Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Baruch Ivcher School of Psychology, Interdisciplinary Center, Herzilya, Israel.
Eur J Cancer Care (Engl). 2018 May;27(3):e12835. doi: 10.1111/ecc.12835. Epub 2018 Mar 6.
The purpose of this research was to examine oncologists' perspectives on indicators of mental health distress in patients: what strategies they use to identify these indicators, and what barriers they face in this task. Twenty-three oncologists were interviewed, and the grounded theory method of data collection and analysis was used. Oncologists perceived distress to be a normative part of having cancer and looked for affective, physical, verbal and behavioural indicators using a number of strategies. Barriers to identification of mental health distress included difficulty in differentiating between mental health distress and symptoms of the disease, and lack of training. A systematic, time-efficient assessment of symptoms of emotional distress is critical for identification of psychiatric disorders among patients and differentiating normative emotional responses from psychopathology. Clinical bias and misdiagnosis can be a consequence of an ad hoc, intuitive approach to assessment, which can have consequences for patients and their families. Once elevated risk is identified for mental health distress, the patient can be referred to specialised care that can offer evidence-based treatments.
他们用于识别这些指标的策略，以及在这项任务中面临的障碍。对 23 名肿瘤学家进行了访谈，并采用了数据收集和分析的扎根理论方法。肿瘤学家认为，在患有癌症的过程中，痛苦是一种常态，他们会通过多种策略来寻找情感、身体、言语和行为方面的指标。识别心理健康困扰的障碍包括难以区分心理健康困扰和疾病症状，以及缺乏培训。系统、高效地评估情绪困扰的症状对于识别患者的精神障碍和区分正常情绪反应与精神病理学至关重要。对评估采用临时性、直观的方法可能会导致临床偏见和误诊，从而对患者及其家属产生影响。一旦确定心理健康困扰的风险升高，患者就可以转介到专门的护理机构，提供循证治疗。
