Evaluation of a one-question interview for depression in a radiation oncology department in Japan

Kawase, Eri; Karasawa, Kumiko; Shimotsu, Sakie; Imasato, Sakae; Ito, Kana; Matsuki, Hideyuki; Sakano, Yuji; Horikawa, Naoshi

doi:10.1016/j.genhosppsych.2006.02.003

Cited by 21 publications

(17 citation statements)

References 3 publications

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“…The first criterion—“Are you depressed?”—yielded perfect sensitivity and specificity to detect any kind of depressive disorder and outperformed the BDI and the visual analog scales in one study (23). However, in several other studies, it had low sensitivity to detect any affective disorder (24–27), whereas its sensitivity to detect a major depressive disorder was high across all studies. The second diagnostic criterion for a depressive disorder—“Have you lost interest?”—showed the same pattern as the first diagnostic criterion question (26) in that it was much less sensitive in detecting minor disorders, such as adjustment disorder, than in detecting major depressive disorder (26).…”

Section: Resultsmentioning

confidence: 84%

“…For this reason, several studies have tested single questions from diagnostic interviews against structured clinical interviews as a screening method for depressive disorders in palliative care patients. Altogether, seven studies (21,23–28) examined the psychometric properties of single screening questions; four of these studies (23,24,26,27) tested the single question against a structured clinical assessment of the diagnosis. Three studies (23,26,28) also examined the combination of the two screening questions (hereafter referred to as the combination depression questions) that represent the first and second diagnostic criteria for a depressive disorder.…”

Section: Resultsmentioning

confidence: 99%

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Screening for Emotional Distress in Cancer Patients: A Systematic Review of Assessment Instruments

Vodermaier

Linden

Siu

2009

JNCI Journal of the National Cancer Institute

455

417

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Screening for emotional distress is becoming increasingly common in cancer care. This systematic review examines the psychometric properties of the existing tools used to screen patients for emotional distress, with the goal of encouraging screening programs to use standardized tools that have strong psychometrics. Systematic searches of MEDLINE and PsycINFO databases for English-language studies in cancer patients were performed using a uniform set of key words (eg, depression, anxiety, screening, validation, and scale), and the retrieved studies were independently evaluated by two reviewers. Evaluation criteria included the number of validation studies, the number of participants, generalizability, reliability, the quality of the criterion measure, sensitivity, and specificity. The literature search yielded 106 validation studies that described a total of 33 screening measures. Many generic and cancer-specific scales satisfied a fairly high threshold of quality in terms of their psychometric properties and generalizability. Among the ultrashort measures (ie, those containing one to four items), the Combined Depression Questions performed best in patients receiving palliative care. Among the short measures (ie, those containing five to 20 items), the Center for Epidemiologic Studies–Depression Scale and the Hospital Anxiety and Depression Scale demonstrated adequate psychometric properties. Among the long measures (ie, those containing 21–50 items), the Beck Depression Inventory and the General Health Questionaire–28 met all evaluation criteria. The PsychoSocial Screen for Cancer, the Questionnaire on Stress in Cancer Patients–Revised, and the Rotterdam Symptom Checklist are long measures that can also be recommended for routine screening. In addition, other measures may be considered for specific indications or disease types. Some measures, particularly newly developed cancer-specific scales, require further validation against structured clinical interviews (the criterion standard for validation measures) before they can be recommended.

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Section: Resultsmentioning

confidence: 84%

Section: Resultsmentioning

confidence: 99%

Screening for Emotional Distress in Cancer Patients: A Systematic Review of Assessment Instruments

Vodermaier

Linden

Siu

2009

JNCI Journal of the National Cancer Institute

455

417

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“…4,13 En dos revisiones recientes, 12,14 se describieron las propiedades psicométricas al evaluar la depresión por medio de una pregunta, dos preguntas o la combinación de éstas con escalas (cuadro 1). 8,13,[15][16][17][18][19][20][21][22][23] Las evaluaciones que utilizaron una o dos preguntas reportaron datos contradictorios. Así, un estudio reportó 100% de sensibilidad y especificidad para detectar distintos tipos de trastornos depresivos, 17 y tres estudios más reportaron baja sensibilidad para detectar trastornos afectivos menores, pero alta sensibilidad para detectar el trastorno depresivo mayor.…”

Section: Evaluaciones De Una O Dos Preguntasunclassified

“…Así, un estudio reportó 100% de sensibilidad y especificidad para detectar distintos tipos de trastornos depresivos, 17 y tres estudios más reportaron baja sensibilidad para detectar trastornos afectivos menores, pero alta sensibilidad para detectar el trastorno depresivo mayor. 15,19,20 Cuando la pregunta se acompañó con la escala visual análoga, no se incrementó la probabilidad de que un paciente sin depresión tuviera un resultado negativo en la prueba, pero sí se incrementó la sensibilidad de la misma. 15,16 Un estudio documentó que las evaluaciones de depresión por medio de un reactivo no son las más recomendables para las poblaciones hispano hablantes, ya que existe una connotación cultural negativa con respecto al término "deprimido", que ocasiona que los pacientes no reporten sentirse de esa manera.…”

Section: Evaluaciones De Una O Dos Preguntasunclassified

Evaluación de la depresión en pacientes con cáncer terminal y su aplicación en el contexto mexicano: Una revisión

et al. 2014

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SUMMARYDepression is one of the most common emotional problems in palliative patients. Due to the advanced nature of the disease, several physical symptoms presented by patients overlap with symptoms of depression, making it difficult to evaluate and diagnose the problem. The aim of this paper was to conduct a narrative review of the main instruments used to assess depression when it is present in palliative patients, with a special consideration of the Mexican context. Based on the available data and the scholarly literature, it is more appropriate to conduct an assessment of depression focused on emotional aspects than somatics aspects in palliative patients. Internationally, a number of depression assessments place greater emphasis on anhedonia and emotions, such as hopelessness, than on somatic aspects of depression. In Mexico, a considerable gap remains in the development of instruments to identify depression in the palliative setting. Finally, we describe alternative assessments of depression, which could be evaluated and considered in the future in the palliative care setting.

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“…Un tercer tipo de críticas se refiere a la dificultad para extrapolar el uso de estos cuestionarios a culturas distintas de aquellas en las que se desarrollaron. Así ocurre con el instrumento ultra-breve ya presentado de Chochinov (127) para valorar la depresión, que mostraba una sensibilidad y especificidad de 100% en la población de pacientes terminales norteamericanos: al estudiar este mismo instrumento en una muestra de pacientes japoneses en tratamiento de radioterapia, no se encuentran, ni de lejos, dichos valores de sensibilidad y especificad (141) , ni tampoco en estudios con enfermos terminales, o en tratamiento paliativo japoneses (142) , o europeos (143,144) . Lo cual podría ser una señal no sólo de la diferente validez del test en función de la cultura, sino también de deficiencias internas del instrumento.…”

Section: Instrumentos De Detección Adecuados a La Realidad Asistencialunclassified

Salud mental y malestar emocional en pacientes con cáncer

et al. 2013

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ResumenObjetivo: Conocer los problemas de salud mental y de malestar psíquico de los pacientes con cáncer, las barreras que pueden incidir en su escasa detección y en la falta de atención psicológica específica a los pacientes que la precisan, así como las vías que clínicos e investigadores están desarrollando para solventarlas. Un conocimiento real de estos problemas facilitaría el diseño, implementación o mejora de los recursos asistenciales, para el paciente oncológico.Método: Revisión bibliográfica de las investigaciones sobre el tema en las últimas dé-cadas.Resultados: Los pacientes con cáncer presentan elevada prevalencia de trastornos psicopatológicos y síntomas de ansiedad, depresión y malestar emocional (distress), en distintos momentos de la enfermedad, relacionados con diversos factores médicos, físicos, psicológicos y sociales. Los datos no permiten concluir sobre la prevalencia real puntual de dichos trastornos y síntomas, debido a las diferentes metodologías de investigación, y menos aun sobre su evolución durante la enfermedad, y Abstract Purpose: Identify mental health problems and distress in cancer patients; recognise the obstacles to their detection and the lack of specific psychological care for patients who need it; and determine the pathways that are being developed to address them. A true understanding of these problems would facilitate the design, implementation and improvement of health-care resources for oncologic patients.Methods: Literature review of the investigations on the subject from the last decades.Results: During their illness, cancer patients show a high prevalence of psychopathological disorders, anxiety symptoms, depression and distress, related to several medical, physical, psychological and social factors. To discover the protective and predictive factors of worsening, data analysis does not indicate the real punctual prevalence of these disorders and symptoms -mainly due to the different investigation methods used-, neither does it show the evolution during the illness and afterwards.

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Evaluation of a one-question interview for depression in a radiation oncology department in Japan

Cited by 21 publications

References 3 publications

Screening for Emotional Distress in Cancer Patients: A Systematic Review of Assessment Instruments

Screening for Emotional Distress in Cancer Patients: A Systematic Review of Assessment Instruments

Evaluación de la depresión en pacientes con cáncer terminal y su aplicación en el contexto mexicano: Una revisión

Salud mental y malestar emocional en pacientes con cáncer

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