Validation of a Biopsychosocial Distress Screening Tool, SupportScreen, in a Brazilian Cancer Center.

IF 3.3 2区医学 Q2 ONCOLOGY

Psycho‐Oncology Pub Date : 2024-10-01 DOI:10.1002/pon.70001

Cristiane Decat Bergerot, Marianne Razavi, Paulo Gustavo Bergerot, Edvane Birelo Lopes De Domenico, Karen Lynn Clark, Matthew Loscalzo, Sumanta Kumar Pal, William Dale

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引用次数: 0

Abstract

Objective: Biopsychosocial distress is a common yet often underestimated complication in cancer care. We sought to translate and evaluate the psychometric properties of SupportScreen distress assessment tool in Brazil.

Methods: A cancer cohort study was conducted at a public hospital in Brazil. The SupportScreen tool underwent transcultural translation into Portuguese. Eligible patients completed the SupportScreen, Distress Thermometer (DT), Hospital Anxiety and Depression Scale (HADS), and Functional Assessment of Cancer Therapy-General version (FACT-G). Statistical analyses included confirmatory and exploratory factor analyses (CFA and EFA), comparisons with established distress tools, and assessments of associations with patients' characteristics.

Results: A total of 302 patients were assessed (M:F 35.4%:64.6%; median age: 55). Most patients were diagnosed with breast (29.1%) and gastrointestinal cancer (20.5%), at advanced disease stage (78.8%). CFA identified optimal models for emotional and physical distress; EFA revealed two factors for the logistics of medical care: practical and medical system distress. The concurrent validity of subscales demonstrated significant correlations between distress domains. Sensitivity analyses indicated good performance of emotional and physical domains in identifying distress compared to gold standard criteria. Female patients were more likely to report high emotional distress, while younger age and late disease stage were associated with higher physical distress. Additionally, late disease stage was linked to higher practical distress.

Conclusion: Emotional and physical domains demonstrated validity and reliability, aligning with validated measures. Logistics of medical care distress revealed practical and medical system dimensions, expanding understanding of patient challenges. The SupportScreen tool exhibited concurrent validity and sensitivity in identifying distress.

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在巴西癌症中心验证生物心理社会压力筛查工具 "SupportScreen"。

目的：生物心理社会痛苦是癌症治疗中常见的并发症，但往往被低估。我们试图在巴西翻译并评估 SupportScreen 痛苦评估工具的心理测量特性：方法：我们在巴西一家公立医院开展了一项癌症队列研究。将 SupportScreen 工具翻译成葡萄牙语。符合条件的患者完成了 SupportScreen、压力温度计 (DT)、医院焦虑抑郁量表 (HADS) 和癌症治疗功能评估通用版 (FACT-G)。统计分析包括确证性和探索性因子分析（CFA 和 EFA）、与已有困扰工具的比较以及与患者特征的关联评估：共有 302 名患者接受了评估（男女比例为 35.4%:64.6%；年龄中位数为 55 岁）。大多数患者被诊断为乳腺癌（29.1%）和胃肠道癌症（20.5%），处于疾病晚期（78.8%）。CFA 确定了情绪和身体困扰的最佳模型；EFA 揭示了医疗护理后勤的两个因素：实际困扰和医疗系统困扰。各分量表的并发有效性表明，各苦恼域之间存在显著相关性。敏感性分析表明，与黄金标准相比，情绪和身体领域在识别困扰方面表现良好。女性患者更有可能报告较高的情绪困扰，而年龄较轻和疾病晚期与较高的身体困扰相关。此外，疾病晚期也与较高的实际困扰有关：结论：情绪和身体领域显示了有效性和可靠性，与有效的测量方法一致。医疗护理的后勤压力揭示了实际和医疗系统方面的问题，扩大了对患者所面临挑战的了解。SupportScreen工具在识别困扰方面表现出了并发有效性和敏感性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.