[Screening for mental stress and the wish for psychological support in patients with breast cancer].

Z Psychosom Med Psychother

Universitätsklinikum Tübingen, Abteilung Innere Medizin VI-Psychosomatische Medizin und Psychotherapie, Osianderstr. 5, 72076 Tübingen.

Published: October 2010

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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