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  • Title: [Screening for mental stress and the wish for psychological support in patients with breast cancer].
    Author: Schäffeler N, Enck P, Riessen I, Seitz D, Marmé A, Wallwiener D, Zipfel S.
    Journal: Z Psychosom Med Psychother; 2010; 56(2):207-19. PubMed ID: 20623464.
    Abstract:
    OBJECTIVES: The study explores whether breast-cancer patients who request psychosocial support have higher psychological strain compared to those who do not. We also explored whether scores on HADS-D and PHQ-D identify the same patients as being stressed as well as the relationship between patient's wish for psychological support and psychological strain. METHODS: 115 inpatients with breast cancer took part in the screening and were asked if they wanted psychosocial support. RESULTS: Above-normal scores in anxiety and depression are reported by 25-29%, with 41% indicating a wish for psychosocial support. These patients showed significantly higher scores on the questionnaires. Their request for psychosocial support shows a similar sensitivity (.733) and specificity (.662) as the "Distress-Thermometer" or "PO-Bado". DISCUSSION: The desire for psychosocial support appears to be a valuable piece of additional information for indicating psychosocial support. However, HADS-D and PHQ-D agree only in 77% of the individual patients.
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