Screening for mental disorders in cancer patients – discriminant validity of HADS and GHQ-12 assessed by standardized clinical interview

2001 ◽  
Vol 10 (2) ◽  
pp. 86-96 ◽  
Author(s):  
Katrin Reuter ◽  
Martin Härter
Keyword(s):  
Mental Disorders ◽  
Cancer Patients ◽  
Discriminant Validity ◽  
Clinical Interview

Use of the patient care monitor to screen for depression in adult cancer patients interviewed with the structured clinical interview for DSM-IV

2009 ◽  
Vol 19 (4) ◽  
pp. 399-407 ◽  
Author(s):  
Arthur C. Houts ◽  
Damon Lipinski ◽  
James P. Olsen ◽  
Scott Baldwin ◽  
Murad Hasan
Keyword(s):  
Patient Care ◽  
Cancer Patients ◽  
Clinical Interview ◽  
Dsm Iv

Comorbidity of dsm-iii-r personality disorders in schizophrenic and unipolar mood disorders: a comparative study

1997 ◽  
Vol 12 (6) ◽  
pp. 316-318 ◽  
Author(s):  
P Oulis ◽  
L Lykouras ◽  
J Hatzimanolis ◽  
V Tomaras
Keyword(s):  
Personality Disorder ◽  
Mental Disorders ◽  
Comparative Study ◽  
Mood Disorder ◽  
Personality Disorders ◽  
Mood Disorders ◽  
Clinical Interview ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Patient Groups

SummaryWe investigated the overall prevalence and the differential comorbidity of Diagnostic and Statistical Manual (DSM)-III-R personality disorders in 166 remitted or recovered patients with schizophrenic (n = 102) or unipolar mood disorder (n = 64). Over 60% of both patient groups met the DSM-III-R criteria of at least one DSM-III-R personality disorder as assessed by means of the Structured Clinical Interview for DSM-III-R (SCID-II-R), receiving on average 3.1 personality diagnoses. Neither DSM-III-R categories of personality disorders, nor scores on its three clusters A, B and C, nor total score on SCID-II-R differed significantly across the two groups. In conclusion, DSM-III-R personality disorders, although highly prevalent in schizophrenic and unipolar mood disorders, lack any specificity with respect to these categories of mental disorders.

Psychometric Evaluation of the Comprehensive Score for Financial Toxicity Scale Among Iranian Cancer Patients

2020 ◽  
Author(s):  
Saeed Pahlevan Sharif ◽  
Ong Fon Sim ◽  
Mozhgan Moshtagh ◽  
Navaz Naghavi ◽  
Hamid Sharif Nia
Keyword(s):  
Factor Analysis ◽  
Cancer Patients ◽  
Financial Distress ◽  
Discriminant Validity ◽  
Psychometric Evaluation ◽  
Indirect Costs ◽  
Measurement Model ◽  
Financial Toxicity ◽  
Convergent And Discriminant Validity ◽  
Factor Measurement

Abstract Objective This study aims to evaluate the psychometric properties of the Persian version of financial toxicity (COST) scale in a sample of cancer patients in Iran. Methods A total of 398 cancer patients completed a demographic questionnaire and the 11-item Persian COST. Performing a Maximum likelihood exploratory factor analysis, extracted three factors of financial worry (four items), financial distress (three items) and direct and indirect cost of control (three items) accounting for 65.204% of the variance. The highest load was related to financial distress and the lowest was related to direct and indirect costs concerns. Results The results of conducting confirmatory factor analysis indicated that the three-factor measurement model had a good fit. Moreover, the measurement model showed good items consistency, good construct reliability, as well as good construct validity in terms of convergent and discriminant validity. Conclusion This study highlights the importance of validating the scale in different contexts as the structure and loadings of the factors have appeared diffidently in various countries. The validated Persian COST can be used in future studies in Iran as a reliable and valid scale to measure financial toxicity among cancer patients.

Does chemotherapy reduce stress?

2010 ◽  
Vol 8 (4) ◽  
pp. 455-460 ◽  
Author(s):  
Francisco Gil ◽  
G. Costa ◽  
F.J. Pérez
Keyword(s):  
Cancer Patients ◽  
Performance Status ◽  
Adjustment Disorder ◽  
Clinical Interview ◽  
Screening Tools ◽  
Anxiety And Depression ◽  
Chemotherapy Treatment ◽  
Psychological Care ◽  
Care Needs ◽  
Low Performance

AbstractObjective:The purpose of this study was to assess the psychological care needs of cancer patients throughout the healthcare process: after diagnosis, after medical treatment (surgery, chemotherapy, radiotherapy) and during follow-up.Method:A total of 703 ambulatory cancer patients were assessed in this study. The inclusion period was from April 1, 2005 to April 30, 2007. The first psychological scales used were the 14-item Hospital Anxiety and Depression Scales (HADS), which has two sub-scales for anxiety (7 items) and for depression (7 items). All patients with a score ≥14 were assessed through the Structured Clinical Interview for Psychiatric Disorder (SCID-I) of the DSM-IV. All data were compared with sociodemographic and medical characteristics.Results:Of the 703 cancer patients in the study, 349 were men and 354 women, with a mean age of 53 years. The median time between the cancer diagnosis and our clinical interview was 6 months (range, 12 days to 190 months). Overall, the screening tools indicated that one in four patients needed psychological care. The most common psychiatric diagnosis was adjustment disorder (129 cases), whereas 10 patients were diagnosed with major depression. Using a HADS cut-off score of >7 for anxiety and depression, 28% and 17% of patients, respectively, were classified as “possible clinical cases.” Risk factors for distress included age <65 years, asthenia, constipation, and a low performance status. However, chemotherapy treatment was found to be a protector against distress in cancer patients.Significance of Results:Chemotherapy treatment is interpreted by the patients as a protector against cancer, thereby reducing distress levels.

Screening for mental disorders in laryngeal cancer patients: a comparison of 6 methods

2008 ◽  
Vol 17 (3) ◽  
pp. 280-286 ◽  
Author(s):  
Susanne Singer ◽  
Helge Danker ◽  
Andreas Dietz ◽  
Beate Hornemann ◽  
Sven Koscielny ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Cancer Patients ◽  
Laryngeal Cancer

The initial clinical interview—can it reduce cancer patients’ fear?

2014 ◽  
Vol 23 (4) ◽  
pp. 977-984 ◽  
Author(s):  
Sophie Elisabeth Groß ◽  
Anika Nitzsche ◽  
Tristan D. Gloede ◽  
Lena Ansmann ◽  
Richard Street ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Clinical Interview

scholarly journals Gir pålitelige tegn gyldige diagnoser? Den psykiatriske revolusjonen og bruk av diagnoseverktøyet SCID på en massemorder

2016 ◽  
Vol 13 (25) ◽  
Author(s):  
Thomas Dahl
Keyword(s):  
Mental Disorders ◽  
Diagnostic Criteria ◽  
Clinical Interview ◽  
Diagnostic Instrument ◽  
Statistical Manual ◽  
Unconscious Processes ◽  
Diagnostic And Statistical Manual ◽  
Axis I Disorders ◽  
Axis I ◽  
The Revolution

Både reformen av den amerikanske diagnosemanualen Diagnostic and Statistical Manual of Mental Disorders (DSM) i 1980 og utviklingen av diagnoseverktøy basert på denne reformen, som Structured Clinical Interview for DSM Axis I Disorders (SCID I), har blitt kalt en revolusjon innenfor psykiatrien. Det viktigste med denne revolusjonen var at den la til grunn observerbare tegn og symptomer for diagnostiseringen. Den skulle, som de viktigste pådriverne for endringen framhevet, ”focus on observable behavior only”, og ikke gjøre slik psykatrien hadde gjort tidligere, å fokusere på ”unconscious processes.” Med fokus på det observerbare skulle psykiatriens diagnoser og verktøy bli mer pålitelige. Revolusjonen var en epistemologisk transformasjon. Denne artikkelen viser at den også var en ontologisk transformasjon. Grunnlaget for å fokusere på ”observable behavior only” var en tillit til statistiske analyser og at sykdommen ville vise seg gjennom et bestemt antall forekomster av tegn og symptomer. Fra et statistisk grunnlag som i høyden kunne brukes til å si noe om sannsynlighet for en sykdom, ble bestemte fordelinger av tegn brukt som grunnlag for å konkludere om bestemte sykdommers 156 Tidsskrift for Forskning i Sygdom og Samfund, nr. 25, 157-171 eksistens. Gyldigheten til sykdommer ble basert på statistiske beregninger av forekomster av observerbare tegn. Artikkelen problematiserer både det epistemologiske og ontologiske grunnlaget for denne revolusjonen gjennom en studie av de vitenskapelige arbeider og begrunnelser som ledet fram til transformasjonen, samt ved studie av diagnoseverktøyet SCID i bruk. SCID blir studert gjennom bruken av verktøyet på massemorderen Anders Behring Breivik. Dette caset er et unikt materiale siden SCID ble brukt to ganger av to forskjellige team av psykiatere, og med diametralt forskjellig utfall. Caset brukes dermed til å tydeliggjøre svakhetene med grunnlagstenkningen. Do reliable signs give valid diagnoses? The psychiatric revolution and the use of its diagnostic instrument on a mass murdererThe reform of the American diagnostic manual for mental illnesses, Diagnostic and Statistical Manual of Mental Disorders (DSM) in 1980 and the development of psychometric instruments based on this reform, like the Structured Clinical Interview for DSM Axis I Disorders (SCID I), has been called a revolution in psychiatry. The most important element in this revolution was that the diagnostic criteria was based on a knowledge production that “focus on observable behavior only”, and not, as psychiatry had done earlier, with “reference to unconscious processes.” By focusing on the observable, the diagnostic criteria and instruments in psychiatry should become more reliable. The revolution represented an epistemological transformation. This article shows that it was also an ontological transformation. The grounding for focusing on “observable behavior only” was a trust in statistical analyses and a belief that a specific illness could be found from specific number of appearances of signs and symptoms. From a statistical grounding, which could be used for saying something about the probability of an illness, specific distributions of signs were used for claiming the existence of illness. The validity of illnesses was based on statistical distributions of observable signs. This article problematizes the epistemological and ontological grounding of this revolution through a study of the scientific publications leading to the revolution and also by studying the use of the diagnostic instrument SCID. The latter is studied through the case of the mass murderer Anders Behring Breivik. This case gives a unique material, as Breivik was tested twice by two different psychiatric expert teams, but with diametrically opposed outcomes. The case is used to make evident some of the inherent weaknesses of the grounding.

scholarly journals Some Aspects of Psychocorrection in Oncology

2020 ◽  
Vol 5 (6) ◽  
Keyword(s):  
Chronic Illness ◽  
Mental Disorders ◽  
Cancer Patients ◽  
Terminal Illness ◽  
Survival Rates ◽  
Disease Trajectory ◽  
Oncological Diseases ◽  
Diagnosis Of Cancer ◽  
A Current ◽  
Exacerbation Of Symptoms

Cancer is the second leading cause of death globally; it accounted for 9.6 million deaths worldwide in 2018 (around 15% of all deaths). Of all deaths, 1 in 4 cases is attributable to different forms of oncological diseases [1]. Meanwhile the number of survivors continues to grow, not just because of earlier detection and treatment, but also because of revolutionary new therapies. About 9 million Americans of all ages are living with a current or past diagnosis of cancer; in 2007-13 five-year survival rates for all cancers increased to 67%. For many individuals, this changes the landscape from a terminal illness to more of a chronic illness with periods of remission and exacerbation of symptoms. This perspective on neoplasms has broadened the scope of care from treating the disease alone to managing cancerrelated symptoms at different stages of the disease trajectory including mental disorders. According to Holland, Alici, and Massie the prevalence of psychiatric disorders in cancer patients is over 50% [2, 3].

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