Psychiatric morbidity and its recognition by doctors in patients with cancer.
Psychiatric morbidity and its recognition by doctors in patients with cancer.
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DOI：
10.1054/bjoc.2001.1724
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发表时间：
2001-04-20
影响因子：
8.8
通讯作者：
Saul J
中科院分区：
文献类型：
--
作者：
Fallowfield L;Ratcliffe D;Jenkins V;Saul J
癌症患者的精神病发病率很高，而且没有适当的治疗。我们评估了143名医生在英国34家癌症中心和医院门诊咨询期间建立2297名患者心理状态的能力。在看医生之前，同意的患者完成了一份简短的自我报告问卷（GHQ 12），旨在对大规模人群进行心理筛查。在咨询结束时，医生完成了视觉模拟量表，对患者的痛苦进行评级。837/2297例（36.4%）患者的GHQ评分提示精神病发病率。医生诊断的敏感性（真阳性率）为28.87%（SD25.29），特异性（真阴性率）为84.79%（SD17.44）。错误分类率为34.7%（SD 13.79），这意味着797例患者可能进行了错误评估。这些数据表明，癌症患者经历的许多可能的精神病发病率未被识别，因此未得到治疗。医生需要沟通技巧培训，以在咨询过程中提出问题。当确定需要帮助的患者时，适当的心理服务转诊是必要的，应该成为癌症护理的一个组成部分。© 2001年癌症研究运动http://www.bjcancer.com
Psychiatric morbidity in patients with cancer is high and without appropriate treatment unremitting. We assessed the ability of 143 doctors to establish the psychological status of 2297 patients during outpatient consultations in 34 cancer centres and hospitals in the UK. Prior to seeing the doctor, consenting patients completed a short self-report questionnaire (GHQ12), designed for the psychological screening of large populations. At the end of the consultation, doctors completed visual analogue scales rating patients' distress. 837/2297 (36.4%) patients had GHQ scores suggestive of psychiatric morbidity. The doctors' sensitivity (true positive rate) was 28.87% (SD 25.29), specificity (true negative rate) 84.79% (SD 17.44). The misclassification rate was 34.7% (SD 13.79) meaning that for 797 patients the wrong assessment was probably made. These data show that much of the probable psychiatric morbidity experienced by patients with cancer goes unrecognized and therefore untreated. Doctors need communication skills training to elicit problems during consultations. Appropriate referrals to psychological services are necessary when patients requiring help are identified and ought to be an integral part of cancer care. © 2001 Cancer Research Campaign http://www.bjcancer.com
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影响因子：
6.9
作者：
GOLDBERG, DP;JENKINS, L;FARAGHER, EB
通讯作者：
FARAGHER, EB
影响因子：
45.3
作者：
Fallowfield, L;Lipkin, M;Hall, A
通讯作者：
Hall, A
影响因子：
45.3
作者：
Passik, SD;Dugan, W;Edgerton, S
通讯作者：
Edgerton, S
影响因子：
--
作者：
ROTER, DL;HALL, JA;ROCA, RP
通讯作者：
ROCA, RP
影响因子：
120.7
作者：
DEROGATIS, LR;MORROW, GR;CARNICKE, CLM
通讯作者：
CARNICKE, CLM