What Oncologists should know about the screening of psychological distress: one example of pilot study in Ancona

Date

10 Sep 2017

Session

Poster display session

Presenters

Marco Romeo

Citation

Annals of Oncology (2017) 28 (suppl_5): v507-v510. 10.1093/annonc/mdx384

Authors

M. Romeo, R. Giampieri, L. Burattini, M. Di Pietro Paolo, A. Bittoni, S. Rinaldi, M. Torniai, R. Berardi

Author affiliations

  • Clinica Oncologica, AOU Ospedali Riuniti Ancona Università Politecnica delle Marche, 60126 - Ancona/IT
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Resources

Background

Screening for psychological distress is one of the most important steps in Psycho-Oncology research and clinical assistance. In our Institution, before the present study, four studies have been carried out in this area from 2013 to 2016: 441 people were screened and 881 questionnaires were administered.

Methods

The study has been carried out using the following tools: Needs Evaluation Questionnaire (investigates five areas: informative needs, needs related to assistance and care, relational needs, needs for psycho-emotional support, material needs); Beck Depression Inventory II (BDI II), both for caregivers and for patients; Mini Mental Adjustment to Cancer (MiniMac, for the copying style); State-Trait Anger Expression Inventory–2 (for the expression of anger).

Results

From February to April 2017, 78 people have been screened (44 patients and 34 caregivers; Male/female ratio was 29/49; median age was 54 years (range 21-84); 32% of patients showed informative needs, 48% indicated a psychological need, 18% assistance needs. Depression was more present in patients (30%) than in the caregivers (22%) and problems concerning sleep (65%) and fatigue (60%) were more common; only 61% of patients had a fighting spirit while 24% of caregivers showed a high expression of anger. Fischer test showed a correlation between anxious preoccupation (MiniMac) and symptomatic depression (P = 0,000432860); moreover, Helpless-Hopeless copying style was also related (P = 0,005396636) to depression; caregiver’s expression of aggressiveness (P = 0,114394682) to patients’ anxious preoccupation. The relationship between patients’ depression to caregivers’ aggressiveness requires further investigation (P = 0,247399740).

Conclusions

Psychological screening can fulfill the following aims: discover expressed needs, coping styles, depression, familiar distress, burden. The results and the correlations underline the importance of managing the patients’ anxiety and the expression of the caregivers’ aggressiveness and the relationship of such issues with depression. Moreover, informative needs are associated to the most diffused psychological needs.

Clinical trial identification

Legal entity responsible for the study

Clinica Oncologica Ancona

Funding

Fondazione Rossetti-Fedecostante Ancona

Disclosure

All authors have declared no conflicts of interest.

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