title: Psychological distress in cancer patients attending the European Institute of Oncology in Milan.
abstract: BACKGROUND
  The determination of the extent and specific features of the psychological distress to be expected in a cancer centre may influence the choice of interventions to be implemented for addressing these problems. This study was aimed at estimating the prevalence of psychological distress in patients attending a second reference cancer centre in Milan (Italy), and at identifying associated factors.
  
  
  METHODS
  190 consecutive patients were assessed within 3 days of hospital discharge using the Hospital Anxiety and Depression Scale.
  
  
  RESULTS
  Major depressive disorders or generalised anxiety disorders were estimated in 16% of the patients. Only 2 of these patients were referred to the psycho-oncology unit, hence the psychological distress of many patients was not considered during their hospital stay. In the multiple regression analysis, independent predictors of psychological distress were female gender, experience of disturbance in family and social life due to illness, nausea and vomiting, and perception of being in a poor state of health (R(2) = 0.31, p value < 0.001), while physical functioning, fatigue and pain, significant factors in univariate analysis (p < 0. 05), sociodemographic and clinical factors were not predictors. CONCLUSIONS The psycho-oncology team should focus on helping doctors and nurses identify the patients' psychological problems, dealing with them or making a referral.
authors.affiliation: Psycho-Oncology Research Unit, European Institute of Oncology, Milan, Italy. abredart@ieo.it
authors.forename: A
authors.initials: A
authors.lastname: Brédart
authors.forename: F
authors.initials: F
authors.lastname: Didier
authors.forename: C
authors.initials: C
authors.lastname: Robertson
authors.forename: E
authors.initials: E
authors.lastname: Scaffidi
authors.forename: D
authors.initials: D
authors.lastname: Fonzo
authors.forename: A
authors.initials: A
authors.lastname: Costa
authors.forename: A
authors.initials: A
authors.lastname: Goldhirsch
authors.forename: P
authors.initials: P
authors.lastname: Autier
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001008:Anxiety Disorders / Q000209:etiology* / Q000628:therapy; D003866:Depressive Disorder / Q000209:etiology* / Q000628:therapy; D005060:Europe; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009369:Neoplasms / Q000523:psychology*; D010347:Patient Care Planning; D010348:Patient Care Team; D015995:Prevalence; D011788:Quality of Life; D012017:Referral and Consultation; D012307:Risk Factors; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000150:complications* / Q000209:etiology* / Q000628:therapy