PMID: 20623464Jul 14, 2010Paper

Screening for mental stress and the wish for psychological support in patients with breast cancer

Zeitschrift für Psychosomatische Medizin und Psychotherapie
Norbert SchäffelerStephan Zipfel

Abstract

The study explores whether breast-cancer patients who request psychosocial support have higher psychological strain compared to those who do not. We also explored whether scores on HADS-D and PHQ-D identify the same patients as being stressed as well as the relationship between patient's wish for psychological support and psychological strain. 115 inpatients with breast cancer took part in the screening and were asked if they wanted psychosocial support. Above-normal scores in anxiety and depression are reported by 25-29%, with 41% indicating a wish for psychosocial support. These patients showed significantly higher scores on the questionnaires. Their request for psychosocial support shows a similar sensitivity (.733) and specificity (.662) as the "Distress-Thermometer" or "PO-Bado". The desire for psychosocial support appears to be a valuable piece of additional information for indicating psychosocial support. However, HADS-D and PHQ-D agree only in 77% of the individual patients.

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