The relationship between patients' concerns and psychological distress in a hospice setting.

2.50
Hdl Handle:
http://hdl.handle.net/10541/91996
Title:
The relationship between patients' concerns and psychological distress in a hospice setting.
Authors:
Heaven, Cathy; Maguire, Peter
Abstract:
A total of 87 patients admitted to two hospices during a 9 month period were assessed by trained nurses to determine their current concerns. These assessment interviews were tape recorded. A trained researcher then administered a semi structured concerns interview using the Concerns Checklist, the Hospital Anxiety and Depression Scale and the Spielberger State Anxiety Inventory. Patients reported an average of 6.5 concerns. Concerns about loss of independence and the family were most common. Although a third of the patient sample died within a short time after the interview, concerns about cancer, the future and dying were infrequent. Using a threshold score on the Hospital Anxiety and Depression Scale of > 19 to allow for the effect of disease, 17% of the sample were judged to be probable cases of clinical anxiety and/or depression. There was a strong association between the number of concerns patients experienced and psychological distress (p < 0.001). Concerns about pain and treatment were particularly associated with anxiety whereas concerns about disability were linked with depressed mood. Concerns about cancer were linked with both anxious and depressive changes in mood (p < 0.001). The study highlights the diverse nature of hospice patients' concerns and shows a clear link between psychological distress and number of concerns expressed by patients.
Affiliation:
Cancer Research Campaign Psychological Medicine Group, Manchester, UK.
Citation:
The relationship between patients' concerns and psychological distress in a hospice setting., 7 (6):502-7 Psychooncology
Journal:
Psycho-Oncology
Issue Date:
1998
URI:
http://hdl.handle.net/10541/91996
DOI:
10.1002/(SICI)1099-1611(199811/12)7:6<502::AID-PON336>3.0.CO;2-T
PubMed ID:
9885091
Type:
Article
Language:
en
ISSN:
1057-9249
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorHeaven, Cathyen
dc.contributor.authorMaguire, Peteren
dc.date.accessioned2010-02-12T12:32:41Z-
dc.date.available2010-02-12T12:32:41Z-
dc.date.issued1998-
dc.identifier.citationThe relationship between patients' concerns and psychological distress in a hospice setting., 7 (6):502-7 Psychooncologyen
dc.identifier.issn1057-9249-
dc.identifier.pmid9885091-
dc.identifier.doi10.1002/(SICI)1099-1611(199811/12)7:6<502::AID-PON336>3.0.CO;2-T-
dc.identifier.urihttp://hdl.handle.net/10541/91996-
dc.description.abstractA total of 87 patients admitted to two hospices during a 9 month period were assessed by trained nurses to determine their current concerns. These assessment interviews were tape recorded. A trained researcher then administered a semi structured concerns interview using the Concerns Checklist, the Hospital Anxiety and Depression Scale and the Spielberger State Anxiety Inventory. Patients reported an average of 6.5 concerns. Concerns about loss of independence and the family were most common. Although a third of the patient sample died within a short time after the interview, concerns about cancer, the future and dying were infrequent. Using a threshold score on the Hospital Anxiety and Depression Scale of > 19 to allow for the effect of disease, 17% of the sample were judged to be probable cases of clinical anxiety and/or depression. There was a strong association between the number of concerns patients experienced and psychological distress (p < 0.001). Concerns about pain and treatment were particularly associated with anxiety whereas concerns about disability were linked with depressed mood. Concerns about cancer were linked with both anxious and depressive changes in mood (p < 0.001). The study highlights the diverse nature of hospice patients' concerns and shows a clear link between psychological distress and number of concerns expressed by patients.en
dc.language.isoenen
dc.subject.meshActivities of Daily Living-
dc.subject.meshAged-
dc.subject.meshAnxiety-
dc.subject.meshAttitude to Death-
dc.subject.meshAttitude to Health-
dc.subject.meshDepression-
dc.subject.meshFamily-
dc.subject.meshFear-
dc.subject.meshFemale-
dc.subject.meshHospice Care-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshPsychiatric Status Rating Scales-
dc.subject.meshQuality of Life-
dc.subject.meshQuestionnaires-
dc.subject.meshStress, Psychological-
dc.titleThe relationship between patients' concerns and psychological distress in a hospice setting.en
dc.typeArticleen
dc.contributor.departmentCancer Research Campaign Psychological Medicine Group, Manchester, UK.en
dc.identifier.journalPsycho-Oncologyen

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