One in two cancer patients is significantly distressed: Prevalence and indicators of distress

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One in two cancer patients is significantly distressed: Prevalence and indicators of distress. / Mehnert, Anja; Hartung, Tim J; Friedrich, Michael; Vehling, Sigrun; Brähler, Elmar; Härter, Martin; Keller, Monika; Schulz, Holger; Wegscheider, Karl; Weis, Joachim; Koch-Gromus, Uwe; Faller, Hermann.

In: PSYCHO-ONCOLOGY, Vol. 27, No. 1, 01.2018, p. 75-82.

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@article{c0fb29c38bf741e38616f7bbd3f6e146,
title = "One in two cancer patients is significantly distressed: Prevalence and indicators of distress",
abstract = "ObjectivePsychological distress is common in cancer patients, and awareness of its indicators is essential. We aimed to assess the prevalence of psychological distress and to identify problems indicative of high distress.MethodsWe used the distress thermometer (DT) and its 34-item problem list to measure psychological distress in 3724 cancer patients (mean age 58 years; 57% women) across major tumor entities, enrolled in an epidemiological multicenter study. To identify distress-related problems, we conducted monothetic analyses.ResultsWe found high levels of psychological distress (DT ≥ 5) in 52% of patients. The most prevalent problems were fatigue (56%), sleep problems (51%), and problems getting around (47%). Sadness, fatigue, and sleep problems were most strongly associated with the presence of other problems. High distress was present in 81.4% of patients reporting all 3 of these problems (DT M = 6.4). When analyzing only the subset of physical problems, fatigue, problems getting around, and indigestion showed the strongest association with the remaining problems and 76.3% of patients with all 3 problems were highly distressed (DT M = 6.1).ConclusionsOur results show a high prevalence of psychological distress in cancer patients, as well as a set of problems that indicate the likely presence of other problems and high distress and can help clinicians identify distressed patients even if no routine distress screening is available.",
author = "Anja Mehnert and Hartung, {Tim J} and Michael Friedrich and Sigrun Vehling and Elmar Br{\"a}hler and Martin H{\"a}rter and Monika Keller and Holger Schulz and Karl Wegscheider and Joachim Weis and Uwe Koch-Gromus and Hermann Faller",
year = "2018",
month = jan,
doi = "10.1002/pon.4464",
language = "English",
volume = "27",
pages = "75--82",
journal = "PSYCHO-ONCOLOGY",
issn = "1057-9249",
publisher = "John Wiley and Sons Ltd",
number = "1",

}

RIS

TY - JOUR

T1 - One in two cancer patients is significantly distressed: Prevalence and indicators of distress

AU - Mehnert, Anja

AU - Hartung, Tim J

AU - Friedrich, Michael

AU - Vehling, Sigrun

AU - Brähler, Elmar

AU - Härter, Martin

AU - Keller, Monika

AU - Schulz, Holger

AU - Wegscheider, Karl

AU - Weis, Joachim

AU - Koch-Gromus, Uwe

AU - Faller, Hermann

PY - 2018/1

Y1 - 2018/1

N2 - ObjectivePsychological distress is common in cancer patients, and awareness of its indicators is essential. We aimed to assess the prevalence of psychological distress and to identify problems indicative of high distress.MethodsWe used the distress thermometer (DT) and its 34-item problem list to measure psychological distress in 3724 cancer patients (mean age 58 years; 57% women) across major tumor entities, enrolled in an epidemiological multicenter study. To identify distress-related problems, we conducted monothetic analyses.ResultsWe found high levels of psychological distress (DT ≥ 5) in 52% of patients. The most prevalent problems were fatigue (56%), sleep problems (51%), and problems getting around (47%). Sadness, fatigue, and sleep problems were most strongly associated with the presence of other problems. High distress was present in 81.4% of patients reporting all 3 of these problems (DT M = 6.4). When analyzing only the subset of physical problems, fatigue, problems getting around, and indigestion showed the strongest association with the remaining problems and 76.3% of patients with all 3 problems were highly distressed (DT M = 6.1).ConclusionsOur results show a high prevalence of psychological distress in cancer patients, as well as a set of problems that indicate the likely presence of other problems and high distress and can help clinicians identify distressed patients even if no routine distress screening is available.

AB - ObjectivePsychological distress is common in cancer patients, and awareness of its indicators is essential. We aimed to assess the prevalence of psychological distress and to identify problems indicative of high distress.MethodsWe used the distress thermometer (DT) and its 34-item problem list to measure psychological distress in 3724 cancer patients (mean age 58 years; 57% women) across major tumor entities, enrolled in an epidemiological multicenter study. To identify distress-related problems, we conducted monothetic analyses.ResultsWe found high levels of psychological distress (DT ≥ 5) in 52% of patients. The most prevalent problems were fatigue (56%), sleep problems (51%), and problems getting around (47%). Sadness, fatigue, and sleep problems were most strongly associated with the presence of other problems. High distress was present in 81.4% of patients reporting all 3 of these problems (DT M = 6.4). When analyzing only the subset of physical problems, fatigue, problems getting around, and indigestion showed the strongest association with the remaining problems and 76.3% of patients with all 3 problems were highly distressed (DT M = 6.1).ConclusionsOur results show a high prevalence of psychological distress in cancer patients, as well as a set of problems that indicate the likely presence of other problems and high distress and can help clinicians identify distressed patients even if no routine distress screening is available.

U2 - 10.1002/pon.4464

DO - 10.1002/pon.4464

M3 - SCORING: Journal article

VL - 27

SP - 75

EP - 82

JO - PSYCHO-ONCOLOGY

JF - PSYCHO-ONCOLOGY

SN - 1057-9249

IS - 1

ER -