Depression assessment by oncologists and palliative care physicians
| Autor: | Cécile Fournel-Federico, Eduardo Bruera, Marilène Filbet, Pierre Saltel, Jean-Yves Blay, Wadih Rhondali, Élise Perceau, Jean Pierre Coulon, Jean Louis Terra, Olivier Tredan, Yves Matillon, Véronique Trillet-Lenoir |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Palliative care Attitude of Health Personnel Population Pilot Projects Medical Oncology Quality of life Neoplasms Surveys and Questionnaires Outpatients medicine Humans Mass Screening Prospective Studies Practice Patterns Physicians' Psychiatry Prospective cohort study education Palliative Medicine General Nursing Depression (differential diagnoses) education.field_of_study Depressive Disorder business.industry Depression Cancer General Medicine medicine.disease Depression screening Psychiatry and Mental health Clinical Psychology Family medicine Female France business Working environment |
| Zdroj: | Palliativesupportive care. 10(4) |
| ISSN: | 1478-9523 1478-9515 |
| Popis: | Objective:Depression is a frequent problem in cancer patients, which is known to reduce quality of life; however, many cancer patients with depression are not treated because of the difficulties in assessing depression in this population. Our aim was to evaluate and improve the depression assessment strategies of palliative care (PC) physicians and oncologists.Method:We invited all medical oncologists and PC physicians from three cancer centers to participate in this multicenter prospective study. They were asked to classify 22 symptoms (related and specific to depression in cancer patients, related but not specific, and unrelated) as “very important,” “important,” “less important,” or “not important” for the diagnosis of depression in cancer patients, at three different time points (at baseline, after a video education program, and after 4 weeks). They were also asked to complete a questionnaire exploring physicians' perceptions of depression and of their role in its systematic screening.Results:All 34 eligible physicians participated. Baseline performance was good, with >70% of participants correctly classifying at least seven of nine related and specific symptoms. We found no significant improvement in scores in the immediate and 4-week follow-up tests. Additionally, 24 (83%) and 23 (79%) participants expressed support for systematic depression screening and a role for oncologists in screening, respectively.Significance of results:Oncologists had good baseline knowledge about depression's main symptoms in cancer patients and a positive attitude toward being involved in screening. Underdiagnosis of depression is probably related to problems associated with the oncology working environment rather than the physicians' knowledge. |
| Databáze: | OpenAIRE |
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