癌症患者症状困扰的研究进展

对癌症患者的心理健康状况及时、准确的筛查和评估，是癌症患者心理康复和整体生命质量改善的关键步骤。心理健康筛查工具已在众多人群中广泛应用，根据量表测量心理健康问题类型将量表分为4类：情绪困扰、焦虑、抑郁、创伤后应激障碍。测量情绪困扰问题的量表中包痛苦温度计和一般健康问卷，使用范围较广；医院焦虑抑郁量表焦虑分量表和贝克焦虑量表是筛查焦虑问题的良好工具，医院焦虑抑郁量表抑郁分量表、患者健康问卷 – 9和流行病调查中心抑郁量表用于筛查癌症患者抑郁症，因其同时具备较好的灵敏度、特异度及较高的阳性预测值和阴性预测值，常被用作筛查相关问题的优先选择工具。筛查创伤后应激障碍常用量表为创伤后应激障碍量表 – 民用版本。

Decrease in depression symptoms is associated with longer survival in patients with metastatic breast cancer: a secondary analysis

The timely and accurate screening and evaluation of the mental health status of cancer patients is a key step in the improvement of psychological rehabilitation and overall quality of life of cancer patients. Mental health screening and instruments have been widely used in many groups. This paper summarizes different scales to provide references for cancer rehabilitation and promotion of cancer patients′ mental health. The scales are divided into four categories: emotional distress, anxiety, depression, and post-traumatic stress disorder. The distress thermometer and the general health questionnaire are widely used in the screening for emotional distress problems. The Hospital Anxiety and Depression Scale Anxiety Scale and the Baker Anxiety Scale are good tools for screening anxiety problems. The Hospital Anxiety and Depression Scale Depression subscale, the Patient Health Questionnaire – 9, and the Center for Epidemiological Studies – Depression Scale are used to screen depression. The scales are often used as a preferred tools for screening related problems because of good sensitivity, specificity, and high positive predictive value and negative predictive value. The commonly used scale for screening post-traumatic stress disorder is the Post-Traumatic Stress Disorder Scale – Civil Version.