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Measurement of distress in Chinese inpatients with lymphoma
Author(s) -
Wang Yisi,
Zou Liqun,
Jiang Ming,
Wei Yuquan,
Jiang Yu
Publication year - 2013
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.3170
Subject(s) - hospital anxiety and depression scale , medicine , distress , logistic regression , anxiety , gastroenterology , depression (economics) , lymphoma , psychiatry , clinical psychology , economics , macroeconomics
Purpose The aim of this study was to assess the levels and sources of distress in patients with lymphoma. This study also focused on the influence of factors of the level of distress and the cutoff score using the Distress Thermometer (DT) relative to the Hospital Anxiety and Depression Scale (HADS). Method DT and HADS were used to estimate the psychological status of 323 eligible lymphoma patients. The DT was evaluated against the HADS for its sensitivity and specificity. Results One hundred and ninety‐three (59.7%) lymphoma patients experienced overall distress on the HADS, with 137 (42.4%) experiencing anxiety and 114 (35.3%) suffering from depression. There were 199 (61.6%) and 163 (50.5%) patients with distress score ≥4 and ≥5, respectively. DT was significantly correlated with the HADS‐total (T) ( r = 0.820, p < 0.001), HADS‐depression (D) ( r = 0.763, p < 0.001), and HADS‐anxiety (A) ( r = 0.738, p < 0.001). The consistency of the DT and HADS was favorable (coherence index = 0.6030, p < 0.01) when the cutoff score was 5 for the DT. Referring to the cutoff of 15 on HADS, 5 on DT yielded optimal specificity (0.869, p < 0.001) and sensitivity (0.756, p < 0.001). In multiple logistic regression analysis, patients with ‘B symptoms’ were more likely to have a distress score ≥5 [OR = 4.512, p < 0.05, 95% CI 1.953–10.467]. Conclusion DT is efficacious for screening for anxiety and depression in lymphoma patients. Copyright © 2012 John Wiley & Sons, Ltd.