Distress thermometer problem list and distress and depression in psycho-oncology.

IF 2 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

BMJ Supportive & Palliative Care Pub Date : 2025-02-12 DOI:10.1136/spcare-2024-005092

Lyndsey Wallace, Anjishnu Banerjee, Jessica Molinaro, Julie Murray, Carrie Danhieux-Poole, Ann Marie Uselmann, Jennifer M Knight

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引用次数: 0

Abstract

Purpose: This study examines the relationship between specific problem categories endorsed by patients with cancer seeking psycho-oncology services and their levels of distress and depression. Additionally, we investigate the potential associations between demographic and clinical characteristics and the endorsement of specific problem categories.

Methods: A non-randomised interventional study was conducted with adult patients referred for psycho-oncology services. Patients attended 1-2 psycho-oncology sessions, completing the distress thermometer, problem checklist and Patient Health Questionnaire at the start of each visit and repeated the distress thermometer at visit end. Analyses evaluated the associations between problem checklist categories and levels of distress and depression.

Results: Patients who endorsed a higher problem load, regardless of problem category, endorsed higher levels of distress and depression. Notably, younger patients, non-white patients and patients with breast cancer endorsed higher problem loads.

Conclusion: The findings emphasise the importance of addressing problem load as a contributor to distress and depression among patients with cancer. While problem load was associated with patient characteristics, further investigation is needed to understand how these characteristics may influence distress and depression directly. Interventions should focus on reducing problem load to improve psychological well-being.

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来源期刊

BMJ Supportive & Palliative Care Medicine-Medicine (miscellaneous)

CiteScore

4.60

自引率

7.40%

发文量

170

期刊介绍： Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance. We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication. In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.