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Four weeks of daily assessments of anxiety, depression and activity compared to a point assessment with the Hospital Anxiety and Depression Scale
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Oncology, Radiology and Clinical Immunology.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Oncology, Radiology and Clinical Immunology.
2008 (English)In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 17, no 1, 95-104 p.Article in journal (Refereed) Published
Abstract [en]

Objectives To explore to what extent the daily reporting of anxiety, depression and activity in a diary mirrors scores on point assessments with the Hospital Anxiety and Depression scale ( HADS). Methods In a randomized intervention study consecutive breast cancer patients ( n = 179) about to start adjuvant therapy were included. The HADS questionnaires were sent to patients 3 and 12 months after inclusion. Daily reporting of anxiety, depression and activity on Visual Analogue Scales ( VAS) were completed during 4 weeks surrounding the HADS assessments. Results The results showed moderate correlations ( r = -0.36 to -0.67, P < 0.01) at both assessments. The daily reports were consistent over 4 weeks and did not differ between assessments. Mean scores on the HAD-Anxiety were 4.00 at the 3 months and 5.07 at the 12 months assessment. For the HAD-Depression the mean scores at the same assessment points were 3.61 and 3.23, respectively. The daily reports put more strain on the respondents and produced a larger attrition rate than the HADS. Conclusion A point assessment with the HADS captures the situation of breast cancer patients' equivalent to 4 weeks assessment in a diary, but is easier to complete and is therefore preferable to the diary.

Place, publisher, year, edition, pages
2008. Vol. 17, no 1, 95-104 p.
Keyword [en]
Breast cancer, Cancer, Diary, Hospital Anxiety and Depression Scale, Psychology, Oncology
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-96020DOI: 10.1007/s11136-007-9275-4ISI: 000251995900010PubMedID: 18026852OAI: oai:DiVA.org:uu-96020DiVA: diva2:170426
Available from: 2007-05-24 Created: 2007-05-24 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Individual psychosocial support for breast cancer patients: Quality of life, psychological effects, patient satisfaction, health care utilization and costs
Open this publication in new window or tab >>Individual psychosocial support for breast cancer patients: Quality of life, psychological effects, patient satisfaction, health care utilization and costs
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

A randomized intervention study, with the aim to compare the effects of individual psychosocial support provided by (1) oncology nurses specially trained in psychological techniques (INS), or (2) psychologists (IPS), to (3) standard care (SC). Breast cancer patients, living in Uppsala County, and about to start adjuvant treatment at the Department of Oncology, Uppsala, were consecutively included between 1998 and 2000. The patients were assessed seven times during two years by self-administered questionnaires. Study I revealed positive effects of both INS and IPS as compared to SC on global quality of life, side effects, and post-traumatic distress. A lower proportion of patients in the intervention groups had psychosocial support provided in routine care compared with the SC group. In study II the patients reported being highly satisfied with the intervention, irrespective of profession providing the support. However, patients in the INS group reported higher levels of benefit regarding disease-related problems than those in the IPS group. In study III total Health Care costs were lower in the intervention groups and since a gain in quality-adjusted life years (QALY) was seen (mean .1 QALY), the interventions dominated. The costs for the interventions were 44 291- 48 978 SEK. In study IV, daily reporting of anxiety, depression and activity on Visual Analogue Scales (VAS) were completed during two weeks before and after the Hospital Anxiety and Depression Scale (HADS) assessments. A point assessment with the HADS captured the situation better than four weeks assessment on three VAS in the diary. The HADS was considered preferable to the diary. The conclusion is that psychosocial support is beneficial for breast cancer patients and that the intervention delivered by nurses was as effective as that given by psychologists. The costs for the interventions were limited.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2007. 73 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 268
Keyword
Oncology nursing, Breast cancer patients, Individual psychosocial support, Intervention study, Randomized, Quality of life, Psychological effects, Patient satisfaction, Health care utilization and costs, Onkologisk vård
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-7929 (URN)978-91-554-6922-1 (ISBN)
Public defence
2007-09-07, Auditorium Minus, Gustavianum, Uppsala, 09:00
Opponent
Supervisors
Available from: 2007-05-24 Created: 2007-05-24 Last updated: 2013-08-29Bibliographically approved

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