatric consultation service whereas 76 patients refused psychiatric consultation. Conclusion: Using consecutive screening for psychosocial distress appeared to be feasible in an inpatient oncology setting. Nevertheless, the low participation rate of psychiatric consultation service in cancer patients with high distress level should be improved.
Abstract
Objective: Although the diagnosis and treatment of cancer is associated with psychosocial distress, routine distress screening is difficult in hospitalized oncology settings. We developed a consecutive screening program for psychosocial distress to promote psychiatric treatment of cancer patients and evaluated the feasibility of our program by Distress Thermometer (DT) and Hospital Anxiety and Depression Scale (HADS). Methods: Among 777 cancer inpatients recruited from the Catholic Comprehensive Institute of Seoul St. Mary’s Hospital, 499 agreed to complete primary distress screening through DT. We conducted secondary distress screening through HADS in 229 patients who had high scores of DT. Results: Of the 499 participants, 270 patients with low scores of DT were included in the distress education program. 229 patients with high scores of DT received secondary distress screening through HADS. Among 115 patients with low scores of HADS, 111 patients received distress management. Among 114 patients with high scores in the secondary distress screening, 38 patients received psychiatric consultation service whereas 76 patients refused psychiatric consultation. Conclusion: Using consecutive screening for psychosocial distress appeared to be feasible in an inpatient oncology setting. Nevertheless, the low participation rate of psychiatric consultation service in cancer patients with high distress level should be improved.
참고문헌 (34)
- Derogatis LR, "The prevalence of psychiatric disorders among cancer patients", JAMA, 249, pp.751~757 (1983)
- Dolbeault S, "Screening for psychological distress in two French cancer centers : feasibility and performance of the adapted distress thermometer", Palliat Support Care, 6, pp.107~117 (2008)
- Mitchell AJ, "Pooled results from 38 analyses of the accuracy of distress thermometer and other ultra-short methods of detecting cancer-related mood disorders", J Clin Oncol, 25, pp.4670~4681 (2007)
- Gessler S, "Screening for distress in cancer patients : is the distress thermometer a valid measure in the UK and does it measure change over time? A prospective validation study", Psychooncology, 17, pp.538~547 (2008)
- Carlson LE, "Cancer distress screening. Needs, models, and methods", J Psychosom Res, 55, pp.403~409 (2003)
- National Comprehensive Cancer Network, "NCCN Guidelines Version 2", ~ (2014)
- Breitbart W, "Depression, hopelessness, and desire for hastened death in terminally ill patients with cancer", JAMA, 284, pp.2907~2911 (2000)
- Steel JL, "Depression, immunity, and survival in patients with hepatobiliary carcinoma", J Clin Oncol, 25, pp.2397~2405 (2007)
- Mergenthaler U, "Evaluation of psychosocial distress in patients treated in a community-based oncology group practice in Germany", Ann Oncol, 22, pp.931~938 (2011)
- Akechi T, "Predictive factors for suicidal ideation in patients with unresectable lung carcinoma", Cancer, 95, pp.1085~1093 (2002)
- Akechi T, "Suicidality in terminally ill Japanese patients with cancer", Cancer, 100, pp.183~191 (2004)
- Dumont S, "Caring for a loved one with advanced cancer : determinants of psychological distress in family caregivers", J Palliat Med, 9, pp.912~921 (2006)
- Sharpe M, "Major depression in outpatients attending a regional cancer centre : screening and unmet treatment needs", Br J Cancer, 90, pp.314~320 (2004)
- Roth AJ, "Rapid screening for psychologic distress in men with prostate carcinoma : a pilot study", Cancer, 82, pp.1904~1908 (1998)
- Shimizu K, "Feasibility and usefulness of the ‘Distress Screening Program in Ambulatory Care’ in clinical oncology practice", Psychooncology, 19, pp.718~725 (2010)
- Faller H, "Effects of psycho-oncologic interventions on emotional distress and quality of life in adult patients with cancer : systematic review and meta-analysis", J Clin Oncol, 31, pp.782~793 (2013)
- Caruso R, "Psychopharmacology in psycho-oncology", Curr Psychiatry Rep, 15, pp.393~ (2013)
- Jacobsen PB, "Screening for psychologic distress in ambulatory cancer patients", Cancer, 103, pp.1494~1502 (2005)
- National Institute for Clinical Excellence, "Guideline on Cancer Services: Improving Supportive and Palliative Care for Adults with Cancer", National Institute for Clinical Excellence, ~ (2004)
- Pirl WF, "Screening for psychosocial distress : a national survey of oncologists", J Support Oncol, 5, pp.499~504 (2007)
- Singer S, "Hospital anxiety and depression scale cutoff scores for cancer patients in acute care", Br J Cancer, 100, pp.908~912 (2009)
- National Comprehensive Cancer Network, "Distress management. Clinical practice guidelines", J Natl Compr Canc Netw, 1, pp.344~374 (2003)
- Akizuki N, "Development of an Impact Thermometer for use in combination with the Distress Thermometer as a brief screening tool for adjustment disorders and", or major depression in cancer patients, 2005, pp.29, 91~99
- Shim EJ, "Distress and its correlates in Korean cancer patients : pilot use of the distress thermometer and the problem list", Psychooncology, 17, pp.548~555 (2008)
- Zigmond AS, "The hospital anxiety and depression scale", Acta Psychiatr Scand, 67, pp.361~370 (1983)
- Osborne RH, "The value of the Hospital Anxiety and Depression Scale(HADS)for comparing women with early onset breast cancer with population-based reference women", Qual Life Res, 13, pp.191~206 (2004)
- Oken MM, "Toxicity and response criteria of the Eastern Cooperative Oncology Group", Am J Clin Oncol, 5, pp.649~655 (1982)
- Fukui S, "Participation in psychosocial group intervention among Japanese women with primary breast cancer and its associated factors", Psychooncology, 10, pp.419~427 (2001)
- Daneshpour M, "Muslim families and family therapy", J Marital Fam Ther, 24, pp.355~368 (1998)
- Admiraal JM, "Do cancer and treatment type affect distress?", Psychooncology, 22, pp.1766~1773 (2013)
- Linden W, "Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age", J Affect Disord, 141, pp.343~351 (2012)
- Kwak M, "Trajectories of psychological distress in adolescent and young adult patients with cancer : a 1-year longitudinal study", J Clin Oncol, 31, pp.2160~2166 (2013)
- Iconomou G, "Prospective assessment of emotional distress, cognitive function, and quality of life in patients with cancer treated with chemotherapy", Cancer, 101, pp.404~411 (2004)
- Yamaguchi T, "Longitudinal follow-up study using the distress and impact thermometer in an outpatient chemotherapy setting", J Pain Symptom Manage, 43, pp.236~243 (2012)