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Related Experiment Video

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Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression
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Screening tools for psychiatry disorders in cancer setting: Caution when using.

Flávia Lima Osório1, Manuela Polidoro Lima2, Marcos Hortes N Chagas3

  • 1Barretos Cancer Hospital, Pio XII Foundation, Rua Antenor Duarte Vilela 1331, CEP 14784-400 Barretos, São Paulo, Brazil; Department of Neurosciences and Behavior, Medical School of Ribeirão Preto, University of São Paulo, Brazil.

Psychiatry Research
|August 16, 2015
PubMed
Summary

Self-report screening tools for psychiatric disorders in cancer patients show good specificity but low sensitivity. Clinicians should use sensitivity measures cautiously in this population.

Keywords:
CancerPsychiatricScale

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Area of Science:

  • Oncology
  • Psychiatry
  • Psychometrics

Background:

  • Cancer patients frequently experience psychiatric disorders and symptoms.
  • Accurate screening is crucial for timely intervention and improved patient outcomes.
  • Self-report instruments offer a potential method for widespread screening.

Purpose of the Study:

  • To evaluate the sensitivity and specificity of various self-report instruments for screening psychiatric conditions in cancer outpatients.
  • To determine the diagnostic accuracy of tools for major depression, anxiety disorders, substance abuse, and psychotic symptoms.

Main Methods:

  • 1384 cancer outpatients completed self-assessment instruments.
  • 400 of these patients underwent telephone interviews for diagnostic confirmation.
  • Receiver Operating Characteristic (ROC) analyses were performed to assess diagnostic accuracy.

Main Results:

  • Several instruments demonstrated moderate to excellent specificity (e.g., PHQ-4: 0.75-0.88, FAST: 0.83-0.86).
  • However, many tools exhibited low sensitivity (e.g., PHQ-4: 0.53-0.54, GAD-7: 0.52).
  • The Fagerström Test for Nicotine Dependence (FTND) showed high sensitivity (0.97) but moderate specificity (0.72).

Conclusions:

  • Self-report instruments possess valuable specificity for identifying psychiatric disorders in cancer patients.
  • The low sensitivity of most tools necessitates caution when relying solely on these measures for screening.
  • Clinical judgment and potentially other assessment methods are vital when interpreting results from these screening tools in oncology settings.