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Psycho-oncology v.27 no.7, 2018년, pp.1840 - 1846  

A cross‐sectional study of agreement between the Hospital Anxiety and Depression Scale and patient‐ and radiation oncologist–reported single‐item assessment of depression and anxiety

Mackenzie, Lisa (Health Behaviour Research Collaborative, School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia ) ; Carey, Mariko (Health Behaviour Research Collaborative, School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia ) ; Suzuki, Eiji (Breast Surgery, Kyoto University Hospital, Kyoto, Japan ) ; Yoshimura, Michio (Department of Radiation Oncology and Image‐Applied Therapy, Kyoto University Hospital, Kyoto, Japan ) ; Toi, Masakazu (Breast Surgery, Kyoto University Hospital, Kyoto, Japan ) ; D'Este, Catherine (National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, ACT, Australia ) ; Sanson‐Fisher, Rob (Health Behaviour Research Collaborative, School of Medicine and Pu ) ;
  • 초록  

    Abstract Objective To describe among radiation oncology patients: (1) the proportion likely to be experiencing symptoms of depression and anxiety as identified by ( a ) the Hospital Anxiety and Depression Scale (HADS; standardised tool), ( b ) patient‐reported single items (ultrashort tool), and ( c ) radiation oncologist–reported single items (clinician judgement); (2) preferences for being offered psychological support; and (3) agreement between single‐item measures and the HADS. Methods Adult cancer patients (n = 152; consent rate 58%) receiving radiotherapy completed a touchscreen tablet survey assessing symptoms of anxiety and depression (HADS and a single‐item tool) and support preferences. Each participant's treating radiation oncologist completed a survey assessing his or her perception of whether the patient was anxious or depressed. Results Prevalence estimates for likely depression (6.9‐18%) and anxiety (17‐33%) overlapped across the 3 measures. Overall, only 9.9% of patients (95% CI, 5.6%‐16%) wanted to be offered psychological support. For depression, agreement between the HADS and ultrashort tool was fair (κ = 0.37, P P P = 0.33), and agreement between the HADS and ultrashort tool was moderate (κ = 0.49, P Conclusions These findings highlight the important role that oncology consultations play in interpreting assessment tool results and responding to individual patient's history and preferences for psychological support.


  • 주제어

    anxiety .   cancer .   depression .   oncology .   psychosocial support systems .   questionnaires .   radiotherapy.  

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