Identifying psychosocial risk indicative of subsequent resource use in families of newly diagnosed pediatric oncology patients
Identifying psychosocial risk indicative of subsequent resource use in families of newly diagnosed pediatric oncology patients
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DOI：
10.1200/jco.2003.12.156
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发表时间：
2003-09-01
影响因子：
45.3
通讯作者：
Lange, BJ
中科院分区：
文献类型：
--
作者：
Kazak, AE;Cant, MC;Lange, BJ
目的：这项前瞻性研究的主要目的是确定新诊断为癌症的儿童的家庭中心理社会困扰的风险水平。额外的研究目的是检查一致性的家庭和工作人员之间的报告的心理社会风险，随着时间的推移的风险状态的变化，并预测使用的心理社会资源在第一个月的treatment.Patients和方法：照顾者的125名新诊断为癌症的儿童完成了心理社会评估工具（PAT）在诊断（t（1））和3至6个月后（t（2））。初级肿瘤学家和护士在t（1）和t（2）完成了一项类似的家庭心理社会风险评估。在t（2），肿瘤社会工作者报告的类型和强度的心理社会干预provided.Results：PAT确定了三个子集的家庭谁提出了越来越多的心理社会风险水平在诊断。一般来说，有中度一致性之间的家庭，肿瘤学家和护士报告的心理社会风险。t（1）时的PAT评分预测t（2）时的PAT评分和t（2）时的心理社会资源使用，超出人口统计学或疾病因素。结论：简要筛查工具（PAT）在诊断时识别心理社会风险因素方面是有价值的，并且可以预测以后的心理社会资源使用。作为这项研究的下一步，制定心理社会干预措施，以配合家庭的风险水平可能是一个有效和具有成本效益的方法，与家庭合作，以解决他们的关切，促进短期和长期的调整。(C)2003年，美国临床肿瘤学会。
Purpose: The primary purpose of this prospective study was to identify the level of risk for psychosocial distress in families of children newly diagnosed with cancer. Additional study aims were to examine concordance among family and staff reports of psychosocial risk, changes in risk status over time, and to predict the use of psychosocial resources during the first months of treatment.Patients and Methods: Caregivers of 125 children newly diagnosed with cancer completed the Psychosocial Assessment Tool (PAT) at diagnosis (t(1)) and 3 to 6 months later (t(2)). Primary oncologists and nurses completed an analogous measure of perceived family psychosocial risk at t(1) and t(2). At t(2), oncology social workers reported types and intensity of psychosocial interventions provided.Results: The PAT identified three subsets of families who presented with increasing levels of psychosocial risk at diagnosis. In general, there was moderate concordance among family, oncologist, and nurse reports of psychosocial risk. PAT scores at t(1) predicted t(2) PAT scores and psychosocial resource use at t(2) beyond demographic or disease factors.Conclusion: A brief screening tool (PAT) is valuable in identifying psychosocial risk factors at diagnosis and is predictive of later use of psychosocial resources. As a next step in this research, the development of psychosocial interventions to match family risk level may be an effective and cost-efficient approach to working with families to address their concerns and promote short- and long-term adjustment. (C) 2003 by American Society of Clinical Oncology.