Development and validation of a psychosocial screening instrument for cancer

Linden, Wolfgang; Yi, Dahyun; Barroetavena, Maria Cristina; MacKenzie, Regina; Doll, Richard

doi:10.1186/1477-7525-3-54

Cited by 76 publications

(36 citation statements)

References 25 publications

(29 reference statements)

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“…The Social Network and Support Assessment (SNSA) is a 17 item measure assessing multiple dimensions of perceived support, used previously in studies of cancer survivors [32, 33] and derived from an epidemiological study of social networks among older adults [34]. Respondents are asked to characterize the level of support they receive from various sources, including their relationship partners.…”

Section: Methodsmentioning

confidence: 99%

The association between partner support and psychological distress among prostate cancer survivors in a nationwide study

et al. 2015

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Purpose Up to 38% of prostate cancer survivors experience significant psychological distress; 6–16% are diagnosed with depression or anxiety disorders. Support from a relationship partner can ameliorate psychological distress, but many studies treat relationship status as a dichotomous predictor without accounting for level of support provided by the partner. Methods The current study is a secondary analysis of a sample of 292 prostate cancer survivors recruited by 9 Community Clinical Oncology Program (CCOP) sites around the United States to a larger randomized controlled trial. Self-reported distress was measured at a baseline visit using the Profile of Mood States (POMS) and partner support was measured using the Social Network and Support Assessment (SNSA). Post-hoc groups consisting of unmarried survivors, married survivors with low partner support (SNSA scores below the median), and married survivors with high partner support (SNSA scores above the median) were compared on distress using univariate and ANCOVA analyses. Results Married prostate cancer survivors with high partner support reported significantly lower levels of psychological distress than the other two groups on the total distress scale (16.20–19.19 points lower, p<0.001). After adjusting for multiple comparisons, this pattern was also seen for subscales of distress. Conclusions This study highlights the importance of assessing both partner support and marital status when evaluating a survivor’s psychosocial functioning and support network. Implications for Cancer Survivors Assessing support could improve understanding of the association between partner support and prostate cancer survivors’ psychological distress and could lead to interventions to bolster support and reduce distress.

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Section: Methodsmentioning

confidence: 99%

The association between partner support and psychological distress among prostate cancer survivors in a nationwide study

et al. 2015

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“…The HRQOL-4 developed by CDC has undergone extensive reliability and validity testing and has demonstrated adequate psychometric properties. 20-24 …”

Section: Methodsmentioning

confidence: 99%

Convergent validity of the ACC/AHA pooled cohort equations in associating with health-related quality of life among adults in the United States

Nooe¹,

Edwards²,

Addoh³

et al. 2016

Health Promot Perspect

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Background: The potential convergent validity of the pooled cohort risk (PCR) equations in predicting health-related quality of life (HRQOL) has yet to be evaluated, which was this study’s purpose. Methods: Data from the 2001-2011 National Health and Nutrition Examination Survey (NHANES) were used (N = 8978 adults, 40-79 years, free of cardiovascular disease at baseline). Calculation of an individual’s 10-year risk of a first atherosclerotic cardiovascular disease (ASCVD) event was determined via the PCR equation. The Centers for Disease Control and Prevention (CDC) HRQOL measure was assessed utilizing 4 questions regarding participants’ perceived mental and physical health status from the past 30 days. Results: When adjusting for moderate-to-vigorous physical activity (MVPA), obesity, age, gender and race-ethnicity, an ASCVD score of >20% (vs. <20%) was associated with a 0.53-unit (95% CI: 0.34-0.71) higher HRQOL score. A higher HRQOL score indicates a poorer patient perception of their mental and physical health. Conclusion: The observed association between PCR-determined ASCVD-risk scores and HRQOL provides evidence for the convergent validity of the PCR algorithms, indicating that individuals with a higher risk for a first time ASCVD-event may also have an overall worse HRQOL. As such, employing ASCVD risk reduction efforts may be an important strategy in improving an individual’s HRQOL.

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“…Previous validation research found that both cancer outpatients ( d = 0.26, p < 0.001) as well as cancer inpatients ( d = 0.70, p < 0.001) reported significantly higher levels of depression compared to a community sample [25]. Age was negatively associated with depression in patients with cancer ( ρ = −0.157, p < 0.001) as well as in a healthy community sample ( ρ = −0.190, p < 0.001) (unpublished data derived from the validation samples).…”

Section: Methodsmentioning

confidence: 99%

Prospective associations of depression with survival: a population-based cohort study in patients with newly diagnosed breast cancer

Vodermaier

Linden

Rnic

et al. 2013

Breast Cancer Res Treat

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Psychological factors may influence survival in breast cancer patients but results of previous research are inconclusive. This prospective population-based study tested whether depression predicts mortality in breast cancer patients. Routinely collected depression screening data were merged with electronically archived provincial cancer registry data and censored data from British Columbia Vital Statistics (extracted in December 2012). Cox proportional-hazards regression analyses were conducted to predict all-cause and breast cancer-specific mortality as a function of depression after controlling for biomedical confounders. Of 1,646 patients, 1,604 had breast cancer stages I–III and 42 had stage IV breast cancer. 176 (11.0 %) versus 28 (66.7 %) were deceased after a median follow-up of 76 months. In patients with curable breast cancer, depression predicted all-cause (HR = 1.54 (95 % CI 1.06–2.25); p = 0.024), but not breast cancer-specific mortality (HR = 1.51 (95 % CI 0.95–2.41); p = 0.084). No association was shown for metastatic disease. Stage-specific analyses demonstrated a 2–2.5-fold increase in breast cancer-specific and all-cause mortality in patients with stage I and II disease, but not in patients with stage III or IV breast cancer. In stage I breast cancer patients, age moderated effects of depression such that depressed younger patients diagnosed at age 45 (i.e., mean age −1SD) showed a ninefold (HR = 9.82 (95 % CI 2.26–42.68); p = 0.002) increase in all-cause mortality and depressed patients at 57 a 3.7-fold (HR = 3.69 (95 % CI 1.44–9.48); p = 0.007) increase, while no association was evident in older patients at age 69 (mean age +1SD). Depression is strongly associated with mortality in younger patients with early stage breast cancer.

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Development and validation of a psychosocial screening instrument for cancer

Cited by 76 publications

References 25 publications

The association between partner support and psychological distress among prostate cancer survivors in a nationwide study

The association between partner support and psychological distress among prostate cancer survivors in a nationwide study

Convergent validity of the ACC/AHA pooled cohort equations in associating with health-related quality of life among adults in the United States

Prospective associations of depression with survival: a population-based cohort study in patients with newly diagnosed breast cancer

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