Division of Epidemiology and Health Services Research, Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Centre, Obere Zahlbacher Straße 69, 55131, Mainz, Germany.
University Cancer Centre, Mainz, Germany.
Acta Neurochir (Wien). 2018 Jun;160(6):1187-1194. doi: 10.1007/s00701-018-3527-7. Epub 2018 Mar 29.
Distress impacts the daily life of glioma patients. This study explored its course over time and the usage of psychosocial care.
A consecutive sample of glioma patients completed the Hospital Anxiety and Depression Scale to assess distress levels at admission to the hospital (t1), before discharge (t2), after 3 months (t3), and after 6 months (t4). They were interviewed with the Structured Clinical Interview for DSM-IV to ascertain psychiatric disorders at t2. Psycho-oncological care in the hospital was determined with the Hospital Information System, and the use of outpatient treatment was evaluated with the Health Care Usage Questionnaire at t4. We compared the percentages of elevated distress, psychiatric co-morbidity, and care usage between men and women.
During the study period, 37 patients were enrolled. Nineteen percent of the patients were diagnosed with a psychiatric disorder. The percentages of patients with elevated distress were 56, 59, 39, and 40% at t1, t2, t3, and t4, respectively. Participants who did not survive the 6 months presented with higher levels of distress. In the hospital, 14% of those with elevated distress were visited by a psycho-oncologist. In the outpatient setting, 43% of those with elevated distress visited a neuro-psychiatrist, and 14% went to a psychotherapist. There was no evidence for an effect of gender on psychiatric co-morbidity, distress, or care use.
A significant proportion of glioma patients report elevated distress during the hospital stay and thereafter. Only a fraction of them receive mental health care.
困扰会影响脑肿瘤患者的日常生活。本研究旨在探讨其随时间的变化过程以及心理社会护理的应用。
连续入组的脑肿瘤患者在入院时（t1）、出院前（t2）、3 个月后（t3）和 6 个月后（t4）使用医院焦虑抑郁量表评估困扰程度。在 t2 时使用 DSM-IV 结构临床访谈确定精神障碍。通过医院信息系统确定医院内的心理肿瘤护理情况，在 t4 通过健康护理使用问卷评估门诊治疗的使用情况。我们比较了男性和女性中困扰、合并精神疾病和护理使用的百分比。
在研究期间，共纳入 37 例患者。19%的患者被诊断为精神障碍。t1、t2、t3 和 t4 时，分别有 56%、59%、39%和 40%的患者存在困扰升高。未能存活 6 个月的患者表现出更高水平的困扰。在医院内，14%的困扰升高患者接受了心理肿瘤学家的就诊。在门诊环境中，43%的困扰升高患者咨询了神经精神科医生，14%的患者接受了心理治疗。没有证据表明性别对合并精神疾病、困扰或护理使用有影响。
相当一部分脑肿瘤患者在住院期间和之后报告存在困扰升高。只有一小部分患者接受了心理健康护理。
