Desire for psychological support in cancer patients with depression or distress: validation of a simple help question
Desire for psychological support in cancer patients with depression or distress: validation of a simple help question
复制标题
DOI：
10.1002/pon.1759
复制
发表时间：
2011-05-01
期刊：
影响因子：
3.6
通讯作者：
Mitchell, Alex J.
中科院分区：
文献类型：
--
作者：
Baker-Glenn, Elena A.;Park, Bert;Mitchell, Alex J.
目的：尽管有文献记载，心理困难率很高，但如何识别那些愿意接受帮助的人尚不清楚。本研究的目的是调查询问接受化疗的患者是否需要帮助他们的情绪问题是否有价值，并调查他们想要的帮助类型。方法：对参加化疗套间的患者进行医院焦虑和抑郁量表、简明病人健康问卷(PHQ)和情绪温度计工具的调查，并将结果与单个关于帮助愿望的问题进行比较。结果：在这项研究中，128名患者在初次访谈时完成了关于痛苦、抑郁、焦虑和求助愿望的问卷调查。只有五分之一的未被选中的患者感觉到需要帮助，而在苦恼的患者中，只有36%的人表达了帮助的愿望。在关于情绪和兴趣的两个问题(PHQ-2)中加入帮助问题，通过增加特异性，提高了控制抑郁的能力。然而，由于增加了这个问题，敏感度显著降低。求助欲望与苦恼、焦虑和抑郁的严重程度有一定的相关性。结论：增加一个帮助问题在筛选心理症状方面的价值似乎有限，但它可能会突出那些愿意接受额外支持的人。临床医生应该尝试提供一系列心理社会干预措施，这些干预措施将为苦恼患者所接受。版权所有(C)2010 John Wiley&Sons，Ltd.
Objectives: Despite documented high rates of psychological distress, it is not clear how to identify those who are willing to accept help. The aim of this study was to investigate whether asking patients receiving chemotherapy if they want help with emotional problems is valuable and to investigate the type of help they want.Methods: Patients attending a chemotherapy suite were asked to complete the Hospital Anxiety and Depression Scale, the Brief Patient Health Questionnaire (PHQ) and the Emotion Thermometers tools.Results were compared with a single question on desire for help. Results: In this study, 128 patients completed questionnaires for distress, depression, anxiety and desire for help at initial interview. Only one in five unselected patients had a perceived need for help, and in distressed patients only 36% expressed a desire for help. The addition of the help question to the two questions (PHQ-2) about mood and interest improved the ability to rule-in depression by increasing the specificity. However, by addition of this question, sensitivity was significantly reduced. Desire for help was modestly associated with severity of distress, anxiety and depression.Conclusions: The addition of a help question appears to have limited value in screening for psychological symptoms, but it may highlight those who are willing to accept addition support. Clinicians should attempt to offer a range of psychosocial interventions that will be acceptable to patients with distress. Copyright (C) 2010 John Wiley & Sons, Ltd.