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[Psychological distress of breast cancer patients: screening and patients' request for psycho-oncological care as indicators of health-related quality of life].

Abstract
Health-related quality of life (QoL) in breast cancer patients strongly depends on emotional well-being. QoL (EORTC-QLQ-C30), psychological distress (HADS), and patient's request for psycho-oncological care were assessed in 103 breast cancer patients during initial hospitalization. Clinical diagnoses according to ICD-10-F were made by clinical interview. As expected, both positive HADS screens (>13) and clinical diagnoses of mental disorders were inversely related to QoL. However, in multivariate analysis of variance only positive HADS scores but not clinical diagnoses of mental disorders significantly predicted QoL. The performance of psychological screening instruments should therefore not only be judged by their ability to detect clinical diagnoses but also by their relevance for reflecting patients' QoL.
AuthorsKarin Wiegard, Ute-Susann Albert, Cosima Zemlin, Dirk Lubbe, Christina Kleiber, Beate Kolb-Niemann, Carmen Schade-Brittinger, Uwe Wagner, Christoph Herrmann-Lingen
JournalPsychotherapie, Psychosomatik, medizinische Psychologie (Psychother Psychosom Med Psychol) 2012 Mar-Apr Vol. 62 Issue 3-4 Pg. 129-35 ISSN: 1439-1058 [Electronic] Germany
Vernacular TitlePsychische Belastung von Brustkrebspatientinnen: Screening und psychoonkologischer Unterstützungswunsch als Indikatoren der Lebensqualität.
PMID22473429 (Publication Type: English Abstract, Journal Article)
Copyright© Georg Thieme Verlag KG Stuttgart · New York.
Topics
  • Adult
  • Aged, 80 and over
  • Breast Neoplasms (complications, psychology)
  • Cognition (physiology)
  • Data Interpretation, Statistical
  • Emotions (physiology)
  • Female
  • Hospitalization
  • Humans
  • International Classification of Diseases
  • Mental Disorders (complications, psychology)
  • Middle Aged
  • Multivariate Analysis
  • Neuropsychological Tests
  • Patient Acceptance of Health Care (psychology)
  • Quality of Life
  • Stress, Psychological (etiology, psychology)

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