Measuring psychological and physical distress in cancer patients: structure and application of the Rotterdam Symptom Checklist.
Measuring psychological and physical distress in cancer patients: structure and application of the Rotterdam Symptom Checklist.
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DOI：
10.1038/bjc.1990.434
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发表时间：
1990-12
影响因子：
8.8
通讯作者：
Neijt JP
中科院分区：
文献类型：
--
作者：
de Haes JC;van Knippenberg FC;Neijt JP
本文讨论了使用鹿特丹症状自评量表（RSCL）来测量癌症患者所经历的心理和身体痛苦。RSCL结构的稳定性在三项研究中进行了主成分分析：一项研究涉及化疗或随访期间的癌症患者（n = 86），一项研究涉及接受化疗的晚期卵巢癌患者（n = 56），第三项研究涉及接受治疗的癌症患者，无病患者和正常对照（n = 611）。事实证明，心理层面在不同人群中是稳定的。基于该因素的量表是高度可靠的（Cronbach α 0.88-0.94）。在同质人群中，身体痛苦反映在几个维度上（疼痛、疲劳、胃肠道不适），而在异质人群中，身体痛苦反映在无维度上。躯体痛苦量表的信度较好（0.71-0.88）。目前的组成部分RSCL和使用的个人和疾病的具体症状进行了讨论。
Use of the Rotterdam Symptom Checklist (RSCL) to measure psychological and physical distress as experienced by cancer patients, is discussed in this paper. The stability of the structure of the RSCL was assessed in principal component analyses in three studies: one concerning cancer patients during either chemotherapy or follow-up (n = 86), one done in patients undergoing chemotherapy for advanced ovarian cancer (n = 56), and the third dealing with cancer patients under treatment, disease-free 'patients', and 'normal' controls (n = 611). The psychological dimension proved to be stable across populations. A scale based on this factor was highly reliable (Cronbach's alpha 0.88-0.94). The physical distress is reflected by several dimensions in a homogeneous population (pain, fatigue, gastrointestinal complaints) and undimensionally in a heterogeneous population. Reliability of the physical distress scales is good (0.71-0.88). The current components of the RSCL and the use of individual and disease specific symptoms are discussed.