Proxy ratings of psychological well-being in patients with primary brain tumors: A systematic review.
Proxy ratings of psychological well-being in patients with primary brain tumors: A systematic review.
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DOI：
10.1002/pon.6063
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发表时间：
2023-02
期刊：
影响因子：
3.6
通讯作者：
Pirl, William F.
中科院分区：
文献类型：
--
作者：
Sannes, Timothy S.;Yusufov, Miryam;Amonoo, Hermioni L.;Broden, Elizabeth G.;Burgers, Darcy E.;Bain, Paul;Pozo-Kaderman, Cristina;Miran, Damien M.;Smith, Timothy S.;Braun, Ilana M.;Pirl, William F.
这项系统性的综述检查了神经肿瘤患者抑郁和焦虑的代用评分的一致性。在4个数据库(MEDLINE、Embase、CogcINFO、CINAHL和Web of Science)中进行搜索，以确定比较脑癌患者焦虑和抑郁的代理评级(非医疗保健提供者)的研究。方法质量和潜在的偏倚风险使用乔安娜·布里格斯研究所的关键评估核对表进行评估。在筛选纳入的936项研究中，有6项纳入审查。在患者和代理评分是否准确(例如，被认为等同)方面，研究结果好坏参半，许多选定的研究表明，几项选定研究的一致性中等，当抑郁和焦虑都包括在内时，代理评分者对抑郁的评分比焦虑的评分更准确。我们在选定的文章中发现了重要的局限性，例如样本量低，定义代理评分者的清晰度，以及代理评价者在被要求评估患者的情绪症状时得到的不同指示。我们的研究结果表明，应谨慎解读抑郁和焦虑的代用评级。虽然代理人和脑癌患者对抑郁和焦虑的评级有一定的一致性(抑郁症的一致性更高)，但未来的研究应该招募更多的样本，同时也要注意定义代理人评价者和收集这些评级时给出的说明。
This systematic review examined the agreement of proxy ratings of depression and anxiety in neuro-oncology patients. Searches were conducted across 4 databases (MEDLINE, Embase, PsycINFO, CINAHL, and Web of Science) to identify studies that compared proxy ratings (non-health care providers) of anxiety and depression in patients with brain cancer. Methodological quality and potential risk of bias were evaluated using the Joanna Briggs Institute Critical Appraisal Checklist. Out of the 936 studies that were screened for inclusion, 6 were included for review. The findings were mixed in terms of whether patient and proxy ratings were accurate (e.g., deemed equivalent), with many of the selected studies suggesting moderate level of agreement for several of the selected studies and, when both depression and anxiety were included, depression ratings from proxy raters were more accurate than for anxiety. We identified important limitations across the selected articles, such as low sample size, clarity on defining proxy raters and the different instructions that proxy raters are given when asked to assess patients’ mood symptoms. Our findings suggest that proxy ratings of depression and anxiety should be interpreted with caution. While there is some agreement in proxy and patients with brain cancer ratings of depression and anxiety (greater agreement for depression), future work should recruit larger samples, while also remaining mindful of defining proxy raters and the instructions given in collecting these ratings.
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