演題抄録

International Session(Poster)

開催概要
開催回
第51回・2013年・京都
 

Comparison of 3 methods of assessing anxiety and depression during radiotherapy

演題番号 : ISP-29

[筆頭演者]
Lisa J Mackenzie:1,2 
[共同演者]
Eiji Suzuki:3、Masakazu Ogura:4、Mariko Carey:1、Rob Sanson-Fisher:2、Hiromi Asada:5、Masakazu Toi:3、Masahiro Hiraoka:4、Catherine D'Este:1

1:School of Medicine & Public Health, The University of Newcastle, Australia、2:Graduate School of Medicine, Kyoto University Hospital, Japan、3:Breast Surgery, Kyoto University Hospital, Japan、4:Radiation Oncology & Image-applied Therapy, Kyoto University Hospital, Japan、5:Department of Nursing, Kyoto University Hospital, Japan

 

A cancer diagnosis can be associated with psychological distress. Distress screening in busy oncology settings requires brief assessment tools with high sensitivity and specificity (Akechi et al, 2006; Akizuki et al, 2005). Single-items assessing distress have been proposed as ultrashort tools for identifying need for psychological support. However, given the stigma surrounding depression and anxiety in Japan, patients are likely to underreport psychological distress (Jorm et al, 2005), increasing the role of clinicians in both detection and referral. This study aimed to describe the proportion of Japanese radiation oncology patients likely to be experiencing anxiety or depression as identified by 1) the Hospital Anxiety and Depression Scale (HADS); 2) patient self-perception of anxiety and depression; and 3) radiation oncologist report. Adult cancer patients (n = 145) receiving radiotherapy in a Japanese university hospital between April and July 2012 completed a touchscreen tablet survey and gave consent for their responses to be linked to survey responses of their radiation oncologist. This represented 55% of all eligible patients attending the department during the study period. Patient psychological wellbeing was assessed using the HADS, patient perceptions and radiation oncologist perceptions. Using a HADS subscale score of 11 or more, 9.7% (95% CI: 5.4%, 16%) of patients were likely to be experiencing anxiety and 9.7% (95% CI: 5.4%, 16%) likely to be experiencing depression. Moderate to severe self-perceived anxiety was reported by 17% of patients (95% CI: 13%, 26%) and self-perceived depression by 6.9% (95% CI: 3.4%, 12%). Clinician report identified moderate to severe anxiety in 33% (95% CI: 26%, 41%) of their patients and depression in 18% (95% CI: 12%, 25%). Agreement between these three strategies for identifying anxiety and depression, and implications for referral and help seeking behaviours in Japanese radiation oncology settings will be discussed.

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