Screening for Depression in Cancer Inpatients
| Autor: | Ling-Hua Lin, 林玲華 |
|---|---|
| Rok vydání: | 2000 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 88 Depression is the common problem for cancer patients. However, to have psychiatrists performing diagnostic assessment for every cancer patient is not feasible. A simple and valid method to screen depression is in need. The purpose of this research is to compare the screening ability of two simple instruments of depression for cancer inpatient. A secondary aim is to examine the risk factors of depression. 121 cancer inpatients aged over 18 were invited to participate in this research, and who completed two depression scales (HADS and GDS) and psychiatric interview within 72 hours. According to the structured interview (M.I.N.I.), we got psychiatric diagnosis which based on DSM-Ⅳ. Using the DSM-Ⅳ diagnosis as a golden standard, we proceeded analysis of ROC curves. The result indicates the prevalence of depression in this population is 34.7%. A cut-off point of 7 for HADS-D gives 81.0% sensitivity and 63.3% specificity. And a cut-off point of 11 for HADS contributes 81.0% sensitivity and 54.4% specificity. GDS and SF-GDS can not get an optimal cut-off point from analysis of ROC curve. With the criterion of 70% sensitivity, the better cut-off points of GDS and SF-GDS are 10 and 6 respectively. The AUC of HADS-D (.7575) is the greatest of all scales. This study also affirms poor functional status, perceived ineffective of treatment, lower educational level and lower income of family associated with higher depression prevalence rate. HADS-D appears on this study, to be a more feasible screening scale, but original cut-off point is inadequate. Optimal cut-off point of HADS-D is 7 for clinical implication. Besides, nurses should offer more physical and psychosocial support for high-risk patients of depression. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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