title: Psychosocial distress in acute cancer patients assessed with an expert rating scale.
abstract: OBJECTIVE
  The identification of psychosocial stress in cancer patients has remained a challenging task especially in an acute care environment. The aims of the present study were to apply a short expert rating scale for the assessment of distress during the acute treatment phase and to identify potential sociodemographic and disease-related predictors.
  
  
  METHODS
  Four hundred seventy-eight ward cancer patients were assessed with the short form of the psycho-oncological basis documentation and its breast-cancer-specific version. In addition, they completed a self-rating questionnaire on stress in cancer patients. We recorded sociodemographic and disease-related variables and assessed their predictive value for psychosocial distress.
  
  
  RESULTS
  According to the expert rating scale, 56.3% of patients were rated distressed. While only 31.3% of patients were classified as distressed according to a patient self-rating, both approaches showed a good degree of concurrence with a consistent classification of 69% of patients. Younger age, current psychotropic medication, and past psychological treatment were associated with higher distress levels. Patients with metastases and those with a poorer functional status were more distressed. Interestingly, having an operation was associated with a better psychological well-being.
  
  
  CONCLUSIONS
  This study demonstrated that a substantial proportion of cancer patients in acute care are psychosocially distressed. A short expert rating scale proved to be a feasible tool for the assessment of distress in an acute care setting.
authors.affiliation: Medical Clinic, Markus Hospital, Frankfurt am Main, Germany. bianca.senf@fdk.info
authors.forename: Bianca
authors.initials: B
authors.lastname: Senf
authors.forename: Holger
authors.initials: H
authors.lastname: Brandt
authors.forename: Axel
authors.initials: A
authors.lastname: Dignass
authors.forename: Rolf
authors.initials: R
authors.lastname: Kleinschmidt
authors.forename: Jochen
authors.initials: J
authors.lastname: Kaiser
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009369:Neoplasms / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D011619:Psychotropic Drugs / Q000009:adverse effects / Q000627:therapeutic use; D012307:Risk Factors; D013315:Stress, Psychological / Q000175:diagnosis / Q000209:etiology*; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D011619:Psychotropic Drugs
references.citation: J Psychosom Res. 2003 Nov;55(5):403-9
references.pmid: 14581094
references.citation: Psychooncology. 2001 Jan-Feb;10(1):19-28
references.pmid: 11180574
references.citation: Ann Oncol. 2004 Aug;15(8):1243-9
references.pmid: 15277265
references.citation: J Psychosom Res. 2008 Apr;64(4):373-81
references.pmid: 18374736
references.citation: Arch Gen Psychiatry. 1995 Feb;52(2):100-13
references.pmid: 7848046
references.citation: Psychother Psychosom Med Psychol. 2006 Dec;56(12):462-79
references.pmid: 17160791
references.citation: Health Psychol. 1995 Mar;14(2):101-8
references.pmid: 7789344
references.citation: Br J Cancer. 2001 Jan;84(2):179-85
references.pmid: 11161373
references.citation: Psychol Bull. 2007 May;133(3):367-94
references.pmid: 17469983
references.citation: Eur J Cancer. 1997 Sep;33(10):1597-604
references.pmid: 9389921
references.citation: Psychother Psychosom Med Psychol. 1998 Sep-Oct;48(9-10):349-57
references.pmid: 9785964
references.citation: Br J Cancer. 2008 Jul 8;99(1):37-43
references.pmid: 18577997
references.citation: Psychooncology. 2006 Feb;15(2):93-5
references.pmid: 16444764
references.citation: J Affect Disord. 1997 Jun;44(1):21-30
references.pmid: 9186799
references.citation: Psychosom Med. 2004 Mar-Apr;66(2):258-64
references.pmid: 15039512
references.citation: J Natl Compr Canc Netw. 2003 Jul;1(3):344-74
references.pmid: 19761069
references.citation: Lung Cancer. 2007 Feb;55(2):215-24
references.pmid: 17084483
references.citation: Acta Psychiatr Scand. 1983 Jun;67(6):361-70
references.pmid: 6880820
references.citation: Psychooncology. 2007 Mar;16(3):181-8
references.pmid: 16856147
references.citation: Psychother Psychosom Med Psychol. 2003 May;53(5):229-35
references.pmid: 12709891
references.citation: Onkologie. 2008 Nov;31(11):591-6
references.pmid: 19145091
references.citation: Br J Cancer. 2004 Aug 2;91(3):504-11
references.pmid: 15238979
references.citation: Psychother Psychosom Med Psychol. 1986 May;36(5):150-8
references.pmid: 3714946
references.citation: Psychooncology. 2007 Jan;16(1):12-25
references.pmid: 16868929
references.citation: J Affect Disord. 1998 Jul;50(1):17-21
references.pmid: 9716274
references.citation: J Natl Cancer Inst. 2002 Apr 17;94(8):558-84
references.pmid: 11959890
references.citation: Psychooncology. 2007 Jun;16(6):534-42
references.pmid: 16989004
references.citation: Ann Behav Med. 2006 Oct;32(2):85-92
references.pmid: 16972802
references.citation: Chirurg. 2006 Jan;77(1):41-6; discussion 46
references.pmid: 16208507
references.citation: Palliat Support Care. 2008 Jun;6(2):107-17
references.pmid: 18501045