Stadelmaier Nena, Gana Kamel, Saada Yaël, Duguey-Cachey Odile, Quintard Bruno
Institut Bergonié.
University of Bordeaux.
Behav Ther. 2017 Sep;48(5):596-602. doi: 10.1016/j.beth.2016.12.001. Epub 2016 Dec 13.
We translated and adapted the French version of the Basic Documentation for Psycho-Oncology (Po-Bado standard version) and we report its psychometric properties. The Po-Bado is a 12-item documentation instrument that measures psychosocial burden in cancer patients (all types and stages). The intensity of a patient's psychological suffering is evaluated by a health care professional (e.g., doctor, psychologist, nurse) in a semiguided interview. Overall, 252 cancer patients (M = 57 years, SD = 12.8 years) participated, completing the Po-Bado during a supportive care consultation following initial diagnosis. Our results show good reliability of the Po-Bado scores, with high internal consistency and interrater coefficients. Low temporal stability indicated that the Po-Bado measures a state-like phenomenon (vs. trait-like). Validity analysis showed significant correlations between cancer-specific psychosocial burden and negative mood (i.e., depression, anxiety) and psychological disturbance as assessed by the General Health Questionnaire (GHQ-12). Confirmatory factor analysis validated the Po-Bado's two-factor structure (i.e., somatic and psychological burdens). A receiver operating characteristic (ROC) curve determined the optimal cutoff score of 7.5. These results suggest that the Po-Bado is an easily applicable tool for clinicians and researchers to screen effectively for psychosocial burden in oncology.
我们翻译并改编了《心理肿瘤学基础文档》的法语版本(Po-Bado标准版本),并报告了其心理测量特性。Po-Bado是一种包含12个条目的文档工具,用于测量癌症患者(所有类型和阶段)的心理社会负担。患者心理痛苦的强度由医护人员(如医生、心理学家、护士)在半引导式访谈中进行评估。总体而言,252名癌症患者(平均年龄M = 57岁,标准差SD = 12.8岁)参与了研究,他们在初次诊断后的支持性护理咨询期间完成了Po-Bado评估。我们的结果显示,Po-Bado评分具有良好的可靠性,内部一致性和评分者间系数都很高。较低的时间稳定性表明Po-Bado测量的是一种类似状态的现象(而非类似特质的现象)。效度分析表明,癌症特异性心理社会负担与消极情绪(即抑郁、焦虑)以及通过一般健康问卷(GHQ-12)评估的心理困扰之间存在显著相关性。验证性因素分析验证了Po-Bado的两因素结构(即躯体负担和心理负担)。受试者工作特征(ROC)曲线确定了最佳临界值为7.5。这些结果表明,Po-Bado是临床医生和研究人员在肿瘤学中有效筛查心理社会负担的一种易于应用的工具。