title: [Screening psychological distress in breast cancer patients on treatment].
abstract: OBJECTIVE
  The aim of our study was to evaluate emotional distress among women with breast cancer treated by radiotherapy, using a Visual Analogue Scale (an adaptation of the "Distress Thermometer" French version) associated with a Needs Scale with several items, in order to identify patients requiring psychological care.
  
  
  METHODS
  Our sample is composed of 277 women treated for breast cancer with radiotherapy. Our psychological evaluation is made of a first enquiry using a visual analogue distress scale and complemented by a Needs Scale with several items. A grade above 3 on the visual analogue distress scale is a reliable indicator; a grade above 4 out of 20 leads us to propose the patient a consultation with a psychologist.
  
  
  RESULTS
  Two hundred and sixty-four female patients with a mean age of 61 years are the object of the study. Among them, 59.2% of patients display a disarray of low intensity (psychological suffering graded between 0 and 2) whereas 40% show a grade equal or superior to 3, considered as pathological on a psychological side: 30% of the patients have a grade between 3 et 5 and less than 2% of the patients display a grade reaching 9 or 10. Concerning the Needs Scale, more than 80% of the patients show a total score below 10 out of 20 and we observe a positive correlation between the total score of the Needs Scale with several items and the Visual Analogue Distress Scale score.
  
  
  CONCLUSIONS
  Our results highlight the difficulty for most of the patients to cope with emotional distress linked to their disease. We discuss the necessity to increase awareness among caregivers on this psychological distress, through the use of simple tools such as a Visual Analogue Scale associated with a Needs Scale, so as to provide a holistic care for women with breast cancer.
authors.affiliation: Institut de cancérologie Lucien-Neuwirth, département d'oncologie médicale, 108 bis, avenue Albert-Raimond, BP 60008, 42271 Saint-Priest-en-Jarez cedex, France.
authors.forename: Benoîte
authors.initials: B
authors.lastname: Méry
authors.affiliation: Pôle psychiatrie, hôpital Nord, CHU Saint-Étienne, avenue Albert-Raimond, 42270 Saint-Priest-en-Jarez cedex, France.
authors.forename: Gilles-Damas
authors.initials: GD
authors.lastname: Froissart
authors.affiliation: Institut de cancérologie Lucien-Neuwirth, département de radiothérapie, 108 bis, avenue Albert-Raimond, BP 60008, 42271 Saint-Priest-en-Jarez cedex, France.
authors.forename: Alexis
authors.initials: A
authors.lastname: Vallard
authors.affiliation: Laboratoire ERIC, université Lumière-Lyon-2, 5, avenue Pierre-Mendès-France, 69676 Bron cedex, France.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Lallich
authors.affiliation: Institut de cancérologie Lucien-Neuwirth, département de radiothérapie, 108 bis, avenue Albert-Raimond, BP 60008, 42271 Saint-Priest-en-Jarez cedex, France.
authors.forename: Sophie
authors.initials: S
authors.lastname: Espenel
authors.affiliation: Pôle psychiatrie, hôpital Nord, CHU Saint-Étienne, avenue Albert-Raimond, 42270 Saint-Priest-en-Jarez cedex, France.
authors.forename: Sarah
authors.initials: S
authors.lastname: Jouan
authors.affiliation: Institut de cancérologie Lucien-Neuwirth, département de radiothérapie, 108 bis, avenue Albert-Raimond, BP 60008, 42271 Saint-Priest-en-Jarez cedex, France.
authors.forename: Julien
authors.initials: J
authors.lastname: Langrand-Escure
authors.affiliation: Pôle psychiatrie, hôpital Nord, CHU Saint-Étienne, avenue Albert-Raimond, 42270 Saint-Priest-en-Jarez cedex, France.
authors.forename: Jacques
authors.initials: J
authors.lastname: Bagur
authors.affiliation: Unité parents-enfants du service de psychiatrie infanto-juvénile, Assistance publique-Hôpitaux de Marseille, 240 et 270, boulevard Sainte-Marguerite, 13009 Marseille cedex 9, France.
authors.forename: Fabienne
authors.initials: F
authors.lastname: Chauvin
authors.affiliation: Institut de cancérologie Lucien-Neuwirth, département de radiothérapie, 108 bis, avenue Albert-Raimond, BP 60008, 42271 Saint-Priest-en-Jarez cedex, France.
authors.forename: Majed
authors.initials: M
authors.lastname: Ben Mrad
authors.affiliation: Pôle psychiatrie, hôpital Nord, CHU Saint-Étienne, avenue Albert-Raimond, 42270 Saint-Priest-en-Jarez cedex, France.
authors.forename: Michèle
authors.initials: M
authors.lastname: Ho
authors.affiliation: Pôle psychiatrie, hôpital Nord, CHU Saint-Étienne, avenue Albert-Raimond, 42270 Saint-Priest-en-Jarez cedex, France.
authors.forename: Marie
authors.initials: M
authors.lastname: Bourdis
authors.affiliation: Pôle psychiatrie, hôpital Nord, CHU Saint-Étienne, avenue Albert-Raimond, 42270 Saint-Priest-en-Jarez cedex, France.
authors.forename: Manuel
authors.initials: M
authors.lastname: Dutilleux
authors.affiliation: Laboratoire ERIC, université Lumière-Lyon-2, 5, avenue Pierre-Mendès-France, 69676 Bron cedex, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Kilendo
authors.affiliation: Institut de cancérologie Lucien-Neuwirth, département interdisciplinaire de soins de support pour le patient en oncologie, 108 bis, avenue Albert-Raimond, BP 60008, 42271 Saint-Priest-en-Jarez cedex, France.
authors.forename: Patrick
authors.initials: P
authors.lastname: Michaud
authors.affiliation: Institut de cancérologie Lucien-Neuwirth, département de radiothérapie, 108 bis, avenue Albert-Raimond, BP 60008, 42271 Saint-Priest-en-Jarez cedex, France.
authors.forename: Guy
authors.initials: G
authors.lastname: de Laroche
authors.affiliation: Pôle psychiatrie, hôpital Nord, CHU Saint-Étienne, avenue Albert-Raimond, 42270 Saint-Priest-en-Jarez cedex, France.
authors.forename: Catherine
authors.initials: C
authors.lastname: Massoubre
authors.affiliation: Institut de cancérologie Lucien-Neuwirth, département de radiothérapie, 108 bis, avenue Albert-Raimond, BP 60008, 42271 Saint-Priest-en-Jarez cedex, France. Electronic address: nicolas.magne@icloire.fr.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Magné
mesh_terms: D000223:Adaptation, Psychological; D001943:Breast Neoplasms / Q000523:psychology* / Q000532:radiotherapy; D003663:Decision Trees; D005260:Female; D006801:Humans; D008875:Middle Aged; D013315:Stress, Psychological / Q000145:classification / Q000175:diagnosis* / Q000453:epidemiology; D011795:Surveys and Questionnaires; D064232:Visual Analog Scale
keywords: Cancer; Disarray; Dépistage; Désarroi; Détresse psychologique; Psycho-oncologie; Psycho-oncology; Psychological distress; Psychological distress thermometer; Screening; Thermomètre de détresse psychologique