Abstract

Objective

To better understand the relationship between cancer patient distress and psychosocial variables, including problem types, to improve ability to predict and address psychosocial need.

Methods

A variation of National Comprehensive Cancer Network (NCCN) Distress Thermometer (DT) was administered and collected at four sites from an Integrated Network Cancer Program (INCP). The presence of moderate/severe distress was examined relative to patient demographics, disease characteristics, and psychosocial problems.

Results

Distress scores were positively correlated with all problem counts. For every count increase of practical, emotional, and physical problems, and for every cancer stage increase the odds of reporting a moderate/severe distress score was significantly higher. Relative to patients with one cancer treatment type, patients with three cancer treatment types were significantly less likely to report moderate/severe distress.

Conclusion

Problem count could be a useful indicator for clinical intervention. Stage and number of treatment types may also be considered clinically relevant distress predictors.

中文翻译：

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癌症患者的实际、情感和身体问题与社会心理困扰的关联

摘要

客观的

更好地了解癌症患者痛苦与心理社会变量（包括问题类型）之间的关系，以提高预测和解决心理社会需求的能力。

方法

国家综合癌症网络 (NCCN) 遇险温度计 (DT) 的变体在综合网络癌症计划 (INCP) 的四个地点进行管理和收集。相对于患者人口统计学、疾病特征和社会心理问题，检查了中度/重度痛苦的存在。

结果

遇险分数与所有问题计数呈正相关。对于实际、情感和身体问题的每一个计数增加，以及对于每个癌症阶段的增加，报告中度/重度痛苦评分的几率都会显着提高。相对于一种癌症治疗类型的患者，三种癌症治疗类型的患者报告中度/重度痛苦的可能性显着降低。

结论

问题计数可能是临床干预的有用指标。治疗类型的阶段和数量也可以被认为是临床相关的痛苦预测因子。