Psychiatric morbidity in patients with advanced cancer of the breast: prevalence measured by two self-rating questionnaires.
Psychiatric morbidity in patients with advanced cancer of the breast: prevalence measured by two self-rating questionnaires.
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乳腺晚期癌症患者的精神病发病率：两种自我评价问卷测量的患病率。
DOI：
10.1038/bjc.1991.304
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发表时间：
1991-08
影响因子：
8.8
通讯作者：
Maguire, P
中科院分区：
文献类型：
--
作者：
Hopwood, P;Howell, A;Maguire, P
222例晚期乳腺癌患者被要求完成两个先前验证过的自我评估问卷（医院焦虑和抑郁量表（HADS）和鹿特丹症状自评量表（RSCL）），以确定该组患者情感障碍的患病率和持续性。完成HADS的211名女性中有五十六人（27%）和完成RSCL的204名女性中有33人（22%）被评为可能患有焦虑状态和/或抑郁疾病的病例。155例患者在1-3个月后再次完成问卷调查。21人（13%）持续焦虑或抑郁的判断HADS相比，14（10%）的RSCL。当两份问卷一起考虑时，大约三分之一的患者的分数提示情感障碍，其中三分之一是持续性的。只有30例患者（43%的病例）被两份问卷检测为“病例”，这一发现值得进一步调查。
Two hundred and twenty-two women with advanced cancer of the breast were asked to complete two previously validated self-assessment questionnaires (Hospital Anxiety and Depression Scale (HADS) and the Rotterdam Symptom Checklist (RSCL) in order to determine the prevalence and persistence of affective disorders in this group of patients. Fifty-six (27%) of 211 women who completed the HADS and 33 (22%) of 204 who completed the RSCL rated as probable cases of an anxiety state and/or depressive illness. One hundred and fifty-five patients completed the questionnaires again 1-3 months later. Twenty-one (13%) were persistently anxious or depressed as judged by the HADS compared with 14 (10%) on the RSCL. When both questionnaires were considered together, approximately one third of patients had scores suggestive of an affective disorder and in one third of these it was persistent. Only 30 patients (43% of cases) were detected as 'cases' by both questionnaires and this finding warrants further investigation.