title: [Psychological distress of breast cancer patients: screening and patients' request for psycho-oncological care as indicators of health-related quality of life].
abstract: Health-related quality of life (QoL) in breast cancer patients strongly depends on emotional well-being. QoL (EORTC-QLQ-C30), psychological distress (HADS), and patient's request for psycho-oncological care were assessed in 103 breast cancer patients during initial hospitalization. Clinical diagnoses according to ICD-10-F were made by clinical interview. As expected, both positive HADS screens (>13) and clinical diagnoses of mental disorders were inversely related to QoL. However, in multivariate analysis of variance only positive HADS scores but not clinical diagnoses of mental disorders significantly predicted QoL. The performance of psychological screening instruments should therefore not only be judged by their ability to detect clinical diagnoses but also by their relevance for reflecting patients' QoL.
authors.affiliation: Klinik für Psychosomatische Medizin und Psychotherapie, -Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg, Baldingerstrasse, Marburg. karinami@t-online.de
authors.forename: Karin
authors.initials: K
authors.lastname: Wiegard
authors.forename: Ute-Susann
authors.initials: US
authors.lastname: Albert
authors.forename: Cosima
authors.initials: C
authors.lastname: Zemlin
authors.forename: Dirk
authors.initials: D
authors.lastname: Lubbe
authors.forename: Christina
authors.initials: C
authors.lastname: Kleiber
authors.forename: Beate
authors.initials: B
authors.lastname: Kolb-Niemann
authors.forename: Carmen
authors.initials: C
authors.lastname: Schade-Brittinger
authors.forename: Uwe
authors.initials: U
authors.lastname: Wagner
authors.forename: Christoph
authors.initials: C
authors.lastname: Herrmann-Lingen
mesh_terms: D000328:Adult; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000150:complications / Q000523:psychology*; D003071:Cognition / Q000502:physiology; D003627:Data Interpretation, Statistical; D004644:Emotions / Q000502:physiology; D005260:Female; D006760:Hospitalization; D006801:Humans; D038801:International Classification of Diseases; D001523:Mental Disorders / Q000150:complications / Q000523:psychology; D008875:Middle Aged; D015999:Multivariate Analysis; D009483:Neuropsychological Tests; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D011788:Quality of Life; D013315:Stress, Psychological / Q000209:etiology / Q000523:psychology*