Prevalence of emotional symptoms in Chilean oncology patients before the start of chemotherapy: Potential of the distress thermometer as an ultra-brief screening instrument

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dc.contributor.authorCalderón, J.
dc.contributor.authorCampla, C.
dc.contributor.authorD'Aguzan, N.
dc.contributor.authorBarraza, S.
dc.contributor.authorPadilla, O.
dc.contributor.authorSánchez, C.
dc.contributor.authorPalma, S.
dc.contributor.authorGonzález, M.
dc.date.accessioned2020-01-14T01:29:05Z
dc.date.available2020-01-14T01:29:05Z
dc.date.issued2014
dc.description.abstractEmotional distress (ED) is greater for oncology patients in comparison with the general population, and this has implications for the quality of life of the patient and his/her family, adherence to the treatment, and eventually, survivorship. In general, the detection of these symptoms is low, which explains the need for detection systems appropriate to the clinical reality of the oncology team. The objective of this study is to evaluate for the first time the usefulness of an ultra-brief screening instrument [distress thermometer (DT)], in a group of Chilean oncology patients. A total of 166 outpatients were evaluated at the Cancer Center of the Pontificia Universidad Católica de Chile, before starting chemotherapy. Two screening instruments were applied: Hospital Anxiety and Depression Scale (HADS) and DT. The application of HADS resulted in a prevalence of 32.7% of anxiety symptoms (HADS-A ≥ 8), 15.7% of depression symptoms (HADS-D ≥ 8), and 39.8% had a total score of HADS-T ≥ 11. The DT resulted in the prevalence of 32.5% of distress or ED (DT ≥ 5). The validity of the DT was evaluated as a screening tool in comparison with HADS, observing, in relation to the anxiety scale (HADS-A), a sensitivity of 88.9% and specificity of 78.4% (DT ≥ 4); depression (HADS-D), a sensitivity of 69.2% and specificity of 74.3% (DT ≥ 5); and in relation to the total scale (HADS-T), a sensitivity of 68.2% and specificity of 73.0% (DT ≥ 4). This study demonstrates the elevated prevalence of emotional symptoms in Chilean oncology patients, before the start of chemotherapy, and confirms the potential of the DT as a brief screening instrument with easy application. The DT will allow the clinician to increase the detection threshold in the Chilean oncology population, intervene in a timely manner, and contribute to the comprehensive handling of the oncology patient without affecting the time needed for assistance.
dc.identifier.doi10.3332/ecancer.2014.437
dc.identifier.issn1754-6605
dc.identifier.urihttps://doi.org/10.3332/ecancer.2014.437
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/27486
dc.issue.numeroNo. 1
dc.revistaecancermedicalsciencees_ES
dc.subjectCanceres_ES
dc.subjectDepressiones_ES
dc.subjectEmotional stresses_ES
dc.subjectScreeninges_ES
dc.subjectAdolescentes_ES
dc.subjectAdultes_ES
dc.subjectagedes_ES
dc.subjectAnxiety disorderes_ES
dc.subjectArticlees_ES
dc.subjectCancer chemotherapyes_ES
dc.subjectCancer patientes_ES
dc.subjectChilees_ES
dc.subjectControlled studyes_ES
dc.subjectConvergent validityes_ES
dc.subjectDiagnostic accuracyes_ES
dc.subjectDiagnostic test accuracy studyes_ES
dc.subjectDiagnostic valuees_ES
dc.subjectDistress syndromees_ES
dc.subjectDistress Thermometeres_ES
dc.subjectFemalees_ES
dc.subjectHigh risk patientes_ES
dc.subjectHospital Anxiety and Depression Scalees_ES
dc.subjectHumanes_ES
dc.subjectMajor clinical studyes_ES
dc.subjectMalees_ES
dc.subjectOutpatientes_ES
dc.subjectPredictive validityes_ES
dc.subjectPrevalencees_ES
dc.subjectPsychological rating scalees_ES
dc.subjectReceiver operating characteristices_ES
dc.subjectScreening testes_ES
dc.subjectSensitivity and specificityes_ES
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titlePrevalence of emotional symptoms in Chilean oncology patients before the start of chemotherapy: Potential of the distress thermometer as an ultra-brief screening instrumentes_ES
dc.typeartículo
dc.volumenVol. 8
sipa.codpersvinculados1001318
sipa.codpersvinculados135644
sipa.codpersvinculados1005531
sipa.codpersvinculados1003224
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