Screening for psychological distress in Japanese cancer patients
Screening for psychological distress in Japanese cancer patients
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DOI：
10.1093/jjco/28.5.333
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发表时间：
1998-05-01
影响因子：
2.4
通讯作者：
Uchitomi, Y
中科院分区：
文献类型：
--
作者：
Kugaya, A;Akechi, T;Uchitomi, Y
背景：心理困扰是经常观察到的，然而，它在癌症患者中被低估了。本研究的目的是开发一个简单的电池筛选心理困扰，适应障碍和抑郁症在日本cancer patients.Methods：一百二十八癌症患者进行了精神科医生和测试，使用医院焦虑和抑郁量表（HADS），14项自我评估问卷。精神病学诊断进行了根据诊断和统计手册的精神障碍，第三版修订。结果：Cronbach α值的日本版的规模为0.77的子量表焦虑和0.79抑郁。通过受试者操作特征分析，我们确定筛选适应障碍和重性抑郁障碍的最佳截止点为10/11，这提供了足够高的敏感性和特异性（分别为91.5%和65.4%）。单独筛查重度抑郁障碍，19/20是最佳的截断点，敏感性为82.4%，特异性为96.3%。HADS（焦虑和抑郁）的分量表也有很高的筛选performance.Conclusions：日本版的HADS是一个敏感和具体的工具，用于筛选日本癌症患者的心理困扰。该量表可用于早期发现患者的心理困扰，随后可进行精神干预。
Background: Psychological distress is frequently observed, however, it is underestimated in cancer patients. The aim of this study is to develop a simple battery for screening for psychological distress, adjustment disorder and major depressive disorder in Japanese cancer patients.Methods: One hundred and twenty-eight cancer patients were interviewed by psychiatrists and tested using the Hospital Anxiety and Depression Scale (HADS), a 14-item self-assessment questionnaire. Psychiatric diagnoses were performed according to the Diagnostic and Statistical Manual of Mental Disorders, third edition-revised.Results: Cronbach alpha values of the Japanese version of the scale were 0.77 for the subscale for anxiety and 0.79 for depression. By a receiver operating characteristic analysis, we determined that an optimal cut-off point for screening for adjustment disorder and major depressive disorder was 10/11,which gave high enough sensitivity and specificity (91.5 and 65.4%, respectively). To screen for major depressive disorder alone, 19/20 was an optimal cut-off point with 82.4% sensitivity and 96.3% specificity. The subscales of HADS (anxiety and depression) also had high screening performance.Conclusions: The Japanese version of HADS is a sensitive and specific tool for screening for psychological distress in Japanese cancer patients. This scale can be used for an early detection of patients' psychological distress which may be followed by psychiatric interventions.