癌症遗传咨询参与者的社会心理方面评估。
Evaluation of psychosocial aspects in participants of cancer genetic counseling.
作者信息
González-Ramírez Leivy Patricia, Martínez-Arriaga Reyna, Camacho-Cárdenas Erendira, Del Toro-Valero Azucena, Oceguera-Villanueva Antonio, Zagamé Livia, Silva-García Aída Araceli, Daneri-Navarro Adrián
机构信息
Departamento de Ciencias de la Salud, Centro Universitario de Tonala, Universidad de Guadalajara, 555 Nuevo Periférico Av. Ejido San Jose Tatepozco, 45425 Guadalajara, Jalisco Mexico.
Programa de Asesoramiento Genético Oncológico, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, 950 Sierra Mojada St., Independencia, 44340 Guadalajara, Jalisco Mexico.
出版信息
Hered Cancer Clin Pract. 2017 Sep 20;15:13. doi: 10.1186/s13053-017-0073-x. eCollection 2017.
BACKGROUND
The instrument called "Hospital Anxiety and Depression Scale" (HADS) is frequently used to evaluate anxious and depressive symptomatology in patients who receive Cancer Genetic Counseling (CGC). However, this instrument cannot identify all of the psychosocial factors, such as the antecedents of the patients' emotional states or their concerns. The objective of the present research was to compare cases detected with psychosocial alterations by means of HADS and a Psychological Health Interview (PHI).
METHODS
A transversal analytical design was used. One hundred ten participants were included (97.3% females and 2.7% males). The average age was 45 years ±10 years.
RESULTS
The PHI identified twice the amount of participants with psychosocial alterations than did HADS, which only detected 43% of these participants.
CONCLUSIONS
The results of our study suggest that the PHI should be applied in addition to HADS to identify participants who would require psychological support due to recurrent concerns.
背景
“医院焦虑抑郁量表”（HADS）常用于评估接受癌症遗传咨询（CGC）患者的焦虑和抑郁症状。然而，该量表无法识别所有心理社会因素，如患者情绪状态的前因或他们的担忧。本研究的目的是比较通过HADS和心理健康访谈（PHI）检测出心理社会改变的病例。
方法
采用横断面分析设计。纳入110名参与者（97.3%为女性，2.7%为男性）。平均年龄为45岁±10岁。
结果
PHI识别出的有心理社会改变的参与者数量是HADS的两倍，HADS仅检测出这些参与者中的43%。
结论
我们的研究结果表明，除了HADS之外，还应应用PHI来识别因反复担忧而需要心理支持的参与者。
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